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Home My WebLink AboutPermit Building 2002-10-15Status: Issued 225 Fifth Street, SpringfieH' OR 541-726-3753 Phone 541-726-3676 Fax 5 4l :7 26-37 69 Inspection Line TYOFS Building/C ombination Permit PERMIT NO: COM2002-01216ISSUED: 1011512002 APPLIED: 10/1512002 E)GIRESz 0411512003 VALT]E: SITE ADDRESS: 408 34TH ST ASSESSOR'S PARCEL NO. : l7 023124097 00 PROJECT DESCRIPTION: Rewire fire damage Owner: SVENDSEN DAVID Address: PO BOX 620 SPRINGFIELD OR 97477 Springfield TYPE OF WORK TYPE OF USE: Repair Contractor Type Electrical Owner Contractor BURRELL BROS ENTERPRISES INC SVENDSEN DAVID License 136446 Expiration Date 08t2012003 Phone 54t-747-2724 Contractor Information # of Buildings: Primary Occupancy GrouP: Secondary Occupancy Primary Construction TyPe Secondary Construction # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearaard Setback: Sohr Setbacks: # of Stories: Overlay Dist: # Street Trees Paved Drive Rqd: oh of Lot Coverage: Ft Garage/Carport Ft Other: Impervious Surface REQUIRED PARKING \ne {s,e Street Storm Sewer Availabh: Special Instruction: Notes: Description Type of Construction $ Per Sq Ft Square Footage Total Value of Project \9 \ DEVELOPMENT INFORMATION Valuation Description lof2 Value Date Calculated I'UILI,,II\TJ L'I(]YIA I Water Range Energy Status: Issued 225 Fifth Street, SPringfieH, OR 54l-726-3753 Phone 541-726-3616 Fax 541-726-37 69 InsPection Line Fee DescriPtion + 7oh Sttte Surcharge + 87o Administrative Fee Residence Wirins 1000 Sq Ft Buildin g/C ombination Permit PERMIT NO: COM2002-01216 ISSUED: 1011512002 APPLIED: 10/1512002 E)CIRESz 0411512003 VALUE: Amount Paid s7.42 $8.48 $106.00 Date t0llsl2002 1011512002 r011512002 Receipt Number 1200200000000000073 1200200000000000073 1200200000000000073 Received BY dib dib dib Total Amount $12r.90 Total Fees Paid Prior to 9lill02 To Request an inspection call the24hour recording at 726-3769. AII inspection requested before 7:00 a'm' w,l be made the same working day, inspections requested after 7:00 a.m. will be made the following work day I Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete' By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ 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 hereiq and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division' Building Safety. I further certiry 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 the street, that the Permit card is at all times during construction. required inspections are requested at the proper time, that each address is readable from located at front of the property, and the approved set of plars will remain on the site Owner or Contractors Signature Date tb- t5-oz ees P s Required InsPections 2of2 225 FIFTH STREET SPRINGFIELD. OREGON 97'177 INSPECTION REQUEST 126'37 69 OFFICE: 726-3159 ION OF INSTAILATION It) BurB LEGAL DESCRIPTION 170 3/ Zq o?700 JOB DESCRTPTION Perniits are CON,IPLETE FEE SCHEDLLE BELOW A. Nerv Residentill-Single or Multi-Family per drvelling unit. Sen'ice Included: Iterns Cost .) 1. LOCAT T] OP, Sum :S$tT#{*'sf"#f :,, pffo U6 -{T sq.ft d Houre or 200 amps or less 20I amps 1o 400 40 i amps to 600 amps 60 I amps to 1000 antps $ 106.00 $ 19.00 _ $ 50.00 ilr,vork is n tb of issrrance or if rvork is for 180 days ate Sen,ice or Feeder Authonzed Signature 2. CONTRACTOR INSTALLATION ONLY B. Sen'ices or Feeders lnstnllation, Alterutions or Rclocation: Burrell Bros. Electric 40159 Booth Kelly Road Springfield, Oregon 97 47 8 \\\ L\t_r\ Supe n'isor Licensc N Constr Contr. Reconnect Only Sen'icr:s or Feeders _$ 50. ANY n 1 Expiration Date \S s69.00 ,NED or 1 Citl' OWNER INSTALLATION Tire installation is being ntttde on property I olvn rr'ltich is not intended for sa1e. lease or rent. D.Brirnch Circuits Nerv Alteration or Extensiou Per Panel One Circuit , $43.00 Eactr Additional Circuit or uith Service ArrENti F€NruP€uBn lawrequtres Ii.e N OARg 0.00 1C90. YoSi 0.00 calli eenteris 1-800 I\'Iinimunr Electric Permit lnspection Fce is SJ5.{)0 * Surchirrges l0(n,oo 7qz--TVT-- Name QTrr Phone )tltt-,30 Address I 4. SUBTOTALOFABOVE 77o State Surcharge 8%o Administratiye Fcc Ol'ners Signature TO'TAL tzt y ELECTRI CAL PERMIT APPLICATION Citl'Job Nrr*rr"r'COL4 ZOAZ 'O tZt L Expiration Signirture of Supcn'ising Electrician Installation, Alteration Au1 $5o.oo _ Notification- s25.00 $45.00