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Home My WebLink AboutPermit Electrical 2007-11-13 I. ~()/ ./V - ~0'6/\ l\\\ ~ ~r CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01675 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: 5335 Daisy St Sp 78 ASSESSOR'S PARCEL NO.: 1702330001300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Service/ EMERGENCY - METER BASE NEEDS REPLACED Residential Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC u '(t ~ c.c,-c:;t::l:,' 0 oneO!J!lON ^ll/Il - 013- t Sf Jelue", eUo4d . . n U06tHQ a \J /..q s 81eJ 841 :eloN)' 41 JOJ Jaqumu 81nJ 1341 J81ueo 13 6 -Wo-?C~ ,,\,~O S~!doo Ulelon ^b'''~ u!lJeo l/lJOnesA';b'::".~,'-"'UJl/JOLOO-t _ ....^ U600 I CONTRACTOR INF.{).mvi~,};IQN:" d 8S')l/.L '1 eW eog ~S6 ~V'O uf Uj nO/I 8<:>1//'0 :'-11 ~u D81dope ~f3N~Jeo!J!lON License v1 NI<Expij:atioRc9]~"'O/Pl1one 136446 0812012009 I 3-Ll~41-747-2724 Owner: Address: SANTIAGO ESTATES ASSOCIATES LLC 11211 GOLD COUNTRY DR STE 100 GOLD RIVER CA 95670 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: nla I DEVELOPMENT INFORMATION' 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: Street Improvements: Storm Sewer Available: Special Instruction: ~m~g~r:. , I PUBLIC IMPjIf.-mY~_HALL EXPIRE IF THe VVUKI\ AUTHOR NDE~,I!1IS P~RM~T IS NOT , COMMENCED OR IS Af3}\ffljd~rn ~OR A\~Y i 80 DAY PERIGqy~nspouts/Drams: Notes: 1"'1/:'" I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01675 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 Fees Paid--' 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 $3.50 $5.60 $70.00 11/13/07 11/13/07 11/13/07 11/13/07 2200700000000001701 2200700000000001701 2200700000000001701 2200700000000001701 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 Reauired Insoections 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 Page 2 of 2 City of Springfield Electrical Authorization To Begin Work E-mailedTo:burrellbros@integraonline.com Receipt # EC520445 11/13/2007 11 :39:22 AM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us o New construction [X] Addition/alteration/replacement Description Qty. Ea. Total 11,000 sq, ft, or less lEa, addl 500 sq, ft, or portion I-Limited energy, residential (with above SQ, ft,) I-Limited energy, residential above [X] 1 or 2 family dwelling o Multi-family o Commercial/Industrial I Job no.: I Job address: 5335 DAISY ST I City/State/ZIP: SPRINGFIELD, OR 97478-6294 I Suite/bldg.lapt.no.: SPC 78 I Project name: Cross street/directions to job site: 1200 amps or less 1201 amps to 400 amps 1401 amps to 599 amps $70,00 $70,00 I Subdivision: Tax map/parcel no.: 1702330001300 I Lot no.: 1200 amps or less 1201 amps to 400 amps 1401 amps to 599 amps EMERGENCy",..,meter base needed replaced 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; 1 each addl branch circuit Santiago Estates I Phone: (541) 747-4919 [Email: IFax: 1 Service reconnect only I Each manufactured or modular _ dwelling, service and/or feeder I Pump or irrigation circle I Sign or outline lighting Signal circuit(s) or Iimited- not offered online at this jurisdiction energy panel, alteration, or extension, I EI, lie. no.: 20-442C I CCB lie. no.: 136446 I Business Name: BURRELL BROS ENTERPRISES INC I Contact: Joshua Burrell IAddress: PO BOX 697 I City/State/ZIP: WALTERVILLE OR 97489-0697 I Phone: (541)7472724 I Fax: (541)7441047 I Email: burrellbros@integraonline.com I Metro lie. no.: I City lie. no.: I Supervising electrician's lie, no,: 472IS I Supervising electrician's name: JOSHUA J BURRELL I I I * City Of Springfield Subtotal $70,00 State Surcharge (8% of permit fee) $5,60 I City Of Springfield fees * $ 1 0, 50 I TOTAL PERMIT FEE $86,10 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. COM:~7-, O/~7~c) RCPT#:.;;p()L'- /7() / 11//3/07 _ ' r/) /J---- This Authorization To Begin Work must be posted at the job site until re~ac~~ a Permit. 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, 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01675 COM2007-0 1675 COM2007-0 1675 COM2007-01675 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 2200700000000001701 Date: 11/13/2007 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE BURRELL Online Payment Total: Page 1 of 1 2:09:38PM Amount Due 70.00 3.50 5.60 7.00 $86.10 Amount Paid $86.10 $86.10 11/13/2007