The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2006-8-23 Date ZON L D2- INITIALS N rv'- DATE 1() ~'S) Ol,.? SOURCE r l.-fY? ,- ct, ;;3-0(;; 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Numbe~ Ln.') (I'l r- 0 \ () (o~ I) j~3I~r1~~~~1(jjV~1i21 3 , - . , ' . LEGAL DESCRIPTION \-r ~ ~ ~s s'3 () 8'2(JD IOh;u~T10Nr'M1Od-f ) Supervisor License Number 47;) J ::J Expiration Date / () / 0 7 Constr. Contr. Number I,~ (p cj ~ ~ 10 /07 I Over~?;O..~TR;~,i~; 1000 Volts see "B" above. ~. gnatur,e of superviS~' I Electlician . D. .",;Bi.l:~f.~~;~..':'k1iiS}'!H, ,110 '-'~Or,,, (l,.'l 'J \(j i\l0 vM\ Ne)w A1teration-or,:Extefision::p.el1cPl)~, W 'J . I('R'-c .. -." ,oiL " ,. O~I< .' \."- . .; _ 9nv.;~JN~\~~-~ ~~~,~~ THI~ PEP.~;1! f ;'"' . $ ~3.00 ,EflCh'\AFddltl~naUFlfI:;Ylr\6rJWlthoNEOI ~'~UT j,"IV ~ ..-" ~ ". _ '. ....nl~U F $ 300 <:'""'~ _ /" ._ 'S'ervlce'01Ui\:~cfetfi9\Jl}t . Owners Name ~ \ \J-.-0J2.... \ \...5"U~Q "~~ l. Address ~ q~ 0~n\.c2 . City~LQ.......Q Phone ~7L{fo - ()~1 --"It ...J U - OWNER INST ALLA nON Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. cONTr:AcToRINSTALI.ATIONONL1'":; :'lecui~~I~:n~:::t:';J"'\b"'i'~(;';~i;};T)O:4B ;'~5 AddressP 0 bo~ (,0 7 ' City vJ fd1{(\J)'})f Phone 7 Y 1- ;;7~ + Expiration Date The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 rn~~ A. 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 B. 200 Amps or les~ $ 63.00 201 Amps. to 4, 00 Ampsnrl !e.w r8(1I,;rO" \'~ $t75.00 . . . ,-- J vU 0 401 Amps to 600 Amps = ::;;' t:;8 ()rp("()n I 't$,-125.00 " ' .~+ __, ~ - IllY 190~,Am~s.to ~,Obp}!$RSI,:JS8 wles are set ~$JI~~'OO 0.'. ver'10.00 Amp"sN~lil:' through OAR 852-6;8\7.j5.00 ',,,, II'L'r"'-IIOV'" _.:I Reconnect Oiliy' ~laln caples of the rulec$~9'00 ....c..II',~'~.tl~e ,~eilter. (Note: the tele h ~ gJJI;J;l.1",,*r,,t~~,f.;tFr@":'€'!r\;!\%ijf\tt'fU';'H:r"Ji C.{;:rell1P~Ij.a.Q':~~rYlces:'.or;~~~9,e.,x .',. ,"l&bl,t6'f'i$"1'"800=3'32:';2';J2j.4) . 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 ~,~ ,a"'"' . ~r) "j , . :;.J aVtJ-~ .. .. I~ Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 3to- ~ I . Q\:) 8% State Surcharge 10% Administrative Fee ~ - ~- d'~~ ~'<oo TOTAL if 4'-/ . ~tf Shared Drive(T:)/Building Fonns/Electlical Pelmit Application I-06.doc ~. . -- --- ,- ,-" .. -.<-',', '.'-.. ;~:- ...,.....- .,.." ',' ->-", ',~"~e~';:l;;~'feCt(jY\ \ i'~:;;'lti~~l~~t~;{~i~J~~~~f;::'~. ....ci If.."'........ ......\... ................... ..~.....~.....'............-tJ.......~.'....-...................'.....................~...._..............(cl........".L . G... ~;s:'~,;~; h < \""11./" .......'-i... V'., ..f .;.,1'\.... .............~...... " . . U~..'. JY"_0A'i.~............. \ . ....r1f';..~il?lD10 - .~ ,~ Aiif.p'fr'~~i!xk~{:-,;'.; ,. '. ~-- lJ.VcLt\M~"~~'~ . \D~ \L{' -~-&1 .i --~---~ '-- ~ to " ,........ . 4 {f1 t" '.J'7" t "'.1 .J{~,", Y .... .~ I l \. -I.,,'.. . .. ...._, '1' ....d . '". , ',,\r ,./. C . .,\. . /fi.' I} "\ ..; ,,) . f , " ' 'I...' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01066 ISSUED: 08/23/2006 APPLIED: 08/17/2006 EXPIRES: 02/23/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line Owner: Address: SITE ADDRESS: 1450 CENTENNIAL BLVD Springfield TYPE OF WORK: Single El\}8ilYlSesidence ASSESSOR'S PARCEL NO.: 1703253308200 . ,.._" ......,':',.. ':>"3con \a\~ re~~~~~n ~tilitV " . . TYPE, OF: ,USE:' tl1fA'lteration et forth Residential , ,... r'" r, I I~ 1.v...... ~ e s PROJECT DESCRIPTION: Add 6 circuits and low volt phn, 5 fixitires.'an>d)~~tL.bat~ntoniSru\es ar 952-00~- " ." -~~".,I' v':;\ ..vl. hOAR .' ,-u,~;"'\LnniOthroug ... _...Ioc:hv inO\o';!O'" y "'cVu~~ay obtain cC'P~~~eu~,~';:;b~lionrs41-746-0269 o ;" . (Note: 1\ le-l'-"~r- . calling the center. Utility NotificatIon nl Imber for the.or1e~~~_1),0,2_2344). Gen1\:::1 I':> - - I CONTRACTOR INFORMATION I STUART GOURLEY 39091 MCKENZIE HWY SPRINGFIELD OR 97478 Contractor Type Electrical Mechanical Plumbing Contractor BURRELL BROS ENTERPRISES INC OWNER OWNER License 136446 Expiration Date 08/20/2009 Phone 541-747-2724., VN BUILDING INFORMATION I , - ,> -~O\Rt If 1\1t \NORK # of Stories: .. . " 1 Sri ~2!.Size: P,~"\I IS NOl Height of Structure! MIS ptRM\ l\,,\rSg\~filSt. fF. f.~~r:I'I\D COD . lIeD I'll J~ - nl\\1= r l\ Type ofHeat:\l\1\10R '- o~qsFf.\tJr<.l.\lUool':- Water Type: COi'JIMtNCtD 'sq1\tYJasement: Range Type: I\N'{ WO OA'{ P~\F}Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: ..' ~/a Occupant Load: . , # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Pae:e 1 of3 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 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Low Voltage - Residential ~Mechanical Issuance Fee~ + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Fixture Minimum/Adjustment Mechanical Vent Fan + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Total Amount Paid I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-01066 ISSUED: 08/23/2006 APPLIED: 08/17/2006 EXPIRES: 02/23/2007 VALUE: Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number 1200600000000001280 1200600000000001280 1200600000000001280 1200600000000001280 1200600000000001280 1200600000000001280 1200600000000001288 1200600000000001288 1200600000000001288 1200600000000001288 1200600000000001288 1200600000000001288 1200600000000001288 2200600000000001181 2200600000000001181 2200600000000001181 2200600000000001181 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. $8.30 $4.15 $6.64 $43.00 $15.00 $25.00 $10.00 $11.50 $5.75 $9.20 $70.00 $33.00 $12.00 $3.60 $1.80 $2.88 $36.00 8/17/06 8/17/06 8/17/06 8/17/06 8/17/06 8/17/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/23/06 8/23/06 8/23/06 8/23/06 $297.82 I Plan Reviews I ~eouire~nsnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-01066 ISSUED: 08/23/2006 APPLIED: 08/17/2006 EXPIRES: 02/23/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical 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 Paee 3 of 3 225 Fifth Street Spr,ingfielrl, Oregon 97477 541-726-3759 Phone C' 'of Springfield Official Receipt L~, elopment Services Department Public Works Department Job/Journal Number COM2006-0 1 066 COM2006-0 1 066 COM2006-0 1 066 COM2006-0 1 066 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 2200600000000001181 Date: 08/23/2006 Description Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JOSHUA J BURRELL Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 085668 In Person Payment Total: Page 1 of 1 lO:20:23AM Amount Due 36.00 1.80 2.88 3.60 $44.28 Amount Paid $44.28 $44.28 8/23/2006