HomeMy WebLinkAboutPermit Electrical 2005-1-27
'~-' ,.
"
,
I.. I I. I GP~'NO"'"''''
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)72&.f~~~k~_:.::,;
ELECTR1~ERMIT APPUCATION . O~ ~~ "- ~';"" .
--' ^" I/) J '17 () L -1. "'& 00 9-.' '
City Job Number /?'l ';?iJ?J ~ -'--^..)/ '-Date - (/"0, - :_) V,,-!O~. ~~"1i. &...,:;~.,; .
~~ P .. \JI"
Ii l{,oi'HON(r-hS~A~r~:N"~":- 01 3. ':'COMPLETI'tEllscif~~~~~ ~~.l~~t:;;~~~:: i
LEGAL DESCRIPTION A. L~~~,R~id~~.ti.t~&iijgli)~YMu!t~all! e R11i;r~~
/ ! 0 J. OG 1..3/ d.3 OD Service Ineluded v~& "'-?s,
POlD~C-(RIPTI IONt h '" n q t 1000 sq. ft. or less 0 00
I , VI Each additional 500 sq, ft. or ......
portion thereof $ I 0
V ATTENTION: n..._
Permits are non-transferable and expire If work is Each Manuf'lElfIb~' -, "l:/UIl/aw f9llU1res you lit
not started wltbln 180 days of Issuance or If work Is Modular ~E}IifI&~ c lJfIOPted by !he ~Utillfu
Suspended for 180 days. Feeder In OAR on nter. lhaS5lu~vS are sat ~
t. . H,.. ,,' - .... "., .. 1 I" "^""" 95".:OOt,QQt~~tm:r~Ulft..
2. :CQN/:RAf;frO~.IN.ST~!,I:'4TIOlf:Ql'vir,! B. :Serv'c!'S!~!;1b'ee'd!l1iffll!jsU!lIUi. t . i r.Ke1b,tlll1~.~:
lOllI/lOg lIle center. (Nota ...;,;.".?,
Electrical Contra~RREII RRne: 1'1 I'(TAIC 200 Amps allllmber for the O~",- iJi'lth~. U9!~6'hono/,' )
P,O, Box 697 201 Amps to 400 A~nterls 1-p')vc'aa',:,"" 9,~6ClUlOl1
Address Walterville. OR 97489 401 Amps to 600 Amps . .. ~o
541-747-2/24 601 Amps to 1000 Amps $163,00
City Phone Over 1000 AmpsIVolts $375,00
Reconnect Only $ 50,00
Supervisor License Number --.!:1l7.1 . <'_
c. I ',T~inpo<r~ry','S~n:fces .~r.it~eH~rs ': ' "'.:
, , t,~,,',' ,"" _
.t, ~J':'^ ..'
'. '.' '~')
1
I ( ""'T'I'[:,'
(J - f') Instlllllifion;fAlteratlon or Relocatl-,~ -,', '
200 1\'-M~\5i:~~s1IT SHALL EXPIRll.IFTHs sli.\l61K
ZD ~U 47 (l , 201fAIhT1sltir400:Nn\~DER THI~ PtHMII$I€9fd6lT
1 () _()(, 401fA'rtlp's'liO:60000niilR IS ABANDONED 1$]00,00
Expiration Date Ovci\6b'6 A~~XdOlj~t9see "B" above.
jign\natur.eVJ.[Of SUPlervtJ'sing~ecvJ\JJ...triCian. \ ) D'o'n'Berac.,'.nrCc'uhitCircuits : ~." . '! :.
New Alteration or Extension Per Panel
$ 43.00
- v - - - Each Additional Circuit or with "') q "d
.0 .J /1.1 - Service or Feeder Pennit \. :J $ 3,00 ,
OwnersName /C(Vr n.po) <:f.Ju~-C/l.ltV
Address / /14 0 vn~ d.P' &Z " &-/ 6/372..E. LMiscellaDe~us' (SeJ\Vicelf';ed~r not included) .Each' Installation I
City :::..0 lid..-- Phone
. ()
OWNER INSTALLATION
Expiration Date
Conslr, Conlr, Number
, j
Owners Signature:
Pump or irrigation $ 50,00
Sign/Outline Lighting $ 50.00
Limited EnergylResidentia! $ 25,00
. Limited Energy/Commercial $ 45,00
Minimum Eledric Permit Inspection Fee Is $45.00 + Surcbarges
. 4.1'$.lf!l!9f#:OFkJOfE" .1
~ f}7"J.OU
7% State Surcharge ..t, 1) ...,
~~ W::~~""'" . ,~;::
. ~ ~ Shored Drive(f:)lBu;lding FonnsIEl..tricel Permit Atlicat{t;:fi.d::!~
The installation is being made on y."y...jl own which
is not intended for sale, lease or rent.
Inspeetlon Request: 726-3769
.
. Lll r OF SPRIl'lt.t<lltLD "
Building/Combination Permit
PERMIT NO: COM2005-00IIO
ISSUED: 01/27/2005
APPLIED: 01/27/2005
EXPIRES: 07/2712005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.~
Owner:
Address:
ALBER RODNEY P & CYNTHIA
1160 DONDEA ST
SPRINGFIELD OR 97478
. ~""~'\\JHt1~ "'.....-
Springfield mJt<?f:1WORK: Electrif,~' ~o.t~ Only
AnENT~_~ ~ct"otE;d by t\1e ~~e;re set lorth
10\\0\'1 rl.-TYPE OF USE:se r.i\i1i1ition952_001-
. Gen,""'" O/'.\"I
Notilicatlon -001 -001 0 thrOugh 01 the rules by
in OAR 952 _ht~i" COpies 1__hnnA
0090. ~ou ,,,-, (Note: l"" tV'-:, tion
calling the cente:'e on Utility Notlllca
number lor the,O 1_~00.332-2344).
center IS .
SITE ADDRESS: 1160 DONDEA ST
ASSESSOR'S PARCEL NO.: 1802061312300
PROJECT DESCRIPTION: Panel Upgrade
, CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES iNC
License
136446
Expiration bate
0812012005
Phone
541-747-2724
BUILum", INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
".-~""'.""'E.
Type ofUeat:,'" . Sq Ft 2ndJ'loo~:
Water Type~ PERMIT SHAll EXPIRFsl[F\ln'nseth'c'1it':
Range TYP~:HORIZED UNDER THIS FSqlFiIGJ~~l!7Garport
, .:J -;"\f""l
Energy f!'t,~i,MENCED OR IS ABANDScilF.tOtlier:
SprinkIeilll\ uilding:'AY PERlnla Occupant Load:
A 'H IOu u VU.
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
F'rontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of LotCoverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.,
. CITY V.. ~t'K11;jGFIELD c
Building/Combination Permit
PERMIT NO: COM2005-00110
ISSUED: 01127/2005
APPLIED: 01127/2005
EXPIRES: 07/27/2005
VALUE:
Status
Issued .
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Ff'f'S tlWU
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Clrc Ea Add
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
$7.20
$5.04
$9.00
$63.00
1/27/05
1/27105
1127/05
1127/05
Receipt Number
2200500000000000103
2200500000000000103
2200500000000000103
2200500000000000103
Total Amount Paid
$84.24
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Rf'(Juirf'rlll'~nf'f'tiow
Electric Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When aU 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 ofuny 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
t~rd::Cti~~;\J,) 1-11-05-
W or Contractors Signature Date
Paee 2 of2
.,225 I<'ifth"Street.
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00 110
COM2005-001IO
COM2005-00IIO
COM2005-00IIO
Payments:
Type of Payment
CreditCard
1127/2005
.
RECEIPT #:
8~
1Iait.. ·
JiIiy of Springfield Official Receipt
.elopment Services Department
Public Works Department
2200500000000000103
Date: 01127/2005
Description
Add, Alter, Extend Cire Ea Add
Penn ServlFdr 200 amps or less
+ 7% Slate Surcharge
+ 10% Administrative Fee
Paid By
JOSHUA J BURRELL
lIem Total:
Check Number Authorization
Received By Batcb Number Number How Received
njm 088217 In Pen;on
Payment Total:
Page I of I
12:29:10PM
Amount Due
9.00
63,00
5,04
7,20
$84,24
Amount PaId
$84,24
$84,24