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Home My WebLink AboutPermit Electrical 2010-4-9 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us c:. \ () - Lft-I-S Residential Electrical Authorization To Begin Work 69600-BEL-10-00157 Approval Code: 04516D 4/9/2010 9:45 am E-mailedTo:burrellbros@integraonline.com . 'PLAN IX] Addition/alteration/replacement '-'?CATE;GORY; QF.C.oN$T~UC:mjN' D Accessory o Multi-family 0 Commercial JOBiSITE::;NFORMA TION.ANO-tOCA TiON Job Address: 1160 DONDEA ST City/State/ZIP: SPRINGF!ElD, OR 97478 SuitelbldgJapt.no. : Project Name: " Cross Street/directions to job site: Tax maplparcel no.: 1802061312300 ,. shed w\rlng -'" SITE CONTACT. .: ',\ Name: Rod Alber Phone: 541-726-5805 Fax: Email: ,P, '"):~?::4rtkib~.~" ~C6N1W~A~tpR:0#;:;>-;':~" Elee lic. no,: 20-442C cee lie. no.: 136446 Business Name: BURRELL BROS ENTERPRISES INC Contact: Address: pO BOX 697 City/State/ZIP: WAL TERVILLE, OR 974890697 Phone: 5417417813 Fax: 5417472724 Emall: burrellbros@integraonline.com Metro IIc. no.: City lic. no.: Supervising Electrician's lic. 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 approvill by your local jurisdiction, your permit will be e-mililed or filxed within one business dilY, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building depilrtment 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 , 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 Hazardous locations o A service or feeder rated at 600 amps or more D Buildings more than three star o Marinas and boat yards D 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 !;i '";';~fF:';;E~SC}jEOiJLE Qty. .../'." ;t-- $105.00 $12,60 $5.25 $122.85 '~ ",.\/2...\0 ~~~ ~ , CDmVJ}o--ooq4-s -4 -c; -} 0 NY\I\ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be' posted at the job site until replaced by a Permit o Fire pumps o Emergency systems o Addition of a new molar load of 100 HP or more o Six or more residential units in one structure o Health care facilities Description Services 200 amps or less Bran'ch' circuitS.~ .1 , Branch circuits with service or feeder each circuit eiectrlcafPe'rmil'Fees" Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE .....,..,..,' Jtt ,,~'{) ~. \J" ~. Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00445 ISSUED: 04/09/2010 APPLIED: 04/09/2010 EXPIRES: 10/09/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1160 DONDEA ST ASSESSOR'S PARCEL NO.: 1802061312300 Springfield TYPE OF WORK: Electrical Work Only , , ,f_., TYPE OF USE: New Residential PROJECT DESCRIPTION: Shed Wiring ...' I." Owner: ALBER RODNEY P & CYNTHIA Address: 1160 DONDEA ST SPRINGFIELD OR 97478 Phone Nnmber: 541-726-5805 I CONTRACTOR INFORMA nON I Contractor Type Electrical Contractor License BURRELL BROS ENTERPRISES INC 136446 BUILDING INFORMATION I 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: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS. . ~s 'Ju.... Street Improvements: '"'oN teC\U\\c, n lllililY r '\' o\eGO\1 .'~ \ e 0\e90 110\1\'1 Storm Sewer f\'iai~,ble:J\" dorleO 'oY "(I)\es ate,se -OO~" Special InstruCtion:. IllleS a Ie' ,nose h Of>..?>. 9521, 5 b" \OHU" ce\1" ll9'" , '(U e J l'loliliCa\lO\1 O~ -OO~ 0 IntO ieS oll\'le Olle Notes: '\1 Of>..?>. 952-0 "oblal\1 CO~e' 1M \eleg\'l a\ioO \ O. 'loll (l\a:, let. ~l'lo " it l'l0\\,\0 ca.\ 'bl1 et \01 \\\e, \ _1)00-33 lIu(l\ cel1\ellS Valuation Descri Sidewalk Type: Downspouts/Drains: Description Tvpe of Construction $ Per Sq Ft or multiplier Mn ICE: THIS PERMI ER THIS 'PERMIT IS NOT I\\)THORIZED UNO ED FOR ,nHI!'~~HCEO OR \S ABANDON Square Footage ~, - , "'0 B'd A t - - '" VafueJ' Date Calculated or I moun' ..........,,, :_':~~~~ ,-,......- . :i;'f:T .: Pa2e I of 2 U'_' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00445 ISSUED: 04/09/2010 APPLIED: 04/09/2010 EXPIRES: 10/0912010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project 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 $12 60""0. $5'25',:T . 1;'" $24.00 $81.00' '!' . .~. , t ~ 4/9/10 4/9110 4/9/10 4/9/10 1201000000000000323 1201000000000000323 1201000000000000323 1201000000000000323 Total Amount Paid $122.85 I 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~equested after 7:00 a.m. will be made the following workday. ...' Reouired Insoections . Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior t!l,u'!iiitycompany energizing service. ',' ~ 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 structure without permission of the Commnnity 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. Owner or Contractors Signature ,', Date Pa!!.e 2 of2 ,.1.:, '''.' , \ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000323 Date: 04/0912010 IO:19:22AM Job/Journal Number COM20 I 0-00445 COM20 1 0-00445 COM20 10-00445 COM20 1 0-00445 Payments: Type of Payment ONLINE CHGS cReceintl Item Total: Check Number Authorization Received By Batch Number Number How Received Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS nJITI \'~"lj\~ 'f{ri':;/"},' , ~L~,' ":' . ; f:,~,~,,: ~'. 'r~" "I," ~, I. . p' !,..': ~.' Page 1 of I Amount Due 81.00 24.00 12.60 5.25 $122,85 Amount Paid ONLINE burrell bros Online Payment Total: $122.85 $122,85 4/9/20 I 0