HomeMy WebLinkAboutPermit Electrical 2007-1-9
Status
Issued
CITY OF SPRINGFIELD
~'h'. _,..,...__ .. .. .
Building/Combination Permit
PERMIT NO: COM2007-00042
ISSUED: 01109/2007
APPLIED: 01109/2007
EXPIRES: 07/10/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1433 S 58TH ST
ASSESSOR'S PARCEL NO.: 1802030001800
Springfield TYPE OF WORK: Interior
TYPE OF USE: AlteratiQn
PROJECT DESCRIPTION: Add one circuit and extend existing ductwork.
Residential
Owner: ADAM ROBERTS
Address: 1433 S. 58TH
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
BURRELL BROS ENTERPRISES INC
COMMERCIAL AIR INC
License
136446
110075
Expiration Date
08/2012009
12/18/2007
Phone
541-747-2724
541-461-4821
BUILDING INFORMATION I
VB
# of Shtpl'ies~" te. Lot Size: v
~,l\JBU~~. o:T ...., '"
Heigli~.o!Sci~ucturf SHALL EXPIRE IfSqtRt ~M~or:
TypeforIHeat:RM_1 ER 1\1IS PH~Q\I\tl~nroijloor:
Wat~LTYP'E[;RIZED UNO S~~~tBasement:
Rang~;ry.~te:ENCEO OR IS AB AND o NS:q'1?t 8Jrage/Carport
lil".l'~1 VI _
Energy PJt.fi~a DAY PERIOD. Sq Ft Other:
Sprinit~d BuiHling: n/a Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: " ' f~ . Ui\'El$ yo\,'['()'tal:
# Stre~.\-t~~1~9Jf':1:0r~90n lav.v 6regon U'B.~'jJ'dicapped:
Paved Drive Rgd: adopted by thG , ra e.e(Jt)Jl.1pact:
f 111">"1 i'U\<::~ "u\es a.... .-
% oflU~t;eo\;erageanter. Those I AR 952-00'1
Nottitca\lon v 010 throUgh 0 b'
!_ AA~ Q52-001-O .' _ _~:~c:: ()f the rules.:: ,
I PYBLIC i1\iiRov.ENIiNT~l:~~:'(N~t~: the tele.~\10~~n
. camu~ ~. .... ,- ., ' A' "iir.1.1 Hility NO~ltlca
ha,,'~""'rt,he or"'tSlOewalk~'t.y,p'~'J.
num!J'l:;J1 iv, 1_f.\OO.33Z.t1,;;J-v..... .
center is "Downspouts/Drains:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pal!e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
MisceUaneous Mechanical
Total Amount Paid
:ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00042
ISSUED: 01109/2007
APPLIED: 01109/2007
EXPIRES: 07/10/2007
VALUE:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$4.50 1/9/07 2200700000000000033
$2.25 1/9/07 2200700000000000033
$3.60 1/9/07 2200700000000000033
$43.00 1/9/07 2200700000000000033
$2.00 1/9/07 2200700000000000033
$10.00 1/16/07 2200700000000000055
$4.50 1/16/07 2200700000000000055
$2.25 1/16/07 2200700000000000055
$3.60 1/16/07 2200700000000000055
$45.00 1/16/07 2200700000000000055
$120.70
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
L..ReouiredJnsnections I
Rough Electric: Prior to Cover
Final Electric: When aU electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When aU mechanical work is complete.
Pal!e 2 of 3
Status
Issued
2ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00042
ISSUED: 01109/2007
APPLIED: 01109/2007
EXPIRES: 07110/2007
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 carefuUy examined the completed application and do hereby certify that aU
information hereon is true and correct, and I further certify that any and aU work performed shaU 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 aU 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.
L!'~ /~
c:.. -- -- ). - " - '-
/-1L-C>7
Owner or Contractors Signature
Date
Pal!e 3 of 3
225 Fifth Street
. ..
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00042
COM2007-00042
COM2007-00042
COM2007-00042
COM2007-00042
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Miscellaneous Mechanical
-Mechanical Issuance Fee-
Paid By
COMMERCIAL AIR
Ci....' ()f Springfield Official Receipt
D opment Services Department
Public Works Department
2200700000000000055
Date: 01/1612007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
2704
In Person
Payment Total:
Page 1 of 1
10:26:26AM
Amount Due
2.25
3.60
4.50
45.00
10.00
$65.35
Amount Paid
$65.35
$65.35
1/16/2007
ZON Lti Y
INITIALS . iJrv\ .
DATE Jhj - Z,oOL.
. SOURCE (YJI1 ~~I~.
\ ( q ! 01
3. '.:,c.6Jil1?LEfE.FE~scFiiEDfiiJiI{~t9'i-i?'\~f:~ "'.,'......
:'.:~.,.....; ,"":':';';'.:<'l>,,", ',.,,' .....'. '_"':';"":;::-'_"""" .',',', " -i,',<".l.::,~;. _.".;" . ;:'c.':-',.., .:"..(" "',.:._ , ..<...,'.:.;/....;-:.. ,;,,'.-;' ',"-_':_".,:-:..>.f"
',', ,_,";,,:_'i',; ,:,~,'~'.:,
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 0 FAX: (541)726-3689
ELECTRICAL. PERMIT APPLICATION
CtJm:;;UJDi- Ooo'-la...
City Job Number
Date
1. ,^';iOCATION OI(INsrAlLATION:'.i/
t'.: ; /;.;;,:..~,:,-,,_,:..;. _' -' ," .-,-',. ;.,' "c'-,;' . .' <,:' .-:.,: " :> _ :) ,_, ">:~\:,~'.,./;,~.'.,,, ...._>;,(,-,\\,i:.",\/;-;:
\~~~ ::,. 521-h
LEGAL DESCRIPTION:
\<ltf:J 03rm t %0 D
JOB DESCRIPTION:
\~
.. ," _ . ,; .' . _ _. ,;';':";" <':;".:::':(;: , ,," ':r:iC'>:~},;.:;<~";' . "~"'?~, _," ,~, ,jv.~ !-~, " '_', > ^'5<)"~'<"",~,,:<~':"_:'::-:::!-';'
A.New. Residential- Siligle or Multi-FamiJy'per dwelling liniC';'';
.,:,'(:_ '-,,,,,,:\~,":':'_:;,,:_'.f.',',m' '>, .'4_,.;","",~,'.- .' ,~:,;:,:,,;-::: ':,:. ',:,;;_,.;';:::,.,..., ;'.;;'..'.i:-,.,--__,',:,_"".,:.:' ;-" "':'-.: "\-'.",, ,"',' :",.''':..
. ,~.: ';'^, ,:,-",:,:~ . '"':;''':'''';'';;:''' ,:,',: ;::..,~,-,'" :;".:.:J ",~",~'-(,:'?'};'
Service Included
1000 sq, ft. or less
Each additional 500 sq. ft, or
portion thereof
$106,00
$ 19,00
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
:'I,::~=~d~~~~71nr~f~s
Address P D0n 'I- Lv q 7
Ci~~J(1 ~f {J; · ~ Phon, 7 L 7-17d-~
Supervisor License Number YHJ 5
10 101
Constr. Contr. Number. ['?)(p Y. y [,
10 10'7
Each Manufact'd Home or
Modular D~e~~~~g Service or. . ._' .,,, . L1lHJ\t$:SD,ji)OU to
Fee~:r:(i'ill:I'-; .~..,.:'. ... .~ ....... .... ........... ........ ........ .( ..((U'\'^
B. ,,:~~~t;~S\~~~~}~i~e~~~~l~~~1~~~~~;;~[;fl~;~i1~~:~@;::'':
,.....,...,i~0~A~~;~:OO'1:'oo16'throUghO:A~952A)01~'. "b'"
200 Ampo~~6~Syou may obtain ~o~ies $f6'6~0rules ~.
201 Amps to 400',Amp.,se center. (Note: thi& 1A.'5\fj(j)1hone
can ITy .11 ' I t.'~' t n
401 Amps t?lI~ffitf>.df1ljl6r the Qreaon Utilit)$ N~,Mca '0
601 Amps to I 000 Am~s1ter is 1 ~Af)()-332-?$1~~.bo
Over 1000 Amps/Volts $375,00
Reconnect Only $ 50,00
c.
Expiration Date
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps .
. 40 I Amps to 600 Amps
$ 50,00
$ 69,00
$100.00
Expiration Date
O~er 6?~~IIl~~~~.~000 Volts see "B" above.
D. ;;nranch~it:cllits'
Ne~91!Fat~:.:~ Extension Per Panel
On1~Rc~ifRMIT SHALL EXPIRE IF THE ~Q,~db
EaAUAJrl:fiH~~aibh~ft)5PwTtlrlIS Pl:KIVlIl IS NOT
Sefr3:M<MEW'@~I[?uwi~S ABAND-ONED ~O~ 3,00
E."~~~~11~R~~G\'i(fe~~it~~~~d~'ii;ot i;icihdea{~Ed~ll . Ins talla ~i{)g'
.;':.:'/. _;__', _~x/',' ",.:'.";.~',,,,~:A :,.,:":;.::,,~:.,,, ~~'.,:,:,<,~';, -;:; '~,.;. ,':';;::'"'
omd:V'~~G
Owners Name _~ ~~
Address /483' S. sg~
City ~inoA.efJ) Phone
v \3- --
OWNER INST ALLA nON
43.00
The installation is being made on property I own which
is not intended for sale, lease or rent.
Pump or irrigation $ 50,00
Sign/Outline Lighting $ 50,00
Limited Energy/Residential $ 25,00
Limited Energy/Commercial $ 45,00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
Owners Signature:
8% State Surcharge
10% Administrative Fee
5% Teclmology Fee
46.00
(~~J-,O
4..C::O
Q..;}C;
5S .35
. Inspection Request: 726-3769
TOTAL
Shared Dlive(T:)/Building FonTIs/ElectIical Penllit Application 8-06.doc
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00042
ISSUED: 01/09/2007
APPLIED: 01/09/2007
EXPIRES: 07/09/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1433 S 58TH ST
ASSESSOR'S PARCEL NO.: 1802030001800
Owner:
Address:
ADAM ROBERTS
1433 S. 58TH
SPRINGFIELD OR 97478
Springfield TYPE OF WORK: Electrical Work Only
.....'-' yOU tv
TYPE OF USE AI" ,~i ;uIIO... ff1 'd 'I
, '" :,,Jv teratlOn U "esJ entJa
AITEN IIV'~'V"~~ b "heOregon l ny
follOW r.u\~~~~~~;e~hJs~ ru\e~ ~:.e "s~~ ~~\
Notllll,;C1lIV" - - 0010 througn Vf"\' . ~-- b'
in OAR 952-001- ~ in copies of the rules .,;'
0090. You may Obla Note: thete\epho~e
('~lIinQ the cen~er: ~~... Iltilitv Notification
"""roher'iOf\llt::. tt. "'::1-' .' -2344).
I CONTRACTOR INFORMA TIO~t'ter IS 1-800 332
PROJECT DESCRIPTION: Add one circuit.
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
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
NOTlCE: Ha,~Rfap.Pfdt WORK
1HIS PERMIT SHALL E&.HPaJt~ M\~ IS N01
~~;~.?~~EFOO U~~~: A~H~~;~~EO FOR
J '
I PUBLIC IMPROVEMENTSlNY 180 DAY PERIOD.
Sidewalk Type:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00042
ISSUED: 01/09/2007
APPLIED: 01/09/2007
EXPIRES: 07/0912007
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 I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid
Date Paid
$4.50
$2.25
$3.60
$43.00
$2.00
1/9/07
1/9/07
1/9/07
1/9/07
1/9/07
Receipt Number
2200700000000000033
2200700000000000033
2200700000000000033
2200700000000000033
2200700000000000033
Total Amount Paid
$55.35
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Reouired Insnections I
Rough Electric: Prior to Cover
Final Electric: When aU electrical work is complete.
By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and aU 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 wiH 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 wiH be used on this project.
I further agree to ensure that aU 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 wiH remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pal!e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
c.- . Qf Springfield Official Receipt
L ..:lopment Services Department
Public Works Department
Job/Journal Number
COM2007 -00042
COM2007-00042
COM2007-00042
COM2007-00042
COM2007-00042
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000000033
Date: 01109/2007
Description
Add, Alter, Extend Circ
Minimum! Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
JOSHUA J. BURRELL
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 02505B Phone
Payment Total:
Page 1 of 1
1:21:47PM
Amount Due
43.00
2'.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55.35
1/9/2007