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Home My WebLink AboutPermit Electrical 2009-1-14 (2) Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00064 ISSUED: 01/14/2009 APPLIED: 01/14/2009 EXPIRES: 07/2012009 VALUE: 225 Fifth Street, Spriugfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5335 MAIN ST 239 ASSESSOR'S PARCEL NO.: 1702330001300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Pedestal swap out Owuer: 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 BUlLDI.l':~ I!"FORMA TIO,N ~ VB # 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 Basemeut: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupaucy Group: Primary Coustruction Type Secondary Coustruction Type: # of Bedrooms: R-3 nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: Total: Handicapped: Compact: Str'~dTltr:emeuts: Sto'WIl'!r~I'iI~LL EXPIRE IF THE WORK Spej'/ehIflmi1~~l1lJNDER THIS PERMIT IS NOT Notrs91V1MENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I PUBLIC IMPROVEMEN1!I'ENTION: Oregon law requires you to lunuW rU~itle'Wa'Jktr9 'eY the Oregon Utility , ('\~ A:\ Nollflcatlon venter. I ~ose rules are set forth VVr-.'\.)J' In OAR 95DowrispoutslDrainJ:, OAR 952-001- t..!v.'r:.Q... 0090, You may obtain copies of the rules by . &- calling tile center, (Note: the telephone , ~~ ~ number ,for thu. Ore.-Jor, 'J:iiity Notification VW'" Centef IS 1-l3~}t>33.2-2344). I V aination D~scri9tion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage.. or Bid Amouut Value Date Calculated Page 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00064 ISSUED: 01/14/2009 APPLIED: 01/14/2009 EXPIRES: 07120/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ,Fees P3,id . . Fee Description + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Amount Paid Date Paid Receipt Number $9.72 $4.05 $81.00 $6.96 $2.90 $58.00 1/14/09 1/14109 1/14/09 1/20/09 1/20/09 '1/20/09 2200900000000000051 220090000000000005] 2200900000000000051 3200900000000000032 3200900000000000032 3200900000000000032 Total Amount Paid $162.63 Plan Reyiews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00. a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following' work day. I .~er~i~ed.~nsne~t,ions' Electric Service: Approval required prior to utility company energiziug service. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed applicatiou and do hereby certify that all information hereon is true and correct, aud I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield aud the Laws of the State of Oregon pertainiug to the work described herein, and that NO OCCUPANCY will be made of auy structure without permissiou of the Commuuity Services Division, Building Safety. I further certify that only contractors aud employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the s~reet, th~t the permi~.~ d] is located at the frout of the property, and the approved set of plaus will remain on the site at all "~'"D\~;";b~ .. .. r Contractors Siguature 'G- Date Paee 2 012 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753' FAX(54 1)726-3689 1~~5EeARTM'ENltfU~Ef0Nl!~~ ;l:k'\'i;'~;;i:3i~!t~ti"tc"'ri;,&;tI;',~~\U::1:':i!t~~-;;if.~a.~~1 I permitnoC()m ;)00 CJ-(}~{)&f ID~: . I . Electrical Permit Application This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . ~.o.~.:. a;p.:~~:~~~~~iEI'iNM~~~eeR(jV6:-~L~ ~~~N!~.~f'f.~::..;!t'.:~~t$~.')~(;~...)~,~"..~~t...':-.~ir.:~i .. . n __. .. _ _ .' _ ... ..~ I \; uT-~eT%p",),msp~c ,1O.!!~p~er.<i!~em; ~ _d~,,:I~ y;,I:~WL.s;A~I'-'."t~ 1.~!>~ml:.G(jR:f&r~alCPNSmRl!J.Cml(jN1'l___~jx~ _"""".ry_:'_,"~~d___,,,"'...m_,~,0Jlf -'i." ~;l..,.i11!!m9_S._ 1 ! .. I' I' 1 I Residential, per unit, service included: I Restdentlal D Government D Commercial . i~~~:~:~~~rE~'j~5RMJ~'~~r$JDjlli(j~i~~~~ I ~~;;;d:i:~::II:S;O(:~ ft. or portion :1:::::: i City; ~rn rI I Stat~:Ofi I ZIP: Q747f., I 1 Limited energy (2) $ 32_00 $1 ~=~~DESC&11;>0f:IONl0F,iWJ.~~~~i I J~~~I~:nS~~~~r~~ ~~:r (~)odular $ 63,00 $ I I ~ .11-..1 a. {) 0 IJ.I tf I I I Services or feeders: installation, alteration, relocation I I - I 200 amps or less (2)" $ 81,00 $ I 1~~~~Jl'li'i""~~~:lRR.bBERr.Y~'b\IV..rER?"-;"""'.""';;-i""~J;).'~i~J:! 1 20 I to 400 amps (2) $ 95.00 $ 1 I~N~::3"Mf)~;(;"l,~;'~h"S1'~"." I 401 to 600 amps (2) $158.00 $ I 1 Address: ,Z)35l) J JJ7/lJiYJ ,\;. .1 1601 to 1,000 amps (2) $205_00 $ I I CityS 0 P IrI I State:6 y -( 1 ZIP{j 747'1 1 I Over 1,000 amps or volts (2) $469.00 $ I I Phone: 1 ' -- 1 Fax; I I Reconnect only (2)" $ 63.00 1 $ 1 I E-mail: I I Temporary services or feeders: installation, alteration, relocation I Th" II' . b ' - d 'd' lei 200 amps or less (2) $ $ I IS msta atlOn IS emg ma e on reSl entia or ~arm property - 63.00 owned bX me or a member afmy immediate family. This I 201 to 400 amps (2) $ 87.00 $ I property IS not mtended for sale, exchange, lease, or rent. OAR I . 1 I 479,540(1) and 479.560(1). . 401 to 600 amps (2) $126,00 $ Signature: . lOver 600 amps or 1,000 volts. see services or feeders section above I t&:~~:;N~~T~;~N/iTc~l~~i~~1l~~~~ I :,r;::~o:i:::~:~ ~i::~i::t:~:::r:~:7:~na~:~::e~r feeder ree : 1 Addres~: f-J () _ - h h X Dq -7 I Each branch circuit 1 $ 6_00 I $ I I City~W fJ}ftfV;) Ii I State; (}y.t I zIPq7 L/-rf1 I ,b. Fee for branch circuits without purchase ofa service or feeder fee: 1 I Phone: t ~1' CE:7 ;. tJ. 1 Fax: 7-1.1'+ /1'1 7 1 . First branch circuit (2) . I $ 55.00 $ I I 1 E-mail: .THISPFRQA\II=YDII:l!:I~TlJ.ItIEaCh additional branc1h:l1&iltG8_f>0~ ~:~J:,~I~~OO" ~mll 1 I CCB licens'\J.hTJ, r!YbqJ~~~<m'liJ;~f:iMi=iUC 1 MiSCellaneOnS'W,JftX~m(S~'i'>>i~dkq-j~~~ eJI6~;IIBO I I Signing sup~fs'1j zs'\i(c~/il;lm.IS ~1W\lJEP.--EQR . 1 Each pump 01lil;rig;lfi1lna:ir~!e)(2)lldoo JlBlq~ ~Fll3!rrO'J+ $J~OO 1 1 Print name\lgigti1,'g!Jfi\);,~~~J. ..()Jv \.1I~' I Each sign or 5~fj~<!'-!'lIhH:~~~!,~.'~u;~,. ~ ~,~;'~~}~~M~~ ~;~o~: 1 I Signature of signing supervisor....... AllL~ '^ nt I Slignal circuitWI'~~#{edG'~T;enr- ~.- ~p"ap~l~ 'paid jI$B~'O'U~' 11$01101 I .,. IV! A/VV I a teratlOo, or d(lensu'm R' - IU . .......... . z, :-:::.A. _..'.~.:"'-":'?' ^^n~ In ~ 0 f\lnll t-ll:11 " . . I Each additional inspection: (I) 1 $58,00 1 $ 440-2584,) (9/08/COM) (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) I (B) Enter 12% surcharge (.12 x [AJ) $ 1 (C) Technology Fee (5% of [A]) $ 1 TOTAL fees and surcharges (A through C): $ If G 7/?Ct $ I I I 225 Fifth Street Springfield, Oregon 97477 541-7.26-3759 Phone " Job/Journal Number COM2009-00064 COM2009-00064 COM2009-00064 Paymeuts: . Type of Payment CreditCard cReceiotl RECEIPT #: Description Add, Alter, Extend Circ + 5% Technology Fee + 12% State Surcharge Paid By JOSHUA J BURRELL City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000032 Date: 01/20/2009 10:36:11AM Item Total: Check Number Authorization Received. By Batch Number Number How Received Amount Due 58.00 2.90 6.96 $67.86 Amount Paid, kr $67.86 . $67.86 03553B In Person Payment Total: Page 1 of 1 1120/2009