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Home My WebLink AboutPermit Electrical 2008-2-22 ZON lA AI INITIALS ~ - N rv\ _ . DATE 21 /_ <) ItJ f{' SOURCE J\,(-tIS{lr./ Date 2/'2-2-(1) Q COMPLETE FEE sCHEriiJiIiBELoW 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ,rJ1l1/? 2DoR -- /)1) 2/;:)2- ~ f:fJc;!T~ON}ji::iN~13-~~o5N: 7 lL / ,) (, ,) 7J ( ) , '- 7T / LEGAL DESCRIPTION: \ r!{)2- 0,+ l \ 0 '+0 ~/1TD J~~DESCRIPTION: H (J J FvynCJ\('-( f Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2, CONTRACTORIf'STALLATION J3NLY Electrical Contractor I:) jJ f f' i ) J /j r () .5 Address Po hox (pq 7 CIty lUll) Ii I v')') ) '( Phone Supervisor License Number Lf 7 A I 5 /0//0 . I '3 & Lj L/ ~ 10 /10 , , S'gna e ~up:~;smg Ep~:i~ ^ A l)k / ;\AMA./ J VV V\A. ~e' S t'( y--{ 0\ Y ();r is'ASS1-Yh / City ~-cf Phone 7 4-~ -/:/:;:;-y ATTENTION: Oregon law requires you to OWNERf!~~A!t~!~ted by the Oregon Utility The msta~iani'b'tlrs'B€in'gEmh'de on1pRipett}el'GWi1 wHiWth is not intende8ifop,sd!eICMaSlPMJrifut9L19h OAR 952-001- rr,' 'J ,lrlL, r--:ay oblalil caples of the rules by Owners SIgnature: I n~ conte' (;\Jote the te!eprone ,-- :;2 ,( IG-; CregC'1l LJtlilty .\jotiflcation '- - -; M;JC(J--3~~--;3/'t..: ExpiratIon Date Constr. Contr. Number Expiration Date Address 3, A, Ne'Y"Residential- Single or Multi-Family per dwelling unit Service Included 1000 sq. ft. or less Each additional 500 sq. ft or portIOn thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $ 21.00 $55.00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only C. Temporary Services or Fee~ers Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above D. Branch Circuits New Alteration or Extension Per Panel / One CirCUIt Each Additional Circuit or WIth Service or Feeder Permit $ 70 00 $ 83.00 $13800 $180.00 $413.00 $ 55.00 $ 55.00 $ 76.00 $110.00 $ 48.00 (P $ 4.00 tjt/ [) If)- E. Miscellaneous (Service/feeder not included) -Each Installation - - Pump or irrIgation $ 55 00 Sign/Outline Lighting $ 55.00 Lumted EnergylResidential $ 28.00 LimIted ING$1e~ercIal $ 50.00 Minimum ~1~~FlffiP~~m~t'L ~~l~g~f~~tl~,~mrr~es 4. "SUBTdlf.D.trORImPM'IDER THIS PERMIT is .\iW'. 00 12% Sta&~MlM~tCED OR IS ABANOlJf\lEU :-0:; . t, 10 Lj 1 0% Ad~hH&tilaOO~v P ERIO D. --j', ~ ") 5% Technology Fee ~.::s , G? 0 ql,L/t-f Inspection Request: 726-3769 TOTAL Shared Dnve(T )/BUlldmg FormslElectncal PermIt ApplIcation 1-08 doc I Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00262 ISSUED: 02/22/2008 APPLIED: 02/22/2008 EXPIRES: 08/22/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 758 S 57TH ST ASSESSOR'S PARCEL NO.: 1802041104800 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Circuits for heat pump and furnace Owner: STEPHEN TAYLOR Address: 758 S, 57TH SPRINGFIELD OR Phone Number: 541-746-0524 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08/20/2009 Phone 541-747-2724 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building, Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Im..J!rovem~llts..: I w requl'res you to ATTENTION: uregon a ., StonM~Nf~~~ibt:l}bpted by the Oregon Utility SpeqatUp.~fi.ll~tio}llt!nter Those rules are set forth in OAR 952-001-0010 through OAR 952-001- Note~:J90. You may obtain copies of the rules by calling the center. (Not~:,~,~e tl.e!~p~~~:_ ~(Q!'CIE: number TOr me Vlt;~UII L;dll'.1 L~t1.L_:t._. . nl:' "'tliIVIII ::>HALL tXl-'lKI: IF THE WORK Center IS 1-800-332-2344), I Valuation Descri~itFIHIRIZED UNDER THIS PERMIT IS NOT lJU'VIIVIEr"C~D OR IS ABANDONED FOR $ Per Sq Ft Square'Footage, "Jj: It' I' B'd At: .R/DO. Value Date Calculated or mu Ip ler or I moun Sidewalk Type: Downspouts/Drains: Description Type of Construction Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00262 ISSUED: 02/22/2008 APPLIED: 02/22/2008 EXPIRES: 08/22/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid' Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $7.20 $8.64 $3.60 $48.00 $24.00 2/22/08 2/22/08 2/22/08 2/22/08 2/22/08 2200800000000000235 2200800000000000235 2200800000000000235 2200800000000000235 2200800000000000235 Total Amount Paid $91.44 I Plan Reviews, To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Reouired Insnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety, I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project, I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pae:e 2 of2 225 Fifth Street Springfield, Oregon 97477 54i-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00262 COM2008-00262 COM2008-00262 COM2008-00262 COM2008-00262 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000000235 Date: 02/22/2008 Description Add, Alter, Extend Ctrc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdministratIve Fee Paid By JOSHUA BURRELL Item Total: Check Number AuthOrization Received By Batch Number Number How Received ddk 04592B In Person Payment Total: Page 1 of I 9:49:21AM Amount Due 4800 2400 360 864 720 $91.44 Amount Paid $9144 $91.44 2/22/2008