The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2010-4-1 City Of Springfield 225 Fifth 51. Springfield. OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us ~1<(!W.y~.,,~~~~- .~'. RK~""'C:!'~~'~,!'i".'-"1l"!<'ifl ,,':,;'5.,~T'~~+'4.;Y.j'~' '.;~,,~. jf~Y':'~::. ~.')T~Y;PEOF);..w:O . .ir.::. ~4r~...t5~'.i;::f):.~.. ".,:'~~~"'j, 0 New Construction IRl Addition/alteration/replacement r--"l""'''~' ,'.,4'" ,.."_ .'?-'~'" .':'- ',.' '.,'" "'~'-, '''''"'''-~c'---,- ".~~~Jmi-'-''''7:~~ ,', .;,: ;'!'i2":<"'~'" ), ",CA TEGORY,()f"CONSTIWCTI9Nj![";';~_",;" ..~,;:" .'.1- 0 1 or 2 family dwelling 0 Multi-family IZI Commercial o Accessory , !i,lJ.~~~~i~'i~(oB,si-rE'iNFf6RMAifloNv~NDTLtoi::A-rIQN"jt"jfj;;~T~;:; Job Address: 4708 MAIN ST City/State/ZIP: SPRINGFIELD, OR 97476 Sultefbldg./apt.no.: Project Name: Cross Streetfdirectlons to Job site: Dairy Queen Tax map/parcel no.: 1702324200105 (~"~~.n-'.. <-l~'=~.~.-'<O':-" ,......- -" <: ~~'~r'-'\.i-"~'""'--."'~~'U!.'.l f..;.~.:,,:4~~~~?t ~gfI.:.~;;'"'~DES_G_~I_eJ]9N~9F-1yyQRK= ..';:~ ~~~1~;. :ii!!.::I8~>c., New fire suppresion system "~1'il)~r~lf - -ilt_n-,u ~ '" - -- - .''''6'".,, """, -..,;e" ~~ t~':::ti.~: ",,' ~'U"",' ~~;j' ..;~ief1~'~~!$.~I:r.~[CQ~Tt\C:Jl~~?,}~\t~~),~~?:~~~ ~4:~ :;;:;::; Name: Dairv Queen Phone: 541-726-1436 Fax: Email: f''''--- .''''LW'''''''''' . ~. ""~ .....".,. """1>m"'"'5'''''''''''W "'Wc~";m- ".';';'';~:~':{~''Jdi}l.t~~~1~BH,.~~",<C,9NT.~CT9R:;,'-~:_.~'!.:!";'_,'!?~,!~,: ~"~:,i':;E;.; .~ Elec /ic. no.: 20-442C cce lie. no.: 136446 Business Name: BURRElL BROS ENTERPRISES INC Contact: Address: PO BOX 697 CIty/State/ZIP: WALTERVILLE, OR 974890697 ... .. ,""n -- Phone: 5417417813 Fax: 5417472724 Emall: burrellbros@integraonline.com Metro lie. no.: City lic. no.: Supervising Electrlclan's lic. 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 local jurisdIction. your permit will be e-mailed or faxed within one business day, with Instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Wol1l expires within 180 days if a permil is not obtained. The local buildIng departmenl may determine Ihal an Authorization To Bogin Work Is null and void if It does not meet applicable land use laws and local ordinances. G \D - 402- Residential Electrical Authorization To Begin Work 69600-BEL-10-00135 . Approval Code: 025800 4/1/2010 12:32 pm E-mailedTo:burrellbros@integraonline.com '~~J:.-&.1i~.Y:.;,-~.:r.r-"->.,-, ~. ----"-.,:~~~.:_:u...~'ffl>.~y,:t ;'i,,,.~j<;H~^, ".i%&.....i~.;r,,'*rr:-,\~, PtAN:REVIEWi'1i'~"-~~::l?j~~~,~~~,, P, Please check all that apply: 0 Hazardous locations 0 A service or feeder beginning 0 A service or feeder rated at at 400 Amps where the 600 amps or more available fault current exceeds 0 Buildings more than three star 10,000 Amps at150 Volts or less to ground exceeds 0 Marinas and boat yards 14,000 Amps for all other 0 Floating buildings 0 Fire pumps 0 Commercial-use agricultural buildings 0 Emergency systems 0 Installation of a 150KVAor 0 Addition of a new motor toad larger seperately derived sys of 100 HP or more 0 "A", "E", or "1-2" or "1.3" 0 Six or more residential units in 0 Recreational Vehicle Parks one structure 0 Health care facilities 0 Supply voltage for more than 600 supply volts nominal ~~~~~d~~~~~s~tiEDutE.:<.,~:;,!-;-'f~"~..~4i' '~\(:j Description I aly. Ea. I Total f3ran~nrcircuJts1:~~~~~~'~i~~~0'it:~;r~;..i~:~;~t~:"~%~1i!~ Branch circuits without service or 1 $55.00 $55.00 feeder Branch circuits each additional 1 $6.00 $6.00 circuit without service ."""."'....,.j,F'''..'''~W'',,'\,'''~''.'''!Il'\lj{'':l;'l~~'.:'{[l!i:'~.. " ~lec~rl~..~IJR~rm. t...l.~~~:-~<~;;:>,"kii!Pi'F. .iiiff....,..r. .' I .'a~;;,;: ,1~~Y..:.r. :.... ~~~ Subtotal $61.00 State surcharge (12% of permit $7,32 total) Technology fee (5% of permit total) $fOS TOTAL PERMIT FEE $71.37 ~~ .~~'\V . ~~~ 1\ fl;~Q. ~.$ CoiiWIO '-1-1-/0 .... OOq()L NM Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00402 ISSUED: 04/01/2010 APPLIED: 04/01/2010 EXPIRES: 10/01/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4708 MAIN ST ASSESSOR'S PARCEL NO.: 1702324200105 . Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: New fire suppression system Owner: SAXON CECIL D & BEVERLY J Address: 4740 MAIN ST STE A SPRINGFIELD OR 97478 I CONTRACTOR'INFORMATION I Contractor Type Electrical Contractor License BURRELL BROS ENTERPRISES INC 136446 BUILDING INFORMATION I Expiration Date 08120/2011 Phone 541-747-2724 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: 'lt1lrignyp"" " EiiergYPa'th': Sprinkled'Building: Lot Size: Sq Ft 1st 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: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvemeuts: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Description I ~'.., ,. , }. !~.. Description Type of Construction $ PerSq~.Ft ., or multiplier ",.r' .. "" Square Footage or Bid Amount Value Date Calculated Page I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00402 ISSUED: 04/01/2010 APPLIED: 04/01/2010 EXPIRES: 10/01/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project I ';iFee~Paii~ ,- ",,'j Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add .. '.' ~ Amount Paid' . Date Paid Receipt Numher $7.32 $3.05 $55.00 $6.00 4/1110 411/10 4/1110 4/1110 3201000000000000116 3201000000000000116 3201000000000000116 3201000000000000116 Total Amount Paid $71.37 I Plan Reyie~s' ~,. 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. Rough Electric: Prior to Cover Reouired InsDect~ '" J " )~" , . , ~:~I!r ~~;Trl;ff~' !'.1 . .. i'i Final Electric: When all electrical work is co.mplete. , 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 structnre without permission of the Community Services Division, Buiiding 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 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. :"', .. 1, ~... Owner or Contractors Signature Date - ,. " - ;.,f ." .[' ~ ,;'~ :;~1.:'~J!;'~ . , ' . Paee 2 01'2 "_'1'11',' ,(, .. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Il~P"..J..~.!!-iI.~9.....~J_.EL.~~.. ..........:.. lAi. . . , "...., , . . " """ .... .' .,;;~.,,/ .. -.-". ~..".._.',^.,~- '-'--"~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT#: 3201000000000000116 Date: 04/01/2010 ] 2:43:55PM Job/Journal Number COM20 1 0-00402 COM20 I 0-00402 COM20 I 0-00402 COM20 1 0-00402 Payments: Type of Payment ONLINE CHGS cReceintl Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS ..1 Amount Due 55.00 6.00 7.32 3.05 $71.37 Item Total: Check Number Authorization Received By Batch Number Number How Received njm .,~ ..I Page I of I Amount Paid ONLINE burrell bras Online Payment Total: $71.37 $71.37 4/1/2010