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Home My WebLink AboutPermit Electrical 2009-8-6 ,\ City of Springfield Electrical Authorization To Begin Work E-mailedTo:burrellbros@integraonline.com 69600-BEL-09-00062 8/6/2009 11 :29 am ApP,rm!al Code: 02537C Check on status of permit By Phone: '541-726-3753 or Email: permitcenter@ci.springtield.or.us f~,TTENTION: Oregon law requires you to i~06i1iar~;g;1~~:e01hth~~:~~'~:~~~~eY:~;rh 009 ' rough OAR 952-001- 0" You may obtain copies of the rules b calling the center. (Note: the telephone y number for the, Oregon Utility Notification Center IS 1:800-332,2344). ~~ FJ !:. <..Q \;l- ~\l U\ 0:' This Authorization To Begin Work must be posted at the job site until replaced by a Permit, I D New Construction o Addition/alteration/replacement 101or2faniilYdWelling DMulti-familyl Dcommercial DACCeSSOry l~m~~~~*:~6svsrfE1(NFORMATION"AN'DmnOCMioNt,A~~3,?~I~~fl15;1 I I I I I I I I I I I Cross Street/directions to job site: 'I I Tu.p/pm,'no, \1m'M)1'>H ,C)f),\ \C\ . _ ~~. :~~~~:~~~~ESC:Rlp,TIO"-NTof!wOR'K~~D":7E*'~tf~~~1 Job Address: 638 65TH ST Cit)'/StateJZIP: SPRINGFIELD, OR 97478 Suite/bldg.lapt.no,: Project Name: Aircond. units hooked ~"ii~;'~ I Name: Frank Smith Phone: 541-726-9128 fa,,: Email: 'I Elee lie, no,: 20-447C I Business Name: BIJRRELL BROS ENTERPRISES INC ...n....!^.._ , Ic "UI'UI.. I ontaet: I Address: POBO~r?t0 .~~~iv~i~ ~~~~L C~~~R!_I~.~I~~.;/?fi~ I CUy/S.."/ZIP, ~AJ+&\1rdi::.51~9j,/j~6<17,H~f~I~:~L_f.\IV111 ~J~,,<J I I Phon" 541,74I,\,iiIYIIYI CIVvCU un_ Ioii.t'R t:'i4"HHJ V Eo fur, I Email:burrellbro~fure~briUe!d~l ,...t:nl~u. I Metro lie, no,; I Supervising Electrician's Iic. no.: I SupervisingEleClrician'sName: , CCBlic.'no.: 136446 City lic. no,: 4721 S , JoshuaJ Bllrrell Number ofinspectioDs included in paid services: Residential Service: 4 Reconnect Only: I A]] Other Services: 2 ~ ~ 1\11'cf\ g.IlY I Upon review and approval by your local jurisdiction. your permit will be e-malled or faxed within one business day. ..1,ith instructions on how to schndule you. inspection, I NOTE: This Authorization To Begin Work expires within 180 days if a p~rmit is not obtained. I The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances PleasecheckaJllhalapply: DAserviceorfeederbeginningat 400 Amps where Iheavailable fault currenlexceeds 10,000 Ampsal 150 Volts or less 10 ground exceeds 14,000 Amp, lor all olher installations []Hazardouslocarions DA service or feeder rated at 600 amps or more DSuildingsmore1hanlhreeslOries OMarinas and boal yards DfloJlingbuildings DCommercial-useagricultural , buildings [JlnSlalJalionofal50KVAOrlarger seperaldyderivedsys [Z)"A"', "E"',or"']-2" or "].3" [JRecrealionaIVehicleParks []Suppjyvoltageformore~an600 I SUppll' volts nominal o Fire pumps o Emergencysyslems o Addition ofa new mOlOr load of 100 HPor more o Six or more residemial units in one structure DHeaHhcarefaciiilies Branch circuitswithoul service or feedn I Branch circuits each additional circuitwltholltservice $55.00 $55.00 $6,00 512.001 2 I Subtotal /Stalcsurcharge(I2%Ofpermit total) ITechnology fee (5% of permit lotal) I TOTAL PERl\IIT FEE '67.001 $8,041 $3.351 S78,39 , Cq 114t\ ~ .. elLDICfl CITY OF SPRINGl'lJ<.LD ;' Building/CQmbination Permit " Status Issued PERMIT NO: COM2009-0II44 ISSUED: 08/06/2009 APPLIED: 08/06/2009 EXPIRES: 02/06/2010 VALUE: ' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 638 65TH ST ASSESSOR'S PARCEL NO,: 1702341300419 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: 3 circuits for air couditiouiug units in residence Residential Owner: SMITH FRANKLIN J & CHRISTINE Address: 638 N 65TH ST SPRINGFIELD .DR 97478 Phone Number: 541-726-9128 I CONTRACTOR INFORMATION. Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date " 08/20/2009 Phone 541-747-2724 BUILDING INFORMATION. # of Units: # of Stories: Lot Size: Primary Occupancy Group: Height of Structure Sq Ft 1st Floor: Secoudary Occupancy Group: Type of Heat: Sq Ft 2pd Floor: Primary Constructiou Type Water Type: S'l-ft Basemeut: Secouda~Con~wction Type: Range Type: ATTENTlmSq-Ffffi'r~gE!!Cli'rp<lrfS you to # ofBedr~J.l/s!!,;t: Euergy Path: fOll,ow rulesS'4fFr'Qt'h~r': the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WSJ!rJukledBuildiug: NOIIJy,;atlon CO~!~\lpah~,[;'ifaIi':'les are set forth ^' <TO '~n'~~n "'1- h _ U,ll\ In OAH 952-001-UU1U tlirouah OAR 952-001- "." ,~, ,,~~~ "'w~n '0110 t"ct"",", , " ";'1' J)',"": YOU may obtam CODles of the rules by COMMENCED OR IS ABANDONCLDE. YE. I:OPMENT INFORMATIOIS". tli t :'I~ln;"" 'h", tolonhnnn _ . ! /, ng e cen er. REQurRED'PARKING ANY 180 DAY PERIOD, " number for the OregulI UlIlIlY ,"OIltlcallon Froutyard Setback: Overlay Dist: Center is 1-,&iJotal?2-2344), Side 1 Sethack: # Street Trees Rqd: , Handicapped: Side 2 Setback: Paved Drive Rqd: Compact: Rearyard Setback: % of Lot Coverage: Solar Setbacks: I PUBLIC IMPROVEMENTS. Street Improvemeuts: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of C~nstruction $ Per Sq Ft or multiplier Square Footage or Bid Amouut Value' Date Calculated Pa2e 1 of2 $f!!AINGF1lw.;o' .~ __~:.,m;~..,..'" ,_"",.,(1' ~-, Status Iss u ed 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541_726-37691nspection Line Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $8,04 $3.35 $55,00 $12,00 Total Amount Paid $78,39 Total Value of Project Fees Paid I Date Paid I Plan Reviews I 8/6/09, 8/6/09 8/6/09 8/6/09 CITY OF SPRINGFIELD . Building/C()mbination Permit P.ERMIT NO: COM2009-01144 ISSUED: 08/06/2009 APPLIED: 08/06/2009 EXPIRES: 02/06/2010 VALUE: . Receipt Number 1200900000000000886 1200900000000000886 1200900000000000886 1200900000000000886 To Request an inspection call the 24 hour recording at 726-3769, All inspections r~quested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wilHbe made the following work day. I ~e,?uir~d I ~.~nections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. ,. By signature, 1 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 shaU'be done in accordance with the Ordinances ofthe City of Springtield 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 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 011 the site at all times:during construction. Owner or Contractors Signature Paee 2 of 2. Date 225,Fifth Street " Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Developmert Services Department Public Works Department ,. ; Job/Journal Number COM2009-0I144 COM2009-01144 COM2009-01144 COM2009-0I144 Payments: Type of Payment ONLINE CHGS cReceint I RECEIPT #: 1200900000000000886 I Date: 08/06/2009 Description Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: t:heck Number Authorization Received By Batch Number Number How'Received KR ONLINE BURRELL Onl,ine BROS . Payment Total: Page 1 of I II :42:42AM Amount Due 55,00 12,00: 3,35 8,04 $78,39 Amount'Paid $78,39 $78,39 8/6/2009