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Home My WebLink AboutPermit Electrical 2008-2-26 SPRINGFIELD :t:i"<<c'~'~J 4P,,-,1 ,--.;<tfr_ ',. ~ -;;',~v!'~,~~..r..t' -_.~~';' ~j'M ,,~.,'" ~ ZON U'),<? _ INITIALS N'(V\ __ DATE oU ~0; J 01S> SOURCE (l. GI D x~~~:~1~;~;tel~~r~eR"sIiRJNGEIEtD'::;,iORE6b'Nf~,'~~: ;:< , "~.~:i~J.f~l",;;:;~...<":.,,..t~4"){"I}~';At'ft ~ .~.t~~i .<",'J1'ir.,~"~.t~~~.,,, ".~. ,r,'"""':'.....__~... ~. ;';~~~1t' 'r;':":/'"~ '{"':~4-. 225 FIFTH STREET 0 SPRINGFIELD, OR 97471 . PH:(54I)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number L-D m? l")o<iS, D02-2.:2, ....,., 1 '" ",,,.',j~ ~ ~ ~ ~,~; ,~ l'l -, d-" < ',;.. ^' 1. LOCATION OF}NSTALLATION: );' , ~ _~ ~~_~ .k _ "", ~ ~ .,t; n~~~," ~ '" ,<'w_ \ ~v."~-'..<'-" ,,~-' - <61' ( S. Aor& <.:5f. LEGAL DESCRIPTION 'j r 0'"1. 0 5 ~ \ U"'C11 (h) . . .- JOB DESCRIPTION: ~ifViu. 'Recnttn.e..cr Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~+ "~,,, ~"~H , \~'"_ "" '-' ,,"'-- ~ c.. _~~ 2 :~, pONTRA,CTOR-INSTALIATIOiY ONDY,~ E'lec~~c~1 'contracto;" fJ V V r 1" ft [5'y O'~ ' Address P 0 6~ 'I Gq 7 City V t-l11 '(tv,'))f Phone:tV - '17 J.y Lf 7 ~] S ExprratlOn Date /0 - I 0 / 3 ~ t/-4 (p /6 -oq I SupervIsor License Number Constr Contr Number EXpiratIon Date S nature of Supervlsmg Ep;flcmn I \ J (\f)JA;U; \c \f\M1J '-... ers Name~.vtlc.L \.-Td~~rJ Address <375 s. Ll ~ , ~ City Phone OWN.A.l/~~ : Qr~n law requIres you to fdfi6~N1blli ~b~Te(j by the Oregon Utility The IIH~OIll~(!l1jIJl<'ftwsDIM~te>weM0~U\l IS notiJlll1@lAFl<t3tm.OO4rOO1$@@lm\11ghOAR952-001- 0090. You may obtain copies of the rules by Ownersid~the center. (Note: the telephone number for the Oregon Utility Notification Center is l-a~2'2344). ' Inspection Request: 726-3769 Date ~!2.h~ _ ~('.,-;_ ~ " " _,"_ ~ ~ "'" ,...-;""'~ ::- ~ _'" ~ _~ ....,~~ "<. ~ ,~ ~ _" _~.,. _ ~ ,,~ ~.J" 3. ' ,COMPLETEFEESCHEDULEiiELOW' "^', "~' '~,---~ ')',-': I" ..! -1~,- ~ _ u _ c, - ~~w~ "--~ ~..' __ ,~ ,,1 ~\. "~; ~ _ .. ..i 'n 7.~ > A. .~'N;~: Resi~~(~ai':: S7~gie 'qr M~lti~F; mil; per~~~~lIfng ~~il~ - _~.,.~_t~.n-..",..i'i~~........>.'" ._""'~_ ~ ..;;;.~_~_... ~~ -.>:1/: ~ ",," ,,~~_~"...w.~) , Service Included 1 000 sq. ft or less Each additlOnal 500 sq. ft or portlOn thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder $117.00 $ 21 00 $55 00 .. " ....-.,,- ><"~ ~ ~ '- < ~ ~"'~ ~ ~ ," f ~~ - ~. -- <.- ~ , B. Se('Vices"'~r. Feeder~':' Instaliati~n,:Alteraiio~~s or Relocati~n: -, , ,~'" ,_ :, ,~}~~ :::~"^_:.~ ~~"_, ..- h" L.i,-,,-,~/.... ---.t '",':'''::;;' ~ - ~ ~\ 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 $ 70 00 $ 83 00 $13800 $180 00 $413 00 $ 55 00 S'"S .00 I )'_ ,?~~-r~~<'l~ _~~,,-Y;\,~""r_>;:- , C. ',Temporary,Services or Feeders 1 , -I ~::: ~ ~_, ~~....,~,.;,'" ~r ~ _, >' < ~ _ <1 'l' -, '" , Installation, Alteration or Relocation $ 55.00 $ 76 00 $110 00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above D. B~a~~h~'CT;'~uitS' , ", ::'",~ '\, ". ,> > " ,> --.-..,~",,..I.~'\ ~,,_~ __~t} ,""~?1,,,^_ , " " s" \ ,. '" ~~: ::>_ ...~"~' ~' - ~ ~ ~~~ New Alteration or ExtenSIOn Per Panel One CircUit Each Additional CrrcUlt or wIth Service or Feeder Penmt $ 48 00 $ 400 i' '~h-~<~ ~~ f':;, '""~~ "1~..,., v t~' 5,.,1,'" ~ "'" '" ^ ,.,~; .... -;- E. ,c,Miscellaneous (Service/feeder-'not' included) ::2EiIch Installation \.... "Ko... ~ < 'i,......:.'J,\.:' :!..r_... ~ '~j.,~ "'--<, ~, ".<.' "l_'i. ~; <,P ~ ,.- ,"!. ),.s ......" Pump or irngahon $ 55 00 SlgnlOuthne LIghtmg $ 55 00 Limited Energy/Residential $ 28 00 Limited Enetm~rcml $ 50 00 Mini~u~ EI~~,t~~J~~~l!~MPr,-6~~f[eexfJj~@~F f~_ 4. ,S~T9!~~~NQ~R Tijrs PERMIT 1961. DO 12-110 State su'tm~~ENCED OR IS ABANDONED FOR". roo 10% AdmlIfl.A\-'6t:W@-JiAY PERiOD. ..s. s;v 5% Technology Fee :z..-t!;; TOTAL "'I. gS Shared Dnve(T )/BUlldmg Forms/ElectTlcal Permit Apphcauon 7-07 doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 871 S 43RD ST ASSESSOR'S PARCEL NO.: JANICE JACKSON PAR CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00223 ISSUED: 02/14/2008 APPLIED: 02/13/2008 EXPIRES: 08/25/2008 VALUE: SPRINGFIETYPE OF WORK: Site Work Only TYPE OF USE: PROJECT DESCRIPTION: Redirect utilities to residence for land partition Owner: JANICE JACKSON Address: 875 S 43RD SPRINGFIELD OR 97478 Residential I CONTRACTOR INFORMATION I Contractor Type Electrical Plumbing Contractor BURRELL BROS ENTERPRISES INC OWNER 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 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Impro~ION: Oregon law requires you to Storm Sewerfa!\aUl:WJles adopted by the Oregon Utility Special InstNl1l~ation Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Notes: Pa2e 1 of 3 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: NOTiCE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00223 ISSUED: 02/14/2008 APPLIED: 02/13/2008 EXPIRES: 08/25/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Water Line - 1st 50 Feet + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid Date Paid Receipt Number $5.00 2/14/08 1200800000000000133 $6.00 2/14/08 1200800000000000133 $2.50 2/14/08 1200800000000000133 $50.00 2/14/08 1200800000000000133 $5.50 2/26/08 2200800000000000243 $6.60 2/26/08 2200800000000000243 $2.75 2/26/08 2200800000000000243 $55.00 2/26/08 2200800000000000243 Total Amount Paid $133.35 I Plan Reviews I 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. UeouiredJnsnections. Water Line: Prior to filling trench and including required testing. Electric Service: Approval required prior to utility company energizing service. Pa!!e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00223 ISSUED: 02/14/2008 APPLIED: 02/13/2008 EXPIRES: 08/25/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Paee 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00223 COM2008-00223 COM2008-00223 COM2008-00223 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: DescriptIOn Service Reconnect + 5% Technology Fee + 12% State Surcharge + 10% AdminIstratIve Fee PaId By BURRELL BROS City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000000243 Date: 02/26/2008 Item Total: Check Number AuthorizatIOn ReceIved By Batch Number Number How Received ddk 01558B Phone Payment Total: Page 1 of 1 1:17:16PM Amount Due 55.00 275 660 5.50 $69.85 Amount Paid $69 85 $69.85 2/26/2008