HomeMy WebLinkAboutPermit Electrical 2007-11-8
Ci!y of Springfield
Electrical Authorization To Begin Work
E-mailed1O:burrellbros@integraonline.com
Receipt # ,EC520241
11/8/2007 11:28:58 AM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfieldor:us
TYPE OF WORK
o New constrnction IKJ Addition/alteration/replacement
CATEGORY OF CONSTRUCTION
o 1 or 2 family dwelling 0 Multi-family [K] Commercial! Industrial
JOB SITE INFORMATION AND LOCATION
IJob no.: IJob address: 4404 MAIN ST
ICitylStatetLlP: SPRINGFIELD, OR 97478-6099
I Suitelbldg.lapt.no.:
I Project name:
Cross street!directions to job site:
Subdivision:
1 Lot no.:
Tax map/parcel no.: 1702323101000
DESCRIPTION OF WORK
replace main breaker in the (3) three phase electrical panel
I SITE CONTACT
I Name: McCluskey Cabinets
IPhone: (541) 747-9921 I Fax:
I Em ail:
I CONTRACTOR
I E1. lie. no.: 20-442C I CCB lie. no.: 136446
I Business Name: BURRElL BROS ENTERPRISES INC
Contact: Joshua Burrell
Address: PO BOX 697
CitylStatetLlP: WALTERVILLE OR 97489-0697
Phone: (541)7472724 IFax: (541)7441047
Em ail: bmrellbros@integraonline.com
Metro lie. no.:
I City lie. no.:
Supervising e"~;. ;.;an's lie. no.: 4721S
I Supervising e1ectrician's name: JOSHUAJ BURREIL
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.
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.
FEE SCHEDULE
Description Qty. I Ea. Total
Residential SINGLE- OR multi-family dwelling unit. Includes
attached garage
11,000 sq. ft. or less
I Ea. addl 500 sq. fL or portion
I-Limited energy, residential
(with above SQ. ft)
I-Limited energy, multifamily
residential (wilb above SQ. ft)
Services OR feeders installation, alteration, AND/OR relocation
200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
TEMPORARY SC!rvices OR feeders installation, alteration,
AND/OR relocation
I 200 amps or less
1201 amps to 400 amps
40 I amps to 599 amps
Branch circuits - NEW, alteration, OR enension, per panel
A Fee for branch circuits wilb
above service or feeder fee,
each branch circuit
B. Fee for branch ~;.~.,
without service or feeder fee,
first branch circuit;
each addl branch circuit
Miscellaneous
Service reconnect only
I Each manufactured or modular
dwe1linJl. service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
Signal circuit( s) or limited-
energy panel, alteration, or
extension.
$55.00
$55.00 I
I
I
I
not offered online at Ibis jurisdiction
ELECTRICAL PERMIT FEES
Subtotal I $55.00 I
State Surcharge (8% of permit fee) $4.40 I
City Of Springfield fees .1 $8.25 I
I TOTAL PERMIT FEE $67.65 I
· City Of Springfield 10% Local Admin Fee; 5% Local Technology Fee
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01657
ISSUED: 11/08/2007
APPLIED: 11/08/2007
EXPIRES: 05/08/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4404 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323101000
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Replace main breaker in the (3) three phase electrical panel
CommerCial
Owner: HYLAND BUSINESS PARK LLC
Address: PO BOX 7S67
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2009
Phone
541-747-2724
BUILDING ll~l'uRMATION 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
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:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available: Downsp_out~/Drains:
Special InA1.T.fihJIfON: Oregon law requires you to
{oilow ruies adopted by the Oregon Utility NOTICE:
Notes: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK
~ ~AR ~52-001-001~thro~gh OAR 95~-001- AIITHORl7I:n IIMn~R, TUI~ 0 (' In
_9e.€-. \\..~ ........J J.J.."",.. '"'''1'-'''''''' J,' .1" IIU....'..., "Y .. . c eaJl.4IT I~ r._ T
calling the center, (Note: the tel ~~ljlnr: f' D LiUl\lIlVIt: CEO OR IS ABANDONED FOR
number for the Oregon Utility No .,. . _ . a IOn esc OAY PERIOO.
Center is 1-800-332-2344)'$ P S Ft S F t
Description Type of Construction erlt.q I' quBa.rdeA 00 age Value Date Calculated
or mu 'p ler or I mount
Pae:e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01657
ISSUED: 11/08/2007
APPLIED: 11/08/2007
EXPIRES: 05/08/2008
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 J
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Service Reconnect
Amount Paid
Date Paid
$5.50
$2.75
$4.40
$55.00
11/8/07
11/8/07
11/8/07
11/8/07
Receipt Number
2200700000000001690
2200700000000001690
2200700000000001690
2200700000000001690
Total Amount Paid
$67,65
I Plan Reviews,
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 Reouired Insnections I
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 of 2
225 Fifth Street
Springfield, Oregon 97477
541:'726-3759 Phone
Job/Journal Number
COM2007-01657
COM2007-01657
COM2007-01657
COM2007-01657
Payments:
Type of Payment
RECEIPT #:
Description
Service Reconnect
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
cReceintJ
2200700000000001690
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/08/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
Page 1 of 1
ONLINE BURRELL Online
BROS.
ENTERPRI
SES
Payment Total:
1 :48:05PM
Amount Due
55.00
2.75
4.40.
5.50
$67,65
Amount Paid
$67.65
$67.65
11/8/2007