HomeMy WebLinkAboutPermit Electrical 2009-9-23
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Electrical Authorization To Begin Work
E-mailedTo:burrellbros@integraonline.com
Check on status of permit
:', By Phone:'541-726-3753 . or Email: perm(lcenter@ci.springfield.or.us
D NewConstruction
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Additionlaltfrationlreplacement
10 1 or 2 family dW~!I~ng,
""'Dcommercial
DMUI~i'famiiy
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DACCeSSOry
Job Address: 7655 THURSTO~:Rn
City/State/ZIP: SPRINGFIELD, 9R 97478
Suite/bldg.Japt.no.:
Project Name:
Cross Street/directions to job sit~: Thurston Road
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Relocat 200 amp service and refee:f the existing electrical panel,
Name: Jim Larmack
Phone: 541-741-1731
Fax:
Email:
Elec Iic. no.: 20.442C
CCBlic.no.: 136446
Business Name: BURRELL BRaS ENTERPRISES INC
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Contact:
Address: POl\~9~.~~7('\ 1:.
City/StatelZip:WALTER'V"ILLE OR 974890697
Iii". ...... .....nll,I'- r) 1 nil 1""'\/.....1........ I"" .,..11.... \1]"'11/
Phone: 541-74'i:7Si3" ....'n..'I;' VI 11\"""" 'F~i:15~i~t47!in411"" ~WVlrf'\
1\ , 1''0'' 1"1"">1""'7......... I,~ ,............. -r' I',", .............. ~ l-r I""' ~ .,..,-r
ElUllil:burr~lI.b'r'Q;@i~t:'~~'nllii~o~l"tJl...11 IIIIV I L.IIIVIII 10 liJI
['fllh.I\/IJi7r..lf"'\r.f'"\ nn 1('1 ^ n ^ ~I""'f)r..lrn r-f"\n
Metrolic.no.:......'.~2.'--..v~L-"...... .....,.....; 'eitrlic~'ifo~I~......., 1 VII
.. ~ 1\ I .. "'''' .....~. I ,.,_.............
Supervisin{Ei~trid~"Hic':"'n~:' 1...41iN u.
Supervising Electrici~n's Name~:
JoshuaJBurrell
Number o(insptctions inc1uded"in paid services:
Residential Service: 4,
Reconnect Only. I
AJlOtherServices: 2
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Upon review and approval by' your local jurisdiction, your permit will be
e-mailed or (axed within one business day. with instructions on how to
schedule your InsP8ftion.,' ,,'
NOTE: This Authorization To Begin Work expi~s within 180 days if a pennit is
not obtained.
The local building l:Jeparbnerit may determine that an Authorization To Begin
Work Is null and void If It does not meet applicable land us'e laws and local
ordinances "
69600-BEL-09-00149
9/23/2009 3,02 pm
Approval Code: 05577C
Pkase checkaJl thai apply:
o A service or feeder beginning al 400
Ampswheretheavailablefauh
CUITenlexceeds 10,000 Ampsal
150 Vohs or less to ground exceeds
14,000 Amps for all other
installations
o Fircpumps
DEmcrgencysystems
DAddilionofanewmotorloadof
100 HP or more
o Six or more residemial units in one
structure
Dllealthcarefadlities
locations
se""iceclr feedet raled at 600
amps or more
Dnuildings more than lhreestories
DMarinas and boat yards
DFloatingbuildings
DCommercial-useagricullural
bUlldinl;s
Dlnstallationofal50KVAorlarl;er
Seperatelyderivedsys
O"A"."E",or"l-rOr"I-J"
DRecreational Vehi,dc Parks
DSupply voltage for more than 600
supplyvollSnominal
Total
Description
I Services 200 amps or less
!SlIbtotal
Slate surcharge (l2%orpcnnit total)
ITechn<:Jlogy fee (5% of penn it total)
I TOTAL PERMIT FEE
C-9-1411
$81.00
$81.00
$9.72
$4.05
$94.77 ,
k%
C1 \ 23\DCj
ATTENTION: Oregon law requires youto
follow rules adopted by the 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
number for 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 sHe until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009~01417
ISSUED: 09/23/2009
APPLIED: 09/23/2009
EXPIRES: 03/23/2010
VALUE:
Status Iss,ued x
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225 Fifth Street, Springfield, OR
541-726-3753 Phone. II,.
541-726-3676 Fax: ; 1:, ;', ',.
541-726-3769 Inspection 'Lin'"
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SITE ADDRESS: 7655 THURSTON RD
ASSESSOR'S PARCEL NO:: 1702351100900
Springfield TYPE OF WORK: Electrical Work Only
, .'. '! .,'" TYPE OF USE: New
PROJECT DE~CRlP1'ION:, Relocate 200amp service and refeed the existing electrical panel in residence
Residential
Owner:
Address:
!f'.' !
, CARMACK ROY JAMES JR & ROSALIND
7655 THURSTON RD "
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SPRINGFIELD OR 97478
Phone Nnmber: 541-741-1731
Contra~tor Type:: II ' C~ntractor
Electrical BURRELL BROS ENTERPRISES INC
I CONTRACTOR INFORMATION ,
License
136446
Expiration Date
08/20/2011
Phone
541-747-2724
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BUILDING INFORMATION I
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# of Stories:
Height of Structnre
Type of Heat:
Waier Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
# of Units:
Primary Occnpancy Gronp:':
Secondary Occupancy,Group:
Primary ConstructionliType ,:
Secondary Construction Type:
# of Bedrooms: '. ::
u/a
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side 1 Setback: ' . # Street Trees Rqd: . Handicapped:
Side 2 Setbac~~ilT C~::. , Paved Drive Rqd: ATTENTION: OregO€oliiplicf:uires you to
Rearyard Setliack: I ,,' , . % of Lot Coverage: follow rules adopted by the Oregon Utility
Solar SetbackI,HIS PI;RMIT SHALL EXPIRE IF THE WORK Nolification Center. Those rules are set forth
Al ITUf"lDI7cn I Hd':',=1"J TUIC nCDnl1'T l~ f\lnT in OAR, AFi?-nn1-nn1 () thr()]]oh OAR QS2-0n1-
COMMENCED OR IS.A8ANDrimJlLI~JJlVIPROVEMENTS' 0090.. You may obtain copies of the rules by
~I Q' . 'r I, callmg the center, (Note: the telephone
Street Impro~m~nts.O DAY PERIOD. " nu.lIi.dewidkffiype:regon Utility Notification
Storm Sewer Available: . DowRS1>'6\r{siDr~'i~~P-332-2344).
Special Instruction:
r DEVELOPM.." 1 u~FORMA TlON I
Notes:
I V aluation DescriDtio~ I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
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Status
Issued
225 Fifth Street, SpriI~gfield, OR
541-726-3753 Phone
541-726-3676 Fa.x. ,. _ ,,'
. h....~.- . . ,-..:,
541-726-3769InspectlOn-Lme .
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Fee Description.: ">.
+ 12% State S~.rchan~t
+ 5% Technology Fee.'
Perm ServlFdr 200 amps or less
Total Amo~nt Paid
Amonnt Paid
$9.72
$4.05
$81.00
$94.77
Total Value of Project
Fees P,~id I
1; ,\,t
Date Paid
Plan Reviews I
9/23109
9/23/09
9/23/09
Lll i' OF SPKJ.r~u1'lELD .
Building/Combination Permit
PERMIT NO: COM2009-01417
ISSUED: 09/23/2009
APPLIED: 09/23/2009
EXPIRES: 03/23/2010
VALUE:
Receipt Number
2200900000000001084
2200900000000001084
2200900000000001084
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made t'he same working day, inspections requested after 7:00 a.m. will be made the following
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workday."
I Relluired In~nectillns I
Electric Service': Approval required prior to utility company energizing service.
By signature, I 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 shall be done in accordance with
the Ordinances of the ~ity ~,f Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY wilI'be made of any structure without permission ofthe Community Services Division, Buildiug Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used ou this project.
I further agree to ensu~e that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit ~ard i~ located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
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Owner or Contractors Signature
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Paee 2 of 2
Date
.. If ,::; .:i'J~:.~t~.
225 Fifth StreeC....,.. .
.'.-.,.. .;,. I',,~ < . ,
Springfield,Oregon9,7477
541"726-3759 Phone::
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Job/Journal Number :.
COM2009-0 1417 ',,:,.
COM2009-0 1417
COM2009-014i7
Payments:
Type of Payment
ONLINE CHGS
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
1: RECEIPT'#:2200900000000001084
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De,scripti~n .,:_:,. "
;.;,~~I}TIS,~,Q'!F'(b}9() anips or iess
,+!'- S'% Tec1IDolo~ Fee
',",:+'12% State Surcharge
: I '
..
.," I..
. . Paid ByC::
, ;.:, . ~
ONLINE PERMIT CHGS
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Received By
KR
I
Page 1 of 1
Date: 09/23/2009
Item Total:
Check Number Authorization
Batch Number Number How Received
ONLiNE BURRELL Online
BROS
Payment Total:
3:16:13PM
Amount Due
81.00
4.05
9.72
$94.77
Amount Paid
$94.77
$94.77
9/23/2009