HomeMy WebLinkAboutPermit Electrical 2008-12-8
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01745
ISSUED: 12/08/2008
APPLIED: 12/08/2008
EXPIRES: 06/08/2009
VAI.:UE:
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 119
ASSESSOR'S PARCEL NO.: 1702330001300
SPRINGFIETYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace meter base
Owner:
Address:
SANTIAGO ESTATES ASSOCIATES LLC
11211 GOLD COUNTRY DR STE 100
GOLD RIVER CA 95670
.......
'-,
I CONTRACTOR I~.FORMATION .
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISESINC
License
136446
Expiration Date
, '
08/20/2009
Phone
541-747-2724
BUILDING INFORMATION.
"" '. # of Units:
Primary Occnpancy Group:
Secondary OccupancY,Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
, Height of Structnre .
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPM~NT I~FORMAT~ON I
(
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyal'd Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of LotCoverage:
Total:
, Handicapped:
Compact: ,
ATTENTION: Oregon law requires auto
NfO't'OfW rules adopted by the Oregol~ Utility
01 rcatron rt:1nfClI' I~...........~~.., _
In UAR 952'001-0010 through -O,~i:i'952'0v~;(~
009~;, You ma~ oblain copies of Ihe rules b
Sl1tewalktir'Ylle'ntel' ,('"01''' th t J h Y
.., -..... ,l\j ,I c:, e e ep on
Bumber for tbe n,'ooan 'It'j't N " e
ownspputslUr~ins:~ l 1/ Y of/tlcalion
venter IS f .800-332.2344).
I ~UBLI~ IMPROVEMEN:rS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE: '
THIS PERMIT SHALL EXPIRE IF THE woRK
.._- ";'J'~n T"'" DCQMIT Ie: 1\101
AU I MUnILL-U 1.),0[".....'-" ,"-
'JCED OR Ic.~.r.^1\f['lOWIJ ,-Ut'. 1
COMME,. vvaluatlOn DescrIPtIOn
ANY 180 DAY Pt!'liv v. ,
T f C t t. $ Per Sq Ft ' Square Footage
vpe'o ODS rue IOn. . . .
, ' , or multIpher or Bid Amonnt
Value
Date Calculated
Description
Page I of.2
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I' ,.., ,
'I
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
"
.,'
PERMIT NO: COM2008-01745
ISSUED: 12/08/2008'
APPLIED: 12/08/2008
EXPIRES: 06/08/2009
VALUE:
Issued
, .
Total Value of Project
Fees PaiclJ
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdl' 200 amps or less
Amonnt Paid
Date Paid
Receipt Number
$7.30
$8.76
$3.65
$73.00
1218/08
12/8/08
12/8/08
12/8/08
3200800000000000780
3200800000000000780
3200800000000000780
3200800000000000780
Total Amount Paid
$92.71
1 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 R~o,~.Iirecl I n~pe~tions 1
Electric Service: Approval required prior to ntility 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 structnre withont 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 nsed on this project.
I further agree to ensnre that all required inspections are reqnested 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 of2
225 Fifth Street,
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1745
COM2008-0 1745
COM2008-01745
COM2008-0 1745
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
Penn Serv/Fdr,200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200800000000000780
Date: 12/08/2008
Item Total:
Check Number Authorization
. Received By Batch Number Number How Received
NJM
ONLINE BURRELL In Person
Payment Total:
Page 1 of 1
8:1O:35AM
Amount Due
73.00
3,65
8,76
7,30
$92.71
Amount Paid
$92.71
$92.71
12/8/2008
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:burrellbros@integraonline.com
Receipt # ,EC543252
12/8/20087:44:57AM
Check on status of permit
By Phone: (541)726'3753 or Email: permitcenler@ci.springfield.or.us
o Multi-family
D Commercial I Industrial
I Descriptio~ I Qty. I Ea. Total
lij{CSiilc"nt"iar'S, (NGt:E~jit).R.:~mUlti~fll'ii'tilY;dwefiing(u'"nii;+tnClu,de, s~,':'~E:\,\~iit'.1
f'''''''''''''~~:''\Y''"'''"''''''''''''~''''..' '. i :,;.' ..'- ~~-~.,-,,~. ~.~~~., - ~-+WF'~~t.~.n''''',::&
luttachcd!gurnge.>z 'il '1.~\,;:'r.-,~,:!tt:,'S'~~',';-;,;-:;s.~' ,~:;;,..,l'll~~-'%"rti
"<">.,,,.""-"",, J..,.,.,._.""'" ". "",,,.._,,.,,,,,.~,...'n;_. __,.........,..... W' ="w'>'..-.' ~."'_
11,000 sq. ft. or less I
I Ea. add] 500 sq. ft. or portion
I D New construction
[X] Addition/alleration/re?laCement
I [K] 1 or 2 family dwelling
IJob no.: IJob address: 5335 DAISY ST
I City/State/ZIP: SPRINGfIELD, OR 97478"6298
ISuilc/bldg./apt.no,: SPC] 19
Project name:
Cross street/directions to job site:
I Subdivision:
map/parcclno.: ] 702330001300
ILot no.:
I - Liinited energy, residential
(with above Sq. ft.)
I-Limited energy, multifami]y
residential (with above sq. f1.) .
I-Limited energy, commercia-]
(with above Sq. ft.)
I - ~tan~-a]one limited energy,
resldentml .
I - St~nd-a]onelimited energy;
multl-familv
I . Stand-alone limited energy,
commercia]
Its~~gl}rfsIl1.~~~[[~imt[Qir~:U~.ii!?2Q~~~ii~~~~
1200 amps or less $73.00 $73.00
I 201 amps tq 400 amps
1401 amps to 599 amps
meter base
1200 amps or less
I 201 amps to 400 amps
140] amps to 599 amps
I Name: Santiago Estates
!Phone: (541)747-49]9
IEmail:
IF""
I A. Fee for branch circuits with
service or feeder fee, ench
branch circuit.
I B. Fee for branch circuits
without service or feeder fee,
first branch circuit
I each nddl branch circuit
I E1. lie, 110.: 20-442C 1 CCB lie. no,: ]36446
I Business Name: BURRELL BROS ENTERPRISES INC
1 Contact: Joshua Burrell
IAddress: PO BOX 697
I City/StatclZIP: WALTERVILLEOR 97489-0697
jPho"o: (54])7472724 IF"" (54])7441047
I Em:lil: burrellbros@integraonline.com
1 Metro lie. no.: 1 City lie, no,:
ISupcrvisingcleetrieian'~ lie. nu~:. 472]S
I Supervising electrician's U:lme: JOSHUA J BURRELL
I Service reconnect only
I Each manufaCtured or modular
dwelling_ service andlor feeder
I.Pump or irrigation circle
1 Sign or outline lighting
Signal circuit(s) or Iimited-
energy panel, alteration, or
extension.
I
I
I
Upon review and approval by your local jurisdiction, your
permit will be e-ma!led 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 $73,00 I
State Surcharge (12% of permit fee) $8,76 I
City OfSpringl1c]d fees" $10,95 I
l TOTALPERM]TFEE $927] I
.. City Of Spririgfie]d fees: 10% Administration Fee; 5% Technology Fee
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.
~(S'- O\7~5
\'1-_8"-0 tr
Nf'v'J
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.