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Home My WebLink AboutPermit Electrical 2009-3-19 . City of Springfield ..1 SPRlNQFlE1D ,*",..'....., Electrical Anthorization To Begin Work E;-mailed To: burrellbros@integnlonline.com Receipt # RC54R594 3/19/20093:41:17 PM III iI\/' . G Check on status of permit By Phone: (541)726-3753 or [mail: permitcenter@ci.springfield.or.us I Description I Qty. I Ea. I Total I liRcsidclltia(SiNGLI<:~_:OR -MuTtiirumUy;;dl\'cUlng"u"nit:,.Hlciudcs 'k~t~_~~fil ~!~i~~_~((g_~"r~gc:;'~~?"~~~;~i#;~~:-,Yh~~~.:f,;,~,:.>'~~~:::~~; ~~_-: } I 1,000 sq. 1'1. or less [4] I Ea. add I 500 sq. ft. Of poniun 1'.LiD1iic(JiEDe~~ _.;~, '. ' -' '"",,;,?:~:.ir..::z;.,, I -L,.imited energy, residential (with nbove Sq, f1.) I-Limited energy, multifamily residential (with above Sq,ft,) I. - Limited energy, commercial not otfered online allhisjurisdiclion (with aboV\: sq, ft.) I - Stand-alone limited energy. residential I - Stand-alone limiled energy. multi-falmly I - Stand-alone limited energy, commercial 1:~~nl~,?f.:91~.irec~.e~~~;!.~fa.,r~1l~~:~!t_~ra!~On~j,~~_~Di9~[s~[~a~,~~~~si:~~ 1200 amps or less [2] 3 $81,00' $243.00 I 1201 limps 10.400 llmps [2] I 140 I amps to 599 amps [2] I 1',!.~~Y,,9~;\.~'.::'s~n'iSfS()R,1!i<t~~~h~!~II~~i~nrz:1iil~ll~~;i~~;'~~~I !~~p/OR~r!lo~!?~~'1!j,,:~,j~'~~~~i(''X~,,*,-'V:;; :J;~~;~4"~ ~...,.~ 1200 amps or less (2] 1201 amps to 400 amps [2] 140 I amps to 599 amps [2] Ii B_ra}lcli' 'cif.C"ji<;:N~W;-ah_~~~'t!?~~~~re.x{c~ij6!l_;'~~;P,.alieIY$AS$!~j:,1 I A. Fedoclllrh' d, 1 r on Iall!lreqUIfd;\$J~outoool ~:~i~I:~~'ilI>.kF~ a~?_ te2 by t~e.Orego~ Utility. I ~it~~~;~:&~~~fi~;:o '10~hr~~ ~~OA~"J52_~uO;'~ firstbraf1l:(BQ(i);;ui~AII m~y t~in ,...nri :u~ ('-\f ~h--8--i."~~'.:',: ~)'!..... I each "dd1ImWiI'll'fil\e cent r. INotf' tl1affi1e~hnno. i~::;~~=:~~~!~1~ref~~~g~~t~~~{~%I~f~~ti6h:9 I Each manufactured or modular I dwelling, service and/or feeder . r21 t _ I Pump or irrigation. circle [2] I I I Signor outline lighting [2J I I I Signa. I.CirCllil(S) or limited- I' I energy panel, alteration, or extensIon [21 1','% rT':'~:;-.-;; ~~~p:::ii:rLEC"rRlcX@:PE'RMlfFEES .~ " '4JNft""-4,, ,,"',~~ Ad,'",',"'''.~,;'.."-,,,~<,.,~,,_~~ '.- ,', - '," ',,,", I Subtotal I $267.00.1 I State Surcharge (12% of pe-nnit fee) $32.04 I .(\ J I City Of Springfield fees .. $13.351 ~ I TOTAL PERl\lIT FEE I $312.39 ~~~/g~~~~r:'Gl'OC3\ I q \ 0"1 ~ I D N~w construction (K] Addition/alteration/replacement D I or 2 family dwelling [KJ Commercia.l / Industrial DMulti-family ~ J~ ;~l:'~'~~;~:J2~;~)fEJl1iF:6RMt\fIQ~',t\N~qI[<j9~T!ON~'f~ ::t~.~,-~_~ I Job no.: I Job address: 378 S 58TH ST City/State/ZIP: SPRINqfIELD;OR 97478-7624 Suite/bldg./apt. no.: Project name: Cross street/directions to job site: I Subdivision: map/parcel no,: Il.ot no,: 1702334401601 replacement of200 amp service a-nd -a remodel I Name: Elder J'leath and Living I Phone: (541) 747-4858 'IEmail: IFax: 747-4858 He. 00.' 2o.!4:ldS PERMIT SHALLmiRE''tF 1ftr'NOf'!{ I Bo,;o", Nam.AWillj{j)fjJi![tI1); 1m~lsmISCPERMIT IE t1:lT ICoo",," JO'hcGlJMMENCED OR I~ ABANDONED Fen IAdd'"'' PO ~Y9180 DAY PFRJnn ICily/State/ZIP: WALTERV1LLE OR 97489-0697 I Phone: (541 )7472724 I Fax: (54] )7441 047 I Email: burrellbros@integruonlin~,(:om [Metro lie. no.: I Supervising electri~ian's lie. no,: 4721 S I Supen'ising e1cctririan's name: JOSI'ru^ J SURRELL /CifyJic. no.: Upon review and approval by your local jurisdiction, your permit will be e~mailed or faxed within one business day, with instrlJctions on ,how to schedule you.r inspection. NOTE: This Authorization To Begin Work expires within 180 days if a perm_it is not obtained. / The locarbuilding 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. This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00365 ISSUED: 03/19/2009 APPLIED: 03/19/2009 EXPIRES: 09/19/2009 VALUE: 225 Fifth Street, Springticld, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 378 S 58TH ST ASSESSOR'S PARCEL NO.: 1702334401601 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Replacement of 200 amp service and a remodel Commercial Owner: EHL PROPERTY LLC Address: 399 E 10TH AVE STE 101 EUGENE OR 97401 I CONTRA,CTOR INFORMATION I Contractor Type Electrical Contractor _ ~ BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08/20/2009 'Phone ' , 541-747-2724 BUILDING INFORMATION' # 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 I st Floor: Sq Ft 2nd'Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION . Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: RE'QUIRED PARKING Total: Handicapped: Compact: , I PUBLIC IMPROVEMENTS I S I MnTIf'I:. ' ATTENT1nNT' Oregon law requires you to treet mp;,,;.Hm.'nlS, , folio"JNU'i~fad8~ied by the Oregon Utility Storm sew~rHl~J.ij~BMIT SHALL EXPIRE IF THE WORK NotifilllWllspOtitstD"niliis:se rules ,are set forth Special InsI1-VJfilM~ILtD UNDER THIS PERMIT IS NOT in OAR 952-001-0010 ttirough OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090, You may obtain copies of the rules by Notes: ANY 180 DAY PERIOD. ' calling the center, (Note: the telephone number for the Oregon Utility Notification I Valuation Descriotion I vt;lllCI .~ 1,-UVV~Vo.Jc...~GV""t"fJ. Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 on _SF'RINGPIm.~( t, h " Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00365 ISSUED: 03/19/2009 APPLIED: 03/19/2009 EXPIRES: 09/1912009 VALUE: 225 Fifth Street. Spriugfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $32.04 $13.35 $24.00 $243.00 3/19/09 3/19/09 , 3/19/09 3/19/09 2200900000000000285 2200900000000000285 2io0900000000000285 2200900000000000285 Total Amount Paid $312.39 ,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 bc made the following work day. I Relluirecl Insne~tillns I Rough Electric: Prior to Cover Electric Service: Approval requ~redprior to utility ~ompany energizing service. Final Electric: When all electrical work is complete. By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all informatiou hereon is true and correct, and I further certify that any and all work performed shall b~ 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. 1 further certify that only contractors and employees who are iu 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 the property, and the approved set of plans will remain on the.site at all times during, construction. Owner or Contractors Siguature Date Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-l'26-3759 Phone ~~. City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00365 COM2009-00365 COM2009-00365 COM2009-00365 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: .2200900000000000285 Date: 03/19/2009 Description Perm ServlFdr 200 amp~ or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: <":heck Number Authorization , Received By Butch Number Number How Received KR ONLINE burrell bras Online Payment Total: \ Page I of I 3:56:35PM .Amount Due 243.00 24.00 '13.35. 32.04 $312.39 Amount Paid $312.39 $312.39- 3119/2009