HomeMy WebLinkAboutPermit Electrical 2009-10-14
" City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:burrellbros@integraonline.com
Checkon status of permit
By Phone: 541-726-3753 or ~mail: permilcenter@ci.springfie\d.or.us
I 0 New Construction
o . Addition/alteration/replacement
01 or 2 family dwelling
o Multi-family 'Ocommercial
o Accessol)'
Job Address: 1]65 STHST
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg./apl.no.:
ProjedName:
Cross Street/directions to job site:
Tall map/parcel no.:
WI)
houscrcwire
I Name: GeneviereBusch
Phone: 54]-543-3610
Fax:
[mail:
CCB lic. no.:
136446
I Elee lie. no.: 20-442C
I Business Name: BURRELl BRGS ENTERPRISES INC
I Cn'''''' tlnT11"J:"
I Add",,, PQ~~9b,=I:lMIT ~I-lAll EXPIRE IF 1M!: vvun~
I City/S...<lZ Pi i"\'\!iH'IWl'll'fIOfIliI,jEI'f' I HIS PERMII ,,, I~V I
I.
I Ph"" 54\. i~%,;e'''t:n nR I~ JU3ANOON8D rUK
I Em,iI, hum~\('l@i"ll!l'r?'l'ffl.'V'npFRIOD.
I /...,
Metro lie. no.:
I Supervising Electrician's lie. no.:
I Supervising Electrician's Name:
Citylic.no.:
47215
Joshu31 Burrell
Number ofinspections included in paid services:
Residential Service: 4
ReconneclOnly: 1
All QtherServices: 2
Upon review and approval by your local jurisdiction, your permit will be
e-mailed or faxed within one bu~lness 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 an Authorization To Begin
Work is null and void if it does not meet applicable land use laws and local
ordinances
69600-BEL-09-00188
10/14/2009 2:5] pm
Approval Code: 045520
~::~'~~$\0t:~:~;;;;'-,,~l7lfAN:R~V~f,gW44~~;,o,:g;H;t.fi~J,!:1,;";,~
PI<:asecheck,~lthalapply; Dllillardouslocations
o A service or feeder beginning at 400 DA servi.ce or feeder rated at 600
Amps ""nere Ihe available fault amps or more
currenlexceeds 10,000 Amps at
150 Vohs or less 10 grolllld exceeds
14,000Ampsforallolher
installations
o Fire pumps
o Eme'rgencysystems
o Additioriofanewmotorloaciof
100 HP or more
o Six or more residenlial unilS in one
structure
o Health care facilities
DBuildings more than threeslories
o Marinas and boar yards
DF!oatingbuildings
DCommercial-use ~ricuJtural
buildings
DlnsrilJlarionofa'5oKVAor'arger
seperarelyderivedsys
O"A","E".or"I.2"ol"I-3"
DReereationalVehicleparh
OSupplyvohage for more than 600
supply volts nominal
Totlll
I Description
I Branch circuits withOlll service or
feeder
IBranCh circuits each additional circuit
without servIce
!SublOtal
I Stat': surcharge (12% of permit lotal)
I Technology fee (5% 'ofpemiit IOtal)
I TOTAL PERMIT FEE
I
I
I
I
I
I
I
I
I
I ~
~q- \'blLo
$55.00
$55,00
10
$6.00
560.00
~i~~~JOBISITEiINEORMATioN;ANDWCAi16N'~:{,,!~~~jih~~'~~1
I
I
I
I
I
$115,001
$1].801
$5.751
SIJ4.5SI
\G(L \0 llwt oq
ATTENTION: Oregon law requires ~ Ml
foll.ow rules adopted by the Oregon iutllity
Notification Center. Those rules are set.foril~
In OAR 952-001-0010 through OAR 952,0011-
0090. You may obtain copies of the rulesiby
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-80ll-332-2344).
,
~[\\J~
CO:IY
~eo.6^
~~~<Y
~~
'This Authorization To Begin Work must be posted at the job site until replaced by a Permit
..
CITY OF ~rKl!"GFIELD
Building/Combination Permit
PERMIT NO: COM2009-01S16
ISSUED: 10/14/2009
APPLIED: iO/14/2009
EXPIRES: 04/14/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1165 5TH ST
ASSESSOR'S PARCEL NO,: 1703263402200
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: House rewire
Owner: FEDERAL HOME LOAN MORTGAGE CORP
Address: 7700 W PARMER LN
AUSTIN TX 78729
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2011
Phone
541-747-2724
BUILDING INFORMATION ,.
# 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 Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: '
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
NOTIC~: SHAll EXPIRE If THE WORK. ", ATTENTION: Oregon law r~~{1J~lgcfu~,6ARKING
FrOlilWII\:dlmllMll DER THIS PERMIT IS NOT Overlay DlSt: follow rules adopted by the. 'O/tI:jfon Utility
Side i\~f\f,>ljadlED UN BANDONED FOR # Street Trees RqR'oliflcation Center. Those riJJjsllUil:apf>kIllh
Side e~~,~MElNCED OR IS A Paved Drive Rqdln OAR 952-ll01-0010througl\:0dl\'l.ali!!-ll01-
ReatJ:~{4 ~"*a~Y PERIOD. % of Lot CoveralOO90. You may obtain copies of the rules by
Sola~et'baCks: calling the center. (Note:,the telephone
",_,,~:'.:..' fef t~9 Qr~:......\1 'filii}' Nntifi~Ati('\n
I PUBLIC IMPROVEMENTS I Center is 1-800-332-2344).
Street Improvements: Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains: .
Notes:
IV~luatio~, Desc~iDtion'
Description
Tvpe of Construction
$ Per SqFt
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
,Pa!!e I of2
Lit f OF SPRINlJt'lELD
Building/Combination Permit
PERMIT NO: COM2009-01516
ISSUED: 10/14/2009
APPLIED: 1'0/14/2009
EXPIRES: 04/14/2010
VALUE:
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
.
Total Value of Project
Fee~ Pai<l ,I
Fee Description
+ 12% State Surcbarge
+ 5% Tecbnology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$13.80
$5,75
$55,00
$60,00
10/14/09
10/14/09
10/14/09
10/14/09
1200900000000001147
1200900000000001147
1200900000000001147
1200900000000001147
Total Amount Paid
$134,55
Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769, All iuspections 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.
Rrouire<l Tnsnectionsl
Rougb Electric: Prior to Cover
Final Electric: Wben all electrical work is complete,
By signature, I state and agree, tbat I bave 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
tbe Ordinances of tbe City of Springfield and tbe Laws of tbe State 'of Oregon pertaining to'tbe wo'rk described berein, and
tbat NO OCCUPANCY will be made of any structure witbout permission of tbe Community Services Division, Building Safety,
I furtber certify tbat only contractors and employees wbo are in compliance with ORS 701,005 wilrbe used on this project,
I furtber agree to ensure tbat all required inspections are requested at tbe proper time, tbat eacb a~dress is readable from tbe
street, tbat tbe permit card is located at the front oftbe property, and tbe approved set of plans will remain on the site at all
times -during construction. '
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01516
COM2009-01516
COM2009-01516
COM2009-01516
Payments:
Type of Payment
ONLINE CHGS
'cReceilltl
RECEIPT #:
1200900000000001147
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State. Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 10/14/2009
Item Total:
<":heck Number Authorization
Received By Batch Number Number How,Received
KR
Page I of 1
ONLINE BURRELL Online
BROS
Payment Total:
3:01:47PM
Amount Due
55.00
60,00
5.75
13.80
$]34,55
Amount Paid
$134.55
$134,55
10/14/2009