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Home My WebLink AboutPermit Electrical 2010-4-2 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfield.or.us C-\ 0'- LH D Residential Electrical Authorization To Begin Work 69600-BEL-10-00137 Approval Code: 03584D 4/2/2010 9:42 am E-mailedTo:burrellbros@integraonline.com [R] Addition/alteration/replacement o New Construction Please check all that apply: o A service or feeder beginning at 400 Amps where the available faull current exceeds 10,000 Amps at 150 Votts or less to ground exceeds 14,000 Amps for all other c_, ;'Yl:,'CA TEGORY OF'CO!,!.STl3iJCTlON 1Zl1 or 2 family dwelling o Mulli~family 0 Commercial o Accessory ";;-, ,'JOB SITE'INFORMA liON ANO';:OCA TION"L Job Address: 1651 MAIN ST CitylState/ZIP: SPRINGFIELD, OR 97477 o ,Fire pumps o Emergency systems o Addition of a new motor toad of 100 HP or more o Six or more residential units in one structure D Health care facilities Suitefbldg.lapt.no.: ,.;;;~j , ;. h;.....~' Project Name: Cross Streetfdirections to job site: Tax mapfparcel no.: 1703363104900 ",/I!;/C";...,,. ;,'i~~ :~t.~_ Description $~-iVj~e~:ot:;{~.ed~rs' . Services 200 amps or less ~la~ch.'ckcuits. '. ,.. '" Branch circuits with service or feeder each circuit ~lectrjc~i-perfijifF_l!J_e.~ Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) Service and two (2) outside circuits .~. '. "'7'_",.."S".'~'--,. ._,. SrrE,CONT ACT; Name: RaCIer Piper Phone: 541-747-5526 Fax: Emall: CONTRACTOR} Elec lic. no : 20-442C 136446 TOTAL PERMIT FEE cce lic. no.: Business Name: BURRELL BROS ENTERPRISES INC Contact: Address: PO BOX 697 j~ ,..:. CityfStatefZIP: WAL TERVILLE, OR 974890697 Phone: 5417417813 Emai~ burrellbras@integraanline.com , , Fax: 5417472724 Metro lic. no.: City lie. no.: Supervising Electrician's Iic. 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 c,,,. ~ J9 oo~ Upon review and approval by your local jurisdiction, your permit will be e-malled or faxed within one business day, with instructions on how to schedule your inspection. 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. "..;''-,.:'~ :-/.' J' D Hazardous locations D A service or feeder rated at 600 amps or more D Buildings more than three stor D Marinas and boat yards D Floating buildings D Commercial-use agricultural buildings D Installation of a 150 KVA or larger seperately derived sys D "A", "E", or "1-2" or "t-3" D Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal ..1 $93.00 $11.16 $4.65 $108,81 ~<0~\) ~ . Lt9.~ ~~ .r;!.;" ,.,." InspeCtions Pho'ne: 541.726.3769 This Authorization To Begin Work ",ust be posted at the job site until replaced by a Permit ; -{, '\',,' . -' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00410 ISSUED: 04/02/2010 APPLIED: 04/02/2010 EXPIRES: 10/02/20 10 VALUE: ,','. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1651 MAIN ST ASSESSOR'S PARCEL NO.: 1703363104900 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Owner: PIPER ROGER W & JANICE A Address: 1150 S 58TH ST SPRINGFIELD OR 97478 Phone Number: 541-741-7813 Contractor Type Electrical I CONTRA;TOR INFORMATION ~ Contractor License BURRELL BROS ENTERPRISES INC 136446 BUILDING INFORMATION ~ Expiration Date 08/20/2011 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: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla REQUIRED PARKING Front yard Setback: Overlay Dist: ." ,,,- . "n . Total: Side I Setback: . Mtreet Trees Rqd: Handicapped: Side 2 Setba'ck1ENTION: oregon, law re91Jlres you. ved Drive Rqd: NOTICE' Compact: Rearyard Seii;li~K:Jlef, adoptea uy I he Oregon Uti I'y' f Lot Coverage: . Solar SetlJljcJt~ication Center. Those rules are set f rtR rHIS PERMIT SHAll EXPIRE IF THE WORK . 'Q" 01-0010throu hOAR952-QQk... hllTl-ln 0090.. You may obtain COPI~S 0 : MPROVEMENTS'. "MENCED OR IS ABANDONED FOR callmgthe center. (Note.thet .. . ." 1 "^V Street Impr#l!lMi!1l!tt$GJ[ the Oregon Utility Notification ' . BO SiileJ?lkq1q.~e: . C":enter is 1-800-332-2344). .,.; I Storm Sewer A vad:lble: DownspoutslDrains: Special Instruction : I DEVELOPMENT INFORMATION ~ Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier ' , Squ~re Footage lor Bid Amount Value Date Calculated . ,'.'-',., Pa2e I of2 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00410 ISSUED: 04/02/2010 APPLIED: 04/02/2010 EXPIRES: 10/02/2010 VALUE: Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L Fees Paid _ Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $11.16 4/2/10 2201000000000000315 $4.65 4/2/10 2201000000000000315 $12.00 4/2/10 2201000000000000315 $81.00 4/2/10 2201000000000000315 Total Amount Paid $108.81.""," . ::. ~ie,l ~, . "..:., :~~~,' I ,e'llJ~ R~;.iews ~ 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. L",Reouired Inspections . Rough Electric: Prior to Cover 'n, . Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signature, 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 Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structuFe.,~it~l'u!'p~~'mission of the Community Services Division, Building Safety. I further certify that ouly contractors and employees,)vho,arefin'compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspectiOll's'jare~eq~ested at .the proper time, that each address is readable from the -"l,,,'j . street, that the permit card is located at the front ofihe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~ii ; ." City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000315 Date: 04/0212010 12:08:23PM Paid By ONLINE PERMIT CHGS Item Total; Check Number Authorization Received By Batch Number Number How Received Amount Due 81.00 12.00 11.16 4.65 S108.81 Job/Journal Number COM2010-00410 COM20 I 0-0041 0 COM20 I 0-0041 0 COM2010-00410 Description Penn ServIFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Amount Paid njm ONLINE burrell bros Online Payment Total: $108.81 SI08,81 . ':'i"r,\,~1t; II' i~WI liE'li i,,~~ ,;,':J.' ';' ","1, '.. cReceintl Page 1 of I 412/20 I 0