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HomeMy WebLinkAboutPermit Electrical 2010-1-4 S.~.,R. I.N.. G~FIE. L D,- i' l.i.c .. .19&.';:( ,~ Tf",.df "'....... s::Da,'. OREGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-10-00002 . Approval Code: 025170 1/4/2010 1:21 pm E-mailedTo:burrellbros@integraonline.com ;:,: .~ "'.1' I 0 New Construction IKJ AddiljOn/alteralion~replacement I~ I 0 1 or 2 family dwelling 0 Multi-faf'!1i1y IRl CommerCial 0 Accessory i~:;::,J~:'NFo~r~T~1:N~O:C6~~~'B;~:::'1 I City/State/ZIP: SPRINGFIELD, OR 97478 ~ 'l.Jl- I Suite/bldg./apt.no.: Project Name: Cross Streetldirec~ions to job site: I Tax map/parcel no.: 1702334401601 New heat pump and furnace and misc, office remodel I Name: Elder Health Livino I Phone: Fax: Email: I Elec lie. no.: 20-442C CCB lie. no.: I Business Name: BURRELL BROS ENTERPRISES INC I Contact: II Add,..., Pflotr~~: . . . / " cltylStatel'l"-UY11''P~~PIRE IF THEWOR" I Phone 541A'U"lffiJRIZED UNDER TttIIS <PliIi*IIlT IS NO I I Em.n, bcnGGNWWGliiO,QI,HS ~BANUUNt:U tUl'l I Metm II'. n~NY ltlU UAY t'tl'lIUU. City II,. no.' 136446 Supervising Electrician's lie. no.:' 4721S Supervising Electrician's.Name: JOSHUA J BURRELL Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your locai Jurisdiction, your permit will be ole-mailed" or raxed within one business day, wilh InstructIons on how to schedule your inspection. Ai: NOTE: This Authorization To Begin Work expires within 180 days if a permit is not"obtai~et:l. The local built:llng department may detennlne that an Authorlzatlon To B.!!gln Work is null and void if it does not meet applicable land use laws and local ordinances. Ple~se check all that apply: D A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps al150 Volts or less to ground exceeds 14,000 Amps for all e:ther o Fire pumps D Emergency systems D Addition of a new motor load of 100 HP or more D Six or more residential units in one structure o Health care facilities I Branch circuits without service or feeder I Branch circuits each additional circUit without service CQ'l1ll o Hazardous locations D A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Installation of a 150 fWA or larger seperately derived sys o "A", "E", or "1.2" or "1<3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal I Qty. ,;.1 Ii $55.00 $55.00 5 $6;00 $30.00 $85.00 $10.20 $4.25 ~ I 114110 $99.45 Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permitlotal) I TOTAL PERMIT FEE e-Cl - n2l . .;,.c... ATTemON:.Oregon'IawNqlllMyeultD Mow rutes adOpted by the Oregon UIII_ NotIlIcaIlon CenIeL .Those rules 81'8 set forIIt In OAR lI52-G01.-.0through OAR Il52-OO1- Q09O. You may obIaIn copies of the rules '" aIling lilt center. (Note:."e telephone ...... for 1118 Oregon UIIIity NotIfIoA~ Center 111-t00432G44). \\'}U'Vo' ~" ~.. \ '::F~~~ .~ ...0. ~~ Inspections Phone: 541-726-3769 C'\. \y ,\,This Authorization To Begin Work must be posted atthe job site'until replaced b~ a Permit '0 totO" .' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01721 ISSUED: l2/03/2009 APPLIED: 12/03/2009 EXPIRES: 07/04/2010 VALUE: $ 10,000.00 225 Fifth Street; Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . SITE ADDRESS: 382 S 58TH ST B ASSESSOR'S PARCEL NO.: 1702334401601 Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Install heat pnmp Owner: Address: EHL PROPERTY LLC 399 E 10TH AVE STE 101 . EUGENE OR 97401 I CONTRACTOR INFORMATION' Contractor Type Electrical Mechanical , Contractor BURRELL BROS ENTERPRISES INC MARTIN CASTLEMAN LLC License 136446 169547 Expiration Date 08/20/2011 04/07/20 I 0 Phone 541-747-2724 541-736-3438 BUlLDl.NGINFORMATION. # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: Primary Constrnction Type Secondary Constrnction Type: # of Bedrooms: # of Stories: Height of Strnctnre 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: Occnpant Load: n/a " , I DEV_ELO~MEr:'TINFORMATION 1_ REQUIRED PARKING A-netfnON: Ore~\i\W requIrell ~:, fonow nlles ad~~=~~etforttl Notification Center. hOAR 952.()()1- In OAR 952.()()1.()()10 th~~1l of the rulell II)' 0090. You may obt8I~_cop II tDIDphMII oalllng uw w"'.... ..' h lei" 11 lflaatlOll number for the Oregon Utility Not Sidew~We~ 1-800-332-2344). Fronty'\r~~: :.'.''':''>:.;;,-;f.ii;;;:8';''Overlay Dist: Side I slt\1~c\l.. RMIT SHAll EXPIRE IF THE WO~!(treet ~rees Rqd; S,de 2 S1HJaeiP:E MIT IS NR'l"ed Dnve Rqd: Rearya~\li\:ZED UNDER THIS PER ~o,ofLot Coverage: Solar S.ij6)MM:ENCED OR IS ABANDONED FOR :Yk.: ',. .. ,,:x ~:: Sf.\' :-ml~b\'~ '.'. IPUBL~C IMPROVEMENTS I Street Improvements: .., Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: Page I of 3 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ;". CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01721 ISSUED: 12/0312009 APPLIED: 12/03/2009 EXPIRES: 07/0412010 VAL UE: $ 10,000.00 Status Issued I V ~Iuati~n Descrintion I Descrilltion TYlle of Construction Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 10,000.00 Value Date Calculated Total Value of Project $10,000.00 $10,000.00 12/03/2009 Fees Paid I $16.32 $6.80 $136.00 $10.20 $4.25 $55.00 . $30.00 :~:: 12/3/09 12/3/09 12/3/09 1/4/10 1/4/10 1/4/10 1/4/1 0 Receipt Number 1200900000000001296 1200900000000001296 1200900000000001296 1201000000000000001 1201000000000000001 1201000000000000001 1201000000000000001 Fee Description + 12% State Surcharge + 5% Technology Fee Mechanical-Value + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Total Amount Paid $258.57 I 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 ",R,~n'/ir~~ I~s'le~tir~~ ~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line CITY OF ~rKll~GFIELD Building/Combination Permit PERMIT NO: COM2009-0\72\ ISSUED: 12/03/2009 APPLIED: 12/03/2009 EXPIRES: 07/04/2010 VALUE: $ 10,000.00 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 eorrect, and I further .certify t~at any and all work performed shall be done in aceordance with the Ordinances of the 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 withont 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 nsed on this project. I further agree to ensnre 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 sile at all times during construction. . Owner or Contractors Signature r ~,:.:: .,\: Pai!e3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1721 COM2009-0 1721 COM2009-0 1721 COM2009-0 1721 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1201000000000000001 Date: 01/04/2010 Description Add, Alter, Ext.end Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge .+ 5% Technology Fee Paid By ONLINE PERMIT CI-IGS Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE BURRELL Online BROS Payment Total: " Page I of I 2:03:25PM Amount Due 55.00 30.00 10.20 4.25 $99.45 Amount Paid $99.45 $99.45 1/4/2010