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Home My WebLink AboutPermit Electrical 2010-4-20 SPRINGFIELD ~,\"'''',-''' ,:~,~ c-~ i).,q f. _ ,. "'-.. .~ ,_i: . OREGON City 01 Springlield 225 Fifth 51. Springfield. OR 97477 Phone: 541-726-3753 EmaiJ: permjtcenter@cLspringfield.or.u5 h -,. , , TYPE,oFWORK ' -;"',,71'''': ;; ,'-,,-'.' . o New Construction lRl Addition/alteration/replacement ',' " ' ' "S'CA TEGORY Of CONSTRUCTION; " 00 1 or 2 family dwelling 0 Multi-family o Commercial o Accessory I', i. JOB'SITEINFORMATION AND LOCATION , . Job Address: 220 nTIISr 2L\+Y\ ,"'-\- lX, JOSh Bu.-rncLl ~ City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg./apt.no.: Project Name: Cross Street/directions to job site: Tax map/parcal no.: 1703361415500 !~: ". ;.~. - T^ ,: DESCRIPTIOt{qF WqRK ,.~" ...> ,~, '::, " " Emergency panel change ; '. :' SITE CONTACT L Name: Cricket McCloud Phone: 541-912-2645 Fax: Email: CONTRACTOR , EJec lie. no.: 20-442C cee lie. no.: 136446 Business Name: BURRELL BROS ENTERPRISES lNC Contact: Address; PO BOX 697 CitylStatefZlP: WALT~~~1II1 F: ()R .974890697 ,;,,~"';,';>';;:,?"'-.'w, Phone, 5417417813 ~~~ ';~~MIl SlU\t\;9~f IF THE "":'::: Em.;r, b,nellbm,@;n'M'l'fmRW:ED UNDER THIS , ~.' p~i)n"'" Metro lie. no.: COMMENCED ' ~2~li~.-no.: ,~ . Supervising EI9ctriciaR-!\li~. rlo~U UM.!7r1~1 \IV L.f. ....., ..., 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 penn!t will be e.mailed or faxed wtthln one business day, with Inl5lructfons on how to schedule your Inap ecllon. NOTE: This Authorization To Begin Work expires within 180 days If a pennlt Is not obtained. The local building department may determine that an Authorization To Begin Work Is null and void If It does not mecl applicable land use lawa and local ordlnanc es. 61C:l-y.cj6 Residential Electrical Authorization To Begin Work 69600-BEL-10-00178 Approval Code: 00512D 4/20/20103:05 pm E-mailedTo:burrellbros@integraonline.com - " .- ",;.' "PLAN REVIEW .., , ,. Please check all that apply: o Hazardous locations o A service or feeder beginning o A service or feeder rated al at 400 Amps where the 600 amps or more available fault current exceeds o Buildings more than three star 10,000 Amps at 150 Volts or less to ground exceeds o Marinas and boat yards 14,000 Amps for all other o Floating buildings 0 Fire pumps o Commercial-use agricultural buildings o Emergency systems o Installation of a 150 KVA or o Addition of a new motor load larger seperately derived sys of 100 HP or more o "A", "E". or"I-2" or "1-3" o Six or more residential units in o Recreational Vehicle Parks one structure o Health care facilities o Supply voltage for more than 600 supply volts nominal '0 . ';:' - ..-< . FEE'SCHI;DULE .... . , ! Description Qty. I Ea. I Total Services 6r,feeders~~ . p '. ~ Services 200 amps or less 1 I $8100 I $81,00 i::"lectrica!Permit Flies Subtotal $81.00 Stale surcharge (12% of permit $9,72 totafl . Technology fee (5% of permit total) $4.05 TOTAL PERMIT FEE $94.77 C.ID - 4qD ~\L 412dlo .7 ATTENTION: Olegon law requires YOU,to follow rules adopted by the Olegon Utility Notification Center. Those rules are set forth In OAR 952.001.001 0 through OAR 952~01. 0090 You may obtain copies of the rules by calilng the center. (Note: the te'epho~e number for the Oregon Utility Notification Center is 1-800-332-2344). . . ~~~ ~; LY ~~.\D I\rc n~ ~ S.< ~ Inspections Phone: 541-726-3769 This Authorization To Begin Wor~. must be posted at the job site until replaced by a Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 220 15111 ST- 2. 4 +~ S~. ~ ASSESSOR'S PARCEL NO.: 1703361415500 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00490 ISSUED: 04/21/2010 APPLIED: 04/20/2010 EXPIRES: 10/21/2010 VALUE: Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Emergency panel change Owner: RISING PILLARS LLC Address; 2784 ELYSIUM AVE EUBENE OR 97401 TYPE OF USE; New Residential I CONTRACTOR INFORMATION . Contractor License BURRELL BROS ENTERPRISES INC 136446 BUILDING INFORMATION ~ Contractor Type Electrical # 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: Expiration Date 08/20/2011 Phone 541-747-2724 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Ga.-age/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION ~ Frontyard Setback; Overlay Dist; Side I Setback: # Street Trees Rqd: E:7;:~b&'WiMrr SHAll EXPIH~: I'F';~~;~~kL~;~:v~~:~e; COMMENCED OR IS ABANDONElaWC IMPROVEMENTS I Street ImM\teMlf.\tW\Y PERIOD. Storm Sewer Available; Special Instruction: Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvl>e of Construction r(j'~' . J.~. T{"' ~ .' , ,....l~.~:"~ ;,:r. J,''': . Paee I of 2 REQUIRED PARKING Total: Handicapped: ATTENTION: Ore~*Tequ'res you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth 0090. You may obtain copies of the ru!es by ~aI\Q.,Qllnter. (Note: the telephone number fo( Ins Oregon Utility Notification Downs~\l~ilj~OO-332-2344). Value Dale Calculated .', Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00490 ISSUED: 04/21/2010 APPLIED: 04/20/2010 EXPIRES: 10/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project LFees Paid___ Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $9.72".i/o . ....k. '\ $4.05 . $81.00 . 4/21/10 4/21/10 4/21/10 2201000000000000382 2201000000000000382 2201000000000000382 Tot,,1 Amount Paid $94.77 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 requested after 7:00 a.m. will be made the following work day. [ Reouired InsDec~ Electric Service: Approval required prior to utility company energizing service. By sign"ture, I state and agree, that I have carefullyexami~ed the completed application and do hereby certify that all information hereon is true "nd 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 J;aws of the 'State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any slructflre without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who arc in compliance with ORS 701.005 will be used on this project. I furlher agree to ensure that all required inspections lIre requested at the proper time, that each address is r."dable from th. street, th"tlhe permit card is located at the front of lhe property, and the approved set of plans will remain on the sile lIt all times during construction. Owner or Contractors Signature D"te Page 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 #: 2201000000000000382 Date: 04/21/2010 9:21 :53AM Job/Journal Number COM20 I 0-00490 COM20 1 0-00490 COM20 I 0-00490 Description Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Payments: Type of Paymeot ONLINE CHGS 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 Amount Paid KR ONLINE BURRELL Online BROS Payment Total: $94.77 $94.77 .~Fl. .. ,I, ~.~, ..;~ ,. -It, ~ , , . , ~ '. " cReceintl Page I of I 4/21/2010