HomeMy WebLinkAboutPermit Electrical 2009-5-21
Receipt # EC552143
'5/21/200912:55:16 PM
City of Springfield
Electrical Authorization To Begin Work
E'-mailed To: burrellbros@integraonline.com
I\\t
II ~/
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I
I 401 amps to 599 amps [2] l
litEMP()RARY!'serviC"CS'OR. 'reeders......^.;Ins'tallat.ion./lilter~.lliion;''o.,~";,l.~'~f*;z:-f-; .
~~JOR;i!&&L?iliw}t~'~~~~a~~~if'~"t'Z=~~1J;:/~1i
1206 amps or less 12]
1201 amps to 400 amps [2]
I Nllme: Wayne Smith 11401 amps to 599 amps [2]
I ::,~:: (541) 514-9774 IF"" : 11[~~~:~~::~~n~:~.~~~m~tj1~?:~~~~s~p~~ff~et(!if!;fc 1 to
^~i,:'~~?~~::~/i.~~~t~~~!~I\t~~~~~~,;~~~]~,~i~i I ~!~::~~~~~:~~{;;:.~~;~;;~~;,~~;:Uh~~ ~;;9~ ~J~~
I B",'''''' N"me: BU R'~~'tlRU''fflffEI<'PI'"'.''1.!~e: v r:N ~ Jfl I fi,,, bmoch "'c"iAIt~'u. yOU, nay obta n copies 01 the rul,8 by
Ico",,,c': 10sl"" B",IeiI)IVIIVltl~vtU un Ii) ."D/'\rmv"LJ r I I each addl bc:",ch ci,,~iillllng tn J center. (Note: t~ e teleph1lfie
IAddcess: PO BOX 691.NY 1 tlU UI-IY t'tnluu. I IVMij1:e!!i!ffeouif'-"!Ll(~r1E~<12~~L[1~i;!'J~gl!(l~!.:W1Li~~gtJ.m~' lion
I City/State/ZIP: WALTERVILLE OR 97489~0697 II~s;~~~c~rec~~nCCI ;::'~"l2c]'=cc;l',[c;r'i~~'1f~;)O~~61~~::~~03.0~
I Phone: (541)7472724 I Fax: (54] )7441 047 I I Each manufOlctured or modular I
. dwelling;service and/or feeder
I Em<lil: bum:llbros@integraonlim:.com I f21
Il\fetro lie. no.: I City lie. no.: I-I Pump or irrigation circle [2] I
I Supervising dectrician's lie. no.: 47215 II Sign or outline lighting [2J I
I I Signal circuil(s) or limited-
I Supervising electrician's n~me: JOSHUA J BURRELL energy panel, alteration, or
extension '
Upon review and approval by your local jurisdiction, your w:
permit will be a-mailed or faxed within ono 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 obtamed. ~
The local building department may determine that an '\.. \..- lJ'
Authorization To Begm Work is null and void if It does not ~....
meet applicable land use laws and local ordmances. 0
, ~,/~~,O^
This Auth~n~ Begin Work must be posted at the Job site until replaced by a
I D New construction
IKJ Addition/alteration/replacement
[K] 1 or 2 famil;.' dwelling
o Commercial/Industrial
DMulti-family
I Job no.: I Job address: 2230 EL BONITA PL
I City/State/ZIP: SPRINGFIELD, OR 97477-]731
I Suite/bldg./apt.no.:
I Project Ilame:
Cross street/directions to job site:
I Subdivision:
Tax map/parcel no.: ]703244202704
ILot no.:
mclcrbase reconneCI
II Description
11,000 sq. ft. or less [4]
I Ell. addl 500 sq. ft. or portion
- Limited energy, residential
(with above SQ. ft.)
I-Limited energy, multifamily
residential (with above SQ. fU
I - LimilCd energy, commercia-I not ofTered online atthisjurisdiction
(with above SQ. (1.)
1 - Stand-alone limited energy,
rC5ldenllal
I. - Sl~nd-alone limited energy,
multl-famllv
I ~ Stand-alone Jin'liled energy,
commerclal
1200 amps or less [2]
[2ql amps to 400 amps [2]
! Subtotal J
I Slitte"Surcharge (12% of pennit fee) 1
I CitY Of Springfield fees "I
I TOTAL PERMIT FEE I
" City Of Springfield fees: 5% Techrlology Fee
[Default number of in sped ions allowed}
$6300 I
$7.56 I
$3.151
. $73.71 I
CQ-110 kJL 5\2J 00
Permit.
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00710
ISSUED: -05/21/2009
APPLIED: 05121/2009
EXPIRES: 11/21/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753' Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2230 EL BONITA PL
ASSESSOR'S PARCEL NO.: 1703244202704
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Meter base reconnect
OWller: SMITH WAYNE C & TAMARA D
Address: 2230 EL BONITA PL
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2009
Phone
541-747-2724
~U1LDlNG INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary COllstruction Type:
# of Bedrooms:
# of Stories:
Height ofStrllcture
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Buildillg:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
II/a
NOTICE: I DEVELOPMENT INFORMATION I
THIS PERMIT SHALL EXPIRE IF THE WORK, RE.QUlRED PARKING
Fronty,uIIT$eOOki!@ UNDER THIS PERMIT IS N(jlverlay Dist: ATTENTION: Oreg~n ~a~hreBtllt1bX~~i;i~Y
Side I Se1bi1tI<f::NCED OR IS ABANDONED FOR # Street Trees Rqd:Jllow rulesCadtOpteTh' Ye reu,i:iandicanp.~',h
. ~ ...... . Notification en er.. os M;:J all:;: S{;. ~
S.de 2 ~T!\,af~\:)'nAY PERIOD. Paved Dnve Rqd'n OAR 952-001-001 0 througIRlWH~.!2-001-
Rearyard Setba&: , % of Lot covera~690. You may obtain copies of the rules by
Solar Setbacks: callin the center., (Note: the teiephone,
q .,.. ., \"'--"-'-
I PUBLIC IMPROVEMENTS:ier~~~t'~'r~i~1 ~~OO~332~2344i:"--" _..
Street Improvements: Sidewalk Type:
Storm Sewer Available:
Speciallllstruction:
Downspouts/Drains:
Notes:
I V ~Iuation Descri'otion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
__~~l!!t~~,~~,~~J:"'I:~~.'i"!:~\." '
I
i
Status
Issued
225 Fifth Street, Sprillglield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Service Reconnect
Amount Paid
$7.56
$3:15
$63.00
Total Amount Paid
$73.71
Total Value of Project
Fees Paid I
Date Paid
I Plan Reviews ,
5/21/09
5/21109
5/21109
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00710
ISSUED: 05/21/2009
APPLIED: 05/21/2009
EXPIRES: 11/21/2009
VALUE:
Receipt Number
2200900000000000547
2200900000000000547
2200900000000000547
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 Insuections I
Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, that I have carefully examilled the completed application and do hereby certify that.1I
information hereon is true and correct, and I further certify that any and all work performed shall be dOlle in accordallce with
the Ordinallces ofthe City of Sprillglield 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 ellsure 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 011 the site at all
times during construction. '
Owner or Contractors Signatllre
Pa2e 2 01'2
Date
225 Fifth Street
Springfield, Oregon 97477
54Ii-726-3759 Phone
Job/Journal Number
COM2009-00710
COM2009-007\ 0
COM2009-007\ 0
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
Service Reconnect
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000547
Date: 05/21/2009
1:21:58PM
Item Total::
Check Number Authorization
Receive~ By Batch Number Number How Rece~ved
Amount Due
63,00
3,15
7,56
$73.71
Amount Paid
KR
ONLINE bun-ell bros. Ollline
Payment Total:
$73,71
$73,71
Page I of 1
5/2\ /2009