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Home My WebLink AboutPermit Electrical 2011-8-2 225 Fifth Street. Springfield, OR 97477. PII(541)726.3753. FAX(541)726.3689 SPAINOPUtLD 1'-' ~~"-. 1 ~t=!~~~~;~:::~~ " ""{. h. ..... "', '. i,> -">......,.. -. ~,.... ,.....,.-.,. ..... ' ....'.., ".-' ," 'DEPAR:TMENT USE (>Nl::y~ -"...~. ""'".-tF~ >',~:'" .... .. --"""'-''''~_'''''_.t," Penn it no.: SI ( - I 01 (a Date: 1/ This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days ofissuance or if work is suspended for 180 days. LOCAL- GOVERNMENT APPROVAL"" Zoning approval verified? 0 Yes 0 No CATEGORY' OF CONSTRUCTION :;?;f;4j.:"'L . .Ii'- Phone: E-mail: This installation is being made on residential or farm property owned by me or a member afmy immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: 440,2584-J (9/08/COM) ~~ ~~ '.! . FEE .SCHEDUl..E " . -'~' . -. ."" .,. ---- Qiy" Cost Total ~~m,~~.r'~fi~~p:c,Ct!~~lSPer.-i,te~ (,) ." - .,,,.e_a.,,___... .~C()st :" Residential, per unit, service included: 1,000 sq. n. or less (4) $134.00 $ Each odditional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (1) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling servicc or fecdcr (2) Services or feeders: installation, alteration, relocat;on 200 amps or less (2) $ 81.00 $ 20 I to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158,00 $ 60 I to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) 2 $ 63.00 $ / :Jf. . Temporary seryices or feeders: ;nsta/lation, alterat;on, relocation 200 amps or l~ss (2) $ 63.00 $ 20110400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Bnwch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuil I $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder no! 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 $ .....: "C;;:,,'''';.(;.C;,APPLICANT.,USE . 'r ';, " .cr.. (A) Enter subtotal of above fees (l\-'Iinimum Permit Fee $58.00) $ I '7-& (8) Enler 12% surcharge (.12 x [A]) $ 1)'::::- (C) Technology Fee (5% of [A]) $ U '3;?- TOTAL fees and surcharges (A through C): $ 1'17 'L I=- 00 .. SPK~N~E~ ~~EGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01876 IVR Number: 811112408856 www.ci.springfield.or.uS 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued permitcenter@ci,springfield,or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 08/02/2011 08/02/2011 08/02/2011 SITE ADDRESS: 849 N ST, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703264304500 EXPIRES: VALUE: 01/28/2012 $0,00 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Reconnect - Duplex 849 & 855 N Street Phone Number: OWNER: ADDRESS: COPELAND PHILLIP A & D L 37124 HILLS CRK RD SPRINGFIELD OR 97478 CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor Contractor Name BURRELL BROS ENTERPRISES INC Lic Type CCB BUILDING INFORMATION I # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lie No 136446 Lie Exp 08f20/2011 Phone 541-747-2724 Lot Size: Sq F11st Floor: !~-- 'TI':)csq:h2nifFioor:requires you to L ",^, rL le~ orlnn!~r/ hI! thA Oregon Util'lty , Sq FI'Basement:' ~'~",,,c?t:on CelllN, I nose rules are set forth , OAR 952 OSq Ft.Garage: In - U I -UV I U "" uugh OAR 952-001- 0090.. You m~,q<5~~~~rp'e5pies of the rules by calling the sqrF.tOth,e~:Jte: the tQlephone number for IOecfiPOrfc'yrU,i1iiity Notification Cpntpr is 1-800-332-2344) Electrical Specially Code Edition: 20n . Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: # of Bedrooms: Sprinkled Building: Fire Ala nns: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Site Information Jr'GE~ 11'" PERMIT SHALL EXPIRE IF THE WORK .'U~lORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 8/2/2011 3:30:09PM Page 1 of 3 www.ct.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01876 IVR Number: 811112408856 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLsprlngfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/02/2011 ISSUED: APPLIED: 08/02/2011 08/02/2011 EXPIRES: VALUE: 01/28/2012 $0.00 SITE ADDRESS: 849 N ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703264304500 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Reconnect - Duplex 849 & 855 N Street DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property 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 Tvoe of Construction Unit Amount Unit Tyoe Unit Cost Value FEES PAID I DescriDtion Amount Paid :!:~chnology fee (5% of permit total) $6.30 Service reconnect only $126.00 ~i'O;eg~n S;;;;he;g!lg~oTa;;;;iic;abieie;;S)-'-- ---$15:12" Total Amount Paid $147.42 Date Paid 08/02/2011 08/02/2011 08/02/2011 ReciDt # 2011002174 2011002174 ------,--- 2011002174 Springfield Building Permit 8/2/2011 3:30:09PM Page 2 of3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01876 IVR Number: 811112408856 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/02/2011 ISSUED: APPLIED: 08/02/2011 08/02/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfie!d.or,u$ EXPIRES: VALUE: 01/28/2012 $0.00 SITE ADDRESS: 849 N ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703264304500 SCOPE: Electrical Only WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Reconnect. Duplex 849 & 855 N Street Plan Review ~ Deoartment Application Acceptance Received Due Date ComDleted Result 08/02/2011 08/02/2011 08/02/2011 Over the Counter Electrical Review 08/0212011 08/02/2011 08/02/2011 Not Required Comments: Over the counter permit INSPECTIONS REQUIRED Inspections 4200 Reconnect Service Reviewer Nancy Machado Nancy Machado By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the per it card is located at the f t of the prop rty, and. the approved set of plans will remain on the site at all times during cons uction. Date Springfield Building Permit 8/2/2011 3:30:09PM Page 3 of 3 TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 www.ci.$pringfield.or.us 811-SPR2011-01876 849 N ST perm itcenter@ci, springfield. or. us RECEIPT NO: 2011002174 RECORD NO: 811-SPR2011-01876 DATE: 08/02/2011 lDESCRII?JiIQlih~-:')-;;)-I - ~ 4);"00_i);i,_~;_ -;iF", {,,'f"::'; 'h" 'J.\C.c.QI.iN:Ec,6bE io - ~o<S" 0" -'-.'J.\M6I.iNtDUE&);~; .:1 Service reconnect only 224-00000-426102 126.00 _ Sta~,: of Oregon Surcharge (12% of applicable fees) 821-00000-215004 15.12 Technology fee (5% of permit total) 100-00000-425605 ___ __ . ..6.30 TOTAL DUE: 147.42 t;:,PAVMENt-n@();1;;--;;:PAYOR>'CASHIER~NMACH~OMMENTS:..-;q) "i; k--)-;1:27;Ml$(JN;rill;o.I1:5~,~ 0 - - -;ij Credit Card BURRELL BROS ENTERPRISE 147.42 02575d TOTAL PAID: 147.42