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Home My WebLink AboutPermit Electrical 2005-7-13 Zoning-l_ 0/7 ~- -~ Auth "zed S/gnatu'J -I ~ - ~ . - iiiiiffN~ Date '- .- 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION ..,}.., i City Job Numberto.HZOOr-oO 'Of Date 7;'/7/)' 1. rlW)@A..r,.I.4!.I1~i\!;~u-..uwa.Tr1".lTI4'~ 3. .@@MPBEq;EfEE:L!.~~~rtX.vtJ/HEIBE-B(j)m 'b,^~A~ ~n 001( ~ Phone Pump or irrigation " - Sign/Outline Lighting 1\-11'. '-N\.l\\\~ OWNER INSTALLATION . Limited EnergylReSidc'\!;a1J\\\ IS 'I\\! \ '-'\"'~' L' , d'E" \ t.I" '- o(:~\ OQ The installation is being made on properly I own which' \ ,,;~' _ Iml~ nergy/<(wpmerclaln r " , , d dC"" ",,\,\,'\\\ 'h'''''\\ \ ",!:'\O'Nt.v IS not mten e ,or sale, lease or rent. '\AI~MinimumIElectric.Pefmil'laspection Fee is $45.00 + Surcharges ,I' \\-I\.'U' ,-v _ \ p- p-IJ 4.- 'Sr!lB'IJ.(j)T,m@F.l~<!I.""" 7C" r \j\,<,I' ...> v I'D\J' '"2r \'.~'{ 7% State Surcharge J ~~ ~O% Administrative Fee ; S-~)_ ~ ~~ roTA~~"",""""__~,_^.,,,,, ,.:.:- ZLf7l LEGAL DESCRIPTION 170J 23Yt.( JOB DESCRIPTION ZCOIrW'f> S/2.t/L. ~ t/ cfit.c.....d-r Permits are non-transfera/ie and expire If work is not started within 180 days of issuance or If work is Suspended for 180 days. 2. I~CI.ul/..l,.rt:t1~..i:I-.!JI:J.'l...tiVSrr!A!lHM~W@..Ni.DY1 Electrical Contractor BURRElL BROS. ELECTRIC P,O, Box 697 Walterville, OR 97489 541-7~lo~l24 Address City Supervisor License Number 4'TLI c; 10-07 7,0 -qyZfO 10-OCo Expiration Date Constr, Contr, Number Expiration Date :gnV)l::isin~e=ul , 1N'= TA....4~ ~"";1L.. Address Z It-7 L hv\"'1A:r ~ Q.. City c:::.. ??;') Owners Signature: Inspection Request: 726-3769 A. New Resiilential Single o. Multi-Eamillj p'e. i1weliing 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 $50,00 200 Amps or less / $ 63.00 201 Amps to 400 Amps aUtO$ 75,00 401 Amps to 600 Amps,a'Il teO,U\te5 i 'j'\I\\1125,OO 601 Affib\q'.IQlJ~W~~ \\'\8 Ote~~'li-;'\ \cs'i'a3,OO ~lj~~ ~ll!P~ose tu\8S" 1" QC;'2.~~,OO \~\l'll\lh~~c~ <e>t..xi\et. \ntOUgn v~", ~ oleoS '6lf,oo ",~\f\Ca\\Otl n1-00~O _II>,S 0' \"~ ' I, e c ".'~ il~.1 '/"'" " '~II'., , ,n j), r, ':~". Sl CQ e 0090., t\'\ cel\\e. U\i\i . Ins,!.l!lIa'iiiln>~te~l!diln%t~-':'~~4) ",netlO ,,, '\-ao~ 20~1lII" ot%f\l.et ... 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above, D. BrancH @ircuits 6J $ 50,00 $ 69,00 $100,00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43,00 /2 l./ $ 3,00 $ 50,00 $ 50,00 $ 25,00 $ 45,00 . . CITY OF ~n~,.l1'iGFIELD : Status Issued Building/Combination Permit PERMIT NO: COM2005-0090I ISSUED: 07/13/2005 APPLIED: 07/1212005 EXPIRES: 01113/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectlon Line SITE ADDRESS: 2472 DUMAS DR ASSESSOR'S PARCEL NO.: 1703234400116 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: 200 amp service and 4 circuits Owner: THOMAS SMITH Address: 2472 DUMAS DR SPRINGFIELD OR 97477 Phone Number: 541- I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor License wcf:xpiration Date BURRELL BROS !!i,~.:ERi!ius!j;~..I.Ill,q \ EXI'1Ii3644~.~J,e ~1r;1 08/20/2005 d,,", . .._~."'" \ - _..., '"~''11''' unB'lILDlNG INFCilRMATI01'f'ltO rOR I\u ,''v' -- 00 \':J 1-10""-- . ",..r'I'O " COM #Iof Stories:co\OD, ,,, <'I>." x,-" M~'( Heiglit'ofMructure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Phone 541-747-2724 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: R-3 nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: r Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Total: Handicapped: .n.,..m.ct. ~teS "\)\\fif . O{l \0.'l4 ttl Otegot\ ~ \at\\' -x-', ::"'. Ote~J' ",,\"~,,\,~ ~e ;.~ "",. I PUBLIC IMPROl<E,MEtsl"il1a.O~~t. 1nose ugn 0pS\: tU\eS '01 '\O-'~ '{lten ,,~t'\\ntO~p\~ ~One ~~\ca.\'O "0\ .SlOe1':al!oloW:;' \e\e9 ...\nt\ \'010 \ P. 9fJ?.'v dO\0.\n GW~ riJ,W:;(J....' 'In 01>' '/ou f(\a.'J 1:I~'gt!si!ll~'IJ'IiI'"!JtjP 0090, , \ne cen Otego~ ""''2..~). ca.\\ln~t \ot \ne is ....~O~ nutt\'o cen\8t Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft _ or mu,ltipUer Square Footage or Bid Amount Value Date Calculated Pal!e I of2 . . CITY OF ~rIUr~GFIELD Building/Combination Permit PERMIT NO: COM2005-00901 ISSUED: 07/13/2005 APPLIED: 07/12/2005 EXPIRES: 01113/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee~ p'\W Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid $7.50 $5.25 $12.00 $63.00 7/13/05 7/13/05 7/13105 7/13/05 Receipt Number 2200500000000000914 2200500000000000914 2200500000000000914 2200500000000000914 Total Amount Paid $87.75 I Plan Reviews I To Request an inspection call the 24 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. ~p1 In~np"'ion'i.l Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 Pal!e 2 of2 225 Fifth Street Springfield, Oregon 97477 54f-726-3759 Phone . .~~~;--..' ..'. u.-. ~"~.~~ ; ~ity of Springfield Official Receipt .evelopment Services Department Public Works Department Job/Journal Number COM2005-00901 COM2005-0090 I COM2005-0090 I COM2005-0090 1 Payments: Type of Payment CreditCard :' :' 7/13/2005 " RECEIPT #: 2200500000000000914 Date: 07/13/2005 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By JASON BURRELL Item Total: Cbeck Number Authorization Received By Batch Number Number How Received djb 025637 In Person Payment Total: Page 1 of I 7:57:16AM Amount Due 63,00 12,00 5,25 7,50 $87.75 Amount Paid $87,75 $87.75 . . . '--'" ~tJ6 "'/;. "El <($(1 ~.o 1.>.. 9C. .:.sf.l- IJ}" "$ Iql) 10M (IlL O~/i, ~" P ~