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Home My WebLink AboutPermit Electrical 2010-4-7 SPRINGfIELO' ~!..,;..",.' ~"~i' f;k "~"". , ...._~ -ZG;'r-. . OREGON City Of Springfield 225 Fifth 51. Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenler@ci.springfield.or.us TYPE OF W.ORK ,"' ~~:..-.;. - - ',,,- )!:,-- New Construction [R] Addition/alteration/replacement 'CATEGORY OF CON'~tRUCTl6N' o Multi-family D Commercial D Accessory 1 or 2 family dwelling ", ,'JOB SITE INFORMATION ANOU>CATION., Job Address: 5335 DAISY 5T CitylStatefZIP: SPRINGFIELD, OR 97478 Suite/bldg.lapt.no.: 141 Project Name: Cross Street/directions to job site: Tax map/parcel no.: 1702330001301 " ',. QE,SCRIPTION'OF,i/vORK'''':':1'S'" 'Emergency meter gut replacement ,~SITE CONTI>.CT Name: Sanliaqo Estates Phone: 541.747-4919 Fax: Email: """,0' ,CONTRACTOR Elec lie. no.: 20-442C 136446 eea lie. no.: Business Name: BURREll BROS ENTERPRISES INC Contact: Address: PO BOX 697 974890697 ." 'i'';'::''f~~~~,~:,:~'>-', . Supervising Electrician's lie. 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 10 schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Begin Wot1( Is null and voJd If II does not meet applicable land use Jaws and local ordinances. QI()-L-F~~ Residential Electrical Authorization To Begin Work 69600-BEL-10-00152 Approval Code: 025060 4/7/2010 2:24 pm E-mailedTo:burrellbros@integraonline.com ,.. p,LAN,REVIEW 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 '0 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 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 D "A" "E" or "1-2" or "1-3" , , o Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal ~. :'Co" '..} 'FEE:SCHEDULi: Total Description ~erVices:or feeders Services 200 amps or less $81.00 ElectricalPermit Fees',:' "- . ~ Subtotal Stale surcharge (12% of permit total Technology fee (5% 01 permit total) TOTAL PERMIT FEE GIO q3~ $81.00 $9.72 $4.05 $94.77 ~ Y~-I~IO ATrENTloN: Oregon law requires you ~ gonow VUles adopted by the Oregon UtII~ Il\lotlflcatlon Center. Those Nles are set ~ rn OAR 952~1~10 through OAR 952.(Jl11o COllO. You may obtsln capias of thl rulealli7 Il8IIIng th0 center. (Note: the telephone ~for the Oregon Utility N~ Center Is 1-800-332-2344). .~~~~ ~~~O ~D br.. Ri Q.~ ~ 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: COM201O-00438 ISSUED:. 04/07/2010 APPLIED: 04/07/2010 EXPIRES: 10/07/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5335 Daisy St 141 ASSESSOR'S PARCEL NO.: 1702330001300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Emergency meter gut replacement for residence. Residential Owner: BATES KARLA Address: 5335 DAISY ST SPACE 141 SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION . Contractor Type Electrical Contractor BURRELL BROS ENTERPRISES INC License 136446 Expiration Date 08/20/2011 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: Rapge Type: . Energy Piiih: Sprinkied"B'uildirig: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a REQUIRED PARKING Front yard Setback: ' Overlay Dist: Total: Side I Setback: # Street Trees Rqd1.TTEN1l0N: Oregon law rlllll!l!ll.mmt Sidc 2 srI CE: "Paved Drive Rqd: follOW rutes adOpted by the~~!IDitfo"" Rearyar. I . ~tl'M\T SHAll EXPIRE IF THE wd'jinef Lot Covera!?fiotiflcatlon Center. Those NI~:~ ~-OO1. Solar Se . RMIT IS NOT In OAR 952-001-0010 through of the rules by COMMENCED OR IS ABANDONE IC IMPROVE ME ng the center. (Note: the te emP tlon ANY 1 Rn nA.Y PERIOD. ~Jhe Qrl!9on Ut~lty Not ca Street Improve'lTI"e.m! Cjlltifltl"l~-2344). Storm Sewer Available: Downspoutsillrains: Special Instruction: I DEVELOPMENT INFORMATION . Notes: Description Type of Construction I Valuation Description I $ Per S(jlFt'::" ,;;, Square Footage or multiplier' ',r';: or Bid Amount Value Date Calculated " Page 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00438 ISSUED: 04/07/2010 APPLIED: 04/07/2010 EXPIRES: 10/07/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fees Paid ~ "'~i;':, - . .;~, J Fee Description + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Amount Paid." Date Paid $9.72 $4.05 $81.00 4/7/10 4/7/10 4/7/10 Receipt Number 1201000000000000312 1201000000000000312 1201000000000000312 Total Amount Paid $94.77 Plan Reviews , 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 Reauired Insoections ~ .Electric Service: Approval required prior to ....tility company energizing service. < ,: ".-,,,,,.,'., "'< +, J., L By signature; I state and agree, thatI 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 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. :-:r: Owner or Contractors Signature Date I.>, r .0 "roeo 2. on ~~;, , . t.,! . ... 225 Fifth Street Springfield, Oregon 97477 54]-726-3759 Phone [;G;;LDafi ~..~.,-,- City of Springfield Official Receipt Development Services Department Public Works Department RECE]PT #: 1201000000000000312 Date: 04/07/20]0 3:16:43PM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 81.00 9.72 4.05 $94.77 Job/Journal Number COM2010-00438 COM20 I 0-00438 COM20 I 0-00438 Description Peml Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Amount Paid KR ONLINE BURRELL Online BROS Payment Total: $94.77 $94.77 '.... .-...., "'; -~,. ,.~ .'." . ,-. ,., cRcceintl Page I of I 4/7/2010