HomeMy WebLinkAboutPermit Electrical 2005-09-02Status: Issued
225 Fifth Street, Springfield, OR
541:126-3753 Phone
541-726-3676Fax
S4l:7 2637 69 I nspe ction Lin e
SPRINGFIELD
Buildin g/Co mbination Permit
PERMITNO: COM2005-01200ISSUED: 0910212005APPLED: 09/01/2005E)PIRESz 0310212006
VALUE:
SITE ADDRESS: 736 S 42ND ST B
ASSESSOR'S PARCEL NO.: 1802052201001
PROJECT DESCRIPTION: Service reconnect
Springfield TYPE OF
TYPE OF USE:
Electrical Work Only
Repair Residential
Owner:
Address:
Contractor TVpe
Electrical
2J LLC
29404 CLEARLAKE RI)
EUGENE OR 97402
Contractor
BURRELL BROS ENTERPRISES INC
License
t36446
Expiration Date
08t20t2009
Phone
541-747-2724
CONTRACTOR INFORMATIC
BUILDIN(
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Frontyard Setbaclc
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbaclis:ATTENTION: Oreg
V.
on'
ofLot Coverase:
law requires You to
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
R-3
VN
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Overlay Dist:
# Street Trees
Paved Drive Rqd:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Notification
Street
Storm Sewer Available:
Special Instruction:
tn
0
Notes:
$ Per Sq Ft
or multiplier
Sidewalk Type:
DownspoutVDrains
Square Footage
or Bftl Amount
DEVELOPMENT INFO]
Description Tvpe of Construction
lof2
Value Date Calculated
I
Valuation Description I
Buildin g/Co mbination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:7263753 Phone
541-726-3676Ftx
5414 2647 69 I nspection Line
PERMIT NO: COM2005-01200ISSUED: 0910212005APPLIED: 09/01/2005E)GIRESz 0310212006
VALUE:
Fee Description
+ l0oh Administrative Fee
+ 77o State Surcharge
Service Reconnect
Total Amount
Amount Paid
$s.00
$3.50
$50.00
$s8.s0
Total Value of Project
Date Paid
9t2t05
9t2t0s
9t2t05
Receipt Number
1200500000000001290
1200s00000000001290
1200500000000001290
Fees Paid
Plan Reviews
To Request an irspection call the24 hour recording at 726-3769. All inspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Electric Service: Approval required prior to utility company energizing service.
Reouired fnsnecfions
By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certi$ 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 certiff 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
2of2
225 Fifth Street
Springfield, Ore gon 97 47 7
541-726-3759 Phone
rity of Springfield Official Receipt
evelopment Services Department
Public Works Department
RECEIPT#: 1200500000000001290 Date: 0910212005 7:48:25AM
Job/Journal Number
coM2005-01200
coM2005-01200
coM2005-01200
Description
+ 7o/o State Surcharge
+ l0o/o Administrative Fee
Service Reconnect
Amount Due
3.s0
5.00
s0.00
Item Total:$s8.s0
Payments:
Tlpe of Paynent
unecKNumDer Aumonzauon
Paid By Received By Batch Number Number How Received Amount Paid
CreditCard JASON BURRELL djb 019662 In Person $58.50
Payment Total:
-553156-
I
)
lofl
stlllEf3,.o
9/212005
]2J FIFTH STR.EET . SPRINGFIELD,OR97417 . PH:(541)726'3'153 ' FAX: (541)776-3689
L' L E CT R] CAL P DRM IT AP P LI CATI O N
. :, l:c'o \umber Coda Zoo f - OtZ&Date r
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KOZO ' ZL o(ool
O3 DESCRIPTION
se.tL\, tc€P-:€Ca,U/€cf
Prrnrrt: are n0n-(ransferable and expire if work is
nor srarted tlirltin 180 days of issuance or if work is
Suspended for 180 daYs.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion tlrereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 AmPs
Over 1000 Amps/Volts
Reconnect Only
Service or Feeder Permit
tare Surcharge
Administrative Fee
AL
sr06 00
$ 19 00
$s0 00
-:rsir Corrrr Number \h$+\\-
Installation, Alteration or Relocation
200 Amps or less S 50 00
201 Amps to 400 Amps $ 69 00
401 Amps to 600 Amps $ i00 00
Over 600 or 1000 Volts see "B" above
New AJteration or Extension Per Panel
One Circuit $ 41 00
Each Additional Cucuit or with
ti,, r:.,r1'
$ 300
.;,.
til
B tiort
-sp_
il ic; r:'rl I I Con tractor
.-, jorcs, Burrell Bros. Electric
4oi'59 Booth KellY Road
!:r) SPringfield' Oregon 97478
r$Js\s--E\-l-_\
)-).r.rsoI Lrcense Number S C
i: \:i13lron D3le
ilr:rralron Date
\s a
',rirr [ - i e o t' SuPerviSrng lecrrician D
E,
.ZT\ LLL
.(oLl e-,l*
U,;:r<i: \arne
.rOClii: Z
O\\ \TTI lNST{ILAT
r:f.,
rsL:ilatrcn rs berng
s nct rntended ior sale, I
0 ,i ncrs S igna ru re
$ 50.00
$5000
$2500
$4500
ction Fee is $45.00 * Surcltarges
number for the Oregon Utili
sD
3sos512
58to
lrrspecticrn Requesl: 176-3769
4,
Sharcd DrivdT:/BuiJdiog Forms/Electrical Percoit Applicatroo I -'1r tlu;
$ 61.00
$?500
$r25 00
sr63 00
s3?5 00
$5000--7
1
Notification Center. Those
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