HomeMy WebLinkAboutPermit Electrical 2010-5-13
SPRINGFIELD
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City Of Springfield
225 Fifth $t.
Springfield, OR 97477
Phone: 541-726-3753
Ems!l: permitcenter@ci.springfield.or.u~
Residential Electrical Authorization To Begin Work
69600-BEL-10-00206
Approval Code: 02523D 5/13/2010 11:25 am
E.mailed To: burrellbros@integraonline.com
PrAN:REVIEW' ...
o New Construction
IRJ Addition/alteration/replacement
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 10 ground exceeds
14,000 Amps for all other
'"";> CATEGORY OF CONS:rRUCTION,.
o 1 or 2 family dwelling
o Accessory
o Multi-family 00 Commercial
~J(jBsrtE INFORMATION AND:LOCATION' '.
Job Address: 1310 MARKET 5T
City/State/ZIP: SPRINGFIELD, OR 97477
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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'structure
o Health care facilities
Sulte/bldg./apt.no.:
Project Name:
Cross Street/directions to job site:
Tax map/parcel no.:
1703253308300
C. tD -leU-\-
o Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three stor
o Marinas and boat yards
D Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 IWA or
larger seperately derived sys
O "A" "E" or "1-2" or "1.3"
, .
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
ATTENTION: Oregon law requlres ~ b
follow rules adopted by the Oregon UtIIIV
Notification Center. Those rules are set falCJ
In OAR 952~1~10through OAR 952~
0090. You may obtain copies of the ruIeo I!iJ
calling the center. (Note: the telephono
number for the Oregon Utility NotiflcstiGo
Center is 1-800-332,2344).
Description
;"SlTE~c6r-1J ACT', ".,i-
Branch circuits without service or
feeder
MJ~^geiIaneous'(< "..~~;~'
Balance of permit fees
Ele6tH9~(e~!mit~Fees;,. 'to
Subtotal
Name: State Insurance
PhOn!): 541-747-2724
Fax:
Email:
~~. ..t" ".,.
State surcharge (12% of permit
total
Technology fee (SOlo of permit total)
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CONTRACTOR~:~
Elec lie. no.: 20-442C
136446
TOTAL PERMIT FEE
CCB lie. no.:
Business Name: BURREll BRaS ENTERPRISES INC
Contact:
;, -
,:Ct D-llOY
,
Address: PO BOX 697
City/State/ZIP: WAl TERVJllE, OR 974890697 > ';~;i:<-~,;'<;;T";;-
Phone: 5417417813 Fax: 54174727 4
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 wlll be e_malled or faxed
within one bU$lness day, with lnslructions on howto schedule your I nspection.
NO!E: This AuthorizatIon To BegIn Wort expires within 180 days If a permIt is not 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 ordlnanc es.
.1
$58.00
$6.96
$2.90
$67.86
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Inspections Phone: 541-726-3769
This Authorization To Begin W~~~~~s~~.!~~o~s.ted :at, the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00604
ISSUED: 05/13/2010
APPLIED: 05/13/2010
EXPIRES: 11/1312010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726_3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1310 MARKET ST
ASSESSOR'S PARCEL NO.: 1703253308300
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Extending one circuit on the exterior
Owner: GOURLEY STUART E & JANIE D
Address: 1310 MARKET ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMA TIO~
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2011
Phone
541-747-2724
BUILDiNG 'iNFOAAIATION ,
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Second~ry 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:
..o.ccupant Load:
.....,......,.~
n/a
REQUIRED PARKING
:;:en?~;~b~~~~~CE~ p,~~'~:~~:';~~~~:~~ Rqd: ~;:~~~~~:e~n :~=~i%
Side 2 SetbaciU" ERNlI,. S\-l~t\. Fi< NlI,.l{%vtIDDrive Rqd: Noti1lcatlon CenteI. Those ~Aset
Rearyard seilli~~:POR\ZEO UNOER 1\-11S PE~r::O \~~lIl\f Lo(Coverage'tn OAR 952..001-0010 through OAR ~-OO~
Solar SethacliS\J11-1 EO OR IS ABANOO,," -- You may obtain copies of the hes..,
" "". u""". . etele one
ANY 180 OAY PUBLIC IMPROVEMEN't eI for the Oregon Utility 0
Center Is 1-800-332-2344).
Street Improvements: 'SiltewalK Type:
.;;.Ph '-'l~,'; r"\."
I DEVELOPMENT INFORMATIO~
Storm Sewer Availahle:
~pecial Instruction:
"::~~.r:
I.~T,~-!T
""':;-,"
'r:,;;
Downspouts/Drains:
Notes:
."'....J~. , .
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
. Date Calculated
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Page I of2
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Amount Paid
$6.96
$2.90
$58.00
Total Amount Paid
$67.86-
I Plan Reviews ~
Date Paid
,'.'
:'5/13/10
5/13/10
5/13/10
i
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00604
ISSUED: 05/13/2010
APPLIED: 05/13/2010
EXPIRES: 11/13/2010
VALUE:
Receipt Number
1201000000000000444
1201000000000000444
1201000000000000444
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, in~p~ctions ,requested after 7:00 a.m. will be made the following
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work day. ~_..:.:" ,
Reouired InsDect~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature. 1 state and agree, that 1 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.
1 further certify that only contractors and employ'~es'who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspecti<)ll-s.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
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Pa2e 2 01'2
Date
225 Fifth Street
Springfield, Oregon 97477
54.1-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000444
Date: 05/13/2010
1:28:33PM
Job/Journal Number
COM20 I 0-00604
COM20 1 0-00604
COM20 1 0-00604
Description
Add, Alter, ExtendCirc
+ 12% State Surcharge
+ 5% Technology Fee
,-
,~~
Amount Due
58.00
6.96
2.90
$67.86
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Item Total:
Payments:
Type of Payment
ONLINE CHGS
cReecjnt!
Paid By
ONLINE PERMIT CHGS
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
KR
ONLINE BURRELL Online
BROS
Payment Total:
$67.86
$67.86
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Page I of I
5/13/2010