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Home My WebLink AboutPermit Electrical 2008-5-15 UL INITIALS N"'-. DATE S-\~"""~ SOURCE~ ~5-J'J-08 ZON 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH'(54I)726-3753 . FAX (541)726.3689 ELECTRICALAERMIT APPLICATION City Job Number ~f1?Jr - ()[)(/J7(f' Date '~]!d€AJ'ldNliF~iNS!jJfLEA1T@NtA~1" 1. n 0%%11".1 ,\%%I0i'0P~4^", ''i' v,> p f'~ A-, N~+. ten 3. 'COMi>Lltl'E }t'EE1SifilEYULi!;;BEECiWtt'1l1>' ,,' " ''t ~ ~ < < ~ <:,' '" ",'- "':;:v > or , '4G '3 z.z , LEGAL DESCRIPTION /1~<-~/o/OS5(J?) JOB DESCRIPTION Vt-I)...) S cc.. '(LV; (. 1(:, . t4J~ PlUc\ et~o Sub~~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 'It y ~r;!, -"'?~~ l~{i~~r>~liZt t.;' vvv:':&:"" 4..1% IRYINSIT:A:LIJA:11tiNAf/NJj~ : :~:~sm 75;00' ~~:~2~1~ - ~~~DS, C,ty S p'~l(' Phone 7 LJ 7 - n;)1 Supervisor License Number Lj. 7 ") } 5 c. Te"lP~ra~y servic~$'~r>Feeq,~~~r;~";~';',' ';, ExpiratIOn Date / 0 / J 0 . InstallatIon, Alteration or Relocation I 3 f I J I ) I _ 200 Amps or less $ 55 00 Constr. Contr. Number ,LP II lfl 201 AmlAl1:0'400~Amps' $ 76,0,0'0 I [) / J 0 401 Anfps to''600 Amps $1,10 qqt\1 ExpiratIOn Date , Over ~&A:inPt or 1000 Volts see "B" above' ( :2t tOi ih " . ~ \.:tht'hA,,;:~l',\J !<ivu1t:'1Jlf!lUQI"l':<:JAtl952",OOtJ:' SI atyur,e./(,:\JfSUJ~pervlsmg ~C)n\cI'\Aan ~LIV'~_~ ____D. ,BI anrJY6:IlY8i1~ay obtaih copies'0f~:fife tOles'by New Altf-Rlimn: ~~tE~tli9n P\!f)RanlIe telephone One CIr~bW1ber for the, Oregon Utility Notg~tJQ)n Each AddltIonalCdnWlf ~~ JifftOO.~~-~;j44). Service or Feeder Permit $ 4 00 -=s- ^" 1- ~v.. .\.. hv e. IV , }~:~,.: 'Ii .,'If'" "'/'<-'" 'l"/-', ~ < < '~A "V \-' 1"( <l<l tl'.....p:. ~~(JrlA Wh; E. MisceilanebIls (Servic~f;feeder:'i1ot',i~;~~~fftat"6~~,~~':~ns~~Q~t!9n,' City ~\= I t{ Phone ..:rz 4 - I,~ ft ~I Pump or IrrIgatIOn $ 55 00 c - c_, r Slgn/Outlme Llghtmg $ 5500 OWNER INSTALLATION ,.E: Limited Energy/ResldentIaI $ 28 00 The mstallatlOn IS bemg made ~n~/djfe~~E IF TH~wttJfl~nergy/CommercIaI $ 50 00 IS not mtended for sale, lease or re~~ ~~DER THIS PEFWn~~J~~~i'~4~~~m,~t l~spectIon ,~ee is, ~50.0,~ 7,:~ul!charg~s Owners Signature ~ DER'S ABANDONED F8RB.l~lA'l>~!AB~,l;'E" , +, ,1:_ , ,1,\," If I '-I-D ,() 0 J 100, 12% State Surcharge 7 . ()O 10% Admmlstratlve Fee I (p . 50 5% Technology Fee ill / <-to CfL) TOTAL J:f./77 .21) Shared Dnve(T )/BuIidmg FormslElectncal Perrnlt ApplIcatIOn 1.08 doc \~\o ~<< ~< < ~~~' / ; >>k~> 'i.1ff~'L k'" '- ' /1;;, 1)#'" j~'" ':;.jq~<<"-?>~' *< >, A. New Residential- Smgle;or MuIti-l<'arilil~ peri(lwelIingiunit.',' l ~ n r..: ~ ~~ , ;0 i:>,; -... ~ k% />1 w) "'..:-,,4/ Service Included 1000 sq ft or less Each additIOnal 500 sq ft or portIOn thereof $11700 $ 21 00 Each Manufact'd Home or Modular DwellIng Service or Feeder $55 00 ~ ,".,. !..>"f~r', 'IS ,:... H-:"\.-H~',n~;'~~,r;,~ )"",, t~k :;...4'\t--O:'-..-// n:;Tr\-~ ::'<l.Jh B. <Services ,ol\%Eeeaersh..'J?Iristallaiion~!A:lteFatioris'oriRel()cation~~,',Ii, ,\..~~,.'^""" v"-', ... ~"'7>'''-~~''1 > ":;;"Jf7<",~:,.t4"~:"": ~"Ah 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only 7 I Ltc) 0 0 , $ 70 00 $ 83 00 $13800 $180 00 $413 00 $ 55 00 " .J y', ,~ Address Inspection Request: 726-3769 CITY OF SPRINGFIELD Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2008-00678 ISSUED: APPLIED: EXPIRES: VALUE: 05/12/2008 11/15/2008 SITE ADDRESS: 3221 MAIN ST 6 ASSESSOR'S PARCEL NO.: 1702313105500 Springfield TYPE OF WORK: Use Initials TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Substandard Building Owner: EASTBURN JAMES L & CLAUDIA J Address: PO BOX 310 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC 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 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: MOTRf'\rr. -"-"."'Ib, THIS PERMIT SHALL EX I PUBLIC IMPROVEMENTS I AI /TI , PIRI: L , IlC VVUIiK Street Improvem~(SHIZED UNDER THIS PERMIT IS Storm SewerCA.QMfa'Ui~GED OR IS ABANDONED FOR NOT Special Instrfi\M'6n180 DAY PERIOD. Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I Valuation Description I Sidewalk T'yp~: . t ATTENTIUN' Oregon law requires you 0 .q8irtmRqH~SIl.t&!q.s.:3d by thq 0: egon Ut!"ty Notification Center Those ni!P,3 2re set TOrth In OAR 952-001-0010 till ough OAR QS2-001- 0090. You may obtam caples of the rules by callinq the center. (Note: the tel~~hoL~~_ number tor me ureYUl1 UIIII,y IJv,(.'v........f. . Center is 1-800-332-2344), Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 CITY OF SPRINGFIELD' Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2008-00678 ISSUED: APPLIED: EXPIRES: VALUE: 05/12/2008 11/15/2008 Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $14.00 $16.80 $7.00 $140.00 5/15/08 5/15/08 5/15/08 5/15/08 2200800000000000673 2200800000000000673 2200800000000000673 2200800000000000673 Total Amount Paid $177.80 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. LReauired Insoections I Electric Service: Approval required prior to utility company energizing service. 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 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00678 COM2008-00678 COM2008-00678 COM2008-00678 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000000673 Date: 05/15/2008 DescriptIOn Perm ServlFdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By JOSHUA BURRELL Item Total: Check Number AuthorizatIOn ReceIved By Batch Number Number How Received NJM 055988B In Person Payment Total: Page I of I 10:58:48AM Amount Due 140 00 700 1680 1400 $177.80 Amount Paid $177 80 $177.80 5/15/2008