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Home My WebLink AboutPermit Electrical 2007-8-29 J'JC )-l (f1 J g~~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 995 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1703261200100 Springfield PROJECT DESCRIPTION: Counter Receptacles Owner: WILKINSON BONNIE JEAN TE Address: 34725 DEVONSHIRE DR EUGENE OR 97405 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO:, COM2007-01295 ISSUED: 08/29/2007 APPLIED: 08/29/2007 EXPIRES: 02/2912008 VALUE: TYPE OF WORK: Electrical Work Only TYPE OF. USE: New Commercial I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC 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: License 136446 Expiration Date 08/20/2009 Phone 541-747-2724 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I u\res yoU to e '";;J'n laW req . 1. Iltil"V I PUBLIC IMPROVEMENTS I ~\E\~' ~~~~~d~pted by thr~l~~v~; set 'ort~ 10\10\'11 . ~ ter. Inose I\R 952-00,- Not\~idewi'l_~d-r_~CC:i~ 0 tnrou.gn a, the rules bY in OA~ 952 i@'AAID,pOples ~ telephone 009tJ, .'r8~:nter. --{Not~~i~~y NotiUcat\on ca\\lng the Oregon 2344). number lor 's ,.800.332. center I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: SpeciallnstrucNJilT'CE: THIS PERMIT SHAll Notes: AUTHORIZED UN EXPIRE IF THE WORK {'/"ln.1n"[f 1- - DER THIS PFRnnrT Ie- AJor . -" ,,' VlJCU UK I~ ABAN . - IV ANY 180 DAY PERIOD, 9U~~R.hH~n Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Date Calculated Type of Construction Pa2e 1 of2 REQUIRED PARKING Total: Handicapped: Compact: Value Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01295 ISSUED: 08/29/2007 APPLIED: 08/29/2007 EXPIRES: 02/29/2008 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 Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $6.40 $3.20 $5.12 $48.00 $16.00 8129/07 8129/07 8/29/07 8/29/07 8/29/07 3200700000000000578 3200700000000000578 3200700000000000578 3200700000000000578 3200700000000000578 Total Amount Paid $78.72 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. Reouired InsDections 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 ZON INITIALS 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRIC4 PERJ\IIIT APPLICATION City Job Number C)) hi ~ ()\)/ ,-n) -oCiS" ~cdO~~\~ALii~~ LEGAL DESCRIP-;~N: Ij \1 0 ~~ 2 ~ \ ~ f) 0 \ C:J\) 1 JOB DESCRIPTION: . C~;:l~on_~::~::WO'k ~ not started within 180 days of issuance or if work is Suspended for 180 days. CONTR4.CTORINSTALL4..TION ONLY 2. r Electrical Contractor Ov y y,/ ) I [) YO.s Address pobox (Ptf'7 City vJf-'J i}i(y;)/f Phone 7 ~7'- ~7)i 4-7 )) 5 Expiration Date I 0'- 0-7 13&L/Lj-& Expiration Date / 0 .- 0 7 s6yJ;:ng~~". _/ Owners Name 6--1$\l_1_ ~..kJdLk~\('~-y, Address '3 '+1')5 no .U0Y$hl;~,/ 'l'>1.J CiWP~Y\V ;hone - ,. OWNEH~ ALLA nON Supervisor License Number Constr. Contr. Number The installation is being made on property I own which is not intended for sale, lease or rerit. Owners Signature: Inspection Request: 726-3769 Date 3. COjliPLETE FEE SCHEDfJLE BELOlV A. New Residcntial - Single orJ\lulti-Familypcr dwelling unit. Service Included 100Q ,sq. ft.o~ less Each additional 500 sq, ft. or portion thereof., i,' . Each Manufact'd HorfIeof ,:; Modular DweIlingSenViciol. Feeder $106.00 B $50.00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less $ 63,00 201 Amg$ftPi4iOO'lArb.pDregon law requir8sSlW~ 401 Arclps to600:An1psiDuted by the uregO$1!,JslHW .,1,;:;'" ,>,:;nwr, Thosmlt:;;>c\l8set.,fonh 60 I AdP~t~: 1 Op?WpsOO i 0 H, rcw2-h n.AR ~5~0l91- Over I1P~~InR?('-\?:~~ obtain eooies of th~t\]e.$llhly Reconne't/~nl~,; t!",c (;,;;'1ter, (Note: the telep~oe ,mJrnLic!l()( tile Oregon Utility Notification C. Temporal!' S€r~lie@s ~T F&QQ~32"2344). Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 50,00 $ 69,00 $100,00 Over 600 Amps or 1000 Volts see "B" above, D. Branch Circuits New Alteration or Extension Per Panel. I One Circuit / Each Additional Circuit or with Service or Feeder Pennit ~t" $ 4.3..00 4' $ ..J.,{)O ~~ /(0 E. MisceJlaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25,00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges C7</, cJD 13, OJ 0 6,1;)... 0, ~_/u 4. SUBTOTAL OF ABOVE 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL 7 r. "7'A Shared Dliv~iT:)/Building Fonns/Electncal Permit Application 8-06.doc ~25 F'ifih Street SpriDgfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01295 COM2007-01295 COM2007-01295 COM2007-01295 COM2007-01295 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 3200700000000000578 Date: 08/29/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JOSH BURRELL/BURRELL BROS Item Total: Check Number Authorization Received By Batch Number Number How Received NJM 00595B Phone Payment Total: Page 1 of I 9:09:38AM Amount Due 48.00 16,00 3.20 5.12 6.40 $78.72 Amount Paid $78.72 $78.72 8/29/2007