HomeMy WebLinkAboutPermit Electrical 2008-3-12
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00345
ISSUED: 03/12/2008
APPLIED: 03/12/2008
EXPIRES: 09/12/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1790 S A ST
ASSESSOR'S PARCEL NO.: 1703363107200
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Rerouted a circuit that cust when the roof was being installed
Residential
Owner: ROGERS FAMILY TRUST 11/08/2002
Address: PO BOX 123
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 GaragelCarport
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:
I PUBLIC IMPROVEMENTi.II::N IrUN: uregon law requires you to
NOTICE" ow rules adopted by the Oregon Utility
Street ImprovemeiflNlS PERMIT ~otiflcatsm{'w.mk3'f.ypk!Dse rules are set forth
ItlJ~ SHALL EXPIRE IF In OAR 952-001-0010 through OAR 952-001-
Stor~ Sewer A~aimuL'if.lORIZED UNDER T !~E WORK 0090. YcRi<tWg~Il.?O'Mmam~es of the rules by
SpecIal InstructlO~:OMMENCED OR IS AB HIS ;~~~ ~,i " !.r~ fI'OT canln.~ the cent9r. (Note: ~he telephone
. ANY 180 DAY PERIOD ANO~,\t1 ~ t ,_'r\ numLt::r for the Oregon Uulity Notification
Notes. ' , Co::nle: !s 1-8JO-332-2344).
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00345
ISSUED: 03/12/2008
APPLIED: 03/12/2008
EXPIRES: 09/12/2008
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 I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid
Date Paid
Receipt Number
$5.00
$6.00
$2.50
$48.00
$2.00
3/12/08
3/12108
3/12/08
3/12/08
3/12108
2200800000000000320
2200800000000000320
2200800000000000320
2200800000000000320
2200800000000000320
Total Amount Paid
$63.50
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.
ReQuired Insnections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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
Pa2e 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:burrellbros@integraonhne.com
Receipt # EC526982
3/12/2008 8:30:42 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I,', i'
Iq":T:'(F',~ OF 'WORK <', I..
[XJ AdditIOn/alteration/replacement
,< '
III
'''CATEGORY9'i: C6NStRUC1;!q~h <
o MultI-family [K] Commercial /Industnal
,II, ' ,110 ,I, ,i hF~E SCHEDULE
I Descnptlon I Qty I Ea. I Total
"Residential SJNGLE~OR"multl-family dwelUnguDlt' Includes
" "' ~ '" & '-&:"'1 iattached~garng~\'\" ?^. /'<<r<j<:Wi II I, J ~ M I
1 ~,rb",\ 'it ~ 0
11,000 sq ft or less
I Ea addl 500 sq ft or portIon
I ""~, ,,~ '" ' !' -'
, !r!!~~~e~:~!,ergy
I-Limited energy, residential
(with above sq ft)
I-Limited energy, multIfamIly
residentIal (with above sq ft)
I-Limited energy, commercial
(with above Sq ft)
I - Stand-alone limIted energy,
residentIal
I - Stand-alone limited energy,
multi-family
- Stand-alone limited energy,
commercIal
"Services..OR feeders installation. alteratlon~ AND/OR relocation'
, , ,,' ,,;.-,f?<< \ I I I , "
'I
o New constructIOn
o I or 2 family dwellIng
, '1,1''1.,
'" i '<i,Hhll'
1'<< 0""
1,<1
"..,"JOe'SITE INFORMATioN'AND'lOCATION
I' li<<'" 1',1" , w 'lh"s'M&" <\d I
I Job no I Job address. 1790 S A ST
I City/State/ZIP SPRINGFIELD, OR 97477-5247
I SUlte/bldg /apt.no..
I Project name.
Cross street/dIrectIOns to Job sIte:
I SubdIVISIon,
I Tax map/parcel no
I
I Lot no
> ,/III
't><
1703363107200
DE~CRIPil()N OF WOR!<IIo,
" \i
200 amps or less
1201 amps to 400 amps
1" 'I,
I';
SITE CONTACT, i'
\: ,;" ) "
'I", ,
I
I
140 I amps to 599 amps I I
TEMPORA.~Y" se, rvlcelfOR feeders'lin~t, aI, latIoD; alteratIon"1
AND/OR "I dl .' of, 'I" I.. ..
, , r~ oentIon ' .. l' I,
1200 amps or less
, ,I, I 1201 amps to 400 amps
I 1401 amps to 599 amps ,
I I "Branch" clrc"ui~,il~~' ~ItedtlOn,Qp...~,~t~~sion:'per panel,
/ A Fee for branch CirCUits With
'I service or feeder fee, each
,ii"" '" ,I.., branch circuit
I B Fee for branch circuits
I Without service or feeder fee,
first branch Circuit,
I each add I branch CirCUIt
I'Miscellaneous "..,""0'1'
I Service reconnect only
I Each manufactured or modular
dwellIng, service and/or feeder
I Pump or lITIgation Circle
1 Sign or outlIne lightIng
Signal clrcUlt(s) or IImlted-
energy panel, alteratIOn, or
extensIOn
I
I
I
I
I
I TOTAL PERMIT FEE I $63 50 I
: fii11l:.~H~r"'!lf'''eld ..1ru><W..ocol & clOUD Fp~.,..5<yn.l..l/.ijl1 Technology Fee
GbM: ~)f17!'f-, 3 L.j5 !
I
I
$48 00
$48 00
rerouted a CirCUIt that was cut when the roof was beIng Installed
Name BJ Rogers Real Estate
Phone' (541) 746-7678
EmaIl,
IFax
II
,", I
',01 CONTRACTOlf "," 0'"
'1 "r,{1
lEI hc no' 20-442C I CCB hc no. 136446
I Busmess Name BURRELL BROS ENTERPRISES INC
I Contact Joshua Burrell
[Address' PO BOX 697
I CIty/State/ZIP: WALTERVILLE OR 97489-0697
I Phone. (54 I )7472724 I Fax' (541 )7441 047
I Emall burrellbros@IntegraonlIne com
I Metro hc no
I Supervlsmg electrICIan's lie no' 4721 S
I Supervlsmg electnclan's name JOSHUA J BURRELL
<" "
I CIty hc no..
not offered onlIne at thiS JunsdlctIon
Upon revIew and approval by your localjurlsdrctlon, your
permit WIll be e-malled or faxed WIthin one bUSiness day,
With instructIons on how to schedule your inspectIon
ELECTRICAL PERMIT FEES,
I
$48 00 I
$50 00 I
$600 I
$750 I
NOTE ThiS AuthOrizatIon To Begin Work expIres Within 180
days If a permit IS not obtained
Subtotal
MInimum fee used Instead of Subtotal
State Surcharge (12% ofpenmt fee)
CIty Of SprIngfield fees ·
The local bUilding department may determine that an
Authorrzatlon To Begin Work IS null and VOId If It does not
meet applicable land use laws and local ordinances.
RtPTt#:~@O -3;;;;u
D">TIlPA~0//z/Jr
1 (-~_.:::J:;_'..-~ - / /
ThiS AuthOrization To Begin Work must be P9S~9@t~~~~~~ed by a
'_. I I
""_". ,." 7 c=; "
P ~rmlt
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00345
COM2008-00345
COM2008-00345
COM2008-00345
COM2008-00345
Payments:
Type of Payment
ONLINE CHGS
cRecelOtl
RECEIPT #:
2200800000000000320
Date: 03/12/2008
DescriptIon
Add, Alter, Extend Clrc
Mlntmuml Adjustment Electncal
+ 5% Technology Fee
+ 12% 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 In Person
Payment Total:
Page 1 of I
2:16:21PM
Amount Due
4800
200
250
600
500
$63,50
Amount Paid
$63 50
$63.50
3/12/2008