HomeMy WebLinkAboutPermit Electrical 2009-5-6
Ci.!y of Springfield
Electrical Authorization To Begin Work
E-mailedTo:bunellbros@integraonline.com
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Receipt # RC551253 \J \
5/6/20092:06:46 PM fA/
C
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.ns
I D New construction
[K] Addition/alter~tionlrepJacement
I [iJ ] or 2 family dwelling
o Multi-family
D Commercial / IndustrillJ
I Job no.: I Job 'address: 261] NOVA ST
ICily/State/ZIP: SPRINGFIELD, OR 97477-7559
I Suite/bldg.lupt.no.:
I Project name:
Cross street/directions to job site:
I Subdivision:
ITax map/parcel 110.: ]703224404501
I Lot no.:
Riser extension
I Name: Joe Lamount
I Phom': (54l) 726-5340
IEmail:
IF'"
I EI. lie. no.: 20-442C I CCB lie, no.: 136446
I Business Name: BURl{El~L BROS ENTERPRISES INC .f1Q,I~JJ ..
I Conlact. Joshua 6u:,,1I \.I -, AVO 3& ~ Afv r-
. - I}j Q3NO!:lN':'~.l;' 81 uo m:m:mi/iJ{)J
IAdd"'" POllOX697 I(}~I CllJl'j~rJ "'II' :.JJOr'lt-3 ..-
I CoIJ/S""e/ZIP, WALrERVIU,Ii;QR;9'7A&9 0~7- v1. ,t 3llaUM.LIIV I
:~~H1. '-Hl 1)'lJ"~~"" lr"u- - -
1 Phon" (541)7472724. F;;,. '(541)7 IM1 '" ".o::la ~IHl. I
I Email: burrcllbros@inlcgraonline.com .3JllUN I
I Metro lie. no.: I City lie. no.: I
I Supervising electrician's lie. no.: .47215 I
I Supervising e1eclrician's.name: JOSHUA J BURRELL I
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.
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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 ordin~
~~ ~tD:cf'-
I Description Qty. Ea. I' Total .
I'Rcsideniia,:sING IJE~OWmTllti;'faJiiilrd?;~llink unit.\J.lil:l.udesJ.~':':~:'n
~f~ciB![g~~~ig~~J;~!I:!~~m~~4';C>lli:~~,;".::%.ti-!:!;I.~~ :,';i
11,000 sq. f1. or less [4]
Ea, addl 500 sq. ft, or portion
I ~ Limited energy, residential
(with above SQ. ft_)
I-Limited energy, multifamily
residential (with above SQ. ft.)
I - Liinited eriergy, commercia-l not offered online at this jurisdiction
(with above SQ. ft.)
I - Stand-alone limited energy,
residential
I - Stand-lllone limited energy,
multi~family
I - Stand-alone limited energy,
commercial
1&;t~!'ilis::(jL~~,~~~iI}!S:i~~~}i~i[?h;!ill!Il~I~!~~]~~~:~!~C,uJ(9E~':,::;;r:1
1200 amps or less [2] II $81.00 $81.001
1201 amps to 400 amps [2] I
1401 'mps to 599 amps [2] I ., I
l~t~~~t~Q~}~Yi~fi,:YlE~,>Q!!'!~~~,':i,2~,~,IY1!~~(~r:Ji~;if~f~;1
C1t1!?{q~;r~Lo.~~tQ,~J>3;;'i,::-~,;,::jirtttJ4,"~':l&~~~;,:R~il{k~'~!f,;
1200 amps 0: less [2J I
1201 amps to 400 amps [2] 1
1401 amps to 599 amps [2] 1
I A. Fee for branch circuits with
service or feeder fee, each
bmnch circuit
B. Fee for branch circuits. to
wi,h", ~'I'1FENIfII19Ne,Dre' IOn law r 3qUlres y)U .
Ii:st b: .ie,. . I:: o,",nr' or! ~. Oreqon Utility
each a~,:'l.'~~~IJ"i\}\~'r.,,~tP.r,Those r~lles are s 3t lon~,.1
iL~:i~:=;:~:~~~~~gl~~~tg~~~~;::r:~~~E~:~7;j1
I Each man~f~w~~ottv81qp~mE; i. \1\lUlt:::'. l.lll;.o ~":''":r: ~.;...:.:. I
dweliingrlUlTI'Dgjdffir'ffl'e Cregan Ut Iity Notlll Jalion
121 ~ . . 1 nn" ~"' >-","AA)
1 ""'/'1" '0 I .)"-"- -- . -- I
Pump or irrigation clTcre- L
I Signor outline lighting [21 I
I Signul circuit(s) or limited- I
energy panel, alteration, or
extension [2) . .
~~~K~~~I~~"~<f~I~~~i~EB~.lt~~~~S::;:~~~~\~~~,'l ~ ~~;
SlIbtot<.l1 $81.00 I
StilteSurcharge(12%ofpermitfee) $9.721
City or Springfield fees'" $4.05 I
I TOTAL PERMIT FEE. $94.77 I
'" City Of Springlield fees: 5% Technology Fee
{DefoulI number afinspecrions allowed]
t q - (PI g
5 I u I Oq
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00618
ISSUED: 05/0612009
APPLIED: 05/0612009
EXPIRES: 11/0612009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 261 I NOVA ST
ASSESSOR'S PARCEL NO.: 1703224404501
Springlield T\:,PE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Riser Extension
Owner: LAMONT JOE L & JEANNETTE R
Address: 2611 NOVA ST
SPRINGFIE'LD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License'
136446
Expiration Date
08/20/2009
Phone
541-747-2724
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Seconda;)' 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 2ndFloor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
REQUIRED PARKING
Frontyard Setback: 'OOlu3d ^\..I~'V&1ay, p,Jst: ATTENTION 0 I Tot~l:
". a v , Iii : regon aw r~ I"" to
Side 1 Sethack. 1:10:1 03NOON\jS\j-SllJO 03 ,ef,,1'rees Rqdfollow rul d t db Ih 'rI~I(~'j,pfle~,
Side 2 Sethack: a , ~iI~ID:;)ge R d: ' " "es a op e y Mina~:'Ullllly
Rea ard Seth:.J.QN Sllll^J1:J3d SIH11:J30Nn m:;YJ:lW!J!of.@ove~a 1'!011flcatlon Center. Those ru es ~ set forth
Sola;Setbacks!ItIOM 3Hl :II 31:JldX3 ll'tfHS IIv\J1:J3d SIHl gll, OAR 952-001-001O,through OAR"952-001-
. _ _ _ 0090. You may obtam copies of the rules bv
..... .. '.' .~.. .'.""'''1l1\:Jlllt' vt;;lllt::l. ~I'.lUle; me lelepnone
I PUBLIC IMPROVEMENifS'!Jer for the Oregon Utility Notification
CfSlWJ~lil-j9~c"?32-2344).
I DEVELOPMENT INFORMATION I
Street Improvements:
Storm Sewer Available:
Speciallustruction:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00618
ISSUED: 05/06/2009
APPLIED: 05/06/2009
EXPIRES: 11/06/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ S% Technology Fee
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
$9.72
$4.05
$81.00
5/6/09
5/6/09
5/6/09
Receipt Number
2200900000000000486
2200900000000000486
2200900000000000486
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 Recruired Insnections'
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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
tbe Ordinances of the City of Springlield 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 certi(y that only contractors and employees who are in compliance with ORS 701.005 will he 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
Date
Pa2e 2 of 2
'225 Fifth Street
Sprin~field, Oregon 97477
541-716-3759 Phone
Job/Journal Number
COM2009-006l8
COM2009-006l8
COM2009-00618
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development. Services Department
Public Works Department
2200900000000000486
Date: 05/06/2009
Description
Pernl 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 Bros. Online
Payment Total:
Page 1 of 1
2:42:48PM
Amount Due
81.00
4.05
9.72
$94.77
Amount Paid
$94.77
$94.77
5/6/2009