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Home My WebLink AboutPermit Electrical 2009-3-16 (2) \ 225 Firth Streett Springfield, OR 97477+PH(541)726-3753tFAX(541)726-3689 , 'Co'Electrical Permit Application Imr~Qt:~eJ~J~tf'I'E~Q:CP~~G:01N .~;.;~ LqrJE.'" B~.".'R... mM""'..E.Ifi1.ji!1sE.~.0NirY;;~1 ~it'1'*tmi&71Y~~~YRfXJj}~~ I cowtZOO ?;...O~ ~o.1 I Penmt no.: I Date: >;00 7 I This permit is issued under OAR 918~309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days ofissuan~e or if work i.s suspended for,l80 days. !"'tiilllibiilllffli""'''0'"WI;!,''G'0'''E'R.'M' 'E' .N...."".'''"...R.0'''.'l!-'''lli''1t~'M1 ~;:;;;:,""'''''''~",,!^.;,. '..~~J,.;;sL;.'/yj ," _,J, .... . . . ~lat~JaE "~A")'"..:;miil~#.0tt%~ f~~~~~~~~,~~~~~:~~kor~o~~~~;-I Residential, per unit, seITiee included: I i~:~~~~:~:-I;E;~0iM~1m'01!f:Ne~~jmI0N~~i ,I ;;';~Oo;d:i~O::II:S~O(:~ ft or portion :1::.::: I I City: .sPF~ I State: D(L I ZIP: 171(7K I I Limited energy (2) $ 32.00 $ I i~=~~~G~:~~~0~J1W~:~~~~! ! !;~::~~~;~::::s~~:~;~~~C:~:::rotion re{o:at~:nOO $ i I I I I 200 amps or less (2) $ 81.00 $ I I 20 I 10 400 amps (2) $ 95.00 $ I Name: -mWl~L.A ~rcl:n.V/A,"", I I 401 to 600 amps (2) $158.00 $ I Address: 3S'Z S 4s(l.d.,;JL 160Itol,000amps(2) $205.00 $ I I City: Sl'r=~ I State: ~ I ZIP: ..,71.(78 IOverl,OOOampsorvolts(2)' $469.00 $ I I Phone: I Fax: I I Reconnect only (2) $ 63.00 $ I I E.mail: I I Temporary services or feeders:.installation, alteration, relocation I Th" II' . b . d 'd' I r 200 amps or less (2) I $ 63.00 $ 1 IS msla atJOn IS emg ma eon reSl entia or lann propertY~TlO \J' ,- owned b~ me or a member of my immediate family. liw,s '.~'_. , .. ~WI<t.4~6;ar!!~lIreS you to I '$ 87.00 $ I property IS not Intended for sale, exchange, lease, or rent~rOAR:lle. a~', -'.. \ W; ~~':;;C.-l L:~;I;lY , 479.540(1) and 479560(1). Notltlcation ;eh~91. tCfM(,~mi'~I~ RrA <pi f",'h I 1 $126.00 $ I Signature: . ~{\~:RJ.52~ 10 ilJG:1-l6d91limpgolll!gQQ tQJIMJIH<rvices or feeders section above I 1~:~~'~bt;e~~~)m~~~Ti~~~:~~:~!: ~\'~~~~W~~~~~~~~I::S:;:.:~;::e~r leeder fee i .1 Address:.!] 0 hr;X /,,07 _ Cene~jSIlaaooa'il81?o1iG<il41. uq 1 I $ 6.00 I $ I _ City:W Art! r V I' J Ii I Sta~e-: d Lf J ZIPr1 (,; I b. Fee for branch circuits without purchase of a s,7rvice or feeder fee: I Phone: 14-7 ') 11 t.f I Fax: f () I First branch WCUlt (2) I I' $ 55.00 I $ I I E-mad'hVVW1brOS(JI'nfftlr~O(l }'ni.( Eachaddltionalbranchwcun I. 1.$ 6.00 $ I I CCB IJc;nse no.:/?;lD~ I B~D liceR6e no..riD - tfLJ. ;U:.I Miscellaneous fees: ~ervlce or feeder not Included I I Signing supervisor's license nS\. .Lf '7 J. I -5 -:l I Each pump or lITIgation Circle (2) $ 63.00 $ I 1 Print name of signing supervisor JIj]' .1/ fI V y r'" J.' . I Each sign or outline lighting (2) $ 63.00 $ I I Signature of signing supervis: I U I ~;, SIgnal CirCUit or a lImned-energy..,p.anel, $ 63.00 $ I , \j' '--' ' f SltUtflnpl!"'Ml\'f1si!h~II: WuRK ~~~~:~~E2~~;;i::;:e~:~;I~SE~~~~ ANY 180 DAY PtJRfa~.subtotal of above fees 67 {\ " .....0--... (Minimum Permit Fee $58.00) $::'1 \ \:\'t(' Il,U . I (8) Enter 12% surcharge (.12 x [A)) $ e ~ _ ~ 'V ~ I (C) Technology Fee (5%of[A)) $ '3~. . J ~ I TOTAL fees and surcharges (A through C): $ 7 B ~ '} ~~ 440.2584.) (9/08/COM) _.I _"'- \o--~,.u z/ !.3~Q~ CITY OF~rK1J'Il.J:<IELD . Building/Combination Permit PERMIT NO: COM2009-00303 ISSUED: 03/16/2009. APPLIED: 03/05/2009' EXPIRES: 09/16/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 352 S 43RD PL ASSESSOR'S PARCEL NO.: 1702323404302 Springfield TYPE OF WORK: TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: BWOP Pluming I Elect Owner: Address: FREEMAN PAMELA J 352 S 43RD PL SPRINGFIELD OR .97478 ATTENTION: Oregon law rel1u","" yuu:.u follow rules adopted by the Oregon Utility Notifioation Center. Those rules are set forth in nAR ~,,2-001-001 0 through OAR 952-0~1- nOQO_ You may obtam CUIJIt:tl VI \-1 I\;; ,...,.........-J I CONTRACTOjl,;INE0RMmTION~"te: the telephone . number TOr ",e v'o'"u" Utility Notlfrcatlon Contractor CenteLie~Ii~~O-33Ei11~~tion Date BURRELL BROS ENTERPRISES INC 136446 08/2012009 COMPLETE PLUMBING LLC 163794 03/2112009 . Phone , 541-747-2724 ,541-688-0355 Contractor Type Electrical Plumbing BUILDING INFORMATlONI # of Units: 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: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq F12nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupa'lt Load: nla Front yard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVEUIDI'NI'll:llIT INFORMATION I . tf{fs PER . A~hi&' M!~.SHALL E CO~I1I11~~JJfR/qIfR T~~~E IF THE WORK ANIP~wI ~,ljVelRlq"S ABAND ERMIT IS NOT % ot'~ t~JW&ri. ONED FOR REQl!IRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: . Sidewalk Type: Downspouts/Drains: Storm Sewer Available: Special Instruction: Notes: Paec I Of 3 Sta tus Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspectio~ 'Line I V alu~,"ion Oescriotion I I 1111 Description Tvpe of Construction $ Per Sq Ft or mnltiplier Square Footage or Bid Amount Total Value of Project "flrr" p~ irl I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend'Circ Ea Add + 12% State Surcharge + 5% Technology Fee Penalty Fee - BWOP Electrical Amount Paid Date Paid' $8.04 $3.35 $55.00 $12.00 $8.04 $3.35 $67.00 3/16/09 3/16/09 3/16109 3/16/09 3/17109 3/17/09 3/17/09 Total Amount Paid $156.78 I Plan Reviews I CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00303 ISSUED: 03/16/2009.. APPLIED: 03/05/2009 EXPIRES: 09/16/2009 VALUE: Value Date Calculated Receipt Number, 2200900000000000267 2200900000000~00267 2200900000000~00267 2200900000000000267 " 2200900000000000275 2200900000000000275 2200900000000000275 To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. ~e(llliredJnsnections _ Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726'3676 Fax 541-726-3769 Inspection Line CITY OF'SPRINGFIELD . Building/Combina~ion Permit " PERMIT NO:' COM2009-00303 ISSUED: 03/16/2009 APPLIED: 03/0512009 , EXPIRES: 09/1612009 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do hereby certif';' 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 Ordiuances 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 withont permission of the Community Services Division; Building Safety. I further certify that only contractors and employees who are in compliilllce 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, ;lIId the approved set of plans will remain ori'the site at all times during construction. Owner or Contractors Signature Paee3 of 3 Date \ 21,5.Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00303 COM2009-00303 COM2009-00303 Payments: Type of Payment CreditCard cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000275 Date: 03/17/2009 Descrilltion Penalty Fee - BWOP Electrical + 5% Technology Fee + 12% State Surcharge Paid By JEREMY BURRELL Item Total: Check Number Authorization Received By Batch Number Number How Received djb 00511 c In Person Payment Total: c Page I of I 11 :05:02AM Amount Due 67.00 3.35 8.04 $78.39 Amount Paid $78.39 $78.39 3117/2009