Loading...
HomeMy WebLinkAboutPermit Electrical 2009-5-27 City of Springfield Electrical Authorization To Begin Work E~mailed To: burrellbros@integraonline.com Receipt # ECSS2400 0 fA. 'v( 5/27/200910:17:40 AM rfI / C/' , Check on status of permit By Phone: (541)726-3753 or Emaii: permitcenter@ci.springlieJd.or.us NOTE: This Authorization To Begin Work expires within 18~ days if a permit is not obtained. The locaJ building department may determine that an ~ Authorization To Begin Work is null and void it it does not 'l\ O(&- meet applicable land use laws an~ local ordinances, 't)'" ~~ ~~I)}l6' . ~~ This Authorization To Begin Work must be posted at the job site until replaCed by a Permit. o New construction 1KJ AdditionJalteration/replacement [X] 1 or 2family dwelling . 0 Commercial/Industrial D Multi-family IJob no.: I Job address: 499 72ND ST I City/SllltcrLW: SPRINGFIELD, OR 97478-7237 I Suitc/bldg./apt.no;: Iproject name: Cross street/directions to j?b site: I Subdivision: map/parcel no.: 1702353105700 ILot no;: microlhood circuit I Name: DonJFlorcncc.Hadley I Phone: (541) 741-2529 Emllil: I Fax: 11<:1. lie. no.: 20-442C I CCB lie. no.: ! 36446 I Businl'ss Name: BURRELL BROS ENTERP'RISES INC I Contact: Joshua Burrell IAddress: PO BOX 697 I City/State/ZIP: WALTERVILLEOR 97489-0697 I Phone: (541 )7472724 I Fax: (54] )7441 047 I Email: bUrTcllbros@inlegraonline.com ) l\'1etro lie. no.: I City lie. no.: I Supervising eleCtrici:m's lie. no.: 472] S I Supervisin~ electrician'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. II Description 11,000 s4. ft, or less [4J I Ea. addl 500 sq, ft. or portion I-Limited energy, residential' (with above sa. ft.) I-Limited energy, multifamily residential (with above sq. ft,) I-Limited energy, commercial (with above sq. ft) I - Stand-alone limited energy, residential 1 - Stand-alone limited energy, multl-family I, - Stand-alone limited energy, commercial I 1 not offered online at this Jurisdiction 1 I I 1200 amps or less [2J 120 I amps to 400 amps [2] 401 amps to 599 amps [2] 1200 amps or less [2] 1201 amps 10 400 amps [2] 1401 amps 10 599 amps [2J 1l[1!'~fstI:~ir~'uI~~~~N~5x~:~I~~ti~ii1,9.~_ e~le'l~~?ri;j)erp'~~~I~.~::;: I A. Fee tor branch circuits with I service or feeder fee"euch branch cirCUlt I B, Fee for branch circuits II witholltscrvictor feeder fee, firSl branch circuit f21 I each addl branch circuit I I I I I $55,00 $55,001 I Service reconnect only [2] lEach manulbctured or modular dwelling, service.und/or feeder f21 I Pump or irrigation circle,[2] Sign'or outline lighting !2J Signal circuit(s) or 1imiled~ alteration, or I I I State Surcharge (12% ofpemlit lee) I I City OfSpringfieJd fees" L TOTAL PERMIT FEE .. City OrSpringfidd fees: 5% Technology Fee [Defalllt number afinspecfions allowed} Subtotal I Minimum fee used instead ofSubtolal $55.00 $5800 $6,96 $2,90 $6786 ~ 2-tJD~ 5-T1-Cfl OOS q '-f N 'Y'V'- r, I~~ ifI ~;r?J(/ CITY OF SPRIN(jf< mLD I' Building/Combination Permit PERMIT NO: COM2009-00594 ISSUED: 05/01/2009 APPLIED: 05/01/2009 EXPIRES: 1112712009 VALUE: Status Finaled 2i5 Fifth Street, Springfield, OR 541.726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 499 72ND ST ASSESSOR'S PARCEL NO.: ,1702353105700 " Springfield TYPE OF WORK: Heating System I,; TYPE OF USE: New Residential PROJECT DESCRIPTION: HVAC System Owner: DONALD K & FLORENCE E HADLEY FAM R Address: 499 72ND ST SPRINGFIELD OR 97478, Phone Number: 541-741-2529 I CONTRACTOR INFORMA T10N 1 Contractor Type Electrical Mechanical Contractor BURRELL BROS ENTERPRISES INC INNOVATIVE AIR INC License 136446 161742 Expiration Date 08/20~2009 I 0/1lI20 I 0 Phone 541-747-2724 541-746-1040 BUILDING INFORMATION I # of Units: ' Primary Occupancy Group: Secondary Occupancy Group: Primary Coustruction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat:" Water Type: Range Type: ' Energy Path: Sprinkl~d Building: Lot Size: Sq Ft 1St Floor: Sq Ft 2nd Floor: Sq Ft B~sement: Sq Ft Garage/Caq,ort Sq Ft Other: Occupant Load: n/a ,I DEVELOPMENT INFORMATION I, Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks; Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: REQUIRED PARKING 'Total: :. Handicapped: : Compact; , I PUBLIC IMPROVEMENTS 1 Street Improvements: Storm Sewer Available: Special Instruction : Sidewalk Type:, ' Downspouts/Drains: , ATTENTION: Oregon law requires youto follow rules adopted by tl1,e Oregon Utility Notification Center. Those rules are set forth in: OAR 952-001-0010 through OAR 952-001. 0090, You may obtain copies of the rules by calling the center. (Note: the telephone [lumber for the Oregon Utility Notification Center is 1.800-33~'2344). Note's'mCE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER TI1IS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ' Paee I 613 " ~$eRf(f!tt~I~~}iM~,~;: "O!li,li..,;:'LUU Status, Finaled 225, Fifth Street, SpringJield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation Descrintio~ I Description $ Per Sq Ft or multiplier Tvpe of Construction Sqnare Footage, or Bid Amount Total Value of Project Fpp<, pq i<l I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump + 12% State Snrcharge + 5% Technology Fee , Add, Alter, Extend Circ Minimum/Adjnstment Electrical Amount Paid $ 13.56 $5.65 $79.00 $17.00 $17.00 $6.96 $2,90 $55.00 $3.00 Total Amount Paid $200.07 Date Paid 5/1109 5/1109 5/1 i09 5/1/09 5/1/09 5/27/09 5/27/09 5/27/09 5/27/09 I Plan Reviews I CITY: OF SPRINCFIELD Building/Combination Permit PERMIT NO: COM2009-00594 ISSUED: 05/01/2009 APPLIED: 05/01/2009 EXPIRES: 11/27/2009 VALUE: Value Date Calculated Receipt Numher 3200900000000000291 3200900000000000291 3200900000000000291 3200900000000000291 3200900000000000291 3200900000000000396 3200900000000000396 3200900000000000396 3200900000000000396 To Request an inspection call the.24 houTrecording 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. l..Jlellllire1J nsnections I . Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of 3 Status' Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone ,541-726-3676'Fax 541-726-3769 Inspection Line CITY;. OF SPRINGFIELD I' Building/Combination Permit . 1 PERMIT NO: COM2009-00594 ISSUED: 05/01/2009 APPLIED: 05/01/2009 EXPIRES: 1 i/27/2009 VALUE: ' By signature, I state and agree, that 1 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 shal(be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the wO,rk 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 ouly contractors and employees who are iu compliance with ORS 701,005 will,'be 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 Paee 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ' ~~f City of Sprirgfield Official Re~eipt DevclopmeQt Services Department Pul:Hic Works Department Job/Journal Number COM2009-00594 COM2009-00594 COM2009-00594 COM2009-00594 Payments: Type of Payment ONLINE CHGS cReceiOll RECEIPT #: 3200900000000000396 Date: 0512712009 Descriptio"" Add, Alter, Extend Circ 'Minimum! Adjustment Electrical + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: t:heck Number Authorization Received By Batch Number Number How Received NJM ONLINE BURRELL Online Paymert Total: Pag,e I of 1 10:40:45AM Amount Due 55,00 3,00 2,90 6,96 $67.86 Amount Paid $67,86 $67.86 5/27/2009