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Home My WebLink AboutPermit Electrical 2009-5-18 1':'~+'1;~;rffr""-"""~Ji-'.:i;ii,J.,~'r.."E"E':S'" '~CH E DU"t-:E ,~~' ,,~\ ';;'"i!}c( ;~;;.,.'i.f':{\ii.t."'::r; ~ .._" _~;A' I Dt'scription I QI:r. I Ea. I Totul 1.,,~t-sid~n:i_ul.SI!Y~~I;~:~~~Rm.E~~r,~~~~):>d~'fl!ing U~lt.~'lcl~~t'S -:.~..., ~.tf,~~~~~!_ga.rag~!ir~', ';>~",;;y1! -;-\)"-4:. ,>;,,"-'i', "'",,, .- I I,OOOsq, ft,odess [41 I I I 1 I Ea. addl 500 sq. ft. or portion I j'.Lf'i~itif~l~E~lc~Y&Tcl:~ ,. ~:J I-Limited energy, residemial I (with above SQ. f1.) I-Limited energy, multiftlmily I residential (with above Sq, ft.) 'I . Limited energy, commercial not ollercd online at this jurisdiction I (with above SQ. f1.) I - Stand-alone limited energy, I residential - Stand-alone limited energy, I multi-family . Stand.alone limited energy, I commercial 1\&~~~~.Q.R;r~t~~~:i~~~,~i~li~~~!ter~,t,i~ri1:~'NY!O,Rf~I~,cui,!~~~, ~:",:r;J1 1200 umps 0' less [2J I 1201 amps to 400 amps [2) I [401 amps to 599 amps [2J I I TE:AtPOI~\RY'~s~h:iE('~~~~_'L~~~~~hrs~~.i~~~i'on. al~~~~tion: ~. '. f ;_"-~~..I AND(OJ~, relocaJ.I~n- . :'" ,:,;;.;-~..,,'''' ,;~.,~::L.' .,~'''~4:-~_-~_:~'_.;'; .\ ' I 200 amps 0' less [21 1 1201 amps 10 400 amps [21 1 i 401 ampsto 599 amps 121 1 1 k~!i~~h~Ii~UitS7'~E)V; a~,~e!atio"n';}2R:~xtt~.~ion, per panel , .. - ;""1 I A. Feeforbfllllchdrcuitswith service or feeder fee, each brnnchcircui\ lB. Fee for branch circuits without service or feeder fee, nrst bnlllch circuit 121 I each addl branch circuit 1\~I!B~Ilane~iJs5c7,;;'::',,, I Service reconnect only [2] I Each manufactured or modular dwelling, service and/or l'i:eder 121 ' I Pump or irrigation circle [2] I Sign oroul]ine lighting 12J I Signa] circuit(s) or Iimited- energy panel, alteration, or extensioll 121 I 1,,_,~~;"",'-,,:~~ELECtRIC(<_t PERMIT,FEES, <" I Subtotal I State Surchurge (12% of permit fee) "'-~ , I City or Springfield fees t \Y'~t I 'IOTALPI.:H.;'\IITH:": t City Of Spnngfield fees 5% Technulogy Fel:' The local building department may determine that an ~ (t- OBI De/a, /I!f\y\f1/1l1lbl!7..r U/(5U'/Jl'fJeCflqOnS aIlOll'e(OI/ 00 ~" Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ardina,ne.., ~ ~~~6" 'JifY 5-11(-0", N~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit. City of Springticld Electrical Authorization, To Begin Work E-mailedTo:burrellbros@integraonline.com Receipt # EC551R75 5/]8/200912:08:55 PM &I'IlIH~..'\EL~.'" , . "1:',,-'- , a. , ~"" ' " ' , Check on status of permit By Phone: (541)726-3753 or EmaiI: permitcenter@ci.springfield.or.us I J- u .... ~,'f~ ii/; "'::~rrp.E-:9j:'wQ.~~\;~.~.. I 0 New construction [KJ Addition/alteration/replacement I" '~", ',~!i~i,CATEGORy';:OF;CON*IRUCTI~if{;: , 10 ] or 2 fmnily dwelling 0 Multi-family 0 Commercial! Industrial 1',,~()BrSITE!NFO~MATI9.!'1ANiito~~Iio"N:L',",.;;;:, cd,,~ IJob 00.: IJob address: ]660 MOHAWK BLVD ICiI)./StaterI.IP: SPRINGFIELD, OR 97477-3356 \ Suite/bldg./llpt.no.: I Project name: Cross street/directions to job site: ISubdi\'ision: I Tin map/pllrccl no.: 1703253]05600 ",,' "".' . ::..:;r,J;.' DES~~RIP~!C)N:o~:~6~K~' pO\ver for new stage recept,s I tot no.: , ~~ " I '" ,: , 0,,-- SiT~'s.6N'T~CT' ;:- I Name: Twin Rivers Baptist Church I Phone: (541) 746-4734 IEmail: 1 ;', ~' IF"" CONT!UlCTg,if -, ~ .":""~ ',0"; ";'~ "",..::_ L'~_ __. ,~'l ~,::: ""~:~~~""';:'~" -'"i... ....: I EI. Iic'. no.: 20-442C I CCB lie. no.: 136446 j Iiusin~ss i\'llm~: BURRELL BROS ENTERPRISES INC I Contact: Joshua Burrell IAddress: 1'0 BOX 697 1 CityISta'e{lIP, WAtTERVILtE OR 97489,0697 IPhone: (541)7472724 IFax: (541)7441047 I Email: burrellbros@inlegraonline.com I Metro Iic'. no.: I Supen-ising eleCtrician's lie. no.: 4721 S I Supervising c1ectriciall'.~ name: JOSHUA J BURRELL $55.00 2 $600 ICily Iic'. no.: 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. \1~\J ~I V 'I $55,00 $12,001 I 1 I I I I $6 ;~O j $8,04 I $3,35 I $78,39 I Status Issued , CITY OF SPRINGFIELD " Building/Combination Permit PERMIT NO: COM2009-00686 ISSUED: 05/18/2009 APPLIED: 05/18/2009 EXPIRES: 11/18/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 54 ]-726-3769 Inspection Line SITE ADDRESS: 1660 MOHAWK BLVD ASSESSOR'S PARCEL NO.: 1703253105600 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Power supply for new stage. Owner: 1ST CONSERV BAPT CHRCH SPFD Address: 1660 MOHAWK ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION 1 Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08120/2009 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: Heigbt of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: , Sq Ft ] st Floor: , Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: n/a I DEVELOPMENT INFORMATION . Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: --'" Notes: .,.." '-. Description 'f ;;) PFRr,i'tlT C'u 1\ " -1'- ,'.UfHORIZED U .. ,-~ L^-'-: 1:>-:11::: Vvut1I\ COMMENCED O~DER .~ I\I!iIlliifipr1Descrilltion ANY 18 IS AOfl/VUUNFO FOR T f CO DtAY Pt.ER/OD $ Per Sq ):'t Square Footage vpe 0 ODS rue Ion' .. . , Or mult'pher or B,d Amount Value Date Calculated Paee I of 2 S~~INQFlIe:LD" ~ -~F ' '" ~k Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00686 ISSUED: 05/18/2009 APPLIED: 05/18/2009 EXPIRES: 11118/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54]-726-3769 Inspection Line Total Value of Project Fees Paid 1 Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ En Add Amount Paid Date Paid Receipt Number $8.04 $3.35 $55.00 $]2.00 5/18/09 5/18/09 5/18/09 5/18/09 ' 3200900000000000374 3200900000000000374 3200900000000000374 3200900000000000374 Total Amount Paid $78.39 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 Reouired Insoections 1 Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state llnd 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 Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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 wbo are in compliance with ORS 701.005 will be used on this project. I furtber 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 Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Reccipt Development Services Department Public Works Department Job/Journal Number COM2009-00686 COM2009-00686 COM2009-00686 COM2009-00686 Payments: ' Type of Payment ONLINE CHGS cRcceiotl RECEIPT #: 3200900000000000374 Date: 05/18/2009 Description Add, Alter, Extend Circ ,Add, Alter, Extend Circ Ea Add + 5% Technolo'gy Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received ONLINE In Person Payment Total: NJM Page 1 of 1 ]2:17:15PM Amount Due 55,00 12,00 3,35 8,04 $78.39 Amount Paid $78.39 $78.39, 5/18/2009