HomeMy WebLinkAboutPermit Electrical 2009-1-13
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0005I
ISSUED: 01/13/2009
APPLIED: 01/13/2009
EXPIRES: 07/13/2009
VALUE:
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 85
ASSESSOR'S PARCEL NO,: 1702330001300
SPRINGFIETYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace main breaker
Owner:
Address:
SANTIAGO ESTATES ASSOCIATES LLC
11211 GOLD COUNTRY DR STE 100
GOLD RIVER CA 95670
Phone Number: 541--729-8384
I CONTRACTOR INFORMATION 1
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2009
Phone
541-747-2724
BUILDING INFORMA TI<?N 1
# 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 2ud Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupan~ Load:
nla
I DEVELOPMENT INFORMATION ,I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
<;ompact:
,ji;,~....";';'~.
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available: ATTEl'Rm'mll91tJ~/!!r~jm:requires youto
Special Instruction: NOTICE: foilow rules adopted by the Oregon Uullty
THIS PERM Notification Center. Those I ules are set forth
Notes: AU' " IT SHALL EXPIR in OAR 952-001.0010 through OAR 95~-001-
_ _ TliORIZED I'W)cn T" _ E IF THE WnRI( nflCn Y,," mav obtain GOpi8S of the rUles by
;'L-wiiV1tIVCED OR IS . 'i;'" --:.ll~',';T 13 IVU I calling the center. (i'WI8:. !II" l~IC:I~"U'.'V
liNt' 180 DAY PE ABflM'ilIlNiUonrJ)escriotion ~umber for the Oregol1 Utdity Notification
RfOD" 'Center is 1-800-332-2344),
$ Per Sq Ft Square Footage
o.r multiplier or Bid Amount
Description
Tvoe of Construction
Value
Date Calculated
Paee I 61'2
Status
Iss u ed
225 Fifth Street, Springlield, OR
541-726-3753 Phone
, 541-726-3676 Fax
541-726-3769InspectioiI Line
Fee Descriotion
+ 12% State Surcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or less
Total Amount Paid
Amount Paid
$9,72
$4.05
$81.00
$94.77
Total Value of Project
Fees Paid 1
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0005I'
ISSUED: , 01/13/2009
APPLIED: 01/13/2009
EXPIRES: .07/i312009
VALUE:
Receipt Number
3200900000000000021
3200900000000000021
3200900000000000021
Date Paid c
I Plan Reviews I
1/13/09
1/13/09
1/13109
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.
Re/llliredlnsnections 1
Electric Service: Approval required prior to utility 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 cornict, 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 Service~ 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Paee 2 of 2
Date
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:burrellbros@integraonline.com
Receipt # EC5449111
,
1113/20097:54:50 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield;or.us
I 0 New cO,nstruction
[K] Addition/alteration/replacement
[KJ 1 or2family dwelling
o Multi-family
IJobno;: IJobaddress: 5335 DAISYST
I City/Slate/ZIP: SPRINGFIELD, OR 97478-6295
1 SuitelbldgJapt.no.: SPC 85
I P.-ojcct name:
Cross street/directions to job site:
I Subdivision:
ITax map/parcel no.: 1702330001300
ILot no.:
I-Limited energy, residential
(with above Sq. ft.)
I-Limited energy, multifamily
residen'tia] (with above SQ. (1.)
I - Limited'energy, corilm-crcia-] not offered online at this jurisdiction
(with above sq.n.)
I - Stand-alone limited energy,
'residential
I - Stand-alone limited energy,
mu]ti-family
I - Stand~alone limited energy,
commercial
1200 amps or less [2] $810001
120] amps to 400 amps [2]
1401 'mps to 599 amps [2] I
l~n~~tf~~,-~R~~~di~9!i!Pe.,d".e!:~:,irrs~I,i,?t~,8;fa,-,It'eraHo1~
~R{Qmr~t!~~'l~~'~~~~~'~~'''"""
1200 amps or less [2] I I
IZO] amps to 400 amps [2]
140] amps to 599 amps [2] 1 1
It~:r~Ilh,~}E]}~~~0[~~r.'~ti'~!I~'2~lii$:~'~o~pEsrrf~,t~iY;,1
I A Fee lor branch circuits with
service or feeder fee, each
bnmchcircuit
lB. Fee for branch circuits
without service or fe~der fee,
first branch circuit rZl
I euch addl branch circuit
$81.001
1
I
replace main
I Name: Santiago Estates
!Phol1e: (54]) 729-8384
IEmail:
IFax:
1 EI. lie. no.: 20-442C I CCB lie. no.: 136446
I Business Name: BURRELL BRaS ENTERPR1SES INC
1 Contact: Joshua Burrell
IAddress: PO BOX 697
I City/State/ZIP: WALTERVILLE OR 97489-0697
1 Phone: (541 )7472724 . 1 Fax: (541 )744(047
II<:mail: burrcllbros@integraonlineo~om
\ Me.tTQ lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 4721S
I Supervising electrician's name: JOSHUA J BURRELL
Upon review and approval by your local jurisdiction, your
permit will be e-malled or faxed within one business day,
with instructions on how to schedule your Inspection.
Service reconnect only [2]
Each manufactured or modular
dwelling, service and/or feeder
r21
\ Pump or irrig~\ion circle [2)
'11 SIgn or outline lighting L2]
I Signal circuit(s) or limited-
energy panel, alteration, or
extension [2J _
1~,",f:.p~Jl!~~~t::~:t'i~ErrECT-RrCAGp,.ERM1T/FEE'sF~~.;~~~.~ ,,1,;"1
~~"",'e;:,*:;,,,,,-._~"f$J.,,._,,,,,,=~.,_,,.,, ~,_"",,,,,,, """""",~=~14i::*"ts."~"""",",,;...
'I SubtQtal $81.00 I
I State Surcharge (12% o[permit fee) $9.72 I
I City Of Springfield fees'" $4.05 I
TOTAL PERMIT FEE, $94,77 I
... City Of Springfield fees: 5% Techno]ogy Fee
! Default number of inspections allowed)
NOTE: This Authorization To Begin Work expires within 180
days if a perinit is not obtained.
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.
C.W("n'LcT-o '\ _ OpC'J S \
This Authorization To Begin Work must be posted at the job sife until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
"
Public Works Department
RECEIPT #:
3200900000000000021
Date: 01/13/2009
8:19:05AM
Job/Journal Number
COM2009-00051
COM2009-00051
COM2009-00051
Description _
Perm ServlFdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment. Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
81.00
4.05
9.72
$94,77
Amount Paid
ONLINE CHGS
ONLINE PERMIT CHGS
NJM
ONLINE BURRELL Online
Payment Total:
$94.77
$94,77
I
cReceiotl
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