The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2003-08-21Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-00811ISSUED: 0812112003APPLIEDz 0812112003EXPIRES: 0212112004 VALUE: SITE ADDRESS: 512 35TH ST ASSESSOR'S PARCEL NO.: 1702312410902 PROJECTDESCRIPTION: Servicechange Owner: RASMUSSEN RANDy & CINDI Address: 889 OSPREY LOOP CRESWELL OR 97426 Springfield TYPE OF WORI(: Electrical Work Only TYPE OF USE: Repair Residential Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 081201200s Phone 541-747-2724 TION FORMATION # of Buildings: 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: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 Vlhr SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains REQUIRED PARKING Total: Handicapped: Compact: Total Value of Project Page I of2 DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Valuation Descrintion Description Type of Construction Value Date Calculated Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00811ISSUED: 0812112003 APPLIEDT 0812112003 EXPIREST 0212112004 VALUE: F ees Pa Fee Description + l0Yo Administrative Fee + loh State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid A,mount Paid $6.30 $4.41 $63.00 $73.71 Date Paid 8t2u03 8t2u03 8t2u03 Receipt Number 1200200000000001995 120020000000000199s 120020000000000199s 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. 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 Paee2 of2 -I _t) Reouired lnspections I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department #z 99s Date: 08/2 3:02:01PM coM2003-0081I coM2003-0081I coM2003-0081l Perm ServlFdr 200 amps or less + 7Yo State Surcharge + l0%o Administrative Fee 63.00 4.41 6.30 Item Total:$73.71 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check BURRELL BROS djb In Person Payment Total: $73.71 -$E1r GFTELD, OREGONCITY OF 225 FIFTH STR-EET . SPRINGFIELD, OR97477 . E LE CTRI CAL P ERMIT AP P LI CATION Cir-v Job Number COtuZt->Cr) AO*l / Out" LEGAL DESCRIPTION 17073 tZ.l to70L PH: (541)726-3753.' + EA,Iki(54t4*5d6flSmitted has the lollowing ' ". a*d does not require specific land use (z- A. (rClar, Permits are non-tra ble and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 7 Electrical Contractor Addres Burrell Bros. Electric 40159 Booth Kelly Road Springfield, Oregon 97 478 \g\n:\il\ Sr-rnen'isorlicenseN*mber W c' E.xpiration Date Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only Installation, 200 Amps Each Additional Circuit or with Service or Feeder Permit Pump or inigation Sign/Outline Lighting Limited MinimIH\ Surcharge 10% Administrative Fee TOTAL $ 106.00 $ 19.00 $s0.00 B. Ciry $63.00 @:: $ 7s.00 $ 125.00 $ l 63.00 $375.00 $ 50.00 s 50.00 $ 69.00 $ r 00.00 $ 43.00 $ 3.00 $ 50.00 $ 50.00 * Surcharges L('l ( t7o 737 | Constr. Contr. Number i) Expiration Date Signature of Supervising Electrician Owners Name Address ciry C{a5v/€LL Phone G t Z- <tl Z? O\INER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ou,ners Signature: o\ Panel RE Inspection Request: 726-37 69 4. Shared Driv(T:/Buildin g Form.s/Electrical Permit Applicat ion I -0 3. doc I. LOCAT'ION OF 3. runit. roB DESCRTPTTON Louv',s $yrl St.^rcr cr..^ *l.r+ - iiil",Tl,} ,i,,1 E. \ -^,\,IL