HomeMy WebLinkAboutPermit Building 2007-7-3 (2)
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 !,hone
541-726-3676 Fax
541-726-3769 Inspection Line
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00973
ISSUED: 07/03/2007
APPLIED: 06/29/2007
EXPIRES: 01/03/2008
VALUE: $ 9,000.00
SCANNED
SITE ADDRESS: 2210 DEBRA DR
ASSESSOR'S PARCEL NO.: 1703261102500
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
PROJECT DESCRIPTION: REPAIR DAMAGED WALL BETWEEN GARGE AND KITCHEN
Residential
Phone Number: 541-988-3566
Owner: CHARLEBOIS BERNARD R
Address: 2210 DEBRA DR
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
I CONTRACTOR INFORMATION I
Contractor
EHLERS CONSTRUCTION INC
BURRELL BROS ENTERPRISES INC
Phone
541-689-6177
541-747-2724
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
License
04231
136446
Expiration Date
11/19/2008
0812012009
BUILDING INFORMATION I
R-3
U
VB
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMEJ" mrvRMATION I
REQUIRED PARKING
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:
NOTICE:
Note"l"HIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
,NY 180 DAY PERIOD.
Sidewalk Type:
ATTENTI~~youto
follow nllel ldopt8d br thI Oregon UUIIlJ
Notification Center. Thole ndea are let forIIt
In OAR ll52-OO1-OO10...,...OM IIDCIOt.
0090. You may obtain _r.. CIfIle.......
calHng the center. (NoII=...........
IlUJ1lber for the Oregon =.....
Center In.800 ....
Pa~e 1 of3
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.
Status
Iss u ed
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
$1.00
Square Footage
or Bid Amount
9,000.00
Bid Amount Use Bid Amount
Total Value of Project
Fpp<. PIiaJ
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
+ 100/0 Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
MinimumlAdjustment Electrical
Amount Paid
Date Paid
$9.96
$4.98
$7.97
$99.60
$4.50
$2.25
$3.60
$43.00
$2.00
6/29/07
6/29/07
6/29/07
6/29/07
7/3107
7/3/07
7/3/07
7/3/07
7/3/07
Total Amount Paid
$177.86
I Plan Reviews I
. CITY V.. ~rK1l~lJI'l~LJJ
Building/Combination Permit
PERMIT NO: COM2007-00973
ISSUED: 07/03/2007
APPLIED: 06/29/2007
EXPIRES: 01/03/2008
VALUE: $ 9,000.00
Value
Date Calculated
$9,000.00
$9,000.00
06/29/2007
Receipt Number
1200700000000000840
1200700000000000840
1200700000000000840
1200700000000000840
3200700000000000447
3200700000000000447
3200700000000000447
3200700000000000447
3200700000000000447
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.
~eollirerUnsne('tions I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pa~e 2 of 3
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00973
ISSUED: 07/03/2007
APPLIED: 06/29/2007
EXPIRES: 01/03/2008
VALUE: $ 9,000.00
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 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
Pa~e3 of3
City of Springfield
-Electrical Authorization To Begin WO'
E-mailedTo:burrellbros@integraonline.com
Receipt # EC513453
712/20073:27:54 PM
.
a
lit,
Check on status of permit
By Phone: (541)726-3753 or Email: permitceter@ci.springfield.or.us
TYPE OF WORK
I [K) 1 or 2 family dwelling
o Multi-family
o Commercial/Industrial
FEE SCHEDULE
Description I Qly. I Ea. Total
Residential SINGLE- OR multi-family dwelling uolt Includes
attached garage
1,000 sq. ft. or less
Ea. addl 500 sq. ft. or portion
. Limited energy, residential
(with above SQ. fU
. Limited energy, multifamily
residential (with above sa. ft.)
Services OR feeders installalion, alterallon. AND/OR relocation
200 amps or less
201 amps to 400 amps
40 I amps to 599 amps
TEMPORARY sentlces OR feeders installation, alleration,
AND/ORrtlocation
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
I D New construction
[K] Addition/alteration/replacement
CATEGORY OF CONSTRUCTION
JOB SITE INFORMATION AND LOCATION
lJob no.: IJob address: 2210 DEBRA DR
I City/Sta,eJZlP: SPRINGFIELD, OR 97477.2439
I Sultelbldg.lapl.no.:
I Projed name:
Cross streetldlrecllons to job sile:
I Subdivision:
ITax map/partel no.:
I Lot no.:
17032611 02500
OESCRlPTlON OF WORK
Replace wiring where car mn into the house
I Name: BemardlHelen Charlebois
I Phon.: (54 i) 988.3566
I Eman:
IF..: 988.3566
Branch circuits - NEW, alteration, OR extension, per panel
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
S. Fee for branch circuits
without service or feeder fee,
!irst bmnch circuit
each addl branch circuit
I Miscellaneous
I Service reconnect only
I Each manufactured or modular
dwellinl!. service and/or feeder
I Pump or irrigation circle
I EI. lie. no.: ZO-44ZC I CCB lie. no.: 136446
I Business Name: BURRELL BROS ENTERPRISES INC
I Conlael: Joshua Burrell
IAddress:
ICity/StalefL.IP: WALTERVILLE OR 97489-0697
IPhoa.: (54])7472724 IFa" (541)7441047
I Email: burrellbros@integraonline.com
I Metro lie. no.: ICily lie. no.:
I Supervising electrician's lie. no.: 4721 S
ISupervising eleclrician's name: JOSHUA J BURRELL
Sign or outline lighting
Signal circuit(s) or Iimited-
energy panel, alteration, or
extension.
$43.001
I
I
I
I
I
I
not alTered online at this jurisdiction I
ELECTRICAL PERMIT FEES I
Subtotal I $43.00 I
Minimum fee used instead of Subtotal I $45.00 I
State Surcharge (8% of~rmit feel t $3.60 I
City Of S,?rine-field fees 'I $6.75 I
TOTAL PERMIT FEE] $55.35 I
10% local Admin Fee; 5% local Technology Fee
$43.00
SITE CONTACT
CONTRACTOR
]
I
I
l
. City Of Springfield
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.
COM'
dt5Dt - ooQ-r3
"3 z. (:5"0', - '+'1 r
NOTE: This Authorization To Begin Work expires within 180
days If a permit Is not obtained.
RCPT #.
'-1 _ '" '3 -0'
DKl'E PROCESSED" l-u
""""SED BY,l!W\(t "'-.J .
This Authorization To Begin Work must be posted at the job site until re~aced by a Permit.
The local building department may deto""lne that an
Authorization To Begin Work Is null and void If It does not
meet applicable land use laws and local ordinances.
225 Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone
-
~
Wit.: .
AY of Springfield Official Receipt
.velopment Services Department
Public Works Department
RECEIPT #:
3200700000000000447
Date: 07/03/2007
7:13:12AM
Job/Journal Number
COM2007-00973
COM2007-00973
COM2007-00973
COM2007-00973
COM2007-00973
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
43.00
2.00
2.25
3.60
4.50
$55.35
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
NJM
ONLINE BURRELL Online
BROS
Payment Total:
$55.35
$55.35
cRcceintl
Page I of 1
7/3/2007