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Home My WebLink AboutPermit Electrical 2010-4-5 City Of Springfield 225 Fifth 5t. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us ,C-l D- 4-2.1 Residential Electrical Authorization To Begin Work 69600-BEL-10-00143 Approval Code: 02504D 4/5/2010 12:24 pm E-mailedTo:burrellbros@integraonline.com ,PLANREVIEW ,,-., ,- ,n -I, ,"V;~ ~ 'V". "'{"',;);:,' '.<'~it\ " .P. '. ". 0 New Construction IRl ,. . ,. Addition/a Iteratior"!.fre8!ac~m~~t ...... :;';:" , .CATEGPRV;OF'CONSTRUCTION.... 7 ;'''';.' ,-;.. , , ""--. IRl 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory G, , : :J"'.~JOB SrrEINj='ORMATION ANr:)lOCATi()N:'~' 'i),:' ..' : Job Address: 5335 MAIN ST City/State/ZIP: SPRINGFIELD, OR 97478 Suitelbldg./apt.no. : 166 Project Name: Cross Street/directions to job site: Tax mapJparcel no.: 1702330001300 'f,'f,";';~'ij:::'.;.. .;I'li'i~;<DESCRIP'r16N'6E,W6RK' "":~'):',::f:., ,k:.':;",'.", ;..,,'__.~- ". .,. '~"",,,~:.' ",^')4,,~" __0" "" ____ ,,""-"',, ____':':' ,__, ',',--,__, ,', __ ,.. , '_"_____T_"'__"""'" ~.", ". -- , New pedestal and rehook the house c c",; :,~;. ",-;", ""Si'tE;e:Q'NTACT-;, '";:""";" """';;;c,c>,y.:i: ,:::-,"",,,;0,,,,, Name: Santiaqo Estates '",.u. .. Fax: .,';1>'1:; ;:;-ii Phone: 541-747-4919 Email: . . 'c':,2 'r;"'\*l0;:;;:):jOj';m~AC'TOR';;.;;',i"',,. _,,,:'>,;1,.', Elec lic. no.: 20-442C CCB Iic. no.: 136446 Business Name: BURRELL BRaS ENTERPRISES INC Contact: Address: PO BOX 697 City/State/ZIP: WAL TERVILLE, OR 974890697 Phone: 5417417813 Fax: 5417472724 Email: burrellbros@integraonline.com Metro lie. no.: City Iic. no.: Supervising Electrician's lic. no.: 4721$ Supervising Electrician's Name: JOSHUA J BURRELL Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 -..-.'- <.' All Other Services: 2 .'"h!:'io'; ,.:;:. , ", " .. Upon review and approval by your local jurisdiction, your pennit will "be,"n'~_mailed or faxed within one business day, with instructions on how to schedule your insp~ction. NOTE: This Authorization To Begin Work expires within 180 days if a permit Is nol obtained. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for all other o Fire pumps 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 facilities Description R~-~JaeI-lHarf!l'ultt~family~ Each manufactured or modular dwellin ,service and/or feeder ,Ere"g..tfj~~f Pe~!fli(F~~~ir~ ,i .' Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE . I:::; _~'O~~. ~- CO J Con ZeJ/O 4/-S~/() 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 D Commercial-use agricultural buildings D Installation of a 150 Kl/A 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 $126.00 $15,12 $6.30 $147.42 \SJV ~ ~ t:{VJ~ ~~ .- oow; /7/YJ Inspections Phone: 541.726.3769 This Authorization To Begin Work must be posted at it he job site until replaced by a Permit . , ,:.,'1 .} , ' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00421 ISSUED: 04/05/2010 APPLIED: 04/05/2010 EXPIRES: 10/05/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '. SITE ADDRESS: 5335 MAIN ST 166 ASSESSOR'S PARCEL NO.: 1702330001300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: New pedestal and rehook the house , Owner: Address: SANTIAGO ESTATES ASSOCIATES LLC H21I GOLD COUNTRY DR STE 100 GOLD RIVER CA 95670 .! .:.' I CON'fRACT0R INFORMATION I Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08/20/20 II Phone 541-747-2724 BUILDING INFORMATION ~ # 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: Range Type: . . Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Fl2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENTlNFORMATlON I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: ATTENTION: Oregonlav! re€o'fupacf:uto %,of LotCoveraglollow rules adopted by the Oregon Utility "'..,'. ....... ". ., Notification Center. Those rules are set forth, .:; OAR 952.001- I PUBLlC-IMPROVEMEl~ Wfou may obtain copies of the rules y 'm,P\g the center. (Note: the telephone . number fo~~~gl)1p<t;Jtility Notification ce\lhWvm.JoQ~s96W,tii~?44 ). Street Improvements: Storm Sewer Available: SpeciallnstrnetiV'fICE: '-ilS PERMIT SHALL EXPIRE IF THE WORK 'ilOFi!ZEO UNDER THIS PERMIT IS NOT ",l-lIl) tl u.. Notes: Valuation Descri tion DescriPtion Type of Construction $ Per Sq Ft ormnltiplier , Sqnare Footage or Bid Amount Value Date Calcnlated Paee I of2 i CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010~00421 ISSUED: 04/05/2010 APPLIED: 04/05/2010 EXPIRES: 10/05/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project , ,r ,,' Fees Paia ~ Fee Description + 12% State Surcharge + 5% Technology Fee Manufactured Home Service Amount Paid Date Paid Receipt Numher $15.12 $6.30 $126.00 415110 4151]0 4151]0 3201000000000000]23 3201000000000000123 3201000000000000]23 Total Amount Paid $]47.42 I PI~nR~~iews ~ ~'o_...'~ j; 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 Retluired Insuections ~ MH Service: Approval required prior to utilitY,company' ,ineigizing service. ii, By siguature, 1 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 Springtield and the Laws of the State of Oregon peJ'taining 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 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. .:.,.~,. "" ~'~. _.. .. .. Vh B.: 1'> . '.;'''~' ~l' /, I..l~ Owner or Contractors Signature Date " '" Page 2 of 2 , , City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ( , RECEIPT #: 3201000000000000123 Date: 04105/2010 1:33:16PM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due /26.00 15.12 6.30 $147.42 Job/Journal Number COM20 I 0-00421 COM20 I 0-00421 COM20 I 0-00421 Description Manufactured Home Service + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Amount Paid njm ONLINE burrell bras Online Payment Total: $147.42 $147.42 cRcceintl Page 1 of 1 4/5/20 I 0