HomeMy WebLinkAboutPermit Electrical 2010-7-5
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Ernai!: permitcenter@ci.springfield.or.us.
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00303
Approval Code: 01596D 7/5/2010 1:22 pm
E-mailedTo:burrellbros@integraonline.com
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o New Construction
IRl 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 al150 Volts or
less to ground exceeds
14,000 Amps for all other
.. .tATEGbRY'OF'CONSTRUeTION';..?;~'" :.
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o Multi-family D Commercial
D Accessory
.i ~,y:.':~.< : JOB'SITE'TNF6RMATrONAN[l'irdcAtION~:
Job Address: 995 S 44TH 5T
City/StatefZIP: SPRINGFIELD, OR 97478
o Fire pumps.
D Emergency systems
D Addition of a new motor toad
of 100 HP or more
D Six or more residential units in
one structure
o Health care facilities
Suite/bldg.fapt.no.:
Project Name:
Cross Street/directions to job site:
Tax mapfparcel no.:
1802052106400
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HVAC split system
Description
Bra'rlch circuits.
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. ~~ITE,CONT ~CT" ~ ,.
Branch circuits each additional
circuit without service
EI~ctrical.Pe:rmifF'ees. ;
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit to_tal)
TOTAL PERMIT FEE
Name: Tyler Mcallister
Phone: 541.912-6077
Fax:
Email:
Elec lic. no.: 20-442C
CCB tic. no.:
136446
Business Name: BURRELL BROS ENTERPRISES INC
Contact:
Address: PO BOX 697
City/State/ZIP: WAL TERVILLE, OR 974890697
Phone: 541-741-7813
Fax: 541-747-2724
Email: burrellbros@integraonline.com
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Metro lic. no.:
City Iic. no.:
Supervising Electrician's lic. no.:
4721S
Supervising Electricia~'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 pennit will bu u-mailud or falCud
within one business day, with instructions on how to schudulu your inspection.
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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 Work is null and
void if it does not meel applil;able land usu laws and local ordinances.
o Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three star
D Marinas and boat yards
o Floating buildings
D Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
o "A", "E", or "1-2" or "1-3"
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
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$61,00
$7.32
$3.05
$71.37
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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: COM2010-00854
ISSUED: 06/30/2010
APPLIED: 06/30/2010
EXPIRES: 12/30/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 995 S 44TH ST
ASSESSOR'S PARCEL NO.: 1802052106400
Springfield TYPE OF WORK: Heating System
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PROJECT DESCRJPTION: Install ductless mini;:~p'ii,t
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TYPE OF USE: New
Residential
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Owner: MCALLISTER TYLER A
Address: 995 S 44TH ST
SPRINGFIELD OR 97478
Phone Number: 541-912-6077
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Mechanical
Contractor License
BURRELL BROS ENTERPRISES INC 136446
PACIFIC AIR COMFORT INC "",' 39237
. BUILDING INFORMATION ~
Expiration Date
08/20/2011
03/25/2012
Phone
541-747-2724
541-672-9510
# 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:
SpriIiJ{ie(t,Building: .
1 ;, (;~'\ ,+:!.1 .'f, : ' .
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 ~
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: "e" ,'011 \0 Handicapped:
Ill, 0' 'yt'i
Paved Drive Rqd: n Ya\~ le'?-.e90n U\I \ \\'ICompact:
% of LotJ\~tl\l\afe:e~~o \l~ \\\8 ~~ a(8 set \~~ '\_
p..i"1'E. yes a.oo\l 1\'10se III Op..B. 9!)2.- \l~
, 'IJII {u (').1'l1.eC ...~r.\\a'f\ .'- \eS
I PUBLIC_RQ&~joJNT~;II~' COpl~~\'I~ ~~\e\l\'l~~Ol\
'l\'l'8l'i 11 \I\~' \\'-\0\8. Nlf~~\lC
0090: '/0 \'Ie cen\el, 01~1!l~\Vi\'I,R4l\1 pe:
, a.\\ln9'\ \'Ie 0le9 OJ,?,'2--2.'S
c (\'IOel \01 \ I IS ,\.BOIfJ<rwnspouts/Drains:
" . nil cel\\e
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: ::mCE:
,'HIS PERMIT SHALL EXPIRE IF THE WORK
"UTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
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I Valuation Descriotion ~
Description
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amount
Tvpe of Construction
,: Tota.l'v,a[ue,of Project
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Fee Descriotion
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$9.48
$3.95
$79.00
$7.32
$3.05
$55.00
$6.00 '
613011 0
6130110
6130110
716110
716110
716110
716110
Total Amount Paid
$163.80 '
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I pian Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00854
ISSUED: 06/30/2010
APPLIED: 06/30/2010
EXPIRES: 12/30/2010
VALUE:
Value
Dale Calculated
Receipt Number
2201000000000000765
2201000000000000765
2201000000000000765
3201000000000000378
3201000000000000378
3201000000000000378
3201000000000000378
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, insp,ecti(j!ls reque.sted after 7:00 a.m. will be made the following
"..1}l"'- 'u, .1:-;-'_
work day. .....,::.". "c",,,:;,,, ':'.,
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l..Jleo",..i'retUris'nections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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Page 2 of3
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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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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00854
ISSUED: 06/30/2010
APPLIED: 06/30/2010
EXPIRES: 12/30/2010
VALUE:
By signature, I 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 tbe work described herein, and
that NO OCCUPANCY will be made of any'stru~turrwithout permission of the Community Services Division, Building Safety. .
1 further certify tbat only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure that all required inspectionsare 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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Paee 3 of 3
Date
225 Fifth Street
Springfield, Dregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000378
Date: 07/06/2010
8:23:19AM
Job/Journal Number
COM20 10-00854
COM20 I 0-00854.
COM20 1 0-00854
COM20 1 0-00854
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge I, /~l
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
~'i
Amount Due
55.00
6.00
7.32
3.05
$71.37
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
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Pa.ge 1 of 1
Amount Paid
ONLINE BURRELL Online
BROS
Payment Total:
$71.37
$71.37
7/6/2010