HomeMy WebLinkAboutPermit Electrical 2009-5-20
City of Springfield
!
\}~
/
~f\
Electrical Authorization To Begin Work
E-mailedTo:burrellbros@integraonline.com
Receipt # EC552035
5/20/200910:50:31 AM
~
Check on status of permit
By Phone: (541)726-3753 or Em"il: permitccntcr@ci.springfield.or.us
.; ~ ~~~-l)-'::'~':~"',;:
I, "-' - _ ,'!4~:\':'dTjP~<?FVVOriK.:'""4~
I,D New construction [X] Addition/altcrationlreplacemcnI
I'. ' _, H;"CATEGO~yrOF ,c:ONSTRuC~ION,'.,~"
llliJ 1 or 2 family dwelling 0 Multi-family D Commercial/Industrial
I, -' :;:~0,I3,SITEN~8.'3MATlqN,A~1?L6cATIO!l\;_';~_'
l.Job no.; I Job llddress: 2225 G ST
I Cit)'jStatelZIP: SPRINGFIELD, OR 97477-4470
ISuilt'/bldg.llljll.no.:
Iprojcc't nallle:
Cross street/directiolls to job site:
I Subdivision:
ITax mllp/parccl no.: 1703361209500
r-""=~' . &~~~,:~~. O~S9_~~TION'()"~~YY9_~K~-"":"""'~.'~~7'~" -~.~~ .::~:
circuits out to gnragc/shop
I tot no.:
,":,:,~,~i,.~!C()NT~9t~~:...~t::~~~S;I\f7~.. :. ;
I Name: Jared TuyJor
IPhon" (54')744-]309 ATTENTION: C!"aJ@on law requires you to
I Emnil: tollOW rUles_ adop1e,9, oy me uregofl ~~~fl~_
I' W"~' ~ l"lUlII 1l;i;:lW.;.I;'" ~"t;:~'~- ~-'rIJQo luk..~ ~lv ..;J"':. ,...,. ......~' , "",
" , '~ \.tON I TO ;.'Eii0Y'''- . ..'r - . "'-
IEllk, no,: 20:~~;~' ~~~~'~~~~~T~~~~~~]~~~I>f)r~~I>~~~" '
I """n,ss Nam" BURRELL!\WI'I1:;'~?Il~t~qNote: the telephone
I Contn,t: Joshua Burrell number for the Oregon Utility Notification
(Address: po BOX 697 Center IS ,-tlUU-;;;;;;:-;;:;;44).
I City/StaterLlP: WALTERVILLE OR 97489-0697
IPllont.': (541 )7472724 1 FlU: (54] )7441 047
It:m:lil: burrellbros@integmonlinc,com
l.\Il'Iro lie, no,:
I Supen'ising electrician's lic. no.: 4721 S
I Supen'ising clcctrichlO's name: JOSHUA J BURRELL
I City lie, 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.
1"_';'..:," ... '",:;;6L-FEESCHEDuLE r
I Dcscriplion l Qt)'. I Ea. I Tolal
I' ~~id, i~tial,_SH:~'S, }.~:;OR".~~lUl~i~~~~, ",i.IY~d","elli~g:~~i!~}nCI,Ud~S
~~tach.cd gl!!.agc ~ c".f- ~.' -;:1 ''''~'.:~~, _, " ).'" ,,','~""'" '" ....,
I ],000sq,Ii,o,lcss[4] I I I
1 Ea. addl 500 sq. fI, or portion
IId~jji~d,~,Ei~c,g~,~.~ ;':,
I-Limited energy, residential
(with above sa. ft.)
I-Limited energy, multifamily
residential (with above SQ. ft.)
I . Limited energy, commercii-II
(with abow SQ. ft,)
I - Stund-alone limiwd energy,
residential
I - Stand-alone limited energy,
multi-familv
I - Stand-alone limited energy,
commercia]
I SeITlcerOR.~ectler~:i~':~ta.!!ation/a_!t'ifl,itiori;-AND/~Ii,re!o~atioll ~'~
1200 amps or less [2]
120] amps to 400 amps [2]
140] amps to 599 amps [2]. .
I.TE,~lro~ RY~~n'ices"-q~, r~c'i:i~It!!luti~~. .~!t~ra~~o~," ,
ANp!OI~'r~locaJlOn'~~' ~'--".. ~.. w:.-~:.=;'- -. .;c~~, '-.' 1__
1200 amps or less [2] I
120 I amps to 400 amps [2]
140] amps to 599 amps [21 I
I ~,riiIlIti (.il'('u!ts---N_~~Y'-!lI!c~aii~.n/OR~xtcIJsion~pe~p~nel ';.'.
I A. Fce for brunch circuits with I
service or feeder fcc, each
branch circuit
I B, Fee for brunch circuits I
without servict.' or fct.'dcr fec. .
tiTS! branch loircuit 121
I cach add I brunch circuit I $6.00
II.Mf~~~!.'E'_;;.4-"J'',,::'' -;'''-'{~I
II s,i-t!l:re&;'.t;~IV!lil- I:itJALY tXPIRE 'F THE V"ORK
I E~M>l!I~'lf.!<t<f!Jnl11'Jl!Y'EF THIS pr RMIT IS NOT
1 1*\')IMit'Mcr~' OmS ~BANDO ,\lED FOf
I I pu%JlJf ;q../BlI;<f)fW]iflllRIOI L I
II,Signoroullirielighting[2J
I I Signal.circuit(S) or limited- I
energy panel, <l1!cratlOn, or
extension 12]
,,-,,"l1
I
I
I
I
I
",..- .'" I
I
I
ilOt offered online at this jurisdiction I
I
I
I
d
I
I
I
'::1
I
I
I
"',",~
, ,~""
,"-'. -.
I
I
I
$55,00
I
I Subtotal
I Stute Surcharge (] 2% of permit ft:c)
I City OfSpringfie]d fees >l-
I TOTAL PI<:RMIT FEE
.. City Of Springfield fees: 5% Technology Fee
{tq n~nCg;~'CtiOkQ:dJ 5 h.o\ cPt
,E'~ECTRICAL'PE_RMrT FEES,
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
."."""-'''~'x~;o~ ~~t?~
T~uthorization To Begin Work must be posted at the job site until replaced by a Permit
$55,001
$6,001
I
I
I
I
I
.'1
$61.00 I
$7.32 I
$3.05 I
$71.371
"1Ik6~,'~',~" ';0 FI:~,:~" ,I,..
." "
" '
.. I
, ,
,
""'" .,--'.. . -.-'
CITY OF SPRIl'HJI' 11',LD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009c00698
ISSUED: OS/20/2009
APPLIED: OS/20/2009
EXPIRES: 11120/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2225 G ST
ASSESSOR'S PARCEL NO.: 1703361209500
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Resideutial
PROJECT DESCRIPTION: Circuits to garage/shop
Owuer: TA YLOR JARED A & TASHA N
Address: 2225 G ST
SPRINGFIELD OR 97478
, CONTRACTOR INFOR.I\1A nON I
Contractor Type
Electrical
, Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2009
Phone
541-747-2724
BUILDING INFORMATION I
# of Uuits:
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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupaut Load:
u/a
I DEVELOPMENT INFORMATION I
. REQUIRED PARKING
Frontyard se'lbact<:ITION: Oregon law requires y00\\llrlay Dist:
Side I Setbatn,;ow rules adopted by the Oregon L#iStfeet Trees Rqd:
Side 2 Setbhhl!fication Center. Those rules are seWavell Drive Rqd:
Rearyard SetQ,~W:952-001-001 0 through OAR 952o;:'C'o'lcLot Coverage:
Solar Selb,Ri(~9. You may obtain copies of the rules by ,
~;:dliJ1n thA rpntpr Il\lnte' thp tolonhnno
number for the Oregon Utility ;,iPI'JBI3Iā¬IIMPROVEMENTS,
Center is 1-800-332-23-" ICE'
o "r nUl
Street Improvements: THIS PERlM\'r~ItAl~t:xPIRE IF THE WORK
Storm Sewer Availllble: AUTHOR~~~~jl!@~ItI~B:PERMIT IS NOT
Special Instruction: COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Total:
Handicllpped:
Compllct:
Notes:
I Valuation Descriution I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Squllre Footage
or Bid Amount
Value
DlIte ClIlculllled
Paee t 01'2
_G_F!'.'CI!".N"O,f;'E,.~,O,..ili, ' '..'
Wt;:' 'I
'J. ".
I', ,;: ".
""'l- , Ii
.'
J_ . i:
-"..-" ,:
",.. -"~..,..,- ,-.. '"''
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00698
ISSUED: OS/20/2009
APPLIED: OS/20/2009
EXPIRES: Il/20/2009
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% Stale Surcharge
+ 5% Technology Fee
Add, Alter, Extend Clrc
Add, Alter, Extend Circ Ea Add
Amount P:lid
D:lte P:lid
Receipt Number
$7.32
$3.05
$55.00
$6.00
5120109
5120109
5120109
5120109
1200900000000000506
1200900000000000506
1200900000000000506
1200900000000000506
Total Amount Paid
$71.37
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.
Reouired Inspections I
Rough Electric: Prior to Cover
Fin:l' Electric: When all electric:ll work is complete.
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 Ordin:lnces of the City of Springlield :lnd the Laws of the St:lte of Oregon pertaining 10 the work described herein, :lnd
th:lt NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building S:lfety.
I further certify th:lt only contr:lctors and employees who are in compli:lnce with ORS 701.005 will be used on this project,
I further :lgree to ensure th:lt all required inspections are requested at the proper time,.lh:l1 each address is re:ldable from Ihe
street, that the permit c:lrd is loc:lled at the front of the properly, and the approved set of plans will rem:lin on ihe site:lt :I"
times during construction.
Owner or Contractors Signature
Date
Pa2e 201'2
225"Fifth Street
Springfield, Oregon 97477
541~1726-3759 Phone
lvi,=..".', Olii. c..,
"... .,
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200900000000000506
Date: OS/20/2009
IO:58:43AM '
.Job/Journal Number
COM2009-00698
COM2009-00698
COM2009-00698
COM2009-00698
Paid By
ONLINE PERMIT GIGS
Item Total:
Check Number Authorization
Received By Batch Number Number How;iReceived
Amount Due
55,00
6,00
3,05
7,32
$71.37
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
ONLINE CHGS
Amount P:lid
KR
ONLINE BURRELL Online
BROS
ENTERPRI
SES
$71.37
Payment Total:
$71.37
cRcccintl
Page I of I
5/20/2009