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Home My WebLink AboutPermit Electrical 2009-3-24 City of Springfield Receipt # EC548R06, ~} 3/24/200910:26:38 AM II-: (),/J U\ Electrical Authorization To Begin Work E-mailedTo:burrellbros@integraonline.com Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ei.springfield.or.us 10 New construction lliJ Addition/alteration/replacement 10 1 or 2 family dwelling D MlIhi~ramily 0 Commercial/Industrial '''\)~7~_}0:~?;Q~:~!Itl~~O.~rV1~11,9~"'!'~HDj[9:C~!!6]-I~~~t~~-~;~~I IJob no,: IJob address: 6576 MAIN S1' I I City/State/ZIP: SPRINGFIELD,OR 97478-70]8 I ISuite/bldg.lapl.llo.: I I Project nllme: I Cross Slre{'t/din'ctions to job site: On the corner of 66th and Main Street Subdi,,'ision: ILot no.: Tax map/parcel no,: 1702344206400 Service change upgrade I. Description Qty. Ell, lbtal I~,- !}~~!_~~~~lll!' ~! ltq1J~_t&.~: l!l ul~i~ ~-tfi ,i!y';~~:~! !i~g'. '#!l!'?jiJ(:,I.lldleS~;(j ~t:' ~~ I \~a~~~i!g~r:ag~lt:f~,g:~fS~;,:'.r.;:;:~l:::'.:i' ~,' j{ r.:~~",j;~ ~i1"~~';:c..,3~:; I 1,000 sq. ft. or les< [41 I I IE'. ,ddl 500 sq. ft. or pan ion. .I I I I I I I - Stand-?Ione limited energy, I commercial 1~~inJs~2t{lf{edi!1rinsi~li~i~i~~~tloi'f:.';~~pL2,~:,?~I~,(~tlQ1i'l~~~)1 1200 amps or less (2] $8L00 $81.00 I 120 I amps to 400 amps [2] I I 40 I amps to 599 amps [2] I ~I I I I I I I I . - Limited energy, residential (with above sa, f1.) I-Limited energy, multifamily residential (with above SQ. ft.) I-Limited energy, commercial (with above sa. n.) I - St,ind-alorie limiledenergy, residential I - Stand-alone limited energ'y, multi-family not offered online at this jurisdiction 1200 amps or less (2] 120 I amps to 400 amps [2] 1401 amps to 599 amps [2] 1::~li~rCi,rc~li!tslit'i~it~Mc:r~\i~~/Q~'~~~:~.~~!2!l:jlR~ p:ln:cl;~_'"';~,'? I A. Fee for branch circuits with service or feeder fee, each brallchcircuit lB. Fee for branch circuits without service or feeder fee, first brandldrctiit 121 addl branch circuit I Nam~: Paul/Stellu,Darling I Phont': (541) 653~J 163 I Email: I Fax: I El.lie. no.: 20-442C ICCD lie. no.: 136446 I Business Namt': BURR~LL BROS ENTERPRISES mc leonine!; Joshua Burrell IAddress: PO BOX 697 ICily/Statc/ZII': WALTERVILLE OR 97489~0697 II'hone: (541)7472724 IFax: (541)7441047 I Email: burrdlbros@integraonline.com I Metro lic. no,: I City lie. no.: I Supervising e1t'ctricilln's lie. no.: 4721 S I 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 instructions on how to schedule your inspection. 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. ~V6\ ?J,fd-S ~ '-6(~ \}.-\ I Service reconnect only [2] I Em:h manutllctun.:d or modular dwelling, service und/or feeder J21 I Pump or irrigation circle [2] I Sign or outline lighting [2] Signul eireuit(s) or limitcd- I energy panel.altermioll, or extension 12) f~~~,t~-W"L~[~CT.~~4~:~~SM{!;f~'~S>~ ' I Subtotal I State Surcharge (12% of permit fee) I CitY Of Springfield fees" I TOTAL PERMIT FEE. . City Of Springfkld fees: 5% Technology Fee [Default number oj inspecJions allowed} 6o//7d 07J '1- 0 oS cr- 2... 3)2LfI07 A)/7r- I I I I I $8100 I $9.72 I $405 I $94.77 I This Authorization To Begin Work must be posted at the job site until replaced by a Permit. CITY VI< ~rRlNGFIELD Building/Combination Fermit Status Issued PERMIT NO: COM2009-00382 ISSUED: 03/24/2009 APPLIED: 03/24/2009 EXPIRES: 09/24/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6576 MAIN ST ASSESSOR'S PARCEL NO.: 1702344206400 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Service change upgrade Owner: Address: DARLING PAUL G & STELLA M 6576 MAIN ST SPRINGFIELD OR 97478 Phone Number: 541-653"3163 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES 1NC License 136446 Expiration Date 08/20/2009 Phone 541-747-2724 BUILDING INFORMATION I # 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: Euergy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Sethack: Side 1 Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: ATTEI~m-l'.'I9~" law requires youto , " n nt ;!.,!:lV the Oregon Utility Storm Sewer ift(!)Iji~: follow D;}wn~o\llilJjlffin~ rules are set forth SpeciaI1nstru'Jfi"~; NotificatIOn Center. os 52 001 11 'PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 9 1- b. Notes: AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain ~~ke~h~\t:I:~~~~e y COMMENCED OR IS ABA~lnmlm Cf'\n calling t~e ~e~t;;:~~M II;ilil\l Notification HI~r IOU UAY PERIOD. I '. . .. I"U""J~'c;~t~r-is 1-800-332-2344). ValuatIOn DescrmtlOn , ., Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of2 CITY OF SPRINGFIELD Building/Combination Fermit Status Issued PERMIT NO: COM2009-00382 ISSUED: 03/24/2009 APPLIED: 03/24/2009 EXPIRES: 09/24/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid . Receipt Number $9.72 $4.05 $81.00 3/24/09 3/24/09 3/24/09 3200900000000000183 3200900000000000183 3200900000000000183 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, I Reollired Insnections I 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 correct, 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 permissioo of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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 temain on the site at all times during construction. . Owner or Contracturs Signature Date Pa2e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00382 COM2009-00382 COM2009-00382 Payments: Type of Payment ONLINE CHGS cRcceiol1 RECEIPT #: 3200900000000000183 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% Stale Surcharge Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department Date: 03/24/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM Page I of I ONLINE BURRELL Online BROS Payment Total: 10:44:33AM Amount Due 81.00 4.05 9.72 $94.77 Amount Paid $94.77 $94.77 3/24/2009