HomeMy WebLinkAboutPermit Electrical 2009-10-8
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City of Springfield
Electrical Authorization To Begin Work
E-rnailed'To: burrellbros@intcg:raonline.com
69600- B E L-09-00 171
10/8/2009 3:27 pm
Approval Code: Q2529C
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Check on status of permit
". By Phone: 541-726-3753 or Email: pcrmitccntcr@ci.springtleld.or.us
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I 0 New Construction 0. Additionlalterationlreplact:ment
lJ..ji'~,t". '-:~if.,~.CATEG6Ry-,OF:C'(fr:.fsTRLicTION~~".;I1::- ":}t:" .;~" '"-1..
I [~} m2fWn;IYdw,:im~!' [jM"It;~fWn;;;:Ocomm"';" 0 A""",y
1l~'~i~;,.:"",;:;4~~JoB1SITEiNFORMATi6N Ai.fo":OCA T1()N',.,,' - ~,. ,~. ".'
"I Job Addrm: 1000 3RDPL(':,;.:
I City/StllrcJZIP: SPRINGFIELD, OR 97477
I SuilcJbldg./ppt.no.:
I Proj<<tName:
I CrossStreetldirel.':fions tojobsite:
:/"f],~::;'~.;\;,;~~ IF,,~-'' .-a. PLAN REVIEW ~ . .7'7'..... '.d..... >"
DHazardou~'<Jcatjons
OA s~rvic~ or feed~r rated al 600
amps or mor~
l'lcasechcckall lhalllpply:
o A service or feeder beginnilll!: al 400
Amps where the available fauh
C<Jrrenle><cceds 10,000 Ampsal
150 Volts or less to llfOUlld ~xceeds
14.0ooAmp,forallotlter
illSlallatiOIl$
DBuildin!lSmorethanlhreestoric~
OMarinasWldboalyards
OFloatinllbuildings
o Comm~rcial-us~ ~!lricuhural
bUildings
D,nst;l/lationofaI50KVAorlarge,
,~p~ratdy d~rived sys
D"A","E". Of "1-2" Dr "r-3"
DR~crclllional Vchid" Parks
DSUpplyvol1a!leformor~lhan600
supply VOllS nominaJ
DFircpump~
DEmergcllcY~YSlems
o Addition ofa new mOlor load of
100 HPor more
o Si>< or morc residential Ilnits in one
5lTUCtur~
o H~alth CllJ"~ facililj~s
I Tn'p/p"'" ",,' ~f) ~'? 2. \ 0 t:2-,'uLCXJ
lim~fi}~~lIft~1i~'~Q~~~g:RI~Tlqffi~:i~w~q~8~ffil(~~1;t,;~~. 'l~+'':~'\l.~
'200 amp meter change ~d'refeedjng a 200 llmp pane]
:~-d" ~'f, - ?:jt,b.j. ~ ;~-~~E-E:S_CH.ED_ULl=":1:-:".1",,_,t;::i::. ~-'q~_~,- :{':. ~
I:;::;:;l;:"f"",,"!"~" '"
ISer..ices 200 amps or less
1F.[eC!ljf~~:)~crnih}'er~%'-'K "::".
ISubtota]
I State- slITch:lfge- (] 2% of pwnit 10111])
ITcchl1ologyfce(5%ofp~rmittotal}
1 TOTAL PEltMIT FEE
I Qty. J Ea. I TOlal
,q<~_ t",~::"::;~".g;,,:'f-P:;i~t~~~'.^~7*;1
2.1 $81.001 $162.00
, :'~P:;:;):1J;~;'~~~"i;~'.'1
S162,ool
Sl9A4 I
$8,101
$11'19.541
I:':'!. .~~ . ;"'- ~~;;_i;15~~:i!'+.(~,,;:.~'--SITE '.GQNT AC.T,~~r;- ~~';~~4r~=:J'"
Nllme: John Parker
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Phone: 541-741-1298
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Email:
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UItW27~~~j~~7.3c'ONtRA~TOR~;;~
I Elec lic. no.: 20-442C
I Businm Name: BURRELL BROS ENTERPR]SES H.JC
I Contacl:
I Address: PO BOX 697
I Cily/Stlltc/ZIP: WALTERVILLE. OR 974890697
I Pbone: 541-74]-7813'-
J Email: blll'fe]]bfOs@inl~graonlil1e.eom
I Metrolic.no.:
I Supervising Electridan's lic. no.:
1 Supervising Eleclridan's Name:
............
CeBUc.no.:
,/"\12 \va"
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FIlI:541.747-2724
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City Iic. no.:
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472IS
JoshulIJBllrrell
Number of inspeclions induded in paid services:
Residential Service: 4
ReconnectOn]y: ].
All Other Services: 2
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Upon review and approval by your local jurisdiction, your permit will be
e-malled or faxed within one business day, with Instructions on how to
. schedule your Inspection:,' ;.
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fuYlUJD'1 " Ol~(
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NOTE: This Authorization To Begin Work expires within 180 days if a permit Is
not obtained. t
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
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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CITY OF ~J:'l(lNGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01491
ISSUED: ' 04/0912009
APPLIED: 10/09/2009
EXPIRES: 10/09/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield,OR<
541-726-3753 P~one:<:" '
541-726-3676 Fax" '
,,541-726-3769 Inspec!iol\ Line
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SITE ADDRESS: ' 1000 3RD PL Springfield TYPE OF WORK: Electrical Work Only
ASSESSOR'S PARCEL NO,: PARKER 3RD PLACE P
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TYPE OF USE: New'
Residential
PROJECT DESCRIPTION:" 200 AMP meter change
." .~: '. '>::':,~J.'''' .:'", ~.. '\ .
" Owner: " JOHN PARKER
: Address: "'1000,3RD,PLAC_E", "
SPRINGFIELD 'OR"97477
Phone Number: 541-741-1298
I ,CONTRAC!OR INFORMATION J
Contractor Type", _.",",Contractor
'",~
Electrical i" " ", BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2011
Phone
541"747-2724
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I , ~VILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: '!' - -; ..,."-.
-..> '..
;'
,..:.Ii.
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
n/a
'ti 1.
I DEVELOPMENTlNFORMATlO~ ,
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback: -, ,. , ~.
Solar Setbacks':' - .. "' ,
, '"
".\.;)":!
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
_, REQUIRED PARKING
Total:
Handicapped:
Compact:
.'
~: i-
Street Improvements:
I PUBLIC IMPROVEMENTS'
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
DownspoutslDralns:
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
NOnCE: ~ Notification Center, Those rules aRre9sSe2t fooort1h
: ;." in OAR 9S2-001-001 0 through OA - -
TH~S Pr-RltflIT~/...I/J.! I CVDIDC Ir Tllr I ^,,.., ""'u _ __~ ,. ___ _.. _t-~~:", ..............iJ"'\C' nf tho. rrd,:::l<::: h\f
I AU'T[110BIZED UNDER THIS PfIR'1;:"-'~"~~'T' ,~:;;Iil.gih~;~~ter. (Noje,the telephone
,CGI(iilliliiNOED OR IS ABANDO Y~lu~tlOn OescrmtlOn, er for the Oregon Utility Notification
ANY 180 'DA'f P'ERIOD: ,,~'-' , un Center is 1-800-332i2344).
Description Type of Construction $ perlSt,ql~t SquBa,rdeAFOOfage Value Date Calculated
or mu lp lef or I mount I
fl.
Notes:
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Paee 1 of 2
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Status Issued :..,,' . .,.
"::~ ,". .:,\; ",';-~"': " ':.
225 Fifth Street;. Springfield, OR
541-726-3753 Phone' .
.r 541-726-3676 F~~ ,;" .I", "
541-726-3769 Inspedion Line'"
CITYOF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01491
ISSUED: 04/09/2009
APPLIED: 10/09/2009
EXPIRES: 10/09/2009
VALUE:
. I,,"
Total Valne of Project
.I: ,,{,::,J:':
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Fees P,.irl I
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: Fee Descri~tion';:r~:"':F >~.:.
+ 12% State Snrcharge
+ 5% Technology' Fee
Perm Serv/Fdr 200 amps or less
"';1
$19,44
$8.10
$162.00
10/9/09
10/9/09
10/9/09
Receipt Number
3200900000000000700
3200900000000000700
3200900000000000700
Amount Paid
Date Paid
.:'; ..'
Total Amount Paid
$189,54
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Plan Review~ ,
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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 re~uested after 7:00 a.m. will be made the following
work day. <, ': ~ ',~' I
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~eolJirerllnsIlectioIlS I
Electric Service: Approval required prior to utility company energizing service,
By signature, I state and agree, tbat I bave carefully examined the completed application and do hereby certify that all
information hereon !s true and correct, and 1 furtber certify tbat any and all work performed sball be done in accordance witb
the Ordinances 'of tlie City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
tbat NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety,
ffurther certify, ibat only contractors and employees who are in compliance witb ORS 701.005 will be used 00 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 Cont~actors ~ignature
""t' .. ~. ,
Date
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Pa2e 2 of 2
225 Fifth Street.
..",,", "
Springfield, Or~gon9.747'f.
541-726-3759 Phone' .
Job/Journal Number
COM2009-01491
COM2009-01491
COM2009-01491'
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RECEIPT:#:
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000700
Date: 10/09/2009
7:48:35AM
Item Total:
Check Number Authorization
Received By B~ltch Number Number How Received
Amount Due
162,00
8.10
19.44
$1119,54
Description
Perm Serv/Fdr 200 amps, or less
. ....~. 5[', Te~hp(),lo~y Fee
,., JI:'q% StaieSu\charge
<: -"i:'
Payments:,,;' '
Typ'e of Payment" ':' '.iP~id~BY'~:"
ONLINE CHGS
cReceintl
ONLINE PERMIT C(HGS
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Amount Paid
NJM
ONLINE BURRELL Online
Payment Total:
$189.54
$189,54
Page 1 of 1
10/9/2009