HomeMy WebLinkAboutPermit Electrical 2010-4-5
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541.726-3753
Email: permitcenler@ci.springfield.or.us
C-ID- lf2~
Residential Electrical Authorization To Begin Work
69600-BEL-10-00144
Approval Code: 03502D 4/5/2010 12:34 pm
E-mailedTo:burrellbros@integraonline.com
o New Construction
IRJ Addition/alteration/replacement
.~C~ TEGORY.Of; ~C6NST~.u.CTlbN". 0
~~.;."
[Z] 1 or 2 family dwelling
[:]":Accessory".'
o Multi.family 0 Commercial
. .:' ,00 ~OB SiTEiNF'O~MA TION ANO'WCA ilON
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Job Address: 5335 DAISY ST
City/State/ZIP: SPRINGFIELD, OR 97478
Suitelbld9./apt.no~
Project Name:
Cross Street/directions to jOb site:
Tax map/parcel no.:
1702330001300
1702330001301
New pedestal and rehook the house
,.
CONTA.' CT;:,~; :
.. ................,._.:....,.B
I',
Name: Sanliaqo Estates
Phone: 541-747-4919
Fax:
Email:
!...
'r:--4 ," ;::CONTRAqOR';
Elec lie. no.: 20-442C
ceB lie. no.:
136446
Business Name: BURRELL SROS ENTERPRISES INC
Contact:
Address: PO BOX 697
CityfState/ZIP: WAL TERVlllE, OR 974890697
Phono:S417417813
Fax: 5417472724
Email: 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
.,
Upon review and approval by your local jurisdiction, your permit ~ill' b;'~-=e-m~ii;d 0;6i
within one business day, with instructions on how, 10 schedule your inspection. ,_~;,;:~,'.
;'. v'
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 slructure
o Health care facjJities
Description
R!i~i~e,5ti~F~,~it(~famHy ?
Each manufactured or modular
dweJJin , service and/or feeder
EI~ctrJ~'~I'Permit F.ee~.
Subtotal
State surcharge (12% of permit
total
Technology fee (S% of permit tolal)
TOTAL PERMIT FEE
:<>4:
o Hazardous locations
o A service or feeder rated at
600 amps or more
D Buildings more than three star
D Marinas and boat yards
o Floating buildings
D Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived sys
o "A", "E", or "1-2" or "1-3"
D Recreational Vehicle Parks
o Supply voltage for more than
600 supply volls nominal
~i:
$126.00
$15.12
$6.30
$147.42
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NOTE; This Authorization To Begin Work expires within 180 days if a permit is not o'btai'~ed,
The local building department may determine that an Authorization To Begin Work is null and CoVV1 L-6 , 0 - 00 L-f '""}3
void If it does not meet applicable land use laws and local ordinances. I ' l
L.\-S~lO (1m
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.~'X ,,'-
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failed
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
I.::'.'"
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5335 Daisy St 105
ASSESSOR'S PARCEL NO.: 1702330001300
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00423
ISSUED: 04/0512010
APPLIED: 04/0512010
EXPIRES: 10/0512010
VALUE:
Springfield TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTION: New pedestal and rehook the house
Owner:
Address:
,
SANTIAGO ESTATES ASSOClA TES L'LC
11211 GOLD COUNTRY DR STE 100 "oj';:
GOLD RIVER CA 95670. '
to.,
TYPE OF USE: New
Residential
I CONTRACTOR INFORMATION .
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/2012011
Phone
541-747-2724
BUILDING INFORMA TION ,
# 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:
nla
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq FtGaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION ~
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
#,:Stree[ TIees Rqd:
, Paved!)ri"e Rqd:
" % ,of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS \ w ;equires you to .
I '" ,'~,., rego~. a., ..CI 'on on Utility
I II W rule" adopt'Sldel"all( t,yp", t lorth
o 0 ,~ Those rules arese '
Notilicatlon Center. DOrrrnpol\t@'p'~.001.
in OAR 952.001-0~t~~~ ~op'i~S 01 the rules by
0090.. You may 0 Note: the telephone
callmg the cen~r, (on Utility Notiticatlon
number lor the r~g 00-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instructj~n:
Notes:
NOne .
I HIS PERMIT r-:::-;" ' I
1UTHORIZED SHALL EXPIRE IF TH!.Mm'~tion Description I
;-;QfV1ME UNDER THIS PERMIT '
", ., NCFn~}R ,,,-, /),. !9INfJSq Ft Square Footage
DescnptlOn 000 DA:tv e bN;ollSRiuft;!b'ttED FN'> It' I' B'd A
" , , ERIOD V" unmu Ip ler or I mount
Pa2e I of 2
i:'.~~ll- 'l' '~'" .
Value
Date Calculated
;'.V'fl ...,.
,"\U~ ',,;~"".1i,'
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00423
ISSUED: 04/05/2010
APPLIED: 04/0512010
EXPIRES: 10/0512010
VALUE:
. ~,';~ ;]
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne,ofProject
CFees Paid_
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Mannfactnred Home Service
Amount Paid
Date Paid
Receipt Number
$15.12
$6.30
$126.00
4/5/10
4/5/10
4/5/1 0
3201000000000000122
3201000000000000122
3201000000000000122
Total Amount Paid
$147.42':,'"''
. 'arJ
. ;~~. ;.~ f'
,Plan Reviews I
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.
ReQuired Insnections I
,'~ '.! i .
MH Service: Approval required prior to u!ifity company"energizing service.
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 her'ein, 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 compliauce 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 16,0 prope,,:ty, and the approved set of plans will remain on the site at all
times during construction. - ~: ';.
. j;!.~':1 .)
,(;';1.1,
Owner or Contractors Signature
Date
i':: n
Pa2e 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000122
Date: 04/05/2010
1:32:2IPM
Payments:
Type of Payment
ONLINE CHGS
Received By
Check Number
Batch Number
Item Total:
Authorization
Number now Received
Amount Due
126.00
15.12
6.30
$147.42
Job/Journal Number
COM20 1 0-00423
COM20 1 0-00423
COM20] 0-00423
Description
Manufactured Home Service
+ ] 2% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Paid
I1Jffi
ONLINE burrell bros Online
Payment Total:
$147.42
$147.42
'lj:n
-Jlil
cReceiotl
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4/5/20 I 0