HomeMy WebLinkAboutPermit Electrical 2008-12-3
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01733
ISSUED: 12/03/2008
APPLIED: 12/03/2008
EXPIRES: 06/03/2009
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5335 MAIN ST 240
ASSESSOR'S PARCEL NO,: 1702330001300
SPRINGFIETYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace meter base - EMERGENCY
Owner: SANTIAGO ESTATES ASSOCIATES LLC
Address: 11211 GOLD COUNTRY DR STE 100
GOLD RIVER CA 95670
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2009
Phone
541-747-2724
I BUILDING INFORMATION I
# of Units:
Primary Occnpancy Gronp: ,
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Palh:
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
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay ~ist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
. I PUBLIC IMPROVEMENTS I
Street Improve~Tl:ENTlON: Orego I 'I Sidewalk Type:
aI/ow rules d ,n aw requires y I
Storm Sewer Mitill~J~ilion C: Opted by the Ore on au (0 DownspontslDrains:
Special Instrnction:;6,R 952'00tter. Those rules a;e Vtl"ty,
.0090. You may. ~~~:fnthrollgh OAR 9~~.6~~~ NOTICE:
Notes: calling .the center. copies of the rules b THIS PERM '
nUmber fr" th^ ~, (Note. the t"jAnh^^_ y, ^ ""'"1',']-,- IT SHALL EXPIRe Ie TUr ,,,^_..
Center is-1 ~80u" Ulflfi' ::u'"/catlO'n r.~- ;afi""'cu UIVUtR THIS PERMIT-IS' u, 11\
0.332'4::'Valuatioll Descriotioii . ENGED OR IS ABANDO NOT
.\.. 180 DAY PERIO NED FOR
$ Per Sq Ft Square Footage 0,
Description Tvpe of Construction It' I' B'd A t Valne Date Calculated
or rou IP lef or I moun
Page I of2
, Status
Issued
CITY OF SPRINGFIELD
'Building/Combination Permit
PERMIT NO: COM2008-01733
ISSUED: 12/03/2008
APPLIED: 12/03/2008
EXPIRES: 06/03/2009
. VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
"!,ee~ P~i,~ I
Fee Description
+ 10% Administrative Fee
+ 12 % State Snrcharge
+ 5% Technology Fee
, Perm ServlFdr 200 amps or less
Amonnt Paid
Date Paid
Receipt N nmber
$7,30
$8:76
$3,65
$73.00'
12/3/08
12/3/08
12/3/08
12/3/08
3200800000000000776
3200800000000000776
3200800000000000776
3200800000000000776
Total Amonnt Paid
$92.71
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.
Reouired Ins"ectio"s I
,I
Electric Service: Approval required prior,to utility company energiziug 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, aud I further certify that any and all work performed shall be done in accordance with
the Ordiuances of the City ,of Springfield and the Laws of the State of Oregou 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 ensnre 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" 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:burrell<~ros@integraoniine.com
Receipt # EC543059
12/3/20082:13:30 PM
Check on status of permit
By Phone: (541)726-3753 or Em"iI: permitcenter@ci.springfield,or,us
,
D New construction
IX] Addition/alteration/replacement
[K] ] or 2 family dwelling
::l!f~~~~);IJi!ii1lJOB!SI,.EliN1r6'RMATi6N'AifD;[6CATION~}n:'1:~4i1'll~~f,ciII
.~, . 'fj", .~.~... ~ "~~'-y-w_.~_.......:~.:".. ..,....",,,...,,-"",,.:"'~~=~'""''''.,.,.,,.._~, '%~A.....".~...._.,;-.ti.::;;::_~~'"
IJob no.: IJob address: 5335 MAIN ST I
ICity/StatelZlP: SPRINGFIELD, OR 97478-6207 I
I Suitefbldg./apt.no.: SPC 240 I
I Project name: I
Cross street/directions to job site:
11,000 sq. ft. or less
"I Ea. addl 500 sq. ft. or portion
I Subdivision:
I Tax map/parcel no.: 1702330001300
I Lot no.:
I ~ Limited energy, residential
(with above Sq. ft.)
I -Limited energy, multifamily
residential (with above SQ. fn
I - LiTilited energy, commercia'l
(with above sq, n.)
I . Stand.alone limited energy,
residential
I . Stand~alone limited energy,
multi. family
I - Stand:-~lone limited energy, I I
commercial ~
It~fi1~,~Q~{{s4F~~:m~tf~~!?"'s~ii~]Ri!r~E~~!~2fJ:2:'I1~;'~c:~~1
1200 amp~ orless 173,00 $73.00 I
1 20 I amps to 400 amps I
1401 amps to 599 amps I
checked out / replaced meter base guts ........:EMERGENCY
I Name: Santiago Estates
[Phone: (541) 747-4919
IEm,ll,
"
1 200 amps or less
J 201 amps to 400 amps
401 amps to 599 amps
IFax:
I A. Fee for branch circuits,with
service or feeder fee, each
branch circuit
I I B. Fee for branch circuits
I without service or feeder fee,
first branch circuit
I eachaddl branch circuit
I
I
I
I
I
I
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I EI. lie, no,: 20.442C ICCB lie. no.: 136446
I Business Name: BURRELL BROS ENTERPRISES INC
I Contact: Joshua Burrell
IAddr"" PO BOX' 697
ICity/State/ZIP: WALTERVILLE OR 97489.0697
!Phon" (541)7472724 I Fax, (541)7441047
[Email: burrellbros@integraonline.com
I Metro lie. no.: ICityIic. no.:
Isupen'ising electrician's lie. no._: 472IS
Supervising electrician's name: JOSHUA J BURRELL
Service reconnect only
Each manufactured or modular
dwelling. service and/Of feeder
I Pump or irrigation circle
Sign or outline lighting
Signa] circuit(s) or limited-
energy pane]. alteration, or
extension.
I
I
I
I
I
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.
Subtotal I $73.00 I
State Surcharge (12% ofpeiinit fee) $8.76 I
City Of Springfield fees *1 $10.95 I
l T01"L PERMIT FEE 1 192.711
* City Of.Springfield fees: ] 0% AdTilinistration Fee: 5% Technology Fee
The local building department may det~rmlne that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
000'1 LCDr - 0\133
Nt-^
IZ...-03-06
This Authorization To Begin \Nark rtJust be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477,
541-726-3759 Phone
Job/Journal Number
COM2008-01733
COM2008-0 1733
COM2008-01733
COM2008-01733
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200800000000000776
Date: 12/03/2008
Description
Penn Serv/Fdr 200 amps or less
+ 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 Online
Payment Total:
,-
'i'
Page 1 of 1
2:45:50PM
Amount Due
73.00
3.65
8.76
7.30
$92,71
Amount Paid
$92.71
$92.71
12/3/2008