HomeMy WebLinkAboutPermit Building 2008-5-5
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00613
ISSUED: 05/02/2008
APPLIED: 05/0212008
EXPIRES: 11/02/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4011 C ST
ASSESSOR'S PARCEL NO.: 1702311404513
Springfield TYPE OF WORK: Fire Damage
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Fire Damage
Owner: SHEP ARD CHARLES N & P C
Address: PO BOX 8516
COBURG OR 97408
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2009
Phone
541-747-2724
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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
ATTENTION: Oregon law requires you to
Notes:follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
i;-,:)^.~ ::: I,X?~ ~~~~. ~r~:~'g)"" ':' ^ Cl ()l::~ n,,~ N(\TIf"W::.
0090. You may obtain caples of the r4~ a't. . . . ~IS PERMIT SHALL EXPIRE IF THE WORK
calling the center, (Note:.the telepH . J} atlOn DeSCriptIOn A~THORIZED UNDER THIS PERMIT IS NOT
. n~mber for th.e .?regon ~tllity NOtlflc~tl~~ S Ft S uare(}lO&UnfNCED ORJ~ ABANDONED FOR
DescnptlOn Cerrwp~ot-OO~~lM4). or multi:lier o~ Bid AWfS~O DAY PER1~rt~ Date Calculated
Sidewalk Type:
Downspouts/Drains:
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00613
ISSUED: 05/02/2008
APPLIED: 05/02/2008
EXPIRES: 11/0212008
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'
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Service Reconnect
Amount Paid
Date Paid
$5.50
$6.60
$2.75
$55.00
5/2/08
5/2/08
5/2/08
5/2/08
Receipt Number
2200800000000000574
2200800000000000574
2200800000000000574
2200800000000000574
Total Amount Paid
$69.85
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Reouired InsDections ,
Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pal!e 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:burrellbros@integraonline.com
Receipt # EC529724
5/2/200811:12:31 AM
Check on status of permit
By Phone: (541)726-3753 or EmaIl: permitcenter@cLsprmgfield.or.us
"' ""mJ'\I""'rx~in~ ~ ~ w", ~r%%b$" In~' ~
~ne~JHI;,$WOR~:".:;';~*1):TiI*v"
D New construction [X] AddItIon/alteratIOn/replacement
1""-7 ")f'f~":$%<1"' '" ( ~~, ~IHrll".",\~", "" M,~(~i<'1ln1",%< I, '<-
CATE,GJ::~";$;~i\,2~ GONSJ~~Y,~JJON";;f~'Ij;[:(b~:
[X] I or 2 famIly dwelling D MultI-family D Commercial /Industnal
,}ill\l1lHOB~SITE INF0RMATION ANDJ:iireC':&'TION "{~li~!~l;~,
~ifjfi!, ~'III~~It\(1 ~ ~ .,..'1'Y)JJIfI"IHlhW<i"" 11" ~ yc 'I..ilii,#,)\jih" ; ~'i:iLnib ~
I Job no.. I Job address: 40 II C ST
I City/State/ZIP: SPRINGFIELD, OR 97478-3912
I SUlte/bldg./apt no.:
I Project name:
Cross street/dIrectIOns to Job site:
I SubdIvIsIOn:
I Tax map/parcel no :
1"
Reconnect FIre Damage House
I Lot no,:
1702311404513
"" o-ir","e,,!W<Wi"" I"_,..^,~ e- ~"~ r? 'I"II"~ ~
DESCR1.~I~.!2~.OF WOI!~iib'
,Name: Ehlers
I Phone: (541) 689-6177 I Fax:
I Emall:
r ' 'M14Il1l!IPONirRACT6R"Ulllli0~11:1'''?l.J.
",1 'dl<'<-h)~11~111111m<<lkr'( ~ ""iJbilli$>\'o<~ ~ ,,1
EI. hc. no. 20-442C I CCB hc. no.: 136446
I BUSiness Name: BURRELL BROS ENTERPRISES INC
I Contact Joshua Burrell
IAddress: PO BOX 697
I City/State/ZIP. WALTERVILLE OR 97489-0697
I Phone: (541)7472724 I Fax: (541)7441047
I Emall burrellbros@mtegraonlme com
I Metro hc no I CIty hc, no.:
I SupervIsing electriCIan's hc. no,: 472IS
I SupervIsing electriCian's name, JOSHUA J BURRELL
Upon revIew and approval by your local JUrISdictIon, your
permIt WIll be e-malled or faxed wIthin one bUSiness day,
wIth instructIons on how to schedule your inspectIon,
NOTE' ThIS AuthorizatIon To Begin Work expIres wIthin 180
days if a permIt IS not obtained
The local bUIlding department may determine that an
AuthorIzation iro Begin Work IS null and vOId If It does not
meet applicable land use laws and local ordinances
I~
"~G:<';/!"FEEScHEDui::ES\"Hr' ... "
h\\\"'MF\>J? ~ ,"($~h'1fib,....~
I Qty, lEa, J Total
E- Oa1mtftft;.family dwelling' unit. Inelulfes:":'.. "
NI~iJlI''1]ifllu ," 'I" 14II#Q, 16J It'll I' ~ {oj:\),,"'\
( I ,I I ':!+0{tnii, I \ ~ ~ "''''I~I;<:>,'<ljIi(/,:1tl, t '1", <
I DeSCriptIOn
Residelfti\ifl'
'V"" ~ \-.-
Hat.t~!;,~,~~<~~rag
11,000 sq ft or less
I Ea addl 500 sq ft or portIOn
I'Limited"E'Wrr4","::::;,
ilmWI""1~ gY:'1\dl4ff,"\~",,*t '
I-Limited energy, reSidential
(wIth above sq ft)
- Limited energy, multifamIly
reSidential (With above Sq ft)
- LImited energy, commerCial
(With above sq ft)
I - Stand-alone Itmlted energy,
reSIdential
I - Stand-alone limited energy,
multI-famIly
- Stand-alone hmlted energy,
commercial
Se'NitW:OR feedei-S'i'Ii;tMition altera'ii6n'I7~ND/OR rel6'cation I
It ~"'0'rThMWldli't},,"'tt!l,),", -\"'1\,j ~w:.:" , 'I I I "I~ II ~, I' , ""-
I I
I
I
200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
:'tEM:PORARY servlc~:rd
"' '(\>"'<<~ (w~iiK,~!~ %<< wlh"
AND/OR'relocationg"
)" ( l^ ~~ '(I\ii%~,1 $~iP*",,7"'"
1200 amps or less
201 amps to 400 amps
40 I amps to 599 amps
I' Br.aU:cll{Clt~urts:-,.IIINI'EW. alteratitin~IOR extensidn;Vp~~:Hpanel'
#k~'" " ,",I III~ II "',!*~I w ~"",,~,II' I "> t , ( Mi LOO, (
A Fee for branch cIrcuIts With
service or feeder fee, each
branch CirCUIt
B Fee for branch Circuits
WIthout servIce or feeder fee,
first branch CirCUit,
each addl branch CirCUIt
I
$55 00 I
I Service reconnect only
I Each manufactured or modular
dwellmg, service and/or feeder
I Pump or IfngatlOn Circle
I Sign or outhne IIghtmg
Signal clrcult(s) or IImlted-
energy panel, alteratIon, or
extensIon
$55 00
not offered online at thIS JUrISdIctIOn
~ ~ t ",~"F,,""'*,f 1(114 \""';'*,, I I < ,II,.
ELECTRICAL, ~5~.M,'i[:::~J=i~~"i:
Subtotal $55 00
State Surcharge (\2% ofpemllt fee) $660
CIty Of Spnngfield fees * $8 25
TOTAL PERMIT FEE I $69 85
10% Local Admm Fee, 5% Local Technology Fee
I
I
I
I
* City Of Spnngfield
This AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00613
COM2008-00613
COM2008-00613
CO M2008-00613
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
DescriptIOn
Service Reconnect
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdminIstrative Fee
Paid By
ONLINE PERMIT CHGS
2200800000000000574
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 05/02/2008
Item Total:
Check Number AuthOrizatIOn
ReceIVed By Batch Number Number How Received
ddk
Page 1 of 1
ONLINE BURRELL OnlIne
BROS
Payment Total:
1 :25:57PM
Amount Due
5500
275
6,60
550
$69.85
Amount Paid
$69 85
$69.85
5/2/2008