HomeMy WebLinkAboutPermit Electrical 2009-9-17
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City of Spriugfield
Eleclrical Authorizatiou To Begin Work
E-mailedTo:burrellbros@.integraonline.com
Check 00 status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.spriogfield.or.us
I D NewConstruction
o Addition/alteration/replacement-
o I or 2 family dwelling
DMlllti-family
DCommercial
DACCeSSOry
f~1:~:~=~:fsiTE1NFCORMAfiON7ANbiI;-6CAil0N~~f'R'~::
I City/StateJZIP:SPRlNGFIELD, OR 97478
I SuiteJbldg./apt.no.:
I ProjtclNamt:
I Cross Strtttldirtctions tojobsite:
I Tllxmapfparct~lno.: \
Hvac-splilsystem
Namt: Glen McDonald
Phone: 541-726-7283
Fax:
Email:
I Eltc lie. no.: 20-442C CCBlie.no.: 136446
I Businm Nllmt: BURRELL BROS ENTERPRISES INC
I Co","'" I~U "lit:
I Add",.,pOB~X!<I<lj PERMIT SHALL EXPIRE IF THE WORK
I CUy/S",<1ZIP!\VALt/i'Ii)J!4E@< ~7~fE9!?1l THIS PERMIT IS NOT
I Phoo.,,41-74i;1.!\'!1MENCED OR IS>;wANfJ{'M'ED FOR
. Em"HomlltA,~@{oI~G"9,~'v\ PERIOD.
I J\lttToiic. no.: CityJie. no.:
Supervising Electrician's lie. no.:
Supervising Eltetricilln's Name:
472IS
JoshllaJBurrell
Number ofinsptctions included in paid services:
Residential Service: 4
ReconneclOnly: )
All Other Services: 2
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.
NOTE: This Authorization To Begin Work expires within 180 days if a permit is
not obtained.
The local building department may determine that ari Authorization To Begin
Work is null an.d void if it does not meet applicable land use laws and local
ordinances
69600- BE L-09-00 136
9117/2009 9,SOam
Approval Code: 04545C
Please cneck all tnat apply
o A service or feeder beginning at 400
Amps where tne avaiJable fauh
currenlexceoos 10,000 Ampsal
ISO Volls or less 10 Ilround exceeds
14,000 Amps for all other
installalions
o Fire pumps
o Emerllencysys!ems
o Addition ofa new molor load of
100 HPor more
o Six or more residential units in one
structure
o Health care facilities
DHuardouslocations
DA service 01 feeder rarcd at 600
amps or more
o Buildinlls more rhan Ihrce stories
DMarinasandboaryards
DFloatingbuildings
DCommcrcia'-uscagricultural
buildings'
DlnstallationofalSOKVAorlarger
seperately derived sys
D"A","E",or"I-2" or "1.3"
o Recrealional Vehicle Parks
DS~pplyvoltageformorelhantioO
supply volts nominal
Ell.
IOtseriP,ion
I Branch circuitswithoul service or
feeder
I Branch cireuits each additional circuit
without service
I Subtotal
IStatcsurcharge(12%ofpermitlotal)
ITechnology fee (5% of permit Iota])
I TOTAL PERMIT FEE
I Qoy.
I'Total
$55.00
$55.001
$6.001
$6.00
$61.00
$7.32
$3.05
$71.37
t9- \\D3
K-Q.. Cj I Ii I Dq
ATTENTION: Oregon law requires you to
follow rules adopted by the .Oregon Utility
!'lotilication Center. Those rules are set lorth
m OAR 952-001-0010 through OAR 952-001-
0090.You may'obtain copies olthe rules:by
callmg the center. (Note: the telephone'
number lor the Oregon Utility Notification
Center is 1-800-332-2344).
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This Authorization To Begin Work must be posted at the job site unlit replaced by a Permit
Status
Issued
225 Fifth Street, Spriugfield, OR
541-726-3753 Pboue
541-726-3676 Fax .
541-726-3769 Inspection Liue
SITE ADDRESS: 349 S 47TH ST
ASSESSOR'S PARCEL NO.: 1702324307200
CITY OF SPRINGFIELD
Building/Combination .Permit
PERMIT NO: COM2009-01103
ISSUED: 07/30/2209
APPLIED: 07/30/2009
EXPIRES: 03/17/2010
VALUE:
Spriugfield TYPE OF WORK:
Residential
PROJECT DESCRIPTION: Iustall IJIini-splitsystem
Owuer: MCDONALD GLEN G & ROBIN L
Address: 349 S 47TH ST
SPRINGFIELD OR 97478
TYPE OF USE: New
Phone Number: 541-746-5615
I, CONTRACTOR INFORMATI?N ,
Contractor Type
Electrical
Mechauical
Contractor
BURRELL BROS ENTERPRISES INC
COMFORT FLOW HEATING CO.
License
136446
460
Expiration Date
08/20/2011
06/27/2011
Phone
541-747-2724
541-726-0100
BUILDING INFORMATION I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2ud Floor:
Sq Ft Basemeut:
Sq Ft Garage/Carport
Sq Ft Other:
uta Occupaul Load:
ATTFNTI()N' (1rpnnn I"w JpmJirp< \/nlljr
I DEVELOPMENT INFORMATIONU,' rules adopted by tHe Oregon Utility
NOTICE: IRE IF THE WORK . i~J~A~a~~~_~~ln_~~'16~~~-:Pg*,~~~):m~
Front yard ~~\!J!lqRtRM1T SHALL EXP ~ ~-l'my Dist: 0090. You may obtairTot~l:es of the rules by
Side 1 Selb'h"l5'fHORIZED UNDER THIS PtRMIT treet Trees Rqd: calling the center. llandiclipped;3phone
Side 2 Setbt'~lVIMENCED OR IS ABANDONED F ved Drive Rqd: number for the Ore~@nip':ilit.l Notification
Rearyard S~t\i'\F~~o DAY PERIOD. % of Lot Coverage: Center is 1-800-332-2344).
Solar Setbas.!~:
# of Units:
Primary Occupaucy Group:
Secoudary Occupaucy Group:
Primary Coustructiou Type
Secoudary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Euergy Path:
Spriukled Building:
I PUBLIC IMPROVEMENTS ~
Streellmprovemeuts:
Slorm Sewer Available:
Special Instruction:
Notes:
Pa~e 1 of 3
Sidewalk Type:
Downspouts/Draius:
l
Status
Iss u ed
225 Fifth Street, Spriugfield, OR
541-726"3753 Phoue
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtio~ I
Description
Type of Constructiou
$ Per Sq FI
or multiplier
Square Foolage
or Bid Amouut
Total Value of Project
Fe~s Paid I
Fee Description
+ 12% Slate Surcharge
+ 5% Tecbuology Fee
1st Appliance
Heat Pump
+ 12% Slate Surcharge
+ 5% Techuology Fee
Add, Alter, Exteud Circ
Add, Alter, Exteud Circ Ea Add
Amouut Paid
$11.52
$4.80
$79.00
$17.00
$7.32
$3.05
$55.00
$6.00
Total Amouut Paid
$183.69
Plan Reviews I
Date Paid
7/30/09
7/30/09
7/30109
7/30/09
9/17/09
9/17109
9/17/09
9/17/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01103
ISSUED: 07/30/2209
APPLIED: 07/30/2009
EXPIRES: 03/17/2010
VALUE:
Value
Date Calculated
Receipt Number
3200900000000000558
3200900000000000558
3200900000000000558
3200900000000000558
2200900000000001056
2200900000000001056
2200900000000001056
2200900000000001056
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 Re(lllir~d I nsneetions ~
Rough Mechauical: Prior 10 Cover
Final Mechauical: Wbeu all mecbauical work is complete.
Rough Electric: Prior to Cover
Final Electric: Wbeu all electrical work is complele.
Pa2e 2 of 3
\
_S!~~!~#fJ~~~,"{r~;l!l!l!j~!~~~
\c"', ,,' ,',' ,,"~ . ,
Status
Iss u ed
225 Fiflh Street, Springfield, OR
541-726-3753 Phoue .
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01I03
ISSUED: 07/30/2209
APPLIED: 07/30/2009
EXPIRES: 03/17/2010
VALUE:
By siguature, I slate aud agree, thai I have carefully examiued Ihe completed applicatiou aud do hereby certify Ihat all
informatiou hereou is true aud correct, aud I furtber certify thai auy and all work performed shall bc done iu accordance with
the Ordiuauces of the City of Spriugfield and the Laws of the State of Oregon perlaining to tbe work described herein, aud
that NO OCCUPANCY will be made of auy structure withoul permissiou of Ihe Commuuity Services Divisiou, Buildiug Safety.
I further certify that ouly coutractors and employees who are in compliauce with ORS 701.005 will be used ou this project.
I furtber agree to ensure tbatall required inspectious are requested at Ihe proper time, thai each address is readable from Ihe
slreet, tbat the permit card is located at Ihe froul of the property, and the approved set of plaus will remaiu on Ihe site at all
times duriug coustructiou.
Owuer or Coutractors Siguature
!
Page 3 01'3
Dale
c'
225 Fifth Street
~pringfield, Oregon 97477
.541-726-3759 Phone
.r;~~~
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200900000000001056
Date: 09/17/2009
10:38:01AM
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
55.00
6.00
3.05
7.32
$71.37
Job/Journal Number
COM2009-01103
COM2009-01103
COM2009-0 II 03
COM2009-01103
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
t 12% State Surcharge
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
KR
ONLINE BURRELL Online
BROS.
Payment Total:
$71.37
$71.37
cReceinll
Page I of I
9117/2009