The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2009-7-6 Electrical Permit Application (1 225 Fifth Street+Springfield, OR 97477. PH(541 )726-3753. FAX(541 )726-3689 I COWl z.oO ?-oC ~l?7 Permit no.: I Date 7-6 - 09 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. " Residential, per unit, service incl~,ded: 11,000 sq, f\, or less (4) J, I' _ i $134.00 $ I Each additional 500 sq. ft. or portion thereof ." I Limited energy (2) I Each manufactured home or modulh' r d' $ 63.00 $ welling service or lceder (2) l' , , _ --~ .. I 1_ Services or feeders: instal/ation, a~feration, relocation ;:'.i ;:';::-n it l~"-v-t IL),,1l I-h..rt.~~ ",)eI1U~ ITS I 200 amps or less (2) 1: $ 81.00 $ 20 I to 400 amps (2) $ 95.00 $ I N ~, I 'T" 401 to 600 amps (2) $158.00 $ ame: . U"-'Ioh,. "6"'S~~.u I-Address: :>2!o'fJ L:/'rr:..F S/J:..€ Dill I 601 to 1,000 amps (2) $205.00 $ I City: t::""U.G~/II~ I State: L.(L I ZIP: '7740 II lOver 1,000 amps or volts (2) $469.00 $ I Phone: -1J8S' 5'571 I Fax: Reconnect only (2) $ 63.00 $ I Temporary services or feeders: in,'s,. lalfation, alteration, relocation E-mail: 200 amps or less (2) $ 63 00 I $ This installation is being made on residential or fann property . owned b~ me or a member of my immediate family. This 201 to 400 amps (2) $ 87.00 $ property IS not Intended for sale, exchange, lease, or rent. OAR ,_., tV I 479.540(1) and 479.560(1). 8e L~01'to,699.~~;p,s (2) " $126.00 $ - Olegon laW ,~"" v.... , , S"gnature. . --r--c'" "T'ON: . ,d by tt e I ~0ve'r'600 amRsl9f 1,000 volts, see services or feeders section above . -. t'. ,,..-\'J,' .J...,.,..tp __.... c-<..':Il \\:1' I 111~=:-f;;Nr1eovt~~~v:~~I~~~~!~~':iil ~~~~~~~;~~~~;r::~~:t:~::O~r~~~IOfn;':I~er :ee III Addre~s~_ .'-J,. y---. UJ"f:ri.~C"I \faU ~a~1 i,.,'" .:\r'~ ~'. .~e~:c~\Rr~.l).fhl9iIcuit II\". $~-N I City\' f, (~} l! ~ I State1J){~\~lt~T,'P:, ,A ch f, )~_ ~~ ~~;'~,r.e.\\o,r branch circuits Wi~:?rChaSe .Of a servic: or feOlk:r~: I Phone: - ,_/ :J... 7-J;J I Fax!\l,,'7?E}.41nte/ rJllI+ First branch CIrC~i! (2) ( , I' I $ hOO I $ '::>) I E-mail: .._Eachadditionalbranchc\.cuit : Z- $ 6.00 $ I V- I CCB license no.l'0 U ytJ..L? I BCD license no~2/) Lj.4:'J.. ( Miscellaneous fcc.~: service ~t!er not included ./ J ISigningsupervi;o"slicenseno: L17],1S'- ' [. IEaChP.umporirr~gati~nc.ircle(2)r--1 ~ $ I I p'intnameOfSigningsuperv~'SO I ~J) II I Eachsrgnoroutlmehghtmg(2) , $ 63.00 $ I I . . . '. I ) W'. I ;~I Signal circuit or a hmited-energy panel, I Signature of slgnmg superv ..; or. \. '0 V~ alteration, or extension (2) ',. $ 63.00 $ ~u I~~~~~'~~ ~~ .-.(A - \~...D. NOi\C~: I (~\~i!l\"f'{P;~'f11Ht'tF~t$5"~-r,?;::~Oi $ 77 6- l) II'V \ flrCh"ln \/ 1\-1\S \'ER\-JI\tBf!iH\~~lt.%:$b}~htfl\~~X\leJi. $ ~Dl{ I d()J I..\W~ AlJl\-10R\tl5:!\fr$!1~~ogBFe~\(5b),,\~f[A]) .t $ :3 3.f "': u.. CONlNlH\ \J~~'r\~~Sland surcharges (A" through C): $ 7 f:).5 r \}-' A~'1180 r" ,Ii liilitJ-'Y0' ''''''l!jillJG'0' \'IE'R.'M' EN',,"'7'''Jnl">R'0'''JI!--''BJ!I!:l.''R~''--1 iF,:i!tmEl!.i}lo/2!!1tL:,^.~~1;'\ ?\. ,,^,'!i-,. .. I:" ... ,,]I'-0'it;:\r;\!7: c",'!,I':''l0fi;s=,,,.:;}0f:4''E01illP1 I Zoning approval verified? r;zfYes 0 No I-'-"--"'^i\i-E'G' '0R".'-0""..... '.S'Elr'''",'0'N' OViJ",.''-J-Jw'Jkl Kfu1*t%1R~'2li@k;{a~~).... ._" ,,::15;;',' r;:~l~Q,NlliR:oyJ.l),,:. . ;&W~~i:2+1i:f.Jiiii!iAm I 0 Residential .I 0 Government .I rj Commercial 1.~<:lali[SliliJ:lliIN!1.G!~M~$'G!Nif,c1;Nl;1rr(!l!>C~ilil<:lN~~ I Job site address: 5Z-z.. ~q,1-I It \ I City: ~O ~ I tl I State:ae.... I SubdivisiJn: S III./ I ZIP':j"74/fi, Lol no,: O:5f(JO 440-2584-) (9/08/COM) $ 25_00 $ $ 32.00 $ Status Issued 225 Fifth Street, Springtield, O'R 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY; OF SPRINGFIELD , I' Building/Combination Permit Ii PERMIT NO: C'oM2009-00987 ISSUED: 07/07/2009 APPLIED: 07/07/2009 EXPIRES: 01/07/2010 VALUE: SITE ADDRESS: 523 39TH ST APT 1 ASSESSO'R'S PARCEL NO',: 1702311403100 Springtield TYPE O'F WO'RK: Elec1rical Work O'nly PRO'JECT DESCRIPTIO'N: Install new wall heaters TYPE O'F USE: Repair Commercial O'wner: DWIGHT JANSSEN Address: 3208 LAKESIDE DR EUGENE O'R 97401 I CO'NTRACTO'R INFO'RMATIO'N I Contractor Type Electrical Contractor BURRELL BRO'S ENTERPRISES INC License 136446 # of Units: Primary O'ccupancy Group: Secondary O'ccupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: FrontyardSetback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction ~UlLDlNG INFO'RMA TIO'N I # of Stories: Height of Structure Type of Heat: VB Water Type: .'.TTENTION: Ore!;~angevl1yp~:ires youto l"ilow rules adoptIEne.gy:-Eath':3gon Utility . Notification Center. SjirinkledIBiJiliIin^{t forth . _"...... ........,... ,..,,,,, t"l"~,, +h"""",..,h f1LiQ Qi;?~(1~1- R2 n/a ". '-"'" --- -- 0090, You IlnDEMEl\O'PMENNNFORMi\TlON I calling the Li~l.llt'l. \1'.....Hv. \I,..... "";--:r:"--,'- number for the Oregon Utili~y Notlflcalion .. . Gen\er is 1O'J'$\!1II!Ilf>!!!!;~4). ," .." - # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPRO'VEMENTS I Phone l'!Iumber: 541-485-5571 Expiration Date I' 08/20(2009 Phone 541-747-2724 , Lot Size: - Ii Sq Ft I!t Floor: Sq Ft 2nd Floor: Sq Ft B,asement: Sq Ft Garage/Carport " Sq Ft O'ther: Ii O'ccupant Load: I: ': REQUIRED PARKING I'Total: " I! Handicapped: I, Compact: Sidewalk Type: DownspoutslDrains: NOTICE: \NO~~ THIS PERMlT SHfl.LL EXPlRE IFTHE,s NOr AUTHORIZED UNDER THIS PERMIT ' V'i':::':::"" ~~. f.':. n ,\B^,Mnn~lI:n Fa" A~YawafM/{ ~~9Ibtion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Paee 1 01'2 ii" I, I' Valuei: !: Date Calculated -MtrSi~I!IIN!'l~li,L:Oj it1 "*i"." h --"' -- """ - Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F~e~ Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $8.04 $3.35 $55.00 $12.00 7/7/09 7/7/09 7/7/09 7/7/09 Total Amount Paid , $78.39 I Plan Reviews I J, CITY OF SPRINGFIELD I' I, Building/Cqmbination Permit " " PERMIT NO: COM2009-00987 ISSUED: 07/0712009 APPLIED: 0,7/07/2009 EXPIRES: 01/07/2010 VALUE: Receipt Number 120~900000000000781 1200900000000000781 120Q900000000000781 120Q900000000000781 I, , I, To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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 ~,e'll\l!rerlln,s?e~tio~,U Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 further certify that any and all work performed shalI!be done in accordance with . \; the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the w~rk described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 'I 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 a~dress 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 constructio_n. ,I Owner or Contractors Signature Paee 2 of 2 Date 225 Fifth Street Springfwld, Oregon 97477 541-726-3759 Phone " . City of Springfield Official Receipt Ii Development Services Department 'I Public Works Department I' q, Job/Journal Number COM2009-00987 COM2009-00987 . COM2009-00987 COM2009-00987 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200900000000000781 Date: 07/07/2009 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add , + 5% Technology Fee + 12% State Surcharge Paid By BURRELL BROS Item Total: Check Number Authorization Received By Batch Number Number How ~eceived djb 05559c In Person I Payme,nt Total: , Page I of I 10:OI:44AM Amount Due 55.00 12.00 3.35 8.04 $78.39 Amount Paid $78.39 $78.39 7/7/2009