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Home My WebLink AboutPermit Electrical 2003-6-18 r ., ~, ' 1 ~'" ~ '# ,,/,' . , .;''''';" 'CITYOF.S ;. ~ ',' " , ..... - 'GFiELD~OREGdN : . .' 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 ~tfu\4(ib@'~~1~1:1~~%ubmitted has the following ELECTRICAL PERMIT APPLICATION zoning. and does nof require specific land use approval. City Job Number (jJrh2D03-0QS31 Date C.-{f? -O~ 1000 sq. ft. or less Each additional 500 sq.,ft. or.. . ~\T. t't~lt -1JU.O ~~A{~"Portion"ih~r~'t[J~'~~;h~-cif"'9" . P . f bl d . 'f k' lollO\JI'EfUhleMs ad?pl~d'H -- "lie" 'n, ': .,1' ermlts are non-trans era e an exprre.' wor IS _ " ,,~,~S'I va.9!l.l.(!.C.t. orne Oft':::- --:1"': '),...., not started within 180 days of issuance or if work is \lo II fiG !'1g\l~l'8'd~~.sli4'g Servi~e' iir -,:~: _' ~,,- ,~ $50.00 Suspended for 180 days.... . I~O~~~~e;;~lefnav obtdn COP\f:~ ~'~:M' _' _':.- .. 2 l['eo.w~ii~~s~1l\1~lm~ cB:\i~=ie~Efe~~Ir.~ft'ii~l~~~Wtfu~.rFo..~)..~~~.;~ga.,. . Eft:.u;!,:~;.>~ \'," ", '",. {'#\!t;S~!4""~i#!~~~ .' ~~'~7""\\!ftV~t~fl!W'7N,~~'''MJl1'''~'\ill.,'lflliUi~~ numoer lvl un." ~... -r<=l:",... 0"~' '_'\ Electrical Cnntractor. 200 ~rrips'cides~-0'.'- - $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 c,~ 200 AmpsA'f~\;s~ENCED OR IS ABANDONffi.~QJR 201 Amps to ~od ~p"Y PERIOU. $ 69.00 40 I Amps to 600 Amps $100.00 1. ~iL6eATj0N1@11JNS'.PAif:lIF4.q~__ ~i'''~~''''''''':?'~'~f<yAI-~'I'' -f','-,n",t&J~......,._, - ~ .2.2.,7<:1 (..to vE:.d",IF L\f1M;llifJ!cD~'L- JOB DESCRIPTION Address Burrell Bros. Electl'ic 40159 Booth Kelly Road Springfield, Oregon 97478 ~~--D>..L-'->... ---'-- - '..-./ City Supervisor License Number ~~ --1.._\. S \C>\D~ Expiration Date Constr. Contr. Number ~'-.D'\4..~....,., \.~\c--.~ . S;DC;:;"' '~"';WL Owners Name r.1f1V ML(Ic>l.. Address ~ Ifm'i A5 J:"boll~ City ~ ~ Phone S-)9-'G'73 Expiration Date OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Zoning A j)e- 3. A. ~1!1!!mta.Jnm~iJjjj~riW~i~~I~g1;tt~~ Service Included $106.00 $ 19.00 Over 600 Amps or 1000 Volts see "BOO above. 1"",,,,-',,,,"wm~."'~"lII"" '"-F''~''' ,A D. m:llncli'@ll'cui...... . ~'. F"~,ii'! ",'"'.\l','; :. ':" 'i.X'Ilif'!~~~~~';!;-l"~j" .,' . '. .,;..f\1~1:l>~. -'~'~ New Alteration or Extension Per Panel One Circuit \ Each Additional Circuit or with r-- Service or Feeder Permit ;:) $ 43.00 43 15 $ 3.00 E. '~~~1~r~~~.'a1IlI1l1"'1It!E!t11h~fi'f;tiill~. :iiifii~ ~'Jl . ~ ~ilc~1"!lj&N~tl",~..,...D~~~;-:'S{~1."1".",;:^,,_.,~'Ji.1d.;i; Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~~.-f.Wl_' """_"''''''.'c '., .' '"., . 4. 'Sf!JBfJ!@, IA'E' . @ ,. .' I. ' ;.' ~, . '. ... .;;,< 7% State Surcharge 10% Administrative Fee 58_DO '* r:x, S'~o TOTAL ~. . Shared Drive(T:)/Building FonnslElectrical Permit Application }..Q3.doc . . Ll1 i' OF SPRIl"'i\_d'l~L1J Building/Combination Permit PERMIT NO: COM2003-00539 ISSUED: 06/19/2003 APPLIED: 06/19/2003 EXPIRES: 1211912003 VALUE: Status issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax ,541-726-3769 Inspection Line SITE ADDRESS: 2325 GROVEDALE DR ASSESSOR'S PARCEL NO.: 1703262200222 Springfield TYPE OF WORK: Kitchen TYPE OF USE: Remodel Residential PROJECT DESCRIPTION: kitehen remodel Contractor Type Electrical Owner .. ."..oll -" - , Ul ,.-;yLd I \o,'IJ\o . v..... . ,'..\ __~ 0::,,, 1 \\..)1". ".." th" 01'390' - I~' aaup~v"" -. I \ ~ ell.... .,v~- 10\\OW fu\e~E;nter.lhOS8 ru 8;1\8 ,,~'5'l-O, ~O\.hiC,,(\On 001-0010th'0~Q~ I \\1C -'j\e:;' _ ,.~ aC;?~ " _..........II:l;.., 0 _ \\1 -. ." '1.......1 rna'./ OUl'::'... - . "the ie\S'J~ ......,.:~.., I CONTRACTOR1INFORMATIONrlef. ~~O\~ti\ity i'\.cf ;;::3.(; -',. v_'" - t .. \'1'" 're()~n n"' '. ',\ b T' 01 I...,.... ... _ ~r'J.,")- ,~" Contractor nuiil l'Licenseis 1-Expira'tion Date Phone \ ,t;aH,.... BURRELL BROS ENTERPRISES INC - 136446 08/20/2003 541-747-2724 MELLOR KENNETH W & RULENA J Owner: MELLOR KENNETH W & RULENA J Address: PO BOX 1400 SPRINGFIELD OR 97477 BUILDING INFORMATION I # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Rangttx~p.~:CE: afareg\i.carporl Energ~~atb:IEHM\T SHALL EXPIRE fI Olhe~:T AUTHORIZED UNDER THIS PE in'~~hlioJ~ Surface Area: _ _ ..... to n ^ f\lnn~,~n ~(lH. .-....~ n~ A"-"'" ~" . '" J ... " ..... '" . I DEVELOPMENT'INEORMAneNrl ,m' ,- - .. REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: , Downspoutsffirains: Notes: I Valuation Descrintion I Description Type of Construction $ Per Sq Ft Square Footaee Value Date Calculated Paee 1 of2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00539 ISSUED: 06/19/2003 APPLIED: 06/1912003 EXPIRES: 12119/2003 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 Fees PaW Fee Dcscription + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $5.80 $4.06 $43.00 $15.00 6/19/03 6/19/03 6/19/03 6/19/03 Receipt Number 2200200000000001090 2200200000000001090 2200200000000001090 2200200000000001090 Total Amount Paid $67.86 I Plan Reviews I To Request an inspection call the :!4 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 Renuired Tnsnedinn~ I 1 Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. By signature, 1 state and agree, that I ha ve carefully examined the completed application and do hereby certify that all information hereon is true and correct, Sind 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 oc'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 tbis 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 Pal!e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00539 COM2003-00539 COM2003-00539 COM2003-00539 ELE2003-00154 ELE2003-00154 ELE2003-00 154 ~ments: . Type of Payment Check . , ~1tIt..r.:;:";,~.,.'...",'.".','.'" '.J. ' " / "'.. A .- , . -} "',,"~,.;..' ", Receipt #: 2200200000000001090 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Perm ServlFdr 200 amps or less + 10% Administrative Fee + 7% State Surcharge Paid By BURRELL BROS. ELECTRIC Received By ddk l:heck Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department Date: 06/19/2003 3:21:07PM Amount Paid 43.00 15.00 4.06 5.80 63.00 6.30 4.41 $141.57 Item Total: How Received In Person Payment Total: Amount Paid $141.57 $141.57