HomeMy WebLinkAboutPermit Electrical 2009-10-15
ATIENTlON: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-001 0 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 18 1-800-332-2344).
',l
pty of Springfield
Electrical Authorization To Begin Work
E-mailedTo:burrellbros@integraonlinc.com
Check on status of permit
By Phone: 541-726-3753 or I.<:mail: permitcentcr@ci.springficld.or.us
D NewConstruction
PI~ase check all (hal apply
o Addition/alteration/replacement
"i:
DAserv;ceorfeederbeginningat400
Amps where the available fault
currenlcxceeds 10,000 Amps at
150 Vohs or less 10 ground exceeds
14,OOOAmpsforaJlolher
installations
D I or 2 family dw~lIing
D M~:]ti-famiIY
"
o Commercial
DACCeSsOry
o Fire pumps
DEmergen~YSYSlems
DAdditionofanewmolorloadof
JOO HP or more
Job Address: 444 42ND ST
City/State/ZIP: SPRINGFIELD, OR 97478
Suitelbldll.IPpt,no.;
Project Name:
Cross Strectldirectio'ns 10 job site; Pour H,ouse Tavern
DSj~()rmoreresidentialunilsinone
structure
o Health care facilities
I Tax map/parcel no,:
OCb
circuits on back smoking deck
I Branch circuits without service or
feeder
1 Balance of penn it fees
Name: Pour House Tavern
ISubtota]
1 State surcharge (12% of permit total)
ITechnology fee(S%ofpennitlotaJ)
1 TOTAL PERMIT FEE
Phone: 541-746-\337
Fax:
[mail:
[lee lie, no.: 20-442C
CCBlic,no.:
t q - \ SOl
]36446
Business Name: BURRELL BRaS ENTERPRISES TNC
Contact;
Address: PO BOX 697
City/State1ZIP: WA~TERVILLE, OR 974890697
Phone: 541-741-7813, NOTICE: ~Ii_x: ~41.:7iJ~7J.~ I~ TUC
TUI<O: Ul-KMII iJnl"\l.o'- ...il:t l. .- ..
Emuil: burrellbros@inte~~~Ii~':;::;m;, I 'Tun017i=n ,IINQER THIS
Metro lie. no,: ~.~""'r::;~;1- 'i~';NCYrQ!{.tiMMENCED O~ '-~-'::E
SupervisingEleetrician's)!~;'~'!i:JOOHiis) FOR ANY lOU Uf'\l r....'..... .
SuperVising Electrician's Name:
JoshuaJ Burrell
Number of inspections included in paid services:
Residentia] Service: 4 "
Reconnect Only: I
All Other Services 2
Upon review and aj)p~oYal by your 10fal juris~,iction, your permit will be
e-mailed or faxed within one business day, with ins~uctions on how t.o
schedule your insp~ction,
^" <fi ~
~ 9519
"ji
NOTE: This Authorization To Begin Work expires within ~80 days if a p:onnit is
not obtained,
The local building department may dJtermine that an Authorization To Begin
Work Is null and void if it does not meet applicable land use laws andlocal
ordinances
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
69600, BE L-09-00 195
10/15/2009 I :40 pm
Approval Code: 03555D
DHazardousloculions
DA service or feeder rated SI 600
amps or more
o Buildings more than three stories
DMarinas and boat yards
DFloatingbuildings
DCommercial.useagricuhural
, buildings
DlnstalJalionofa150KVAorlarger
seperately derived sys
O"A' "E" "[-2" "].)"
.' _,or or
DRecreationalVehideParks
DSUpply voltage for more tlJan 600
supply vohs nominal
$58,001
$6.961
$2.901
$67,861
'?Q 10\ IS\[)c\
,
<$-J ~. 6"-
~.~~
.~
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01521
ISSUED: 10/15/2009
APPLIED: 10/15/2009
EXPIRES: 04/1512010
VALUE:
225 Fifth Street'; Springfield,OR
541,726,3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 444 42ND ST
ASSESSOR'S PARCEL NO.: 1702320001000
Springtield TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTION:, lCircuit for back smoking deck
,
TYPE OF USE: New
"
"
Residential
Owner: SHADOW SIXLLC
Address: 444 42ND ST
SPRINGFIELD, OR 97478
Phone Number: 541-746-1337
I CONTRACT~R INFORMATION I
Contractor Type
Electrical
Cop tractor
BlJRRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2011
Phone
541-747-2724
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group: l
Secondary Occupancy Grollp:
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 l~t Floor:
Sq Ft 2nd Floor:,
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
, REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: ATTENTION: OregoriHlllldftlil\l~(l3:YOU to
Side 2 Setback: Paved Drive Rqd: follow rules adopted ~lIIfj~.egon Utility
Rearyard Setback:" IRE If il'\E % of Lot Coverage: Notification Center. Those rules are set forth
Solar Setbackl0l1CE: :T 5\,\"'LL EX!> R T\'\15 In OAR 952-001-0010 through OAR 952-001-
:.-"','" PERM\ ,_nl'1~D UND~-;~ "R IS MRn Vnll mav n.blaln conies of the rules by
, \N.?R\'d'~S NOT CONlM,('1'80DPj ipiiifiiE iMPROVEMENTS I calling the center. (Note:. t.he tel~~no~e
pc:.Ri'.~\\t,!\:.o fOR f.,N , . number lor the Oregon Utility Notification
Street Improvemelh~, ". , Sid09rtklrlEP4>8,00-332-2344).
I DEVELOPMENT INFORMATION'
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value'
Date Calculated
Page I of2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01521
ISSUED: 10/15/2009
APPLIED: 10/15/2009
EXPIRES: 04/15/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541"726-3769 Inspection Line
Total Value of Project
Fees Paid'
IIIII .
$6.96
$2.90
$58.00
Date Paid
r
10/15/09
10/15/09
10/15/09
"
Recei~t Nnmber
1200900000000001153
1200900000000001153
1200900000000001153
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Amount Paid
Total Amount Paid
$67.86 .
Plan Reviews I
, 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.. Reouired Insnections I
Rough Electric: Prior to C9ver
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true a~d correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City6f Springtield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY wiIIbe 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,lo 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 Contractors Signature
Date
Paee 2 of2
22S Fifth Street
Sp~ingfield, O~egon 97477
541... 726-3759 Phone
Job/Journal Number
COM2009"0]52]
COM2009-0152]
COM2009-0] 521
Payments:
Type of Payment
ONLlNECHGS
cRcceintl
RECEIPT #:
Description
Add, Alter, Extend Circ
+ 5% Technology Fee
+ ]2% State Surcharge
Paid By
ONLINE PERMIT.CHGS
1200900000000001153
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 10/15/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How,.Receivcd
KR
Page] of]
ONLINE BURRELL Online
BROS
Payment Total:
1:54:47PM
Amount Due
58,00
2,90
6,96
$67.86
Amount Paid
$67,86
$67.86
10115/2009