HomeMy WebLinkAboutPermit Electrical 2009-1-2
Status
Issued
CITY OF SPRI~(JJ:<lELD
Building/Combination Permit
PERMIT NO: COM2009-00007
ISSUED: 01/02/2009
APPLIED: 01/02/2009
EXPIRES: 07/02/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lirie
I
SITE ADDRESS: 5335:MAIN ST 29
ASSESSOR'S PARCEL NO.: 1702330001300
Springfield TYPE OF WORK: Electrical Work Only
I
PROJECT DESCRIPTION:
TYPE OF USE: Repair
Service Replacement - Emergency per Electrical Contractor Joshua J Burrell
Residential
Owner: SANTIAGO ESTATES ASSOCIATES LLC
Address: 11211 GOLD COUNTRY DR STE 100
GOLD RIVER CA 95670
'1. CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor
B,uRRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2009
Phone
541-747-2724
BUILDING I~FORMA TIO~ I
# of Units:
Primary Occupancy Grou~:
Secondary Occupancy Group:
Primary Construction Typ~
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:
n/a
I DEVELOPMENT INFORMATW.~'ITION: Oregon law. requires you to
NOTICE: . ., tWotv rules adopted t~EQmREpJRARtq'NG
F ty d S iWUi. PERMIT SHAll EXPIRE IF TI-\\}JM~~' t. Notification Center, ThY1 rilles are set forth
:on ar et. . IS. In OAR 952-001-001OthlBu'1.,;,l OAR 952-001-
S~de 1 Setbac/AUTHORIZED UNDER THIS' PERMlli lS ~rees Rqd: 0090. You may obtain nt~g~cilP!lf9i'ules by
S,de 2 SetbacI{)OM,MENCE,D OR IS ABANDONED I'Md DrIVe Rqd: calling the center, (t',l6?t!:'I/~~,tielePhone
Rearyard Set'lil~r-180 DAY PERIOD. % of Lot Coverage: number for the Oregon Utility Notification
Solar Setbacks: " Center is 1-800-332-2344).
I PUBLIC I~PROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation DescriDtion I
Description
Tvpe of Con'struction
$ Per Sq Ft
or multiplier
. Square Footage
or Bid Amount
. value
Date Calculated
Page I of2
Status
Issued
225 Fifth Street, Springfield, OR
54t.726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
!,
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Amount Paid
$9.72
$4.05
$81.00
$94.77
Total Value of Project
Fees p~ id .
II III~
Date Paid
Plan Reviews I
1/2/09
1/2/09
1/2/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00007
ISSUED: 01/02/2009
APPLIED: .01/02/2009
EXPIRES: 07/02/2009
VALUE:
Receipt Number.
2200900000000000003
2200900000000000003
2200900000000000003
To Request an inspectibJi call the 24 hour recording at 726-3769. All inspections requested hefore 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 Insnections ~
Electric Service: Approval required prior to utility company energizing service.
,.
By siguature, i state and ag~ee, 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 projecl.
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. I,
Owner or Contractors Sign,ature
!
Page 2 of2
Date
225 Fifth Street
"'!/
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
PUlllic Works Department
RECEIPT #:
2200900000000000003
Date: 01/02/2009
2:58:38PM
Job/Journal Number
COM2009-00007
COM2009-00007
COM2009-00007
Description
Perm Serv/Fdr 200 amps or less
+ 5% 1echnology Fee
+ 12%,State Surcharge
Paid By
JOSHUA J BURRELL
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
kr 055559 Phone
Payment Total:
Amount Due
81.00
. 4.05
9.72
$94,77
Payments:
Type of Payment
CreditCard
Amount Paid
$94.77
$94.77
cRcceiot]
Page I of 1
1/2/2009
ZON
INITIA
DATE
SOURCE
j
_ 225 FIFTH STREET ~ SPRINGFIELD, OR 97477 . PH,(541)726-3753 . FAX: (541)726.3689
ELECTRICAL P~IwIT.ttJJJlCATlON
City Job Number l \ :--\... Date
~
1. ~@~Jjf~@jl'ilNSl:1ififf!f~~.Ejl 3.
h~stm4H?iJ.&;..h'6&h5i&t'''''''",S'f~'",~ji#i;J:btSililii;,\ki~0z:th~
f) ?)~ S Mlll fI ~'"1
LEG\~I1S..<;R.jP~.. r'V-) 6\--:2. r"Y' A,
\ \U j"..:J.....;? L.1.....J ~ UL/L.--"' Service Included
JOB DESCRlPTION:
~:t~e)n~:~nsfa~;~~~x~
not started within 180 d.ays of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor
Address
BURRELL BROS. ELEaRIC
" P.O. Box 697
LUoi[ervliie, VI1 ,;i,q~
541-747-2724
phone
City
Expiration Date
47')/5
)0
/3(; L/L/&
/0 ~ / ()
Supervisor License Num~er
/0
Cooste. Contr. Number
Expiration Date
.gnaWt)l'fI:CE"iSing~. et.rieian ~
. , LE~PJI THE WORK
: MI~ ~ I j\/J'f.M.i RMIT IS NOT
COMM .,-.. 6. lS ABANDb~K
OwnerANltijt8 . _
Address l')I_?'~(lIK\ ~\
City' ~~' Phone -,414C\ \4
~WNER lI~sJJLATioN
The installation is being made on property I own which
is not intended for sale,'lease or rent.
"
Owners Signature:
Insp~ction Request:
'""'" ~~~
~~~
1000 sq. ft. or less
Each additional 500 sq. ft, or
portion thereof
Each Manufac!' d Home or
Modular Dwelling Service or
Feeder
$ II 7.00
$ 21.00
$55.00
~F'1,w;:;r;;;;:Illmf1Pi&'fu"'l~"Jj)';[%%~;}4j1jn:;f4''':liik1>1!j2:,''><''ANlt;l'i0j;&>fJS,'?RmM)~J\'(;:+8!!2'i~
B "S~n"'.< ."'.....'?''''y ;.:n.;.'FiJ1jffi1&;*.5Y':1=~~'II?"I'.':'~":\ill:Aflt":mJWL";'PAt(Si...,.?i0:11iR""j"""","?f;;mr)1MltJiF!.. .;if
.1L: ~r-vlces'QrFl1ceuersI7:J nstiiaJon,,~ eratlOns\Qr+c, ocatIOn:nWlliJ0
1lLili'i00>S41Ahiffd4:..:~+~;:&;.'S'~Ni'tii;'i0.h'di:#ti111\i'''t4fi~t;~flJ~+:''?:iSWq;,{
200Amps or I:: if~'... ,- .~ $~ P>\. -
20 J Amps to 400 Amps $ 83.00
401 Amps to 600 Amps $138.00
601 Amps to 1000 Amps $180.00
Over 1000 Amps/Volts $413.00
Reconnect Only $ 55.00
c.
Installation, Alteration or Relocation
200 Amps or less $ 55.00
201 Amps to 400 Amps $ 76.00
40 I Amps to 600 Amps $ 110.00
~~.:~~;j~~;~"II~~~l'!~~~~~~;~~~~I:~~
D, lliTIBrallc.ti,€lrcnJfiSll1^:~i\I~"~~~F'F....,jM""4Il12E"...Kt!"""'t'11f"'!4l!'lffi
:::~~~ll~;_~;~~~~~r:~~e~~~~~e2~~~;':M'
One Circuit 0090. You may obtain COjSi08,llll the rules by
Each Additional Ci'C!li~t'lg'tlfll center. (Note: the telepno~e
Service or Feeder IftulWiber for the O'PO"11 €Jtfllll}l Notlftcatlon
E. ~Elia~\.1'7s~.wi~~~~~l~i:~1!i~~~~i~ii~1Jlfl!!lt1fn~
gi:li:itk~Q;bg;~~~Y?:j;D~_1M'G:W'40Ji;j;-Ydj~JlWJ#ix1~;Si0tM'm#i1W1ii;1t:;21
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
Limited Energy/Residentiat $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + sur}llarge(t:J
~ ~\.
C\ . \. "'L..
12% State Surcharge
~".J'.....'.~e
5% Technology Fee
TOTAL . a.4:1"1
Shared Drive(T:)/Building Forms/Electrical Pennit Application l~o~.dol
A -rx:L
(2.ec.e..:\ pl-..J.i 22-00~ -:5