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Home My WebLink AboutPermit Electrical 2003-9-30 " I,;~\,P . " . ~ , : ,,' CITY OFS~ ,JNGFIELD, OREGON ,,' .""'. '_...t 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 !he'1ollowing project as submitted has the following ELECTRICAL PERMIT APPLICATION zoning, and does not require specific land use City Job Number CoW.V:::>O')-f:::.C:)7 If'? Date q-~-63 approval. J-bVL Zoning 3. !'~(;)M~tf!l:Jijp:Fifi1.N.i;~~~,r;r!~J~:!!1!37";!'J~!.r.V;I';"V:;t," { tL --~'---:-::;;onze:s~g~;::-. -=- ~-~~-~--~ttl'" 'cU, 'I. '." 1. 1~'L6ejfiJJ6N~@E,'m~" .-,PA'l!,-ni!Aqfji!f~ ~.._ '.,":Iv:","<-"~'fl"'J~"'\">:;"~'"' B4~ ~AN~"" LEGAL DESCRIPTION 17033. Yll c;6 JOB DESCRIPTION ( ~'t.~'UfoJC, A c,..."n,\.I-C~..l'l.rr<,;Ol 0114 "II tll '~Tl"~ ( I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, oOs-sO 2 fifcONT~~@fiUNSqt\''JfM,i;IQN@NhY:~' . tt.~~:t~-)j:.'"'' ~. " ," " ,~11:, Electrical Contractor Address Burrell Bros. Electric 40159 Booth Kelly,Road Springfield, Oregon 97478 ,-------- ~~~ "",,~"].....~_/ City Supervisor License Number ~'"::...1-\. S Expiration Date \r:--\c-..~ _ Conste. Contr, Number \~"-\..\.. r'> Expiration Dale \t-.. \l~ \ ' J"~C;;:""~.~ wwl \.. Owners Name ):,[.1 ~ tf>", T' k...~", , . Address 9, \I..., -("..,;s City "'- '?fJ, Phone OWNER INSTALLATION The installation is being made on propeny I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 i"'""""""'''''''''''''<~~-1:-'~'!'!i''"'''''~ i'~.,~"-,,. ','I A. N~~.~!.!!.~!lli~!Jii,Sl!!gle or,~t!.i.ful,~UY1P~ri91Wlil\g',~miJ;'i'r:J 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 $106,00 $ 19,00 $50,00 :'ft8fu,W4.~4~j'~'.I..:~~ro:~~:;~"~'t1.~'J)'\'^'''.l':;'':'"":.~~~,,,~, J B. ,.se'r.vice~,<ii;'Fee'ders ~'1l1Slallation:v.,<A1 ..' ~t'fiW<oriRelo.."Calion:'..<~..' ~r ", tOOl: ' ' ~', :9 rl)..;\tti.:1:u~d..liiX$'~'!1"Ci 00 laIN 00 Uti , :y 200 WNlqO~sOleg d '0'/ \he Oleg .. ~e\{OlOO 2\}~~Itll\Q;!ImOOR~;l'\ose IUles ~:: ';S~~(l!)O 4&l,(r~':~\>I611I19.~~s. 0 \I'\IOUgl'\ u~~.~ 1\\IGlS,QO 'IO\'nc'E!t "M-O\l1 'e50 ' 60b1>,rppDW,IIlOO AW/Ml\ coP' .. 'P"'P~lt6!l?oo dt)'9d9q~mpm~ltel. tl'lO\e'. \\~v t;'l1itit;Ri~ Reco!J!Mli'l@/l'Jy3cellOlegOl\ U\II1'!_/~. $ 50,00 C"Vlr." 101 \1'\6, . !'\O.33"-<-~' ~""""".., ~~""""""'''":o!.,-:;'J')J,~ ,., ' ,.. :''''''..~~' '" . '" .':"1;" C. u;i._Pt?r;nPft~erfJ.c~e~iorllieeoe~ ,,~:u~~~ ...... ':~1t\1;,~ Installation, Alteration or Relocation $ 50,00 $ 69,00' $100,00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "'a" above, Wr"''''''';JJI!1'''-~~~c,''''", ,'..'.."q D. .Branch @1l~cUlts ' . . ...:. ':v.:,'!"~"',?,,tt~''f'';,h .~~.,~. ' ;0.,"",,,,,",,,,. ~-.:i""" ?' "~~.r'';''f."r~_"l;'~",~ New A1lera{j~QOOtension Per Panel One Circuitr'HIS PERMIT SHALL E>\pIRE If 4S~ WOI'*t\ eo Each Additi,q~a' ~gf\\i!t>[)\ij(ljDER THI~ I"ERM1T IS-Ncrr Service or Feeder[R\ermitED OR \"" ^,D AN~m~E19q:09 V\.Ji.1 v t:.l'llV t' C. , .. ..'-~r,'o;:on . ,~~_~rt ,- u!l(!fj:\....I.f.;><I~(;I;~.!I\: '.- '....j._~,~t>.....".:~~'"i:.\..~ E, r!W.S.s..eyam~JSW{~~",eri:'!~l~~~!:<;,~,!1i)!~~~!~~j Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50,00 $ 50,00 $ 25,00 $ 45,00 Minimum Electric Permit Inspeclion Fee is $45.00 + Surcharges 4, IJi~.wltllllll 1.(\ ':JI' 'ire S'Z b;: 7% State Surcharge 10% Administrative Fee TOTAL Shared Drivc(T:)lBuilding FormslElectrical Permit Application 1-o3.doc . . CITY OF ~rK11~ul'1J!,LD Building/Combination Permit PERMIT NO: COM2003-00989 ISSUED: 10/0112003 APPLIED: 10/0112003 EXPIRES: 04/0112004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 843 JANUS ST ASSESSOR'S PARCEL NO.: 1703342100500 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Add one circuit Owner: KAPSAPATRICKL&CE Address: 3962 MONROE ST EUGENE OR 97405 Contractor Type Electrical I CONTRACTOR INFORMATION I Contractor License ~~~l\" Date BURRELL BROS ENTERPRISES INC 136446 _o~u't~,,{'ll~~<V~5 BUILDING INFORMATIp~i'~\,eO\:~te~~'2.J:jJ \ ~\"U'U. .. ~ <> tu\00.'" ..,W16 . O,\~. ~e\,) S'" 1"" o..'v e # of StOrI~-\,\~ ",6.09 ~\'o ouQ;'(\ Q"'Ot'",~~. ~ Heif...l1,tW.SI&~r&~et. "\0 <<,t 09\es -s.lJ.#:t~~~'tlr: Type RfctIe~tb~ G 0"\.00 -$.(\ C ~e'. \"S'q~O!nd Floor: WatW i~\ S'l:O 0'0'-' \. ~o 0\\\'S'itil.~bksement: RangP~'t:~ ~ ~~~e(\\e e9;O(\ ~~t Garage/Carport Energy ~it!>: .0 \\,e \\,e 0\ -,~)OO' Sq Ft Other: 00 c~\\,(\Q, \ \ot et \S Impervious Surface Area: _,.1",e Ff(\'I , DEVELOPMENT INFORMATION I Phone 541-747-2724 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Street Improvements:, Storm Sewer Available: Special Instruction: Total: "e 'NG\\~ H~<W>Pell: ~Gi "01\~~~NI\i S~~\)~'-n t.~\S 'l-!~~ ~~\\ % of Lot Coverage: Ll\S r co<' \l,. <." MOul'<"u I P \'\G\\\lC\) \\ \s t>.~r\" , t>.\ll .~"r~G G . .n" I PUBLIC IMPROVEMENTS 1C.~\\~6 Ot>.'j I't.\ ,,- Sidewalk Type: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: DownspoutslDrains: Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 of2 . . CITY OF SPRINu1'lJ'.LD Building/Combination Permit PERMIT NO: COM2003-00989 ISSUED: 10/01/2003 APPLIED: 10/01/2003 EXPIRES: 04/01/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid Receipt Number $4.50 $3.15 $43.00 $2.00 10/l/03 10/1/03 10/1/03 10/l/03 1200200000000002241 1200200000000002241 1200200000000002241 1200200000000002241 Total Amount Paid $52,65 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. I Renuir..d Tnsnectinns I 1 Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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. 1 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 Pa~e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00989 COM2003-00989 COM2003,00989 COM2003-00989 Payments: Type of Payment Check Wi-'~""""""""'-'."'--"~ ''',...,... .'.. l . I " , "'.".A!,ii ' ~!^' ,.,..,.",.,..:"...:..".,,:~.' ."",), ..'; Receipt #: 1200200000000002241 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Minimum! Adjustment Electrical Paid By BURRELL BROS Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department '-' Public Works Department Date: 10/0112003 9:02:08AM Amount Paid Item Total: 3.15 4.50 43,00 2,00 $52.65 How Received Amount Paid In Person Payment Total: $52,65 $52.65 . .