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Home My WebLink AboutPermit Electrical 2006-12-19 .,. 11 t;UV- \ D (tJ \''d- \ \0\ &\ ~ fJ'- (f.>f'!L'ljJ J ~X Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 36676 BRAND S RD ASSESSOR'S PARCEL NO.: 1802100001102 , ~5071~L ,CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01623 ISSUED: 12/19/2006 APPLIED: 12/18/2006 EXPIRES: 06/19/2007 VALUE: Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Riser repair. Owner: SMEJKAL JAMES Address: PO BOX 26224 EUGENE OR 97402 TYPE OF USE: Repair Residential I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC 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: License 136446 Expiration Date 08/20/2009 Phone 541-747-2724 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Storm Sewer Available: Downspouts/Drains: Special Instru~~{l(~ C IE: A1TENTION:Ui eYUj i Ia.W r84ulle~ YUu LV fo!'?w ~ules adopted by the Oregon Utility Notes: THIS PERMIT SHALL EXPIRE IF THE WORK ~otlflCatlon Center. Those rules are set forti LUITI-u1DI7r9 11.lorn -'j'''' InOAR952-001-0010thr.au.nhnWn;-{J I'll'l-L CO -, ,,-~ ''''0 LI i II I\) ~,:~:~/::! It I\:C I I 0090 You may obtain co . - f h ... - - l:l"CI"T" AN~~ENCED OR IS A8ANDfJiYr.~Lura'ti~n Description cailingthecenter. (Not~':~~~t~leep~~~:~~ 80 DAY PERIOD. $ Per Sq Ft Square Foota~eumberforth~ Oregon Utility Notification Description Type of Construction or multiplier or Bid Amount CenMn1u:e1-800-3~~!!Ifplated Paee 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01623 ISSUED: 12/19/2006 APPLIED: 12/18/2006 EXPIRES: 06/19/2007 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 Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $6.30 $3.15 $5.04 $63.00 12/19/06 12/19/06 12/19/06 12/19/06 Receipt Number 2200600000000001720 2200600000000001720 2200600000000001720 2200600000000001720 Total Amount Paid $77.49 I Plan Reviews, 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. I Reauired InsDections , Electric Service: Approval required prior to utility company energizing service. 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 Pae:e 2 of2 City of Springfield Electrical Authorization To Begin Wt. E-mailedTo:burrellbros@integraonline.com Receipt # EC507142 12/18/2006 3:09:36 PM Check on status of permit: Con tact: http://www.ci.springtield.or.us/dsdlBuilding/index.htm o New construction !KJ Addition/alteration/replacement 1,000 sq, ft, or less Ea, addl 500 sq. ft. or portion I-Limited energy, residential (with above sq. ft.) I-Limited energy, multifamily residential (with above ft.) Job no.: I Job address: 36676 BRAND S RD City/StateIZIP: SPRINGFIELD, OR 97478-9502 Suitelbldg.lapt.no.: I Project name: Cross street/directions to job site: 200 am ps or less 201 amps to 400 amps 401 amps to 599 amps $63.00 I Subdivision: I Tax map/parcel no.: 1802100001105 1 Lot no.: riser repair I 200 amps or less I 201 amps to 400 amps 1401 amps to 599 amps A. Fee for branch circuits with above service or feeder fee, each branch circuit. B. Fee for branch circuits without service or feeder fee, ftfSt branch circuit I each addl branch circuit I Name: debbie woWsmijkal Phone: (541) Email: IFax: Service reconnect only I Each man. ufactured or modular dwelling. service and/or teeder 1 Pump or inigation circle I Sign or outline lighting Signal circuit( s) or limited- energy panel, alteration, or extension, I EI. lie. no,: 2D-442C lie. no.: 136446 !Business Name: BURRELL BRaS ENfERPRISES INC I Contact: IAddress: PO BOX 697 I City/StatefLIP: WALTERVll..LE OR 97489-0697 IPhone: 5417417813 I Fa:,: 5417441047 I Em ail: burrellbros@integraonline.com I Metro lie no.: I City lie no.: 'Supervising electrician's lie. no.: 4721S 'Supervising electrician's name: JOSHUAJ BURRELL I I I I I * City Of Springfield Subtotal I $63,00 Minimum Feel $45,00 State Surcharge (8% of permit fee) I $5,04 I City Of Springfield fees * I $9,45 I TOTAL PERl\iUT FEE I $77.49 I 10% Local Admin Fee; 5% Local Technology Fee Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. CD'Yr1:2ODv -f)/ro()3 W~ NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 Fifth Street Springfie'id, Oregon 97477 541:'726-3759 Phone Job/Journal Number COM2006-0 1623 CO M2006-0 1623 COM2006-0 1623 COM2006-01623 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 2200600000000001720 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Cj..... of Springfield Official Receipt L iopment Services Department Public Works Department Date: 12/19/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By ONLINE PERMIT CHGS ddk Page 1 of 1 ONLINE Burrell Bros Online Enterprises Payment Total: S:22:44AM Amount Due 63.00 3,15 5.04 6.30 $77.49 Amount Paid $77.49 $77.49 12/19/2006