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Home My WebLink AboutPermit Electrical 2011-5-5 SPR.I~G_ F I.E~.D- . ~~. ._-::. du_ ";i;". ~~jt 'C . ",,,:,.. OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00759 IVR Number: 811172447802 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/05/2011 ISSUED: APPLIED: 05/05/2011 05/05/2011 EXPIRES: VALUE: 11/01/2011 $0.00 SITE ADDRESS: 252 65TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702344203700 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Add/alter 1 circuit for fireplace installation Phone Number: 541.741.2222 OWNER: ADDRESS: SINGLETON LEWIS S & MARY L 252 N 65TH ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor Contractor Name BURRELL BRQS ENTERPRISES INC Lie Type ELECTRICAL BUILDING INFORMATION ~ # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lie No 20-442C Lie Exp 07/0112011 Phone 541-741-7813 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Infonnation ~ Engineered Fill: Fill Volume: 110"" Flood Hazard Area: . S "oU \0 10"Oll nUlte , \ilicau 0\- Land Hazard Area: la"" te"'\l~li\'j l'll) R 95'2.-0 Retaining Wall: ::nOI'l: Ole:: Otel!oll 10~1I I(,J!' llIa~ o'O\3ll1 Soils Report~~Kol!l6d 'O~ leS ate se~.()090. 'lO~t ~Nole" ~:Oll (\lIeS a ,II0se (\l 95'2..()0 !lie cell~ I'lo\ilica celllet. UQII Of\.R 'O~ call1llQ Oll \llil\\'j 00\0 11I~!lIe (\lIeS lot !lie Otel! cOllies 0 e lIUllI'OBt3'2._'2.344). le\ellIlO~s \ _\\00-3 celllet M01ICE: l EXPIRE IF 1\1E WORK 1\1IS PERM\1 S\1i\l 1\1\S PERM\1 \S N01 i\1l1\10RIIEO UNO~; i\Bi\NOONED FOR COMMENCEO OR i\NY 1 BO Oi\Y PERIOO. Springfield Building Permit 6/3/2011 1:43:00PM Page10f3 WWoN .ci, springfield. or. us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00759 IVR Number: 811172447802 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or,us PROJECT STATUS: STATUS DATE: Issued 05/05/2011 ISSUED: APPLIED: 05/05/2011 05/05/2011 EXPIRES: VALUE: 11/01/2011 $0.00 SITE ADDRESS: 252 65TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702344203700 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Add/alter 1 circuit for fireplace installation DEVELOPMENT INFORMATION ~ Overlay Di,t: # StreetTree, Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Descriotion Branch circuits without service or feeder ~ 1 st circuit ------ Balance of Minimum Electrical Permit Fees Technolog-y-fee(5O;;";f~mit to-tai}--- Slate 01 Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $55.00 $3.00 $2.90 $6.96 $67.86 Date Paid 05/05/2011 05/05/2011 05/05/2011 05/05/2011 ReciDt # 2011000884 2011000884 ~",.__._-~,-".,,- 2011000884 2011000884 Springfield Building Permit 6/312011 1:43:00PM Page 2 of 3 .. SPRINGFIELD ~I',- ~>'I' ~ n. ~ ""-" OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00759 IVR Number: 811172447802 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/05/2011 ISSUED: APPLIED: 05/05/2011 05/05/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: 11/01/2011 $0.00 SITE ADDRESS: 252 65TH ST, Springfield. OR 97478 ASSESOR'S PARCEL NO: 1702344203700 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Add/alter 1 circuit for fireplace installation Plan Review DeDartment Received Due Date Comoleted Result ~ Application Acceptance 05/05/2011 05/05/2011 05/05/2011 Comments: property zoned low density residential InitiatReview''', '05/05/2Q';-;- 05/051201} _ 05/05/2011 comment~::'-:Qver th~,counter:permit __: ~,,,~:" ,.'i _,' -c: '. __ . - - Permit Issuance 05/05/2011 05/05/2011 05/05/2011 Over the Counter '9verthe Gaunter;' """'J' , ' ft '",_ Issued fApplicition Accepianc,," -, -=- -05105/2011 \ -, - - ,'~ ' L2;>~~~~ts:. ~pdale~d~y f\CAScript:;:_', ". Electrical Review 0510512011 Comments: Over the counter permit Reviewer Lisa Hopper Lis.aHop~~r '0. Lisa Hopper .'f 05;051?011 05105/2011 . App Su~m~tt~d Work AU'~ ,.t"; "'i-_~" -";;5"" - - """ ."'."''',, " . ~.,"".::'.0. 05/0512011 05105/2011 Not Required admin a.dmin 'C'::; -l ! J - Lisa Hopper INSPECTIONS REQUIRED ~ Inspections 4500 Rough Electrical 4999 Final Electrical 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 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 or 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 Contractor Signature Date ( Springfield Building Permit 6/3/2011 1 :43:00PM Page 3 of 3 . SPi~NG. ~.~E~ ~~ ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00759 252 65TH ST permitcenler@ci.springfield.or.us RECEIPT NO: 2011000884 lDESCRI~TION Balance of Minimum Electrical Permit Fees RECORD NO: 811-SPR2011-00759 ACC.QUNLCODE 224-00000-426102 224-00000-426102 821-00000-215004 100-Oq000-425605 TOTAL DUE: DATE: 0510512011 AMOUNT.DUE 3.00 55.00 6.96 2.90 67.86 AMOUNT PAID Branch circuits without service or feeder - 1st circuit State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) r PAYMENTTYP~ Credit Card 035560 ~A VOR CASHIER: PUBLlCUSER2041 Joshua Burrell , COMMJ:~TS 67.86 TOTAL PAID: 67.86