HomeMy WebLinkAboutPermit Electrical 2007-11-28
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01724
ISSUED: 11/21/2007
APPLIED: 11/21/2007
EXPIRES: 05121/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5335 MAIN ST 178
ASSESSOR'S PARCEL NO.: 1702330001300
SPRINGFIETYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Meter base replacement,
Owner: SANTIAGO ESTATES ASSOCIATES LLC
Address: 11211 GOLD COUNTRY DR STE 100
GOLD RIVER CA 95670
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 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'
Street Improvements:
Sidewalk Type:
Storm Sewer Available: .Downspouts/Drains:
Special J\t.isJ'i!N1liI(i)N: Oregon law requires you to
follow rules adopted by the Oregon Utility N
Notes:Notification Center. Those rules are set forth OnCE:
In OAR 952-001-001 0 through OAR 952-001- THIS PERMIT SHAJ I J:YDIOI: Ie: Tur- \,V
uu~u. YOU may omaln copies QllIIe r'""'"' ny IZED UNDER T ...~. Onl(
calling the center. (Note: the tele h~a1uation Desc CEO OR HIS PERMIT IS NOT
number for the Oregon Utility Notific... ANY 18n IS ABANDONED FOR
Center is 1-800-332~2344). $ Per Sq Ft Square FoQf\.~fER/OD.
Description Type of ConstructIon It' I' B'd A t Value Date Calculated
or mu Ip ler or I moun
Pal!:e 1 of2
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01724
ISSUED: 11/21/2007
APPLIED: 11/21/2007
EXPIRES: OS/21/2008
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 rl
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
11/21/07
11/21/07
11/21/07
11/21/07
2200700000000001734
2200700000000001734
2200700000000001734
2200700000000001734
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 Reouired 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 ~f Springfield
Electrical Authorization To Begin Work
E-mailedTo:burrellbros@integraonline.com
Receipt # EC520939
11/21/20072:36:36 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
City/State/ZIP: SPRINGFIELD, OR 97478-6204
Suite/bldg.lapt.no.: SPC 178
Project name:
Cross street/directions to job site:
Subdivision:
Lot no.:
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 addl branch circuit
Business Name: BURRELL BROS ENTERPRISES INC
Contact: Joshua Burrell
not offered online at this jurisdiction
Address: PO BOX 697
City/State/ZIP: WALTERVILLE OR 97489-0697
Phone: (541)7472724 Fax: (541)7441047
Email: burrellbros@integraonline.com
Metro lie. no.:
Supervising electrician's lie, no.: 472IS
Supervising electrician's name: JOSHUA J BURRELL
City lie. no,:
Subtotal $70.00
State Surcharge (8% of penn it fee) $5.60
City Of Springfield fees * $10.50
TOTAL PERMIT FEE $86. 10
* City Of Springfield 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:
'lJX)', - [n;2lf
RCPT #:
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.
DATE PROCESSED:
PROCESSED BY:
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
S~ringfield, Oregon 97477
5~1-726-3759 Phone
Job/Journal Number
COM2007-0 1724
CO M2007 -01724
COM2007-01724
COM2007-01724
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200700000000001734
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: 11/21/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of 1
ONLINE BURRELL Online
BROS
Payment Total:
3:44:26PM
Amount Due
70.00
3.50
5.60
7.00
$86.10
Amount Paid
$86.10
$86.10
11/21/2007