HomeMy WebLinkAboutPermit Electrical 2010-1-13
(//0. 6{;;
~r~~N~=l2ij~O. '..
~"~ ,~
-V'~,.,'" ~-
. t{:!",t...~. OREGOI'l
City Of Springfield
2~5 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
. Email: permitcenler@cLspringfield:or.us
Residential Electrical Authorization To Begin Work
69600:BEL-10-00022
Approval Code: 02506D 1/13/2010,2:21 pm
E-mailedTo:burrellbros@integraonline.com
o New Construction
lRl Addition/alteration/replacement
[R] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
1r"~1;~::?,#-;joB1sifE:IN1i6RMATIONiA1liDiLOCAfI6N:.0'~,,'~rj.;;"?J
I Job Address: 1703 CONCORD AVE
I City/StateIZIP:'EUGENE, OR 97403
I Suite/bldg./apt.no.: 3
I Project Name:
I em.. StreeVd;'ecl;on, to job .:te.
I Tax maplparcel no.: 1703344301800
""'"
.:(0;..
Service upgrade and two (2) branch circuits
r-; ~
Name: David & Barbara Virnanl
I Phone: 360-426-7941
I Email:
Fax:
I Elec lie. no.: 20-442C CCB lie. no.: 136446
I Business Name: BURRELL BRaS ENTERPRISES INC
1 Contact:
I Address: PO BOX 697 ,.~,..:~
I, Ci\yfStateIZIP: WAL TERVILLE, O~ 974890697 ......., ,,,;,'.',..0::.' :.'.",.
I Phon"'41741781NOTICE: _.. Fox.!.4i::'4~p4 'TH~ \Atn!:IIC
I .11-"" ",..",,,n'l ;)nALL LA< 1,,~ If ,.,
Em,;!, b""ellbm'@'rlt'~,,"I~;':;'!l'! , "D TWIt: PI=RMIT:IS NOl'
I t,U "16, m_ED I::,tlr... J ~ '
M,',olic,no SOMMH1CED OR 1~'t>l\'l'~NDONEDFOR ',.'
I Sup,,,,;,;ng EI,ctr;,PiM'i'''f-8'(r DAY PERIOD.
I Supervising Electrician's Name:
Number of inspections Included In paid services:
Residential Service: 4 .
Reconnect Only: 1
All Other Services: 2
JOSHUA J BURRELL
,
,
\
Upon review. ane! approval by your local Jurisdiction, your permit will be e,malled or faxed
within one business day, with instrucllons on how to schedule your In5pectl on.
NOTE: This Authorization To Begin Work expires within 180 days If a permit II not obtained.
The local building department may 'determine that an Authorization To Begin Work is null and
void II It doel not meet appUcable land use laws IInd loclllordinancel.
Please che~k all that apply:
o 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 other
o Fire pumps
o Emergency system~
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
o Hazardous locations
o A service or feeder rated at
600 amps or more
D Buildings more than three star
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
D Installation ofa 150 KVAor
larger seperately derived sys
o "A", "E", or "1-2" or "1-3"
o Recreational Vehicle ~arl<.s
o Supply voltage for more than
600 supply volts nominal
1~7t~~;~:':~It::j:EE;SCHEDUGE;;,
I Description I Qty. I Ea.
I Services ~OO amps or less
I Branch Circuits with seNice or
feeder each circuit
2
$6.00
$12.00
r Subtotal
I State surcharge (12% of permit
totall
I Technology fee (5% of permit total)
I TOTA~ PERMIT FEE
Cl D- 5Lo k0L
c-
$93,00
$11.16
I'
1
$4,65 1
$108.81 I
1/ILflv0
I;.
ATTENTION: Oregon law requires,...
follow "',.. adopted by the Oregon UtIIItf
Notillcatlon Center. Those rules are set toJtb
In OAR 952.001-0010 through OAR 952-0011-
0090. You may obtain copies of the rules br
calling the center. (NDte: the telephone
number for the Oregon Utility Notification
Center Ie 1-800-332-~
'1,JU2P ~ \0
~W~%.\\ \~~~
\t(r ~ ~
Inspections Phone: 541.726.3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
_sr~l~g!,I~J,gJ_'8"""
;t;
Status
Issued
, CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00056
ISSUED: 01114/2010
APPLIED: 01114/2010
EXPIRES: 07/1412010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phnne
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1703 CONCORD A VE APT 3
ASSESSOR'S PARCEL NO.: 1703344301800
Eugene
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Service npgrade and 2 circuits for residence,
Residential
Owner: DAVID VESTAL & BARBARA R VI MONT LIV
Address: 320 SE SELLS DR
SHELTON \-VA 98584 :~: .'! -'f"
Phone Number: 360-426-7941
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/2012011
Phone
541-747-2724
BUILDING INFORMATlONJ
--'..
# of Units:
Primary Occupancy Group:
Secondary Occnpancy 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 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
-" . REQUIRED PARKING
Frontyard Setback' "Overlay Dist: ATl1:N110N: OregoflllMll'llqUlree you to
Side 1 Setback: NOTICE: ":)Y'"#'Siff~iiTrees Rqd: follow "!lIes adoptedlliJ'tft6~n UIIIlty
Side 2 Setback: THIS PERMIT SHALL EXPIRE If!'fflt~fl~qd: Notification Center. Th09nJQIIe8 are set foJtII
Rearyard Setback=AUTHORIZED UNDER THIS PERMl'r1~ NOfr"ge: In OAR 952-00100010 through OAR 952-001.
, Solar Setbacks: COMMENCED OR IS ABANDn~lI:n FOR " 0090. -You may obtain coplea of the rulesbJ
. .~ . fto!illlno tha NUtter ~1"tA......a ~":,"',:,~
I\I~ Y l/jU DAY PERIOD. I PUBLIC IMPROVEMENTS I number for the OregDn Utility Notificatlao
, Center 18 1-80Q.332-234<1)'
Street Improvements: Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
I Valuation DescriDtionJ
Description
Type of Construction
$ Per Sq Ft
, ?r multiplier
Square Footage
or Bid Amonnt
Value
Date Calculated
Pa2e 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541.726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
$11.16
$4.65
$12.00
$81.00
Total Amount Paid
$108.81
',.'
Total Value of Project
,Fees .Paid I
Date Paid
I Plan Reviews I
1/14/10
1114/10
1/14/10
1/14/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00056
ISSUED: 01114/2010
APPLIED: 01114/2010
EXPIRES: 07/14/2010
VALUE:
Receipt Numher
1201000000000000044
1201000000000000044
120)000000000000044
1201000000000000044
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.
Reouired Insnections I
Rough Electric: Prior to Cover
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 and correct, and \further certify that any and all work performed shall be done in accordance with
the Ordinauces of the City of Springfield and the Laws oflbe State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structnre 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 to ensure that all required inspections are requested at the proper time, that each address is readabl~ 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 constructi~n. :..
Owner or Contractors Sign.ature
Page 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 J 0-00056
COM20 J 0-00056
COM20 I 0-00056
COM20 I 0-00056
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1201000000000000044
Date: 01/1412010
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
+ ] 2% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
kr
ONLINE BURRELL Online
BROS
Payment Total:
,0
, '
.'.~t1-
<1-t "
'To.
,
,,'
]',
.'. .
, ,
'n,'
";-1 ~'.
-~"P ,
,
., ~ .
"
Page I of 1
12:33:12PM
Amount Due
81.00
12,00
11.16
4,65
$108,81
Amount Paid
$108,81
$108.81
1/14/2010