HomeMy WebLinkAboutPermit Electrical 2010-1-4
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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
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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