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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 << ~Q\ ~~ 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 ~'\ ~ "'V ~ 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