HomeMy WebLinkAboutPermit Electrical 2007-11-13
vRk
~~~~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01670
ISSUED: 11/13/2007
APPLIED: 11/13/2007
EXPIRES: 05/13/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1935 H ST
ASSESSOR'S PARCEL NO.: 1703361204300
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Repair service riser.
Owner: JOHNSON RORY E & DONNA J
Address: 1935 H ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2009
Phone
541-747-2724
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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
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:
A'='TJCt.ITIOW. Oregon law requires you.t,o
Storm Sewer Avar~a9i~" . t db the Oregon Utility Downspouts/Drains:
Special InstructtQ\\~W r~lescadOt P eTh~e rules are set forth NOTICE-_
NotIficatIon en er. R 952 001
In OAR 952-001-0010 through OA - b - THIS PERMIT SHALL EXPIRE IF THE WORK
Notes: 0090., y?~ rn~~~~i~~~~~~h~\~:~~~~e Y AUTHORIZED UNDER THIS PERMIT IS NOT
"c.o.lIl1'~ J.e.., ' , U't' " ' ~1-.tlt:;a,11rH' ! ~Ul\' I 1\11 'ED OR IS ABANDONED FOR
berfortheOregon Illy I...T.. -" V IV v, \IV
nurn Center is 1-800-33::-Wmation Descr' DAY PERIOD.
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01670
ISSUED: 11/13/2007
APPLIED: 11/13/2007
EXPIRES: 05/13/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
I 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 Receipt Number
$7.00 11/13/07 1200700000000001390
$3.50 11/13/07 1200700000000001390
$5.60 11/13/07 1200700000000001390
$70.00 11/13/07 1200700000000001390
Total Amount Paid
$86.10
I Plan Reviews I
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 ReQuired InsDections 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
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:burrellbros@integraonline.com
Receipt # EC520410
11/12120073:15:25 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
[L] Addition/alteration/replacement
Qty.
[i) 1 or 2 family dwelling
o Multi-family
o Commercial/Industrial
Job no.: 1 Job address: 1935 H ST
I City/State/ZIP: SPRINGFIELD, OR 97477-4242
1 Suite/bldg./apt.no.:
1 Project name:
Cross street/directions to job site:
1 Subdivision:
1 Tax map/parcel no.: 1703361204300
I Lot no.:
EMERGENCy,....service riser down due to weather
Name: Rory Johnson
IPhone: (541) 741-1857
I Email:
I Fax:
I EI. lie. no.: 20-442C I CCB lie. no.: 136446
I Business Name: BURRELL BROS ENTERPRISES INC
1 Contact: Joshua Burrell
IAddress: PO BOX 697
1 City/State/ZIP: WALTERVlLLE OR 97489-0697
I Phone: (541 )7472724 I Fax: (541)7441047
Email: burrellbros@integraonline.com
Metro lie, no.: I City lie. no.:
I Supervising electrician's lie. no.: 4721 S
I Supervising electrician's name: JOSHUA J BURRELL
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.
[ Description
Ea.
Total
1,000 sq, ft or less
1 Ea, addl 500 sq, ft. or portion
I-Limited energy, residential
(with above sq, ft.)
I-Limited energy, multifamily
residential Jwith above sg. ft.)
1 Services PRferq~r~ .i~st~!!a.~i~~.~I~eraH~.n;AND/OR reloca:tlon."
[200 amps or less 1 $70,00 $70,00
1201 amps to 400 amps
140 I amps to 599 amps
1 200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps .
PJ~anCb"~irciijts~NEW;a:lteration, ORe~~ell~ion. pe1" panel'..
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
B. Fee for branch circuits
without service or feeder fee,
first branch circuit;
each add I branch circuit
"""':'s>,/" (/!<'i',:
I Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
[ Pump or irrigation circle
1 Sign or outline lighting
Signal circuit(s) or Iimited-
energy panel, alteration, or
extension,
I
I
1
II: ,
I
I
I
I
· City Of Springfield
not offered online at this jurisdiction
· EbEC1"RICAL~E~~~:~~ES ,..' . .,'" $7000 I
State Surcharge (8% of penn it fee) $5,60 I
City Of Springfield fees. $10,50 I
TOTAL PERMIT FEE $8610 I
10% Local Admin Fee; 5% Local Technology Fee
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01670
COM2007 -01670
COM2007-01670
COM2007-0 1670
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200700000000001390
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/13/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
DDK
Page 1 of I
ONLINE BURRELL Online
BROS
ENTERPR1
SES INC
Payment Total:
10:35:50AM
Amount Due
70.00
3.50
5.60
7.00
$86.10
Amount Paid
$86.10
$86.10
II II 3/2007