HomeMy WebLinkAboutPermit Electrical 2009-4-6
City 01' Springfield
Receipt # ECS49592 ~
4/6/20093:13:29 PM 0,<) ,
(AI
G
Electrical Anthorization To Begin Work
E-mailedTo:burrellbros@integraonline.com
Check on status of permit
By Phone: (541)726-3753 or [mail: permitcellter@ci.springfield.or.us
I 0 Nl:w construction
o Addition/alteration/replacement
I [KJ I or2 family dwelling
DMulti-family
D Commerciul / Industrial
I,Job 110.: IJob address: 5335 DAISY ST
I City/Slate/ZIP: SPRINGFIELD; OR 97478-6296
I Suik/bldgJapt.llo.: SPC 108
Il'roject name:
Cross street/directions to job site:
I Subdi\-'ision:
ITax map/parcel no.: 1702330001300
I Lot 110.:
replaced meter base guts
I Name: Santiago Estales
IPholll': (541)747-4919
I Email:
I F,~,
lEI. lie. no.: 2Q-442C ICCBliC, no.: ]36446
I Business Name: BURRELL BROS ENTERPRISESJNC
I Contact: Joshua Burrell
!Addrcss: PO BOX 697
City/St:ite(LIP: WALTERVILlE OR 97489~0697
I Phone, (541 )7472724 IF'" (541 )7441 047
I F:mail: bUfrI..llbros@imcgraonline.com
I Metro lie. no.: I City lie. no.:
I Supl'r\'ising electrician's lic; no.: 47:! I S
jSupcn'ising clcctriFiall'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.
~~
K:"V~~
~~
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.
Il,OOOsq.ft.orless'[4] J I
I Ea. addl 500 sq, ft. or portion
lt~i~!I~i1Jile~lt~{~ ~ ~:':~:~d::- ~.:"r~: ~:;;~";"'J~~.~ ;~. ~'~~,
I-Limited energy, residential
(with above'sq, f1.)
I-Limited energy, multifamily
residential (with above sq, ft,)
I-Limited energy, commercial not offered online at lhisjurisdiction
(with above sq, ft,)
1 . Stand-alone limited energy,
reSIdential
- Stand-alone limited energy,
multi-familv
- Stand-alone limited energy. ~
commercial
ItEi~e!9)~I~~~dir1'i~~ta]I~il~~~~II€~~~~~~~~~!~2~E~2~~L~?:f~~~
1200 'mps 0' less [2] $81.00 $81.00 I
120 I amps 10 400 amps [2] I
1401 amps 10 599 amps [2] I
1'~1,~El\.1.PORARYis.e..".rv. 'i.ces.-..:o.. R;ree'derS'I.'n.' siamftiij'n/alieratiori:~".'..J~.' ~:~1
~~~piQ[~~~,i~i)~~~~~<r;;C~~~'~/:~J:~1t.t~~~:;':'~';;t,,~
i 200 amps or less [2]
1201 amps to 400 amps [2J
140 I amps to 599 amps [21
1~~a~~~!i~'i!,~u.itF~::~~~\~;J'~g€~.m~!3.~q~i~}~ri~si~J}_P!~~~~~.~i'*~~:,~'ff,~:,:"~1
I A. Fee for branch circuits with
service or feeder I(:c, each
branch circuit
In. Fee Jorbra'rich circuits
without service or feeder fee,
first branch circuit [21
I each addl branch circuit
I Service reconnect only [2]
I Each manufactured or modular
dwelling, service and/or feeder
121
I Pump or irrigation circle [2]
Sign or outline lighting [2]
I Signal eircuit(s)or limitcd-
energy panel, alteration, or
'extension
I Subtotal I
I State Surcharge (12% of permit fee)
.1 ell\, OfSpringfidd fecs * I
I TOTAL PERJ\HT FEE
. City OfSpringfic1d fees: 5% Technology Fee
fDefaul1 number o/inspections allowed}
&/7'7 Z6rV / .- oc~s~9 .0/'1"-
-1~& --c:: ~
$8100
$972 I
$4.05 I
$94.77 II
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
"
\ry~: .-ll
Ny. ~llJ/;~:v
()
jt!'v
CITY OF SPRINGFIELD I
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00459
ISSUED: 04/07/2009
APPLIED: 04/0612009
EXPIRES: 10/07/2009
VALUE:
225 Fifth Streel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectinn Line
SITE ADDRESS: 5335 DAISY ST 108
ASSESSOR'S PARCEL NO.: 1702330001300
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Meter base replacement (internal components).
Residential
Owner: SANTIAGO ESTATES ASSOCIATES LLC
Address: 11211 GOLD COUNTRY DR STE 100
GOLD RIVER CA 95670
Phone Number: 541-747-4919
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2009
Phone
541-747-2724
BUILDING INFORM~ nON I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Conslruction 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:
Occnpant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKlNG
Front yard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
ATTENTION: Oregon law requires youto
..-..-... :""'~':' auufJu:::u uy Ult Vlv':::lUII V.""J
t PUBLIC IMPROfoEMF:NTS.I;enter. Those rules are set forth
in OAR 952-001-Q~'id~.vaikLtyhp~AR 952-001-
0090. You may obtain copies 01 the rules by
. calling the cen'.Q~wrSpo!lts/[Irains,,,hone
number for the Oregon U\iiity Noiilic<.t:on
Center is 1-800-332-2344),
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
. NOTICi:MIT SHALL EXPIREII~WaMGli\1D~scriDtion ,I
THIS P R IS PERMIT IS NUll
,. AUTHORIZED UNDER TH $ Per Sq Ft Square Footage
Descl'lptlOn T"vEPe,or.C""str.luctlOn\I~DOI\It-1) r~IJt)1 B'd A
COMlvl \~utU un .; n~" ormn tip leI' or I mount
:-,NY i 80 DAY PERIOD. ,
Value
Date Calculated
Pa2e I 01'2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00459
ISSUED: 04/0712009
APPLIED: 04/06/2009
EXPIRES: 10/07/2009
VALUE:
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Proj~ct
Fees Paid I
$9.72
$4.05
$81.00
4/7/09
4/7/09
4/7/09
Receipt Number
3200900000000000226
3200900000000000226
3200900000000000226
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
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.
Re'luired Inspertions I
Electric Service: Approval req'uired 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
informalion 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 Springtield and the Laws of the State of Oregon pertaining to the work described herein, aod "
that NO OCCUPANCY will he made of any slructure without permission of the Commnnity 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 furlher agree to ensure lhat all required inspections are requesled at the proper time, that each address is reada\>le from the
slreet, lhat 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
Date
Pa2e 2 of 2
225 Fifth Street
Springfield, O;egon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00459
COM2009-00459
COM2009-00459
I>aymcnts:
Type of Payment
ONLINE CHGS,
cReceintJ
RECEIPT #:
City of Springfield Official Receipt
Development Services Department'
Public Works Department
3200900000000000226
Date: 04107/2009
Description
Penn Serv/Fdr 200 amps or Jess
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJrn ONLINE burrell bras Online
Payment Total:
oJ
Page I of I
7:00:05AM
Amount Due
81.00
4:05i
9,72
$94.77
Amount Paid
$94,77
$94.77
41712009