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Home My WebLink AboutPermit Electrical 2008-3-31 Date ZON ~ INITIALS lk\ ~ DATE 1>'O\.O~ WI! SOURCE ~~ ~ 3-3r-oR '" \ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH'(541)726-3753 . FAX: (541)726-3689 ELECTRICAL Pff-P1I'P]1!'~ICATION CIty Job Number ~.D O,:::i L-- , - 1. 'LOCATION OF INSTALLA110N: (; S 0 ~t)D ~h ~S ~ - ~:~ LE~tt6~\\ (Ala) 2 'CONTRACTOR/)NSTALLATION PrLY ElectrIcal Contractor n \) r y i 11 fjy 0)) Address PO 10 ~ -/ 0 OJ 7 c,ty vV ~ ','-el\f; \ \~ Phone l L 1 11:f,L SuperVIsor License Number Lf- 7 d) j c. : Temporary Services or Feeders ExpiratIOn Date I D 1,0 Installation, AlteratIOn or Relocation I '7./_ r. 1, } f _ 200 Amps or less Constr Contr Number I J lp t 7,\{) 201 Amps to 400 Amps I 0 / (!<4,,~ 401 Amps to 600 Amps ExpiratIOn Date / all'0 lV~n^ , I - . '~, ,~' Over 600 Amps or 1000 Volts see "B" above , . VOlt!i. rUle . 0" SI nature of superVlsmg~ct9iCi.~~q/~O.? ~ C1(jOp~gO/] I€lt'(/ D. Branch Circuits UOea 9(f~ el}te e(j by 'eq,' ~ n '~/L ~O, -001_0 'f. I'ho the 0 ~Elt' Alteration or Extension Per panel! '-.)\ I" C1 010 Se" 'f.~O "- I ~,_L ~_ '~ 'JI oAt-q throll lJles C1 ~ ~1II bnl'dF' ;' ~ '17 cOp' 9h 04~~ WJll'Ional CIrCUIt or wIth e '-fIe ~ Ote .'es Of th~_7it1/feeder PermIt $ 4 00 ers Name l 1 _ I, ' the l e'ilI. '01.. Add"S~ W St:J'+h 8'!uo, 3:~ftz~Z~aneous (Se';ke/f';'de, nut ;ncluded) -Each Installat;on CIty t=f_M- Phone Q13.R03L\" pu~~ oflrngatlOn $ 55 00 \ -- A Slgn/Outhne Llghtmg $ 55 00 OWNER INST ALLA nON . _ ~\J " LImIted Energy/ReSIdentIal $ 28 00 The mstallaI\;0h1JJ:lrnbemg made on property I '6wn Whl~ LImIted Energy/CommercIal $ 50 00 "not mten?rtJo'~, lease 0' ,eot ~ ~ Minimnm Elect,k PeemU Inspedion Fee is $50,00 + SUCCha'&JJj Owners S$iif,~~RIVl!r SHAL ~ 4. SUBTOTAL OF ABOVE ~l1). ~ / COMfIlU~ ! 'ZED UAII1f/ [XPIR 12% State Surcharge ri'rJ < 00 -V..O<}' ANy 180l\)CtD OR IS/} lHl HE WORK 10% Admmlstratlve Fee \\.r{Oc:J I ~~U~.{~ DAY PERIODABAN: NE, r IS NOr 5% Technology Fee JJ&.O. ,-A..L , DFOR Inspection Request: 726-3769 JOB DESCRIPTION ( ..{ Con n -( ct 111 tlJl [) ~I m fJ Permits are non-transferable and expire i work is ' not started within 180 days of issuance or If work is Suspended for 180 days. 3, I COMPLETE FEE SCHEDULE BELOW A. . New 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 Dwellmg ServIce or Feeder $117 00 $ 2100 $55 00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/V olts Reconnect Only $ 70 00 $ 83 00 $138 00 $180 00 $413 00 $ 55 00 $ 55 00 $ 76 00 $110 00 $ 48 00 LJ9f / I TOTAL Shared Dnve(T )/BUlldmg Forms/Eleclncal Permit Apphcallon 1-08 doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: C0M2008-00352 ISSUED: 03/13/2008 APPLIED: 03/13/2008 EXPIRES: 10/01/2008 VALUE: 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 680 58TH ST ASSESSOR'S PARCEL NO,: 1702331109700 Springfield TYPE OF WORK: Heating System TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Installation of beat pump and air bandler Owner: BRANDT-DRURY J M Address: 680 58TH ST SPRINGFIELD OR 97478 Pbone Number: 541-913-8039 I CONTRACTOR INFORMATION I Contractor Tvpe Electrical Mecbanical Contractor BURRELL BROS ENTERPRISES INC MARSHALLS INC License 136446 25790 Expiration Date 08/20/2009 12/23/2009 Phone 541-747-2724 541-747-7445 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Heigbt of Structure Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled Building: Lot Size: Sq Ft ht Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Otber: 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 Improvements: Storm Sewer Available: Special InstrJtt~ON: Oregon law requlres~. fottow rules adopted by the Oregon Utintr Notes: Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. Yeu may obtarn caples of the rules by caUing the center. (Note: the telephone amner for the Oregon Utility Notification Centel IS 1 800-3322344). Sidewalk Type: Downspouts/Drains: ,c.. r _ r~ I I I I I L.. I I I~]j\ I Jl- _ I I 1:\/r; -,,. /__..~ _ 'I r - I \'- - - ,- L ( 1"_1;_ ...,rj,_ !/ : ,(J r / -.' ,;") "J' r' ~ - -, ,,~ . '. ','_I ,-d~, '-,,, '11'1- is !~OT ,: u~ .'.;~ ,'"",,-",\ OG, ':0 FO;1 ~ . - : jil, Pa!!e 1 of 3 .. , I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion ~ Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project ~ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add. Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid $20,00 $5,00 $6,00 $2,50 $9,00 $14,00 $27,00 $5,00 $6,00 $2,50 $48,00 $2,00 3/13/08 3/13/08 3/13/08 3/13/08 3/13/08 3/13/08 3/13/08 3/31/08 3/31/08 3/31/08 3/31/08 3/31/08 Total Amount Paid $147,00 I Plan Reviews I CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: C0M2008-00352 ISSUED: 03/13/2008 APPLIED: 03/13/2008 EXPIRES: 10/01/2008 VALUE: Value Date Calculated Receipt Number 1200800000000000231 1200800000000000231 1200800000000000231 1200800000000000231 1200800000000000231 1200800000000000231 1200800000000000231 2200800000000000375 2200800000000000375 2200800000000000375 2200800000000000375 2200800000000000375 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' Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, Pa!!e 2 of 3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00352 ISSUED: 03/13/2008 APPLIED: 03/13/2008 EXPIRES: 10/01/2008 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 ofany structure without permission ofthe 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa2e 3 of3 225 Fifth Street Springfi'eld, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00352 COM2008-00352 COM2008-00352 COM2008-00352 COM2008-00352 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000000375 Date: 03/31/2008 DescriptIOn Add, Alter, Extend Clrc MInimum/AdJustment Electncal + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By BURRELL BROS Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received IIh 5591b 5591b In Person Payment Total: Page 1 of 1 11:58:42AM Amount Due 4800 200 250 600 500 $63,50 Amount Paid $63 50 $63,50 3/31/2008