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
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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