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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