The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2013-4- • SPRINGFIELD' - 225 Fifth St hirCITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00836 www.springfield-or.gov' permitcenter @springfield-orgov PROJECT STATUS: Issued ISSUED: 04/25/2013 EXPIRES: 10/22/2013 STATUS DATE: 04/25/2013 APPLIED: 04/25/2013 SITE ADDRESS: 6801 IVY ST,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1802031402500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Laundry Room OWNER: PADDOCK LEVI J - Phone Number: ADDRESS: 6801 IVY ST SPRINGFIELD OR 97478 • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor BURRELL BROS ENTERPRISES INC GCB 136446 08/20/2013 541-747-2724 INSPECTIONS REQUIRED Inspections 4500 Rough Electrical Rough Electric: Prior to Cover 4999 Final Electrical 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 or 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 ens e that all required inspections are requested at the proper time, that each address is readable from the street,that the permit trd is located at the front• the property, a d the approved set of plans will remain on the site at all times during constru,\ion. O rfL ontractor Signature Date ATNw qes to follow rules TION:adopted by the reregon Utility Notification TE Center.Oregon Those la rules Ouir are set you forth NOTICE: In OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone • COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 4/25/2013 10:21:53AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD AA 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR97477 OREGON 541-726-3753 811-SPR2013-00836 www.springfield-ar.gov 6801 IVY ST permitcenter @spnngfield-or.gov RECEIPT NO: 2013000827 . RECORD NO:811-SPR2013-00836 - DATE:04/25/2013 DESCRIPTION' i.:-C: ' i tit. -i nt.:..1.7. a..1:1:1 ..tea* ACCOUNTACODE/TRANS`CODE94,'., 41P AMOUNT DUE:+; i Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 6.50 Branch circuits without service or feeder- 1st circuit 224-00000-426102 1004 60.50 Branch circuits without service or feeder-each additional 224-00000-426102 1004 13.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 P.AYMEN ITI L P,AYO NTairi E`R: RSONr COMMENTS AMOUN,TI;PAID -'' Credit Card BURRELL BROS ENTERPRISES INC 93.60 025264 TOTAL PAID: 93.60 c I3URRELL BROS. ELECTRIC CGr3# 136446 PO Sox 697 WALTERVILLE OR 97489 (541) 747-2724, FAX (541) 744-1047 Home Owner: Jamie Paddock Project address: 6801 Ivy Street Springfield, OR 97478 To: City of Springfield Burrell Bros. Electric is signing the Certification of Compliance for As Builts upon completing a walkthrough of the laundry room and verifying that the electrical wiring was performed in the proper manner per code. The work was not completed by Burrell Bros. Electric, but was completed by what looked like may have been an electrician. Burrell Bros. Electric is not responsible for any [un-visible] electrical wiring that is either behind the sheetrock walls or in an area that can't be accessed. The receptacles and switches were opened up and inspected to verify that they were completed properly and grounded appropriately. To the best of our knowledge and what Burrell Bros. Electric could verify, the electrical wiring was done per code and is electrically safe. A & b hI shu Burrell Bu ell Bros. Electric Supervisor Electrical License Number: 4721S • • Electrical Permit Application DEPARTMENT USE ONLY xs SPRINGFIELD , GI jY3.aQF SPRINGFIEILD,OREGON Permitno.: 91(20/3 Ddb;� 225 Fifth Street•Springfield,OR 97477•P6(541):26-3753•FAX(541)726-3689 t`a(s 0 EGOM Date: CIA-Sr 3 i This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 I days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑No Number of inspections per item () Qty. Cost Total ea. cost CATEGORY OF CONSTRUCTION W Residential,per unit,service included: ` Residential I ❑Government I ❑Commercial ? JOB SITE NFO-M•TIO ND • • •TION 1.000 sq.It.ur less(4) $147.50 Q ; __AND 7 Each additional 500 sq. ft.or portion $ 27.50 $ i Job sit- •ddress: an–{' Y torn thereof City:. p State: 'f ZIP 7797x1 Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular i dwelling service or feeder(2) $ 69.00 $ D SCRIPTION OF WORK / °I V/10 vy Y D o Services or feeders:installation,alteration,relocation { �-, J 200 amps or less(2) $ 89,00 $ i cl OpPERTDOWN i k 201 to 400 amps(2) I $ 104.50 S Name: –[ NN (�,,�1 401 to 600 amps(2) $174.00 S i 601 to 1,000 amps $225.50 S Address: 7 .!Me ril f P (2) �itai/w�� Over 1,000 amps or volts(2) $516.00 S City: / V t Phone: r, �/[�� ,FJpr�/(y - - Reconnect only(2) $ 69.00 S E-mail: 2,O (-r ' l) O:c7 Temporary services or feeders:installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less(2) $ 69.00 $ owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 96.00 $ property is not intended for sale,exchange,lease,or rent. OAR 479.540(1)and 479.560(1). 401 to 600 amps(2) $138.50 $ Over 600 amps or 1,000 volts.sec services or feeders section above f Signature: P t S CON Iy.'CTOR INST•; LAT��N Branch circuits: nevi,alteration.extension per panel p Business n iii e: 0 �mipigramm a.Fcc for branch circuits with purchase of a service or feeder fee: I Address p 1 Each branch circuit S 6.50 $ I City:1'�ryl�,larrat' nn b.Fee for branch circuits without purchase o(a service or feeder fee: /'l 1 Phone: -j"f L�l l/l�l, - First branch circuit(2) / $ 60.50 9 //C�,5O _ YYY E-mail: • Each additional branch circuit $ 6.50 Si -vD i //1 Tg — r �� CCB license no.:l• J I BCD license no.: a. ,( Miscellaneous fees:service or feeder not r chided Signing supervisor's license no.: / Each pump or irrigation circle(2) $ 69.00 $ I Print name of signing supervisor: intII Each sign or outline lighting(2) $ 69.00 S . r mt it „'8'I _Sig alceircuitoralintit(d)energy panel, $ 80.00 $ Signature of signing supervisor. _ alteration or zxtension 2 Each additional inspection:(1) $80.00 $ )1 2, I S APPLICANT USE I■ (A) Enter subtotal of above Fees r $ 1 (Minimum Permit Fee$80.00) i (B)Enter 12%surcharge(.12.x[A]) $ I (C)Technology Fee(5%of[A]) $ 440-2584-1(4/01/2013/COM) TOTAL fees and surcharges(A through C): $ 7 ? I 3 r t I 1