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Home My WebLink AboutPermit Electrical 2007-9-19 1. \ Lc)'cATION-o'ftINSTALrATioNf, ",' ;; /~. ,::, :~. ).,." , <,.. ";;'~' ,",{. -~. ,'. :.' .;.,;.\:/>-,,,,,..-_:'....> ~):"k,,{.:.:~,::,,.,:.;:'~--.;f,..,.:;:,' ..<: ;':":;('"'::;"'~;''';!' '>'i',~;}.~; 9 S- 9 <;cAV\- ) e:=t- . LEGAL DESCRIPTION: . ( 70 ]"] 41 { ZON \d (l/ ' INITIALS tJ~ ~ DATE Q-\q -(Y1 , ,~ SOURCE~ . Dat, r:~ 7 ,'. '''', . / ". ''',':^'.'.....'.',' , 3. /;C,ONIPLETE.FEESCHEDULEBELOJ;\-T,\,,;;;,;:r':<:.;; ," =<_':;;"," ,(",'~:,:3::.:,.";,,: ",," ,::. "':<""'~'" ,;~'.;...,::~/:;;, _.,,','_,' ,~<.,:,. .\ ',' -. ',- i"' .. 'i. .~.::; '.::, ".~,.:,:'.:-;::,.:- ",'X'.,; ~~~v"A',,:,'_,;; ./ :,<':.....' ..;..~?~:' :;. ;j:>}?t,;,;,;,';,~: J 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COv\A 7-007 - 0 , Z D ,. ob3/7 >" :'V';';""".' _,.-",". . '" "'''~'q?'\':'''>:'',:/..:;,.:'','<1~''',' ,.",~J{/'. , ,:,.:/:";.,~:.::,:,_~:.:-,!,,,>;,">~.,.r'<'.<..' A.,Ne'fResid~ntial-:SIngh;or Multi- FamiIyper dwellIng , . " ";0.-.,,:"",,,";.;; '..., ,,,,. >.",.;.,:. '.. .' ," :,:,::.,,'. ~,. ',~;.., '.',__",' :.;,,-,-,,::, "<-",-,;,,,:')-,' ::',',.' .~ '. ->',.'L ,:',,^.: . '...~"_:-"-;::/,, .' ';;"::",,,:.., , '-,',' .':.. '''', JOB DESCRlPTION: ~'1:>O-- ~~~,-( Service Included 1000 sq. ft or less Each additional 500 sq. ft. or portion thereof $ 106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 $ 63.00 $ 75.00 $125.06 $163.00 $375.00 $ 50.00 Expiration Date Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $ 100.00 Expiration Date Over 600 Amps or 1000 Volts see "B" above. D. S' nature of Supervising Electrician J \G~AlJIJ b\M\N1/ New Alteration or Extension Per Panel I One Circuit Each Additional Circuit or with Service or Feeder Permit $1/&0 5' $ 0/00 '19 /2 Owners Name ~/erk\.L.-L. ~e't 1.c 9 S" i S '^'^~ e".f- 1 tL City S?fhN6f1t"tA Phone 7U - / Lf b 7 pftQ{U~JE~~J~e~r". ALL EXPIR8r TIlE WO q~ Slii~8R~~~.~hO\QER THIS PERMIT I~N YfO OWNER INSTALLATION . Llrthtealg\\fe-tje~~erg~BANDONED fOR 25.00 The in.stallation is ~Jl~~~~~rg&~PJWiV~res yOU. ~itPO e rIDffml00! $ 45.00 ' IS not mtended formffifi~iflb'r{~~<lC p~ed by the Oregoi}vk~ ^ m lec rie ~rmit Inspection Fee is $45.00 + Surcharges I 0 enter. Those rules 8re setfQrgJ} . .' ...~, .. . / D Owners Signature009t\~~~~~~~~?nthD'o~gl1 OAR 95~~Ooi~~TOr1f:8F ~2}:~ ..' b cs.liing ~hi& ceflt~f. (~of'.e~hofthe rules Illro State Surcharge Y" 0 . 0 G. ~ e telepl1onslOo/ Ad .. . F b mAmbar gOD' the Oregon Utilit No" . /0 mmlstratlve ee Center ;$ 1..a()O_332.1344\tBflcatIO~% TecImology Fee "5 ,. ct 80 . Inspection Request: 726-3769 TOTAL .p 73 - Address ",:"'~'",,>,""":"---:' .'..----:'.- .",<':-""".":".:"''': ,,"", :;'--..\'" .."'. ,'" '. ," '.(;' "(:',:. E. 'l\1iseeIlaIlcous(Ser,,;ice/feeder ilOt illcluded)-Each InstalIa tion' .', . ...j__.. ,->' ',.' '/"""" "'.- '--."..:,' }..,',.' ~.,.:,('~':,__; " '. c.,":::': ,,:.;~ ,.- '.' --. '^,:" ".' , , '- Shared Drive(T:)/Building FOlllls/Electlical Pennit Applicalion 8-06.doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01209 ISSUED: 08/16/2007 APPLIED: 08/16/2007 EXPIRES: 03/19/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 959 SUNSET DR ASSESSOR'S PARCEL NO.: 1703341106317 Springfield TYPE OF WORK: Bathroom TYPE OF USE: Remodel Residential PROJECT DESCRIPTION: add alter 4 fixtures Owner: DIETRICH BELITZ Address: 959 SUNSET DR SPRINGFIELD OR 97477 Phone Number: 541-726-1467 I CONTRACTOR INFORMATION I Contractor Type Electrical Plumbing Contractor BURRELL BROS ENTERPRISES INC RIGHT WAY PLUMBING License 136446 49561 Expiration Date 08/20/2009 12/16/2008 Phone 541-747-2724 541-484-3787 BUILDING INFORMATION I VB # 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: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Ii\!1ff'1lTnn"le. .. III - ~ -- t.:=J II THIS PERMIT SHAll E I DEVELOPMENT INFORMATION I AUTHORIZED UNDER T~~ me: If" rrfEwORK Frontyard SetbaGI9.MMENCED OR 18 8 PERT(1ttJ&~ii: Side 1 Setback: ANY 180 DAY PERIO;BANDONEiJs'tOOt Trees Rqd: Side 2 Setback: . Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: n/a REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: ATTEr#R!m~~*nequlres you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Notes: Pa2e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Fixture + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01209 ISSUED: 08/16/2007 APPLIED: 08/16/2007 EXPIRES: 03/19/2008 VALUE: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number $6.40 8/16/07 1200700000000001048 $3.20 8/16/07 1200700000000001048 $5.12 8/16/07 1200700000000001048 $64.00 8/16/07 1200700000000001048 $6.00 9/19/07 1200700000000001209 $3.00 9/19/07 1200700000000001209 $4.80 9/19/07 1200700000000001209 $48.00 9/19/07 1200700000000001209 $12.00 9/19/07 1200700000000001209 $152.52 I Plan Reviews' 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. UeouiredJnsnections I Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pa2e 2 of 3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01209 ISSUED: 08/16/2007 APPLIED: 08/16/2007 EXPIRES: 03/19/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Paee 3 of 3 225 Fi~th ,Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-0 1209 COM2007-01209 COM2007-01209 COM2007-01209 COM2007-01209 Payments: Type of Payment CreditCard cReceiot I RECEIPT #: 1200700000000001209 Date: 09/19/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JOSHUA BURRELL Item Total: Check Number Authorization Received By Batch Number Number How Received djb 02590B In Person Payment Total: Page 1 of 1 8:32:30AM Amount Due 48.00 12.00 3.00 4.80 6.00 $73.80 Amount Paid $73.80 $73.80 9/19/2007