HomeMy WebLinkAboutPermit Electrical 2009-4-6
9ty of Springfield
Electrical Authorization To Begin Work
E-mailedTo:burrellbros@integraonline.com
C-y'\
Receipt # RC5495R5 IA i 0-.
4/6/20092:29:28 PM GV\
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springlield.or.us
.~~~,~ii:::'~~~r~~f[
I D New construction [iJ Addition/alteration/replacement
0".::1'-, .'_:i)'i!',;j!f' ',. ..:c....'. '-,"~ .. '-'.. ,.......~:--._..F... ,....- ...",' '_C=";"M"'~;_';'
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I [K] ] or 2 family dwelling 0 Multi-family 0 Commercial I Industrial
IJob no.: [Job address: 616 32ND ST
I Cily/Stllte/ZW: SPRINGFIELD, OR 97478-5832
I Suite/bldg.lapt.no.:
I Project tIlHl1r:
Cross street/directions to job site:
I Subdivision:
ITa, map/parcel'no.: ]702312408500
1 Lot no.:
rephlced fceders from the meter b<lse to the electrical panel and updated the grounding
I Name: Donna FlIught
I Phone: (541) 747-5895
IEmail:
IF..,
I EI. lie. no.: I ceo lie. no.: 136446
I Busin..s Nam,,1 B\JMiltHM:If I&lrIAH!~XPlj:lE IF THE WORK
ICuu',,,', JoshufllMJjfUKJLED UNDER THIS PERMIT I.', NOT
IAdd"''' PO B&XJdV1lVltNCED OR IS ABANDONFn FOR
I City/S,atr/ZIpMhllMlilllMfRPtiR100J
IPhone: (541)7472724 IFax: (541)7441047
11<:III11il: buiTcllbros@inregraonline.com
lJ\lctro lie. no.: I City 1il'.uQ.:
I Supt'rvising declrician's lie. no.: 4721 S
I Supervising e1ectriciau'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. ~ J
NOTE: ThiS-Authorization To Beg;n Work expires within 180 .\~v
days if a permit is not obtained. ~ 0^
'v
The local building department may determine that an ~.
Authorization To Begin Work is null and void if it does not k,~. (\Q/
meet applicable land use laws and local ordinances. f;I\ '-b "\.
~~
--' ..~ ~,..;:, ',"
I Description Qty. lEa; Total
1;~~~!~~c~t~SlN4~1~:1<;"'<;-9!!{!i.~!tiir.~'~,il~~~~\Yliin,"g'UI!iL ,In51ifdes .
'll!!~;~,~:.g~~~,ge;:,:, r;~(;t;,j:,,?,"Y;;,'r'f.:,~'~:'<':": ~'i. "i.'ll~
I 1,000sq.ft,orless[4] I I
I Ea. addl 500 sq. ft. or portion .
I-Limited energy, residential
(with above Sq. fl.)
I . Limited energy, multifamily
residential (with above sq, f1.)
I. - Limited energy, commercial not offered online at this jurisdiction
(wllh above sq, ft.)
I . Stand-alon'e limited energy,
. residential
I - Stand-alone limited energy,
multi-famIly
1 -'Stand-alone limited energy, I
commerCial
1~~QI~![2,~f!!,~,~1JP~~1i;!!.~~~lt~!:l(~~1~~I~J~nt'J;.I(jfuJ.!;i~fii;~:,~'~"1
1200 amps odess [2J $8100 $8100 I
120] amps to 400 amps 12] I
1401 amps to 599 amps [2] I
If~~l~1~i-l~r~i~;~'i~::~~~;_~;~':;~~~:~l~"~~e!t!~i;;~1~,,r:~~':1
I 200 amps 0' loss [2] I
201 amps to 400 amps [2] 1
401 amps to 599 amps [2] I
!l~lmi[fIai~:ti~:N~W:~I~,:l!10E;9~.e~t~~~lollr.pcr~pan~ij:,:; ,-~, "f'
A. Foe fo,!u:i\Dmli]:l;'Jilil,it!l
so",ice ot\Jeti~I<IJ,lI.lh~: Ore Jon law equires \ ou fo
bra~ch ~itJ~ r~II~$ ~r1n_~' or! Utility
I B. Foe~~birffi5~rI5~1t""nter Th I f
withoul 'eFiix~'l;u,e N", ' ose r ] es are S It orth
Iicstb.v;]rlYtlf\fOirF -001-0010throu h OAR R~ ::>.nn1.
I each aIilflJOO"h'(Qu,liI1ay obt lin copfe of the" ]Ies bv I
1*,I~el]F@~;;l\l~!1c~83~~1:'i((':i9!~,~!!J!.~!~lePh~ne< . 'I
I Service Mt'J~Aecr~~}'}tt I_~, VII~~UII r-~(~III~Y- I~o.ml( anon
IEachrnanuracture~F'n{l.'Jaul~ 1--....3&=..........11:; ~.:.;.u"'t'"tJ. I
"dwelling, service and/or feeder
[21
I Pump or irrigation (ircle l2J I
! Sign or outline lighting f2J
I Signal.CircLlit(S)or limited-
energy panel, <llterution, or
extenslonpJ .
Il.;t:~~~~~r~~~~.C:t~ICA~,P,'E~~(f;,f~~"S:r;~";:"-
I Subtotal
I State Surcharge (12% of permit fee)
I City Of Springfield fees *
L--.-.- T01AL rfRMI'f Fff
'" City Of Springfield fees: 5% Technology Fee
fDefalll! Ill/il/ber a/inspections alloll'ed]
$81.00 I
$9,72
$4,05 I
$94.77 I
c.g-'1'SI
y ILLto9
~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
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fl"Y'I'
CITY OF ~rloNGFIELD '
Building/Combination Permit
PERMIT NO: COM2009-00457
ISSUED: 04/06/2009
APPLIED: 04/06/2009
EXPIRES: 1010612009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 616 32ND ST
ASSESSOR'S PARCEL NO.: 1702312408500
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Replaced feeders from the meter base to the electrical panel and updated the
groundiug.
Residential
Owner:
Address:
FAUGHT ROBERT N & 0 M
616 N 32ND
SPRINGFIELD OR 97477
I CONTRACTOR INFORMA TlON I
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2009
Phone
541-747-2724
BUILDINGINFORMA TlON 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:
Energy 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
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: Handicapped:
Side 2 SetbackJOTICE:' Paved Drive Rqd: . Compact:
Rearyard setb~,.;~: PERMIT SHALL EXPIRE-IF THE'W~ Coverage: ON' Ore on law requires you to
Solar Setback~t11 ATTENT! . 9 0 Utility
Ai ITHlIRl7Fn IINnJ:R THI~ PJ:RMIT I~JWT f"ll'lY" rules adopted by the rego~ _' ,__...
COMMENCED OR IS ABANuIlJPJlumrot1MPROVEMENTS tog1~a~~~_~~~:;~'1 ~';~;;u';h~OAfI952-00~.
Street ImproAf!l,V.dt~P DAY PERIOD. 009OSilf'e'\lI:marAA!:3.in copies of the rules y
1M the center. (Note: the telephone
Storm Sewer Available: ,- cami'~'llit'\'IM~l'@\JIjn Utility Notllicatlon
Special Instruction: . nurn Center is 1-800-332-2344).
I DEVELOPMENT INFORMATION I
Notes:
I y ~I~~tion Descri?tion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I 01'2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
$9.72
$4.05
$81.00
Total Amount Paid
$94.77
Total Value of Project
Fees Paid J
Date Paid
I Plan Reviews I
4/6/09
4/6/09
4/6/09
CITY OF ~rKlJ...GFIELD .
Building/Combination Permit
PERMIT NO: COM2009-00457
ISSUED: 04/0612009
APPLIED: 04/06/2009
EXPIRES: 10/06/2009
VALUE:
Receipt Number
3200900000000000224
3200900000000000224
3200900000000000224
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.
Reouired Insnections I
Electric Service: Approval required prior to utility company energizing service.
By signature, 1 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 fnrther 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 permission of the Community Services Division, Building Safety.
I further certify that only contractors and 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 the 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
s
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00457
COM2009-00457
COM2009-00457
Payments:
Type of Payment
ONLINE CHGS
'\
cRet;eintl
RECEIPT #:
City of Springfield Official Receipt.
Development Services Department
Public Works Departmcnt
3200900000000000224
Date: 04/06/2009
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12%. State Surcharge
Paid By
ONLINE PERMIT CHGS
)
Item Total:
Check Number Authorization
Received By Batch Number' Number How Received
KR
ONLINE Burrell Bras Online
Payment Total:
Page '1 of 1
2:37:26PM
Amount Due
81.00
4.05
9,72
$94,77
Amount Paid
$94,77
$94,77
4/6/2009