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HomeMy WebLinkAboutPermit Electrical 2009-9-30 Electrical Permit A . 225 Fifth StrttttSpringfield, OR 97477+PH(541)726-37S3+FAX(541)726-3689 I'~' 'fit' '~~~W,.r.'=~.lili>:i1"'"'-"'-""~~ill .. ElEP.Jl\RTMENm;I!JSEf0N~Y~ . ~l;~.-.~. .; ~~"_;"",,,;;;!'_n"""'~~_''',_''-ct', ~ ~.. I ru. 0< /L../S'-' I ~ ,.. Permit no.:\._ -( - ,'--::> I Date: cr/30/ d'i I This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuan~e or if work is suspended for 180 days. 1~'1i','6~t4!L!b"C'Al:.ii[G0'f1.ERNMENTtlfJl\I?,P.R0S1/i,LllI\Ji(.!r~!1 ll\!.im~~il.~F;:EEiiiS~IilEO.I!J();Efj[~1~1 I Zoning approval verified? 0 Yes 0 No I l~rr&~.',!1~:W;~1'(;)~IQ~I~e:Q~~Il:\'''F1!a\il'l1 1~"~~CAiI'EG0RYli~f)"'"C0NS:rRUC:r10N;";"'I'~~111!~Ii'~!W:1 "'L"".,,,,i,!;_~~'~'"i"""";;""'!~ k><;" i11lie~~ ~.!'9st~ cI'r,""'L.~~",, ii, .. I" .. ~.. . ,,,.X .;;;9;':, . " " . I,. - ~l$h1W_,",,,~,~'iU~\!i I Residential, per unit, service included: I ~~~~~~~~~lmE%IJF.~R~;~~;;~ND;~k~~~li~;~;~~!~i 11,000 sq. ft. or less (4) $134.00 $ I I. ,e-:. ':":>5 j , I'IA.... ,/ -I-C- pc). l Each additional 500 sq. ft. or portion $ 25.00 $ I Job site addres.... )-=>-=~ '-.,l.-/rf f~ \." ;.--r (\ II thereof I City<~ cL-r I State: {)'V I'ZIP:974i7.( Limited energy (2) $ 32.00 $ I I Subdiviliot. \'11)1.. ?pOD j Lot no.: 0 \..~ Each manufactured home or modular $ 63.00 I 1~~~DESCBI~mI0N!1!0FAW(:j~K~~1 dwelling service or feeder (2) $ ~m./.,.c~~'J_ 'fJRd",.,- \AcJZ.- ..l 200 amps or less (2) . 11.:s~a ~ ,,-'iJOb ')f:)~ 8'J?0 il!k'!!,",,!;i](211Iii,W~R~0eERl'i'I:~0WNER~}~yii~~\?''li1 I Name.:.-'i.lffJl?/lhJ f~<,.k.c:t.it.ty {,LV I I Address!idL/~-.1};~,u/}U/J.A/ .Uf/) I I Cit(,-5dfLh Juuz) I Stat~7 JJ- 1(iIP:</:.-~.'St7 4 I Pho~e: I Fax: I I E-mail: I This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale. exchange. lease, or rent. OAR 479.540(1) and 479.560(1). Ji. r.-.. I I I I I I I I I Signature: Over 600 amps or 1,000 volts, see services or feeders section above I 1~~ii'IlC0~e!T,08llN.S;PP.iL!~JiI0NiIf~e~~1 Branch circuits: new, alteration, extension per panel I I Business name: [) U y V~ J I n r I) ~ . I a. Fee for branch circuits with purchase ofa service or feeder fee: I I Addre'ss..() 0 h r; 'J. (/) t?J f I Each branch circuit I $ 6.00 I $ I I City:W 11/ t! r V )' Ilf I State: (') y ZIP. b. Fee for branch circuits without purchase of a service or feeder fee: I I Phone: l1fL2ULI Fax: First branch circuit (2) I $ 55.00 I $ I I E-mail: hVytiIJoroS?' ,. ar~O(7 ,'nf.( 1 Each additional branch circuit I $ 6.00 $ I I CCB lic;nse no.:J?J{o~ I BCD lice e no.:ri.D - 4-4 ~tl Miscellaneous fees: service or feedernol included I I Signing supervisor's license no.: .W..7::11~' I Each pump or irrigation circle (2) $ 63.00 $ I I Print name of signing superve.so .U~', h.lIf/ I Each sign or outline lighting (2) $ 63.00 $ I Is f "aF \/ \1 I Signal circuit or a limited-energy panel, $ 63.00 S I ignature 0 signing supervij'<":' V .~ alteration, or extension (2) ~ \SJV &\ ~~~~'"""~D " ~ ~ ~~.^ n' \, \ \ \,\'\i I (Minimum Permit Fee $58.00) $, _ ~ :\..Y \.\J';'~ (B) Enter 12% surcharge (.12 x [A]) $ ~,a; .. \.. \{,'\ I (C) Technology Fee (5%0f[A]) $ '1'-"74- ~ - I TOTAL fees and surcharges (A through C): $ Sf "7- 711 ~ 440.2584-J (9108/COM) Services or feeders: installation, alteration, relocation / $ 81.00 201 to 400 amps (2) 401 to 600 amps (2) 60 I to 1,000 amps (2) $ 95.00 $158.00 $205.00 Over 1,000 amps or volts (2) Reconnect only (2) $469.00 $ 63.00 Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 201 to 400 amps (2) 401 to 600 amps (2) $ 87.00 $126.00 $ $ $ $ $ $ $ $ $ Status Issued CITY OF SPKH~uFIELD Building/Combination Permit PERMIT NO: COM2009-01453 ISSUED: 09/30/2009 APPLIED: 09/30/2009 EXPIRES: 03/30/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726~3753 Phone 541-726,3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5335 DAISY ST I ' ASSESSOR'S PARCEL NO:: 1702330001300 SPRINGFIETYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION:, Emergency 200 amp pedastal-SPACE #89 Residential ;~ Owner: SANTIAGO ESTATES ASSOCIATES LLC Address: 11211 GOLD COUNTRY DR STE 100 GOLD RIVER ,CA 95670 I CONTRACTOR INFORMATION , Contractor Type Electrical Contractor , BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08/20/2011 Phone 541-747-2724 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type . Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyar.d Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: . Compact: Street Improvements:' E' l'IUI!v . Storm Sewer ~.;~j.talil[::iMIT SHALL EXPIRE IF THE WORK SpecialInstru~jg~HORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ATTENTION: Oregon law requires you to ,. """.. rultlS auup18U oy meuregon UlIlIlY I PUBLIC IMPROVEM,E~TS Ilion Center. Those rules are set for1h in OAR 952-rsldeWal~ Type,gh OAR 952-001- 0090. You may ob1ain copies of the rules by calling the1!<!1':~po~t:s~p"r;a,\'!~:telephone number for the Oregon Utility Noliflcatlon Center is 1-800-332-2344). Notes: I Valuation Descriotion I Description. Type of Construction $ Per Sq Ft or multiplier Square Footage , or Bid Amount Value Date Calculated Pa~e 1 of 2 GP.R1NG&;Im.:D'. --- .. ,~~.\"". q;~-:;;o:--,-",~~<;,,~~. "!jii~ .t'..~...., ......... ... "-.;....-... l ,;,:. _,>;i -_iii.:""!"." '~'f;' Status Issued 225 Fifth Street, "Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~.f Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or Iess Total Amount Paid ., .. Amount Paid $9.72 $4.05 $81.00 $94.77 Total Value of Project Fee..~ Date Paid I Plan Reviews I 9/30/09 9/30109 9/30/09 U 1 i' OF ~r lUNGFIELD Building/Combination Permit PERMIT NO: COM2009-01453 ISSUED: 09/30/2009 APPLIED: 09/30/2009 EXPIRES: 03/30/2010 VALUE: Receipt Numher. 2200900000000001118 2200900000000001118 2200900000000001118 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 ReOl,irerll nsrections I 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 ofthe City. of Springfield 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 on the site at all times during construction. 'IJ Owner or Contractors Signature Paee 2 of2 Date ..:;;:._-,. ;2.-'1:'-: 225 Fifth Streef';" .. . I . _ . Springfield, Oregon 97477 . 541-726-3759 Phone. ,; "'~c_.'!!....!">_.ELD.__.......;,........."."" ........ ' .. .. ..1"", .,.__. _:' .~~, City of Springfield Official Receipt Development Services Department Public Works Department . . . .. - .:~:RECE"pf#: . 2200900000000001118 Date: 09/30/2009 12:34:03PM Received By njm Item Total: Check Number Authorization Batch Number Number How Received Amount Due 81.00 4.05 9.72 $94.77 Job/Journal Number ,; . Description COM2009-01453.". .,Perm Serv/Fdr 200 amps or less COM2009-01453 ';ii.:..;'+5,%T~~~n~10gy Fee COM2009-01453. + 12% Stiie'Sw:charge Payments: Type of Payment CreditCard Paid By . .BU'}RE.LL BROS. ;: Amount Paid JOSH B. 03537c Phone Payment Total: $94.77 $94.77 " '.. ~... cReceintl, Page 1 of I 9/30/2009