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Home My WebLink AboutPermit Electrical 2004-08-30Building/Combination Permit Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-01085ISSUED: 0813012004APPLIED: 08/3012004EXPIRES: 0212812005 VALUE: SITE ADDRESS: 3230 PARTRIDGE WAY ASSESSOR'S PARCEL NO.: 1703221309000 PROJECT DESCRIPTION: Service change Owner: yAGER DORIS MARIE Address: 3230 PARTRIDGE WAY SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08t20t2005 Phone 541-747-2724 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improyements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: $ Per Sq Ft or multiplier Square Footage or Bid Amount nla Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: Total Value of Project Description Type of Construction Prge Value Date Calculated ra,[rt3ll \I L._,1 Lvr\ rML r ur rr\r:f:j1_l_!:z.lll uL v DLrrr Lvr_frr.\ I rllTyljfljllfy1l l Valuation Description ] Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01085ISSUED: 0813012004APPLIED: 08/3012004 EXPIREST 02128/2005 VALUE: Fee Description + l0Yo Administrative Fee + 7o/o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.30 $4.41 $63.00 $73.71 Date Paid 8t30t04 8t30t04 8t30t04 Receipt Number 1200400000000001283 1200400000000001283 1200400000000001283 Plan Reviews To Request an inspection call the24 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. Electric Service: Approval required prior to utility company energizing service. Reouired fnsnections By signature, I state and agree, that I have carefully examined the completed apptication 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 OCCUPAI\ICY 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 70I.005 witl 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 Page 2 of 2 xl I I ees rard I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springlield Official Receipt Jevelopment Services Department Public Works Department RECEIPT #: 1200400000000001283 Date:08/30/2004 1:08:46PM Job/Journal Number coM2004-01085 coM2004-01085 coM2004-01085 Description Perm ServlFdr 200 amps or less + 7Yo Stzte Surcharge + l0% Administrative Fee Amount Due 63.00 4.41 6.30 Item Total:$73.71 Payments: Type of Payment Paid By Received By CheckNumber Authorization Batch Number Number How Received Amount Paid Check BURRELL BROS ELECTRIC dlm 4127 In Person Payment Total: 73.71 $73.7r 8/30t2004 Page I of I 5l 22s FIFTH STRXET . SPRINGFIELD, OR97477 . PH:(541)726-3753 . FAX: (541)726-3689 E L E CTRI CAL P ERM IT AP PLI CATI O N Cirv Job'nvumber Date J LEGAL DESCRIPTION JOB DESCRIPTION Permits are non-transferable and expire if work is not started rrithin 180 days of issuance or if work is Suspended for 180 days. Service Included I 000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $50 \ $63oo ("3.60 $ 75.00 $ 125.00 $ r 63.00 $375.00 $ 50.00 $ 43.00 $ 3.00 0 A. B, C. D. E. ? Electrical Contractor Address Burrell Bros. Electric 401'59 Booth KellY Road Crrr SPringfield, Oregon 97478 $*--l-=-l-\ Superrrsor License Number S Erpirat ion Date \S Cons rr. Conrr. Number \-b\.)\\\, Erpirarion Date ro\c>\ Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 or 1000 Volts see "B" above 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to I000 Amps Over 1000 Amps/Volts Reconnect Only New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit Pump or inigation THI 7oh State Surcharge 10% Administrative Fee TOTAL __\ Srgn ature of Supervisiag Electrician Orvners Name Address C jri Phone O\\'NER INSTALLATION r-r,. if;lllElwQffi is nolotrlffiluk0 fi90.lbu maY obtain copies mmborirlhc frentCf b Sigr:/Outline Limited Limited $ 45.00 es are set forth Minimum Electric Permit Inspection Fee is $45.00 * Surcharges {0l0through oAR 952-001- of the rules bY ERMII IS0ry 60 z/ 4/ 3o 7/ a Inspection Request: 726-37 69 the telephone 4 Shared Drive(T:/BuildiLrg Fornrs/Elecu-ical Permit Application I -03.doc P" t. , T