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Home My WebLink AboutPermit Electrical 2007-6-21 t ZON L,))? INITIA~"" - DATE (, _rll-o.._ SOURCE ~ , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726.3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION CArYvlvm'1- {)oa.07 City Job Number ":. ,..." . . ,-' ; ". . .,' - " :~."!,.....-.Y.:;" 1. : LOCATION OF LVST.4LLATION:;;;;,:,t':if./'( . ", .....<..~' '-,'-" ,,'..,.:...:,. .~....., ",.- ~:.... .'.;,: ...-" ~;.;(.;~~,.:\; :'.-";'~. 5.3C6 M (J1~ -St, $pm LEGAL DESCRIPTION: JOB DESCRIPTION: ~ '/'tf.ffnn.pAl- Permits are non-transferable and expire if work is not started within 180 days of issuonce or if work is Suspended for 180 doys, ~5'. ,.-.,A,' .' ";"~'!",Il~ 'i"'4:"C;':';''':''',~~' ~.._'\;,-'" ~'''',~''''.',''' .., 'i" ~ ~1"':'1f(';",",,'r 2. ;:CO~~Aqq~JNSr~L4TIgN.oNI:1':;: 1._....,_1...-... ". ........:1: ,...~__.p,.,,-;,.,..j,.:J. ","_,,''''';''I,;'!-j;''''''Q.'''~ ......d EIectricol Contractor OV Y'Y'I ) I (). yo-5 Address pobox r..,q 7 City vJf-JJr-Uvi)/f Phone l:J7-' )'7)~ 4-7;))5 Expirntion Date I 0 ~ 0 7 J 3 0 L/Lf & Expirntion Date / 0 .. 0 7 OV)\;L'o~,,~ / Owners Name S~ 8; i:zl~ Address '533'S wl.JJ/\ a. City ~ ~'~~ Phone I J\o1- .qq I a . ~ " Supervisor License Number Constr. Contr. Number OWNER INST ALLA TION The installation is being made on property I own which is not intended for sale. lease or rent. Owners Signature: InspectIon Request: 726.3769 . Date ~W/07 . 3 :~:;:~~~,~;::~::~~~~;.:;~ 1""'~:_'''''~'':'H''_'-:'.'''';__'.''''''_' ""'" ,., l,' ,"h"" '.!~" '.....~"._ ';,1. ."..;._.,.,."...-.~~ ....... ,.-;,;. Service Included 1000 sq. ft. or less Each additional 500 sq, ft. or ponion thereof $106.00 $ 19,00 Each Manufact'd Home or Modular Dwelling Service or Feeder . $50,00 ."'''''''''~,~ 1J~!;:li11L8~':;j9!.~9~C?rJ~~,L~q~l~~~YR.~}~.,~;,~:" '" B. ~ Ser,'ices' ~IFeed"<lnf..s IhsililratiilnYAMr~iii"s"OitRel'o\!otio~:'tJ ~.,~..,...-: 1'J1:)'iffib'iitran~Cef1tef."riio'Seft'ires'iirE!'Set16tth ",.,,'~0' 200 Ampsi6r(j'~s"l 952-001.0010 through <516%0"2-001- 201 Amps U,1)400 Ampsnay obtain copies cfl5'boJ1es oy 401 Amps to gooi!XHI~~e center, \1~Ole: 1I1E'$Y2lg,oeOI.'" n.,mOhRr for the Ore\julI UlIIllY f\:o\ll,ca"v," 601 Amps to 10UI AmRs t ' 1 0M M':' ",$163,00 vBn 81 IS .<..,........ .........._ .~v"-t"tl. Over 1000 AmpsNolts $375,00 Reconnect Only I $ 50.00 S;;(). 00. ,c. tt~~~~~-~~:n:~~<~?JF~~9.r.l!~ft:~t~~f!~~j;t:~~t~~_f.~~~:~~f{t~:~:~~:~?fj~- Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 50,00 $ 69.00 $100,00 Over 6{){hOJnps~r 1000 Volts see "B" above, .f _c:I'tUC l"l.,,,,!_ .""',~~ ',," ",.".'.:.....ii<o'R. r::".''!O.TtlC:''"''~l/" ,.,.....:; ,~,,,:; D. .. Brallch lr-.qlutsil"".t(."f~.l"';;lfVT'I"o; H; ", m:','~"."!'?'}'\"'> ,; ';'. '.. . ,.'tilb t'Ct\Wl' 'J,'~O",j;:,"..~ ,',"".'" .c;""f'S'l'fOT"""".",;.b:, New Alterntlon7liifERteh'!l@lilP.e1IPo'bfIERMI I One CiNPjMMEN(i'O OR IS ABANOONErs W8b Each Aodit!p~'lllyi')c,W P'Ei'lif!lO, ServicelbP/I'eeder Permit $ 3,00 'w, .\~,':~,...",._.,::::::.;r:".:,;;"",-:,;,:.~",.\'-:,',-',!,~!,'~~j',\.~,.,,(,. ','" '~'i'- '.~.:.: ~l. :~_:,:.~.~'i _.; .".H" .. E. i\Usce1l3lieous.(Service/fee'der'not included) -Eoch'IilStallation ........ .",...."..,,:..~...' ,-";,',."...s:,,,'.. /, .~~..!::.-- '.;..;';':' _""""~ ;.,-,. .")....-. + ,.....-..........:...;-" '. ~. ..' ~ . .H~'_:':'.5_ ':":\... ";,,..: Pump or irrigation $ 50,00 Sign/Outline Lighting no,oo Limited Energy/Residential $ 25,00 Limited Energy/Commerciol $ 45,00 Minimum Electric Permit Inspection Fee .is $45.00 + Surcharges ;:--,.' ......"l.....it~'-'n -',~.- .\-\-;:~.--.~-.'.,..,-~f...:,....:.. 4. .' SUBTOTAL OF ABOVE':'.J.;,',::.' ",',.',,'..:. :,., .t.... .::.;:"..,_ ,.,-.~~~.,; '~'C.~ '7::,,, .~;'e,,~.7.;':"":.:"~."'::.-i';' :~~: 8% StOle Surchorge 10% Administrative Fee 5% Technology Fee $0. CI() 4-:Qj) c;-, tro 2. .<:;7) CoL5V TOTAL Sh.lred Drivt:(T:)/Building Fonns/Electnc:l1 Pennit Applic:ltion 8-06.doc . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00907 ISSUED: 06/20/2007 APPLIED: 06/20/2007 EXPIRES: 12/20/2007 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5335 Main St 208 ASSESSOR'S PARCEL NO.: 1702330001300 Springfield TYPE OF WORK: Electrical Work Only A TTENTION'l1YPE,OFI USE~cflteration follow rules ~doPt~d' b u;~~ lJ/res you to Notification Centf'r Thn~n., ,,~:egon Utility '" UAH Y52-001-001Q th - -, - -~, 'VI" I o rough OAR 952-001 090" You may obtain Copies of the rules b - calling the center. (Note: the tele h y nl ,mht"\~ t......_ ~l_ _ ,... Pone ,-..__. -, --. ....::Jvl! UW1lY I\lOmlcatlon I CONTRACTOR INFORMATION '1900-332 2344). PROJECT DESCRIPTION: Service reconnect. Owner: Address: SANTIAGO ESTATES ASSOC LLC 11211 GOLD COUNTRY BLVD STE 10 GOLD RIVER CA 95670 Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC License 136446 I BUILDING INFORMATION I # 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: NOTlI7a~: TIll,., .............,,__ Residential Expiration Date 08/20/2009 Phone 541-747-2724 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT 1NFORMA,TlleN~il'Z'~'~ ~~ALL ~~:::H~_'! THE WORK I DER REQUlREDjPARKc1NG COMMENCED OR IS ARAMnONED F' O'-R"~' ANY 180 DA Total: Y PERIOD Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 'PUBLIC IMPROVEMENTS 1 Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Paee 1 of! Value Date Calculated . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00907 ISSUED: 06/20/2007 APPLIED: 06/20/2007 EXPIRES: 12/20/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3 769 Inspection Line Total Value of Project F.....PlIW Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Service Reconnect Amount Paid Date Paid $5,00 $2,50 $4,00 $50.00 6/20/07 6/20/07 6/20/07 6/20/07 Receipt Number 1200700000000000796 1200700000000000796 1200700000000000796 1200700000000000796 Total Amount Paid $61.50 I Plan Reviews I 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. MH Service: Approval required prior to utility company energizing service. By signature, I state and agree, that 1 have carefully examined the completed applicotion and do hereby certify that oil information hereon is true and correct, and 1 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. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project, 1 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 of2 .. 225 Fifth Street S6ringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00907 COM2007-00907 COM2007-00907 COM2007-00907 Payments: Type of Payment CreditCard cReceintl . RECEIPT #: Description Service Reconnect + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BURRELL BROS. ~... ~. ~-" - a of Springfield Official Receipt .elopment Services Department Public Works Department 1200700000000000796 Date: 06/20/2007 Item Total: t:heck Number Authorization Received By Batch Number Number How Received ddk 00561 B Phone Payment Total: Page I of I 2:08:50PM Amount Due 50,00 2,50 4,00 5,00 $61.50 Amount Paid $61.50 $61.50 6/20/2007