HomeMy WebLinkAboutPermit Electrical 2010-4-5
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfieJd.or.us
C-IO- 4-22-
Residential Electrical Authorization To Begin Work
69600-BEL-10-00142
~;'
'~'f..; . J'ji'i:T,~, !'~ii4>{{;;:,;'f:YPEOF'WORK' "4"';1'. 'f:Yif,,!;'
_ ,\. ^..Li:...::...f.h....."'.: ,- ........:...... '..' . . .
0 New Construction IRl Addition/a Iteralio~fr~e~lacem~ril
'l::" ',\", &',J.,,',_, ,CA rEGORY PF:Ce>II!Sl"RWCTION' :<~;'V \ '" "'.:':,\~ j ;", 'i
"'~~1
IRl 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
".. '-jeJOSSIl"EINFORMATIONANO'LOCATION,+,, "
., "", , , .;
Job Address: 5335 DAISY ST
CityfState/ZIP: SPRINGFIELD, OR 97478
Suite/bldg./apt.no. : 70
Project Name:
Cross Street/directions to jOb site:
Tax map/parcel no.: 1702330001300 1702330001301
-;;i;t<.i~i:~,"""/ i"""DE'SC'RIf!TION,OF 1iv0RK; '4,,4,. ''P'' "'~;'; 0', ,
... ...'_ ".. ~h"."0 .._ ',',m..._ .'_" ".
New pedestal and rehook the house
-".,,; 'i' . -'''fI;''I~,,:'.,-;f!*'''''SITE,CONTACT i ,,; 'd"C4, i,', _. '" C' 'I'
"....__... ........ 0- .. ..._.... ."
Name: Santiaoo Estates c .
..~._. .. --- '"
"l<;:I." ,
Phone: 541-747-4919 Fax: ---
Email: .-
" .' ....,,;., ;;-"....,':". ,'.C'bNTRACIQR';C :: ",;,.7",'-,,, . :,
Elec lie. no.: 20-442C CCBlic. no.: 136446
Business Name: BURRELL BROS ENTERPRISES INC
Contact:
Address: PO BOX 697
CitylState/ZIP: WAl TERVlllE, OR 974890697
Phone: 5417417813 Fax: 5417472724
Emai/: burrellbros@inlegraonline.com
Metro lie. no.: City lie. no.:
Supervising Electrician's lie. no.: 47215
Supervising Electrician's Name: JOSHUA J BURRELL
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1 --'" - ..~.
All Other Services: 2 ";.1:;; .'." ....
"
Upon review and approval by your local jurisdiction, your permit will" 'b~ a-mailed
within one business day, with instructions on how to sChedule your inspection.
"
or faxed
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 meel applicable land use laws and local ordinances.
Approval Code: 01548D 4/5/2010 12:18 pm
E-mailedTo:burrellbros@integraonline.com
PLANREVIEW~'\;~"
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
1 0,000 Amps at 150 Volls 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
t ~:;
- -~_.
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 of a 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
Each manufactured or modular
dwellin ,service and/or feeder
Electr'!9afPerrnitF'ees --';.i0'0."'f
Subtotal $126.00
$15.12
$6,30
$147.42
\))t~
~'Lj..
~;p
o 0 '-f~ ")..,
f'J1--"-
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted atthe job site until replaced by a Permit
Description
Resi~~'6t!~Lij1uithf"rnllrf'
r_~"
""""'.-.
Stale surcharge (12% of permit
tolal
Technology fee (5% of permit total)
TOTAL PERMIT FEE
~*
~ n-;~
~ V
CD--0 VJ 10
q-5-!u
Status
Issued
'l"""i,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00422
ISSUED: 04/05/2010
APPLIED: 04/0512010
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: 533570 DAISY ST
ASSESSOR'S PARCEL NO.: 1702330001300
SPRINGFIETYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: New pedestal and rehook the house
Owner: SANTIAGO ESTATES ASSOCIATES LLC
Address: 11211 GOLD COUNTRY DR STE 100
GOLD RIVER CA 95670
Contractor Type
Electrical
I CONTRACTOR INFORMATION ,
Contractor License
BURRELL BROS ENTERPRISES INC 136446
BUILDING INFORMATION ~
Expiration Date
08/2012011
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:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Front yard 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:
Notes:
r1OTICE: "" .
THIS PERMIT SHALL EXPIRE lFTHEWORK,J'
,;UTHO Z
COMMENCED OR IS ABANDO
ANY 180 DAY PERIOD.
I PUBLIC IMPROVEMENTS ~ t
. es yOU 0
i~~'~(lC)!P~;t\N re~\~gon Uftlity
AliEN ~rl terl by the set lorth
talloW rUDIJ\Yllsflliul.yPQ~\es are952_001-
. n cen~er. hOAR
tlotilicatlO 2_001-0010 throUg 01 the rules by
In OAR ~;\1 may obtain COP\~~he telephOne
0090\iing the center. l~~t~ti\ity Notilicatlon
Center is 1-80 -
;...".r.p.
~" ,"0;;. ,.~"
Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
..,.,'
Page I of2
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: COM2010-00422
ISSUED: 04/05/2010
APPLIED: 04/05/2010
EXPIRES: 10/05/2010
VALUE:
Status
Issued
Total Value of Project
Fees Paid ~
Fee Description
+ 12% Stllte Surchllrge
+ 5% Technology Fee
Mannfactured Home Service
Amonnt Paid
DlIte PlIid
Receipt Number
$15.12
$6.30
$126.00
4/5/10
4/5/10
4/5/1 0
3201000000000000124
3201000000000000124
3201000000000000124
Totllj Amount Paid
$147.42
I Plan Reviews ,
To Request an inspection call the 24 hour recil'rding 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.
ReQuired Insoec~
MH Service: Approvlll required prior to ntility compllny energizing service.
By signlltnre, I stllte lInd agree, thllt I have cllrefnlly eXlImined'the completed lIpplication lInd do hereby certify thllt all
information hereon is trne 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 pertllining to the work described herein, and
thllt NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I fnrther certify thllt 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.
Owner or Contractors Signature Date
r;.\~'{) ; _~. ',' \
")"-;
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000124
Date: 04/05/2010
J :33:54PM
Pnid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm ONLINE burrell bras Online
Payment Total:
Amount Due
126.00
15.12
6.30
$147.42
Job/Journal Number
COM20 I 0-00422
COM20 I 0-00422
COM20 I 0-00422
Description
Manufactured Home Service
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type or Payment
ONLINE CHGS
Amount Paid
$147.42
$147.42
Q.'tl'l'\; ,~ ~~U \
'~~;.. t~). /".
,#
".
f.
cReceiotl
Page 1 of I
4/5/2010