HomeMy WebLinkAboutPermit Electrical 2010-1-14
. "~ 't'
,
I
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-725-3753
Email: permilcenter@cLspringfield.or.us
I 0 New Construction
IRJ Addition/alteration/replacement
I [R] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
It(:4'~k"f,~,~~OBSTTE!iNFORMATI6Ni;':NbliY(j'CA'f:i~"J~~M"~~
I Job Address: .2187 lOCH DR
I City/State/ZIP: SPRINGFIELD, OR 97477
r Suitefbldg.fapt.no.:
I Project Name:
I Cm.. SU.,Vdl,.otlon5 to lob sIt..
I Tax. mapfparcel no.: 1703251203100
'f,'}j'
','.
Service change
I Name: Jamie Cramblit
I Phone: 541-747-9835
I Emall:
Fax.:
IEleclic. no.: 20-442C. CCB lic. no.:
I Business Na~e_: BURREll BROS ENTERPRISES INC
I Contact:
I. Address: PO BOX'597
I CityIStatefZIfN\0:fi!iJ6i-E, OR 974890697 . '-.' ,
- .- ~- ,#":11
I Phon.. 5417.;];\118 PERMIT SHALL W!!4'F4~7 T"'lft ::,n' r\
, - '---, UI''''[~ ~'.'Jt' rr-, ~ "
I All nlJn,LC:u "J ('l ., f,v ~.. ."
, Email:'burrell:~ I fnlecraOmlf1e o~R I~ ~"'nnf\ll=n FQR.. '0'
I M.Uo no, nO'.lIMV 1 Rn nAY PERIOD,Clty no, no,. :,';i'
, "
Supervising Electrician's Iic. no.: 4721S
136446
..........,',
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 local JuriSdiction, your permit will be e_malled or faKed
wlthln'onebuslnessday, with inslructlons on how to schedule you rlnspectlon,
NOTE: This Authorization To Begin Work eKpires within 180 dayslf a p~rmlt Is 'not obtained.
The local buildIng department may determine that an Authorization To Begin Work Is null and
void If II does not meel appltcable land use laws and locillordlnanc es.
vl'V'~
Residential Electrical Authorization To Begin Work
69600-BEL-10-00024
Approval Code: 00523D 1/14(2010 10:02 am
E-mailedTo:burrellbros@integrao~line.com
Please check all that apply:
o A seNice Dr feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at150 Volts or
less to ground exceeds
14,000 Amps for all'other
o Hazardous locations
o 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 ofa 150 KVA 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
o Firepuf)'lps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care faciliiies
J Description
I Services 200 amps or less
I Subtotal
I State surcharge (12% of permit
total)
J Technology. fee (5% of permit total)
I TOTAL PERMIT FEE
$162,00 I
$19.44
$8.10
$189.54
GIO 5Y
~ If/L/IIO
~'---
ATTENTION: Oregon law requIrea you to
follow nil_ adopted by the Oregon Utility
Notification Center. Those rules are Bet forth
In OAR 952-G01-G010through OAR 952-001.
0090. You may obtain copies of the ruleB by
oaJIlng the center. (Note: the telephone
IlUIIIber for the Oregon Utility Notification
: Center 18 HlO0-332-2344).
,~ ~9
~- ~ v"ff
~~ ~~
~
Inspections Phone: 541.726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
$P.AINGII'l~1 <:>i
,- f'''''''''''''' h
"
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00054
ISSUED: 01/14/2010
APPLIED: 01/14/2010
EXPIRES: 07/14/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2187 LOCH DR
ASSESSOR'S PARCEL NO.: 1703251203100
Springfield 'TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Service change in residence.
Owner:
Address:
CRAMBLIT JAIME J
2187 LOCH DR
SPRINGFIELD OR 97477
I
Phone Number: 541-747-9835
,
I
l
I CONTRACTOR INFORMATION.
Contractor Type
Electrical,
Contractor
BURRELL BROS'ENTERPRISES INC
License
136446
Expiration D!lte
08/20/2011 '
Phone
541-747-2724
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height o(Structure
Type of Heat:
Water Type:
RWhgeType:
'Energy Path:
Sprinkled 'Building:
Lot Size:
Sq Ft 1st Floor: ,
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft, Garage/Carport
Sq Ft Other: i
Occupant Load:
,
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback: "', Overlay Dist: Total:
Side I Setback: ' # Street Trees 'A'li'ENTION: OregDn JaW ",qul~~ed:
Side 2 s.tl.\fi~H];E: Paved Drive RflJffOW rules adopted by the Orsgczm)Ull1lty
Rcaryali119st~MIT SHAll EXPIRE IF THE WO~f Lot COVFldllfi,i:atiOn Center. Those rules are S',etforth
Solar S1fBa'i!fb'RIZED UNDER THIS PERMIT IS NOT In OAR952"'!01-OO10thro~gh OAR 952-001-
I _'. " - '. ,a aktelR G'Opl':"-r ....1 fha ..II'AA ""
COMMENCED OR IS ABANDONEDI ~~LlC IMPROV'E'~~~ ~~nter. (Note: the telephone
S IANY 180 DAY PERIOD. " nunflir'torth~lf.re~iIItyNOtlficatlon
treet mprovements: Ce t <:>v """UA) I
, , n e ,- -- . I
,
Storm Sewer Available: Downspouts/Drains:
Special Instruction:
Notes:
. .' .10~**;:,"~'_"\.<7'~.-'" "
I Valuation Descriotion I
_"'1 "
,;
DescriPtion
Type of Construction
$ Per Sq'Ft
or multiplier
'-..
Square Footage ,
or Bid Amount
Value
Date Calculated
Pace I 01'2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54] -726-3769 Inspection Line
',,/
Total Value of Project
Fees Paid'
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid,
Date Paid
$19.44
$8.10
$ 1 62.00
Total Amount Paid
$189.54
I Plan Reviews ,
1/]4/10
l/i4/]0
1/14/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00054
ISSUED: 01/1412010
APPLIED: 01/14/2010
EXPIRES: 07/14/2010
VALUE: \
Receipt Number
I
120]000000000000043
120]000000000000043
1201000000000000043
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.enlJir~d Insnectinns ,
Electric Service: Approval required prior to n,tility company energizing service.
,,>;:1. ,. ":. ,
'., ~ '
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 I further certify that any and all work performed shall be done in accordance 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 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 in.spections 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
, .,
',,;;rJ
. t..
:"Page 2 of 2
Date
225 Fifth Street
Springfield; Oregon 97477
541- 726-3759 Phone
Job/Journal Number
COM20 I 0-00054
COM20 1 0-00054
COM20 10-00054
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1201000000000000043
Description
Perm Serv/Fdr 200 amps or less . ,
+ 12% State Surcharge - ",
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Developme.nt Services Department
Public Works Department
Date: 01114/2010
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How Received
kr
"
:,
Page I of 1
ONLINE Burrell Bros Online
Payment Total:
1I:36:13AM
Amount Due
162,00
]9.44
8,10
$] 89.54
Amount Paid
$ I 89.54
$189,54
11J4/2010