The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2009-6-9 . City of Springfield Electl'ical Authorization To Begin Work E-mailedTo:burrellbros@integraonline.com Receipt # EC553320 6/9/2009 11 :47:35 AM ~t'\ G~ '~ It-" " Check on status of permit By Phone: (541)726-3753 or Emllil: permitcenter@ci.springfield.or.us NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. ~(\ /' The local building department may determine that an '~\r" Authorization To Begin Work is null and void if it does not I ~Q .. meet applicable land use laws and local ordinances. '::t:J..J... 't" ~~\')DC\ ~~ r5' eCl-121 t~ :\ ~fl) V- ~:--.C)' This Authorization To Begin Work must be posted at the job site until replaced by a Permit .~. ~TYPE.9.~~OR~," IDNewconstrucliOIl o Addition/alteratiun/replacement .' CATEGORY OF CONSTRUCTION -- ~ . "'- _.~ , ' ;-, I [K] 1 or 2 family dwelling D Multi.family D Commercial/Industrial I:JOB:SITI~ INFORMATION'i\ND L()~ATION"'="_'i IJob 110.: [Job address: 1819 HAYDEN BRIDGE RD I City/State/ZIP: SPRINGFIELD, OR 97477-1680 I Suite/bldg.lapt.no.: I Project name: Cross street/directions to job site: I Subdhdsion: I'liu. mup/pllrcel no.: ILot no.: 1703252112700 ,,:_<PESCRIPTlbN OFWORI<"";;, ".~,- .:.-:":. I -.'.", tank1css water heater wiring 1 . '", -. ,'. ',.". ,T ~:, SITE CONTACT I Name: Travis Carney 1 Phone, (360) 739N4P<TIGE: 1 Fa" I Ema;!, THIS PERMIT SHALL EXPIRE IF THE WORK AU.THORllEDl.J:14:@~~ifffi8PERMITISNOT - lEI. tk. no.' 20-4ijGMMENCED OR ISIAI)I}l!N.{9@N1llG4~OR I Bush"" Name: ftIN~Rqll\OliffiS.'fIflElQ1iOO.s INC I Contact: Joshua Burrell IAddress: PO BOX 697 I Cit}'/StaterI.IP: WALTERVILLE OR 97489-0697 I Phone: (541 )7472724 I Fax: (54l )7441047 I Email: burrcllbros@integraonline.com I !\-Ietro lic. no.: ISupen'ising electrician's lie. no.: 472IS I Supcn'ising l'leclrician's name: JOSHUA J BURRELL I City lie. no.: Upon review and approval by your local jurisdiction. your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. ,- -c: ~:':,1. I",'. ,':",,--, .FEE.SCHEDULE "\. '1111::;;:':::~.SINGu:,-?R mUlli!~'1'i~t:~elli~gUI:~;:'lnclL:otal llttac~~g}lragc,,''''., ;. .j.:...., .~... '.'., ..:". - _' I : ~~~d:~ :o::~e~: r:: poniull I I I -I LUmlte.dEncrg~. "" ;'~Jr 1 I - Limited energy, residential I (wilh above sa. ft,) I-Limited energy, multifamily I residential (with above sq. n.) I I . Limited energy, commercia') not ollcrcd online at this jurisdiction (with above sa. ft.) I ,Sland,ulone limited energy, residential I ,Stand-alone limited energy, I multi-family 1 I' ,Stand,alone limited energy. I commercial I 1'$e~!~~~Q[(~e'~)n'st~,lIuti'ci1!~e.r~c!1f~'"i:!\I'~p?pR'~~~l~!Illn~, ..~..l 'I 1 200 ampsm less [2] 1 201 amps to 400 amps [2J I 401 amps to 599 amps'!2] I TI<:!\~1~9RAI~Y se~;ice~ OR feed~.rsinslallution; alterati(lI~. AJ~~D/OR relocalil!.I! '., '".. ,'.- , l- 1200 amps or less [2) 1201 amps to 400 amps (2] 40 I amps to 599 amps,[2] I BrU~h. circuit,S -';"E\Y, aUer.!li~~"ORexlensio'D, per panel '1 1 A. Fee for branch circuits with ~ 1 service flOre.>!l.'!\'!qOO Oregon law re quires you to branch.circu(1.. -..t-- ..........-:-....-l- ~ h\) +"'0 nro:Jnn Iltility I B. Feclfoi'bj-Mch'trr~ufsC.~-,.~ -J -. . I wi'hol>lrsi!;iiklli.r'Fd'iHl.ter. hose r~ es c;.g@tfor!l'\5.oo orst ~"rth,cifcu"'IZ1,nn1-nn1 throual, OAR 95 ~-001. I ,ach !98IJl'l'!,cl{ei&CYI\aV obtain copie[. of the r~les by I I'Mise'~'!i!in\~i.ig !becen\ei;,,(Note:.t,n!l:t~I~p'nof1.e .1 I ServiceWd&r~aroAijr[2~e, ur ~~.?~l ~~ ~""l'iUl\ll\J ::lllVII I I Each manuracture~m~ultl.P I 'OVV-...hJ'- '-....--1-4). I dwelling, $crvice and/or feeder 121 I Pump or irrigation circle (2] I I Sign or outline lighting [2] ! I' Signal circuit(s) or limited- I energy panel, alteration, or extension f21 I - l't ElECTRICAL PERMIT FEES I I I, Subtotal I $55.00 I I Minimum fee uscd instead of Subtotal $58.00 I I Slale Surcharge (12% of permil fee) I $6.96 I I City OfSpringfidd fees *1 $2.90 I I TOTAL PER,'\IIT (>'[[ I $67.861 · City or Springfield fees: 5% Tedinology Fcc (De/aull number afinspecrions ullolred) -" ,."1 I 1 kJ2 lv\q\CC1 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00727 ISSUED: OS/26/2009 APPLIED: OS/26/2009 EXPIRES: 12/09/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1819 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1703252112700 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New PROJECT DESCRIPTION: Install gas fireplace and gas piping/Tankless water heater wiring Residential Owner: Address: CARNEY CARRIE M & TRAVIS D . 1819 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Phone Number: 360-739-9148 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Plumbing Contractor BURRELL BROS ENTERPRISES INC MARSHALLS INC DOUG HAXBY PLUMBING COMPANY License 136446 25790 140768 Expiration Date 08/20/2009 12/23/2009 03/01/2010 Phone 541-747-2724 541-747-7445 541-995-4725 BUILDING INFORNIATlON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: . # of Bed rooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1 st Floor: S<j Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla REQUIRED PARKING Front yard Setback: Overlay Dist: Total: Side I Setback: # Street Trees Rqd: ATTENTION: Orego~ lIandiCilppedl'Ou to Side 2 Setback: Paved Drive Rqd: follow rules adoptedtC;?dinpactI:'gonUtility Rearyard Setback: % of Lot Coverage: Notification Center. Those rules are set forth SolarSetback/WTlCE" in OAR 952-001-0010 through OAR 952-001- _. . _ (l()Qn Vnll rna\f nhtain _ f'nnioe ro.f tho .., d"",,,, h'J AU; reNIVII I ::'HALL EXPIRItIltJ8JjIOlMP.ROVEMENTS. calling the center. (Note: the telephone _. ~ORIZED UNDER THIS t1c:nrvI/ I I.) (VU I ~umb~r for the Oregon Utility Notification Street Impr~{e!Jw,mENCED OR IS ABANDONED FOR S"~~\l1k;-1'~'lle300-332.2344). Storm Sewer/,V'J;(il~Ba:DAY PERIOD. Downspouts/Drains: Special Instruction: I DEVELOPMENT INFORMATION 1 Notes: Pae:e I 01'3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description, Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Fees Paid 1 Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Gas Outlets 1-4 Wood Stovellnsert + 12% Slate Surcharge + 5% Technology Fee Miscellaneous Plumbing + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Amount Paid Date Paid $14.88 $6.20 $79.00 $7.00 $38.00 $6.96 $2.90 $58.00 $6.96 $2.90 $58.00 5/26/09 5/26/09 5/26/09 5/26/09 5/26109 6/8/09 6/8/09 6/8/09 6/9/09 6/9/09 6/9/09 Total Amount Paid $280.80 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00727 ISSUED: OS/26/2009 APPLIED: OS/26/2009 EXPIRES: 12109/2009 VALUE:' Valne Date Calculated Receipt Number 3200900000000000391 3200900000000000391 3200900000000000391 3200900000000000391 3200900000000000391 3200900000000000429 3200900000000000429 3200900000000000429 1200900000000000638 120Q900000000000638 1200900000000000638 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. . Reollil'ed In'n~ctions 1 Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Final Gas: When all gas work is complete. 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. Pae:e 2 01'3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: CbM2009-00727 ISSUED: OS/26/2009 APPLIED: OS/26/2009 EXPIRES: 12/09/2009 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 h~reby certify that all information hereon is true and correct, and I fucther certify thaI any and all work performed shalLbe done in accordance with the Ordinances of the City of Springlield 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 Divisiou, Building Safety; I further certify that only contractors and employees who are in compliance with ORS 701.005 wili'be used on this project. I further agree to ensure that all required iuspections 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. k Owner or Contractors Signature Date Pae:e 3 0/"3 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone , Job/Journal Number COM2009-00727 COM2009-00727 COM2009-00727 Payments: Type of Payment RECEIPT #: Description Add, Alter, Extend Circ + 5% Technology Fee + 12% State Surcharge ONLINE CHGS. ONLINE PERMIT CHGS Paid By cReceintl T~;~~;_.... ,. :a..i--'" . .; . ~.-'" - ------' - ,-- 1200900000000000638 City of Springfield Official Receipt Developmcnt Serviccs Departmcnt - Public Works Dcpartment Datc: 06/09/2009 Item Total, Check Number Authorization Received By Batch Number Number How Received KR Page 1 of I ONLINE BURRELL Online BROS Payment Total: 12: 11 :33PM Amount Due 58.00 2.90 6.96 $67.86 Amount Paid .$67.86 $67.86 6/9/2009