HomeMy WebLinkAboutPermit Electrical 2009-1-20
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00082
ISSUED: 01/20/2009
APPLIED: 01/20/2009
EXPIRES: 07/20/2009
VALUE:
225 Fifth Street, Springfield, OR'
541-726-3753 Phone
541-726-3676 Fax
541-726"3769 Iuspection Line
SITE ADDRESS: 1703 CONCORD AVE APT I
ASSESSOR'S PARCEL NO.: 1703344301800
Eugene
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: New
Owner: DAVID VESTAL & BARBARA R VIMONT LlV
Address: 320 SE SELLS DR
SHELTON WA 98584
Phone Number: 541-426-7941
I CONTRACTOR INFO.RMATlON ,
Contractor Type
Electrical'
Con tractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2009
Phone
541-747-2724
BUILDING INFORMA T1()N I
# of Units:
Primary Occupancy Group:
Secondary Occupaucy Group:
Primary Constructiou Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Euergy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION'
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:
Compact:
Description
tWTir.i='
THIS PERMIT SHALL EXPjP.F. 11= TfJ.C WClRJ(.. I
MJTHORIZED UNDER THI~ ~~,I~.~~~~ ~~~,l:rIDtlOn
COMMENCED OR IS ABAN$leU[SiJ RJR Square Footage
Ar:r\Vpecof Constr.uctI9!I-. - -
~ 1 I uU UflY PttiIUU. or multIplIer or Bid Amonnt
I PUBLIC IMPROVEMENTS I . .
~ '. ~TTE,,!TION: O'regan law requires ynu to
6^: foll.aw!iIJ!.e~a!!!JJ;J;'PJj by 1ile Orac,," 'j::i:ty
..., '""-",, Natlflc'D""nn rpntnt'mTh~"n I'U', ,n 0.- n. , '- "'f'
.1'\:' ~ . . ownspou s rams: ~..: ~l~ ::;0':' I J j I
Vv",!:J..'. In OAR 8:;2-U01-001 0 trlfOl:gh OAFi a52-:,~.
~-:J~ . 0090._ You may obtam caples 01 t:w ru:/" 'j\
V _, calling the center. (Note: the tele:~I'C- c' -
number for the Oregon Utility Notilb.!!:;:I'
r"',......i'"'~ =_ -4 r"I,",," ,.."'..... .."'~' ,
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
- - - --- -- , .t.
Value
Date Calculated
Paee 1 of 2
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Iuspection Line
Total Value ot'Project
F~es Paid'
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Exteud Circ Ea Add
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
$11.88
$4.95
$18.00
$81.00
1/20/09
1/20/09
1120109
1/20/09
Total Amount Paid
$115.83
Plan Reyiews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00082
ISSUED: 01/20/2009
APPLIED: 01/20/2009
EXPIRES: 07/20/2009
VALUE:
Receipt Number
2200900000000000067
2200900000000000067
2200900000000000067
2200900000000000067
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 RelllJired I nS'lections I
Electric Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: Wheu all electrical work is complete.
)
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 sball be done in accordance with
the Ordinauces of the City of Springfield aud the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of auy structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors aud 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 of/he 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
225 Fifth Street . '. :, . ".'
. ~,.,.. ''',.- ,.
Springfield, Oregon 97477:'\;.:;.';
541-726-3759 Phone ,-"" :" .;- ..
Job/Journal Number
COM2009-00082
COM2009-00082
COM2009-00082
COM2009-00082
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000067
Date: 01/20/2009
9:58:42AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
, Amount Due
81.00
18.00
4.95 '
11.88
$115.83
Description
Perm Serv/Fdr.200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5,% Techrtb.logy Fee
+' 12% State'Surcharge
Paid By
ONLINE PERMIT CHGS
Amount Paid
njm
ONLINE burrell bras Online
Payment Total:
$115.83
$115.83
Page I of I
1/20/2009
City of Springfi~ld, .
',.
Electrical Authorization To Begin Work
E-mailedTo:.burrellbros@integraonJine.com .
Receipt # EC545290
1119/2009 II :30:47 AM
Check on status of permit
By ~hone: (541)726-3753 or Email: permitceuter@ci.spriugfield.or.us
I [Xl 1 or 2 family dwelling
D Multi-family
o Commercial I Industrial
IX] Addition/alteration/replacement
IJob no.: l.Job a~dress: 1703 CONCORD AVE
[City/State/ZIP: EUGENE, OR 97403-2408
I Suitclbldg./llpt.no.: APT 1
I Project name:
Cross street/directions to job site:
[Subdivision:
Tax map/parcel no.: 1703344301800
ILotno.:.
I-Limited energy, residential
(with above sq. [1.)
I ~Limited energy, multifamily
residential (with above Sq, ft)
I-Limited energy, commercia] not offered online at thisjurisdiction
(with above,sQ, ft:)
I ~ Stand-alone limited energy,
residential
I - St~md.alone limit~denergy,
,multi-family
I - ~tand.~lone limited e-nergy,
commcJcJ3J
new branch
rvpower
1200 amps Or less [2]
1201 amps to 400 amps [2]
1401 amps to 599 amps [2]
I Name: David/ Barbara Virnont
I Phone: (360) 426-7941
I Email:
I Fax:
200 amps or less [2]
1201 ainps to 400 amps [2]
140] amps to 599.arnps [2]
I A. Fee for branch circuits with
service or feeder fee, each
branch circuit
I B. Fee for branch circuits
without service or fceder fee,
tirst branch circUIt r2l
1 each addl branch circuit
3
$6.00
$18.001
I
I
J EI. lie. no.: 20-442C 1 CCB lie. no.: 136446
I BusinesS Name: BURRELL BROS ENTERPRISES me
I Contact: Joshua Burrell
IAddress: PO BOX 697
I City/StateIZIP: WALTERVILLE OR 97489-0697
IPhnne: (541)7472724 IF." '(541)7441047
1 Email: burrellbros@integraonline.com
1l\'1ctro lie. no.: ! City lie. no.:
1 Supervising electrician's lie. DO.: 472] S.
1 Supervising electrician's name: JOSHUA J BURRELL
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instru~tions on how to schedule your inspection.
I Service reconnect only [2]
I Each manufactured or modular
dwelling,.service and/or feeder
rZl
I Pu.rnp or irrigatio.n circle [2 J
1 Sign or outline lighting [2J
Signal circuit(s) or limited-
cnergy panel, alteration, or
_cxtension.f2J . .
jtlil~;?'~~Eil'EtfRICAI!PERMii:F.EES~~"'~;~~t
~4fJf.'_,;.~:lJE',ffi'.~ =-- ".~,",,' '~'._':';"~"c.~~:::Jif_~"",~~~""'^," ,);" .
1- Subtotal I $99,00.
1 State Surcharge (12% of permit fee) $11,881
1 City Of Springfield fees * I $4.951
I TOTAL PERMIT FEE I $1I5.S3
* City Of Springfield fees: 5% Technology Fee
(Default mimber afinspections allowed)
I.
1
I
I
NOTE: This Authorization To Begin Work expires within 180
days if a permit 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.
CoIY''2a01 - roo ~2.
/-20- 0"")
N~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.