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HomeMy WebLinkAboutPermit Building 2008-5-5 f'f\(}J ,0 ~ S /tj' 5iU fi'$~ 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