HomeMy WebLinkAboutPermit Electrical 2009-1-14
225 Fifth Street. Springfield, OR 97477+PH(54t)726-3753+FAX(541)726-3689
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Permit no.: 000 b~
IDd~ I
Electrical Permit Application
This permit is issued under OAR 918"309-0000, Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days;
Residential, per unit, service included:
1,000 sq. ft. or less (4) $134,00 $
Each additional 500 sq. ft. or portion $ 25,00 $
thereof
Limited energy (2) I $ 32,00 $
Each manufactured home or modular 1 $ 63,00 $
dwelling service or feeder (2) / Services or feeders: installation, alteration, relocation
200 amps or less (2) I I $ 81,00 $
20 I to 400 amps (2) I $ 95.00 $
401 to 600 ainps (2) I $158,00 $
601 to 1,000 amps (2) I $205,00 $
Over 1,000 amps or volts (2) I $469,00 $
Reconnect only (2) I $ 63.00 $
$58.00
$
$
$ I
$ I
$ 91.1 ~
, .
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00063
ISSUED: 01/14/2009
APPLIED: 01/14/2009
EXPIRES: 07/14/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726'3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5335 MAIN ST 237
ASSESSOR'S PARCEL NO.: 1702330001300
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Pedestal swap out
Owner: SANTIAGO ESTATES ASSOCIATES LLC
Address: 11211 GOLD COUNTRY DR STE 100
GOLD RIVER CA 95670
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2009
Phone
541-747-2724
I, BUILDING INFORMATION I
VB
# of Stories: uiles you to Lot Size:
E.~l!lW:~~Oftlll-t;:6Iegon Utility Sq Ft 1st Floor:
ATf ~R!Soadbla\fid by tIes ale set (olth Sq Ft 2nd Floor:
tolloW il/l'Cif\Yt1ll. 1hose IU OAR 952.,OO'\.Sq Ft Basement:
Notillc ~~(J)'P\Il'\O thlOUgh oHhe lules bYSq Ft Garage/Carport
in OA eygyallalli!ain COPI~~he telephone Sq Ft Other:
0090Iii~l\6lettlllllfId~t~iility Nalrlicatlon Occupant Load:
ca ,_ _ .ho ()leQatl _ c~ H)
IDE'VtU)b1mrrifN~ftMATf6N "
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
. Primary Coustruction Type
Secondary Construction Type:
# of Bedrooms:
R-3
'::';.~. ;:, . ~ .
REQUIRED PARKING
Frontyard Setback:.
Side 1 Setback:
. Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:'
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
. NOTICE: , d/1\R'rI~ 'fWf.eWORK
1H\S PERMI1 S~~~~ 1"~S'Ijb'il\l,MJ;b~itllP.T
fl.U1HORIZED U \5 fl.BANDONED FOR
COMMENCED OR
ANY 180 DAY PERIOD.
Notes:
I Valuation .DesCl'intion I .
Description
Type of Construction
$ Per Sq Ft
or multiplier'
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of2
CITY OF SPRINGFIELD
Status
Iss u ed
Building/Combination Permit
PERMIT NO: COM2009-00063
ISSUED: 0111412009
APPLIED: 01114/2009
EXPIRES: 07/1412009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees ~~id I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or less
, Amount Paid
Date Paid
$9,72
$4,05
$81.00
1/14/09
1114/09
1/14/09
Receipt Number
2200900000000000050
2200900000000000050
2200900000000000050
Total Amount Paid
$94,77
I 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.
,Re,?!,jr~~ I~~'lec~io!l,~ I
Electric Service: Approval required prior to utility compauy euergizing service.
By signature, I state and agree, that I have carefully examined the completed applicatiou aud do hereby certify that an
informatiou hereon is true aud correct, and I further certify that any aud all work performed shall be doue in accordance with
the Ordinances of the City of Springfield and the Laws uf the State of Oregou pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permissiou of the Commuuity Services Division, Buildiug Safety,
I further certify that only coutractors and employees who are in compliauce with ORS 701.005 will be used au this project,
1 further agree to ensure that all required'inspections are requested at the pruper time, that'each address is readable from the
street, that the permit card is located at the front uf the property, aud the approved set of plans will remaiu au the site at all
times during construction.
Owner or Contractors Siguature
Date
Paee20f2
225 Fifth Street
Sprin'gfield;Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00063
COM2009-00063
COM2009-00063
Payments:
Type of Payment
CreditCard
cReceiot I
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200900000000000050
Date: 01114/2009
1:43:54PM
Description
Penn Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
JOSHUA BURRELL
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 04516b In Person
Payment Total:
Amount Due
81.00
4.05
9.72
$94,77
Amount Paid
$94.77
$94,77
Page I of 1
1/14/2009