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Home My WebLink AboutPermit Electrical 2011-6-13 225 Fifth Street. Springfield, OR 97477+ PH(541)726-3753+ FAX(541)726-3689 ,.",. . '..'," C' . DEPARTMENT USE ONLY ; - ?~. - PermitnoSI ;-IL/tJ ~ Date: 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. ;''(,p'' '""libCAV'GOVERNMENT:AI'1PROVAlD'!~~,',:ff,'(;iil;;;'!;' Zoning approval verified? 0 Ves 0 No ~!:""j":,( ",:);;!CATEGORY;ioF<CONSTRUCTION1Y.,," :"'.;. .., ,;,~, .-:.. Name: Phone: E-mail: This installation is being made on residential or farm property .owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). E-mail: CCB license no.: Signing supervisor's license no.: Print name of signing superviso , Signature of signing supervisor 440-2584-J (9/08/COM) :+;~:~:~,~BjFj2!;~~~\;tv$~~l1~.J:.(:~.S'qA'E..[j.CJ~E_[~\~~~ri~ft~~fi~ll~ ;.~~ ~~~:',~.Li~:~p~~:t!P~~}~~!.'i~.tl~.~',~:;}:( Q~~.' Residential, per unit, service included: "Total \"-'c98(, 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or portion thereof Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) $134.00 $ $ 25.00. $ $ 32.00 $ $ 63.00 $ Services or feeders: installation, alteration relocation 200 amps or less (2) $ 81.00 $ 20 I to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) 201 to 400 amps (2) 401 to 600 amps (2) $ 63.00 $ $ 87.00 $ $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase ofa service or feeder fee: Each branch circuit $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder !Jot included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (I) $58.00 $ ~~~~~fE~1fk~fr~~~~~~tAFf~jbiC'A'~.T~:U,S.~E~~1f:j$frkl*it~J:{;~tJ~;~.~E_:;~~~ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) (C) Technology Fee (5% of [A]) TOTAL fees and surcharges (A through C): %r- "l'f CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01409 IVR Number: 811178897435 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/13/2011 ISSUED: APPLIED: 06/13/2011 06/13/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfleld.or.us EXPIRES: VALUE: 12/09/2011 $0,00 SITE ADDRESS: 2055 54TH ST, SPACE# 113, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702330001200 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair junction box connections Phone Number: OWNER: ADDRESS: MOORE TOBY 2055 54TH ST SPACE 113 SPRINGFIELD OR 97478 CONTRACTOR INFORMATION I Contractor Type Electrical Contractor Contractor Name BURRELL BROS ENTERPRISES INC Lie Type CGB Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Electrical Specialty Code Edition:_ 2011 Springfield Fire Code EditiO~:~.J~::~T/'ON: Oregon, ~ - - ~. Jf .es d aw r . Mechanical Specialty Code.Editio~ion Cil Opted by th eqUlres You t I, i'd,o ~enter Th e Oreg 0 Municipal! Development Code: ' 952-001 0' OSe rut On Utility <Jutif) va - 010 th es are s t Plumbing Specialty Code Edition: U may obI' rOUgh OAR e forth Residential Specialty Cod~~~\~~lhe center aJn(NCOPies of the952, -001_ "'V"" TOr Ih ' ote'th ru es b Structural Specialty Code Editio~e e Oregon Ut." e te/epho Y nter Ie- .. ~. II/hI "1_ .... ne I ~ 'uuU-332-2'34'4~)',"'catl'on Site Information I # of Units: BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Lie No 136446 Lie Exp 08/20/2011 Phone 541-747-2724 NOTICE' THIS PERM . AUTHO IT SHALL EXp .. ,. COMME~~~g ~NDER THI;~~~~~E WORK ANY 180 DAY PE~:~DABANDDNED F~~ NOT Page 1 of3 Springfield Building Permit 6/13/2011 1:42:15PM www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01409 IVR Number: 811178897435 225 Fifth St 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 06/13/2011 ISSUED: APPLIED: 06/13/2011 06/13/2011 EXPIRES: VALUE: 12/09/2011 $0.00 SITE ADDRESS: 2055 54TH ST, SPACE# 113, Springfield, OR 97478 ASSES OR'S PARCEL NO: 1702330001200 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Repair junction box connections DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of lot Co~erage: Highest point on structure to north properly line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I 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 State of Oregon Surcharge (12% of applicable fees) ~ervi~~~3~O amps ar less Technology fee (5% of permit total) Tatal Amount Paid Amount Paid $9.72 $81.00 $4.05 $94.77 Date Paid 06/13/2011 06/13/2011 06/13/2011 Reciot # 2011001588 2011001588 2011001588 Springfield Building Permit 6/13/2011 1:42:15PM Page 2 of 3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01409 IVR Number: 811178897435 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 06/13/2011 06/13/2011 Issued 06/13/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 12/09/2011 $0.00 SITE ADDRESS: 205 S 54TH ST, SPACE# 113, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702330001200 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair junction box connections Plan Review DeDartment Application Acceptance Received Due Date ComDleted 06/13/2011 06/13/2011 06/13/2011 Result Over the Counter Electrical Review Not Required 06/13/2011 06/13/2011 06/13/2011 Comments: Over the counter permit linitiaIF3iFew"'-;"';:~;,;,;,c_o.e/,1J/~\l.1J:;+O~P3/~;011c~!, 3/2011 I ~,~~omm~~~~:^ ,9ver)h'~';o~nt~-~JP~rTit. ~<~'-::' ;x'~';'+>, ,~:, ,,' '~i~~'} :'. :' ~ Reviewer Chris Carpenter Chris Carpenter ,,', OVe'r the~Go~nter ~?Chh$'Garpe'nter~7~-:r;- __ ~:;,r:'J..-~~~,i~ " ;;,:.":-.~ ,;.;'.' .~">'> I .--.J i; INSPECTIONS REQUIRED ~ Inspections 4225 Service or Feeder 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. 1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the per. it card is located at the t of the prop rty, and the approved set of plans will remain on the site at all times during co truction. Date Springfield Building Permit 6/13/2011 1:42:15PM Page 30f3 - < . SP~J~G~..F.JE~D . ~.A." . =' . er. . m~'~ OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth $t Springfield,OR 97477 541-726-3753 www.cLspringfield.or.us 811-SPR2011-01409 205 S 54TH ST. SPACE 113 perm itcenter@ci.springfield.or.us RECORD NO: 811-SPR2011-01409 DATE: 06/13/2011 .' ~.':~-"~~~~...-'.':' 1:,'.. .~ ACCOONT.CODE' 1'", .'::.C.; . ;;':AMOUNJeDUE ... 224-00000-426102 81.00 821-00000-215004 9.72 _.__.~-~_.~ 100-00000-425605 4.05 --......-..--.--- TOTAL DUE: 94.77 t PA Y.M~_NTiYPE fJ,' {'PAYOR :'-cAiH;[R/CCARPENT,g~ ".:,;:,: ;:c'911'1~_ENT~~.;;;;2_. 'v, 1:-'- ':",~ .4MQUNTpAII)~ .. [', Credit Card BURRELL BROS ENTERPRISES 94,77 03570D INC RECEIPT NO: 2011001588 [DESCRIf'J:lorL~,~::..:1::" ".' _~.~_~~~i~~~ ~qo amps or less . __ Sta~<:.:'.f_<?regon Surcharge 112% of~plicab!:,.~:.es) Technology fee (5% of permit total) -j TOTAL PAID: 94.77