HomeMy WebLinkAboutPermit Electrical 2007-7-10
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Date ,/'O 107
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C01\.iPLETE FEE SCHEDULE BELOn'
2:5 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX; (54])726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number ~ - 06 /"/_g
1. LOCATION OF INSTALL4TION:
3<t~ S, SSt.::h
LEGAL DESCRIPTION:
i/OA~S~Lf-O\(OO I
JOB DESCRIPTION:
~
A(\(L~t,(T)AC~ \ 2- CLft(~LLLl5
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days,
CONTR4CTOR INSTALL4TION ONLY
2, r
Electrical ContractorOV y Y'I ) I f) YO .s
Address pobox 6 CJ'7
City VJf-1 Hi (V;)/f Phone JiJ7'. ~1JY
'-1-7))5
Expiration Date I 0.- 0-7
/30L/Lf&
Expiration Date / 0 .. 0 7
Supervisor License Number
Constr. Contr. Number
(gn\n~ing7:Mli
\_ O. -
Owners Name tit\-. ~~ {..LC...
Address~ e. I C>I:V1 /Nt., ~JPl
City ~~~ Phone ~ ,,,"! ,,'
o!:Il Ore on law reqUlr::.;. 1 - ."
AII!:1m g d b the Oregon LtilllY
to~~o.W:th!Q~ rules are set I.ort:l
t-4Qt!f\catlon~e~ 2&~ 954-00\' .
Irl CA'R~24~~lti~1~tM~9t\ e'~ ~ &'15l whIch
OOWt i~O~~o_I1009P~1 t: e e.. y
liin the center. (Note:'the tel~~ho~~.
.iif4)Ptahe: Oregon Utility NotlflcatlCm
Center is 1-800-332-2344).
./
Inspection Request: 726-3769
3.
A. New Residcntial- Single or Multi-Family per dwelling unit.
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
$106.00
$ 19.00
$50.00
B. Services or Feeders - Installation. Alterations or Relocation:
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
C. Temporary Services or Feeders
Installation, Altcration or Relocation
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Pcr Panel
One Circuit I
Each Additional Circuit or with \ l
Service or Feeder Permit
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 50.00
$ 69.00
$100.00
1<:s.oD
$~
~ I:t,uD
$ ..}.OO
A~.OD
M.W
E. Miscellaneous (Service/feeder not induded) -Each Installation
Pump or irrigation $ 50.00
Sign/Outline Lighting_ .t ~e~\fO
LimitE~gY/ReSidentft"f..?\~t W\...~\ \~ ~1J
Lill\~ o~~t\"\I\r\\S ?t.\\~\I t y\5.00
~linim uilil\l ro'f\l'!.~ 1l\Ws\l3~i6f>,IJ\'i\.Q~~'ii S u"hacO"
4. sut~~~~~. 0 .v qJ~IOO
8% s~~~~a?~ -7 ~((] .
10~/o Administrative Fee C1.1"'(;
5% Technology Fee 4--. (;.Jf"
TOTAL
Shared Drivt:(T:)/Building FonTIs/Electrical Pemlit Applicatiun 3-06.duc
\ \ 3: I lei
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00728
ISSUED: OS/22/2007
APPLIED: OS/21/2007
EXPIRES: 11/22/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 382 S 58TH ST B
ASSESSOR'S PARCEL NO.: 1702334401601
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Add one circuit for office remodel.
Owner: EHL PROPERTY LLC
Address: 399 E 10TH AVE STE 101
EUGENE OR 97401
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2009
Phone
541-747-2724
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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements: , oaf -u\res yoU to
1Qt" Oregon a'n. v'1 n Utll\ty
Storm Se~j1 J:\ oeifiuopted by the Orego set 10rth
Special I~t ~ Center. Those rules ~~ 952-001-
Notification 001-0010 thrOugh 01'\0 u\es by
Notes: In OAR ~:;~ay obtaI" copies 01:~I:~hone NOTICE:
009~\'_1~ tt"c ~nter. (Not~:lo~~~"'tifi"'<iOn TU'~ Dc:a.wI.SHAll EXP1RE 1F THE WORK
- ';;i,erlor the Orogo" 2~~1. AVORIZED UNDER THIS PERMII lli NU I
nu Center is 1-800-33 Valuation Descriptio~ MENCEO OR IS ABANDONED FOR
$ Per Sq Ft SquarArsY01~ DAY PERIOD.
It' I' B'd A . Value
or mu Ip ler or I mount
Sidewalk Type:
Downspouts/Drains:
Description
Type of Construction
Date Calculated
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00728
ISSUED: OS/22/2007
APPLIED: OS/2112007
EXPIRES: 11/22/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$4.50
$2.25
$3.60
$43.00
$2.00
$9.20
$4.60
$7.36
$48.00
$44.00
5/22/07
5/22/07
5/22/07
5/22/07
5/22/07
7/10/07
7/10/07
7/10/07
7/10/07
7/10/07
2200700000000000794
2200700000000000794
2200700000000000794
2200700000000000794
2200700000000000794
2200700000000001107
2200700000000001107
2200700000000001107
2200700000000001107
2200700000000001107
Total Amount Paid
$168.51
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.
LReouired Insoections I
Rough Electric: Prior to Cover
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 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
Pa2e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00728
COM2007-00728
COM2007-00728
COM2007-00728
COM2007-00728
Payments:
Type of Payment
CreditCard
cReceint 1
RECEIPT #:
2200700000000001107
Date: 07110/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
BURRELL BROS.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 02596B Phone
Payment Total:
Page I of 1
11 :30:22AM
Amount Due
48.00
44.00
4.60
7.36
9.20
$113.16
Amount Paid
$113,16
$113.16
7/10/2007