The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2006-3-31 oll~wing pr~j~CI as submitted h )~ctNlf( _ no ~R"" nol reqUire spec~~ ~e ":' . -SPAINCF.ICL~''''. '#....' .~('" _ , .. . ? ,'"""'~ -n'1 . "; ~ .~.....-:!.tll;t~.d.~<I'~~" sSf , V 225 FIFTH STREET. SPRINGFIELD,OR 97477 .. PH:(54I)726-3753 . FAX: (5!Hl7-Z6:J.6RO ~rc~'W1l ~.,..;:~ . ELECTRICAP,1}ERMIT APPLICATION ;""'""l,<,.pgrtur1tt~':t.iijI>.. !lij ..' City Job Number ~l 0 - OOGf Y Date c-' /4-/ '2-rT7'1c;o n' I LOC1'i7~~q:f I,v~rAbip9R~:,j,;i~~il 3'~Sq~{~.s~t1!i'~FI;s.!iiifiP'.~Q(&1.~~qlli'; j' ;:;{ ,; ~ LI ~~n::h r-."- ~ " "."' ft ,,:rr,:IB~:,?.t:-"~"~i~\~ "'1!., (.~~" .;..~:1'~~, ~ 'H"": .~'I>'J ".';.,',' " - ,- . C. ~TemporarY..'Ser,viccs~or_FcedcrsP:I~:"}'''-';~: "':'~ -;;: ;'" j'i.."-,.~,_\l;j:..~..~.:!""Ij.',!>.:".L>I,~.-4"__,,,,;,:,,,"'u_,:,~'I"-'_":-' ,"-., '".,' . - L, i. -..- InstaUation;Alteration,9r Relocation . . .."" 0nfllL EXP/ . 200. Amps or.lesfED UNDER RE IF TI$BQmRlt 201 Amps to:51\0":1:VP6R IS TH,,, ,.,tRMI~ ~S,q~DT 401 Amps tc5'~O~J~'f~ER/O;BANUONm H9A'00 . Over 600 Amps or 1000 Volts see "S" above. I l~.:<-'~~'';-.!' .~.':.,".~~":...l,.,. + ~, ".;.' , 3. gn~;;r: ~:perviSI.,~lectri::1 \ . D. ~c:~~.:~:~,:::u:~ ~'~';~~~;~n~~~~ ~~nc;:' ' V J I'\JINl ) r ) \1\ I V V..A \ One CltCUlt I $ 43.00 .... \) - . ,- 11 Each Additional Circuit or with ./1 Owners N~ ~\(~. dj,..cu. ( V l.,(b Service or Feeder Permit 7 $ 3.00 Address Q. \.\ ~~ 0 (~!i~I!~~.i~~S;;:~.i~~)f~~d~~liol induded)-Each Installation CirS:-1) f~ Phone ~ q~mp or irrigation $ 50.00 .~ Sign/Outline Lighting . $ 50.00 OWNER I~ TALLATlON Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges LEGAL DESCRIPTION \'lo3.lS 3.fJ7J07CJD JOS DESCRIPTION (tJ-l As ,. ~ ~.€)f\ Permits are non-transferable and expire if work Is not started within 180 days of issuance or if work is Suspended for 180 days. . . '! '-,f'~ ""'''~'If'-.'' ..,..~,~<..".> >,~r.~ ;:"~llll;,"""~'--',",';e,\:''''''''n'''~'~!fi!_I'l')'!l : CQNTRACTOR.'1NSTjt"i:,.';J:tiON'ONLY;!' 2. '. _.:'. : J;" ,,~'.::.. ..;. ~'~N :>-1;,M:C.t.'<;i}~::!l.,,;;;.-.~,::hi;.ta;.;s:;~:l.tJ...~~f Electrical Contr:l2~RELL BAOS. ELECTAIC t'.V. COX OY/ Woltervllle, OR 97489 ~11 7472721 Address City Phone Supervisor License Number Y 1 ') I 5 /0 107 I~&LIL/u 10/D7 Expiration Date Constr. Contr. Number Expiration Date The installation is being made on propeny I own which is not intended for sale, lease or rent. . Owners Signature: Inspection Request: 726-3769 c.L6 l?J.;lfl/& ~ ~/wl2crdl 1,:,"_'; ;,"''>o~~;;<!~~l..:'l:'':i.)i-' ,"~'.~i""'.'..~""";' ~,..",>.:.,.., ,'..' .". . A. ~~ New.Residcntinl";:Single o'r MLilti-:-Farhily 'per dwdling"unit. :'!...','._1~.'0$1."',,'.u..::,'. ;.,~. ..0 _."':~.I ...,."~.,.,'.;" ',,"".';",- 't... . Scrvice Included 1 pOO sq. ft. or less Each additional 500 sq. ft. or ponion thereof $106.00 $ 19.00 Each ManufacfdJI9\1%Ofnw requires you to Modular Dwelhng Service or 0 0 Ut'li'tY$50 00 Feeder' .: ~c: IJY we rcC1 n I . '. ".'t. Those rules are set forth ~';'~r:~~~~~,~~~~~~~l~}'Iolj$~~'~~;;'1.!i""~:/>;~'o7'l~w'1f!"'~':i)::'i~!\";ti:..i. X,".l',"'<'(;~~" : . " . S. ",Scn'iccs'or:Fecilers:'\liistallaliotil ~1te..ationsor Relocution: , . lj.: I,............,,,. .,.,.;,''>'i~''l!,~.~i,,,,,,,;-,,~''''l.,,1 ,....... -l;" "'i~~' '.}f~,~ ., >t-' . i "bt;' .. ,." ~... . , . '''o''"~,;,:"r'.7~-"fL;[[;ln copie:s'otmerules.y ........ , 200,AJ11p~ .OJ Le~slter. (Note: tile teleohon$ 63.00 .291,~ps~0 ~OO Amp~on Utility Nol1!icati'$'U5.00 401 Amp:slto.600;Amp'sjO-332-2344). $125.00 60] Amps to 1000 Amps $163.00 Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50.00 " 42 I;;;., .. ".....~.. ~ ,,' i ?fD S5. -<i. L/o S"50 &L/. '1~ 4. : SUBTOTJtLOE:ABOVE: I. . " 8% State Surcharge 10% Administrative Fee $I TOTAL . . L11 l' OF ~rKll~ul'l~LD Building/Combination Permit PERMIT NO: COM2006-00384 ISSUED: 03/31/2006 APPLIED: 03/31/2006 EXPIRES: 09/30/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR . 541-726-3753 Phone : 541-726-3676 Fax .. 541-726-37691nspection Line . ~'_SITEADDRESS: 911 INTERNATIONAL WAY ~ ASSESSOR'S PARCEL NO.: 1703153000700 Springfield TYPE OF WORK: Electrical Work Only Contractor Type . Electrical Contractor BURRELL BROS ENTERPRISES INC TYPE OF USE: Addition . you to PTTENT\ON: ?r~.~~n }'~~h~e~~;~~n Utility 101lUVV I \.n..... ...- -1- - _ ... \' _ '" ~"p, c:.et tnrtTl N titication Center. ThPhoneNnmber:. ?41i?47-9396 . 0 1.0010 through OAR 952 uu In OAR 952.00 obtain copies ot the rules by nnQo. You may .. . h'~~hnno II" the cenu,'. \"U'~' .... ... . , CONTRACTOR INFO~TlON'1 Oregon Utility Noliflcatlon Center is 1_800-332-2344). License Expiration Date Phone 136446 08/20/2009 541-747-2724 Commercial '. PROJECT DESCRIPTION: 5 Branch Circuits for Shop Owner: Address: PACIFIC OFFICE AUTOMATION 911 INTERNATIONAL WAY SPRINGFIELD OR 97477 BUILDING 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: Type of Heat: Sq Ft 2nd Floor: Water Type: J Sq Ft Basement: Range Type: NOTICE: Sq Ft GaragelCarport Ene.rgy Path:. . THIS PERMIT SHALlS\!f~I~\!t~r=THE WORK Sprmkled BUlldmg: nla INDEHOccupant.Load: IS NOT uIITHnRI7f.111 I HI.:> t'tn'VIII , DEVELOPMENT INFORM\\:rIONCI) OR IS ABANDONtu t-UK IIIH IOU u",' PERIOD. REQUIRED PARKING Frontyard Sethack: Side 1 Sethack: Side 2 Sethack: 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: DownspoutslDrains: , Notes: I Valuation DescriDtion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 . , . . CITY OF ~rKll~GFIELD . Building/Combination Permit- Status Issued PERMIT NO: COM2006-00384 ISSUED: 03/31/2006 APPLIED: 03/31/2006 EXPIRES: 09/3012006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone N 541-726-3676 Fax 541-726-3769Inspection Line Total Value of Project Fp.p.~ Paw ~ Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ . Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $5.50 $4.40 $43.00 $12.00 3/31/06 3/31/06 3131/06 3/31/06 Receipt Numher 2200600000000000412 2200600000000000412 2200600000000000412 2200600000000000412 ,. Total Amount Paid $64.90 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. ~ RP.nIli[p.1I Tn~ Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. ~ . By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 oIany 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 ,...' L 225 Fifth Street Spring!ield, Oregon 97477 541-726-3759 Phone . a,p~_I!(~..Q~~, _'_.___ " IIIL " t.. \ , """~ .. \ :.q:.ili.!.:. .~ i --.~ " lIIIIiity of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 2200600000000000412 Date: 03/31/2006 9:22:3SAM Job/Journal Number COM2006-00384 COM2006-00384 COM2006-00384 COM2006-00384 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Payments: Type of Payment CreditCard " Paid By JOSHUA BURRELL Item Total: Check Number Authorization Received By Batch Number Number How Received njm 063468 In Person Payment Total: Amount Due 43.00 12.00 4.40 5.50 $64.90 Amount Paid ", , $64.90 $64.90 ''j' :1 :1 " : .~, \ :i " ~ '. :1 :1 <In' ') :i \ " 3/31/2006 Page I of 1