HomeMy WebLinkAboutPermit Electrical 2007-11-30
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.CITY OF SPRINGFIELD
Building/Combination Permit
Status
225 Fifth Street, Springfield, 'OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SCANNED
PERMIT NO: COM2007-01759
ISSUED: 11/30/2007
APPLIED: 11/30/2007
EXPIRES: 05/30/2008
VALUE:
'Issued
SITE ADDRESS: 5335 DAISY ST 145
ASSESSOR'S PARCEL NO.: 1702330001300
SPRINGFIETYPE OFWORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Pedastal repair
Owner: SANTIAGO ESTATES ASSOCIATES LLC
Address: 11211 GOLD COUNTRY DR STE 100
GOLD RIVER CA 95670
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
License
136446
Expiration Date
08/20/2009
Phone
541-747-2724
., BUILDING INFORMATION I
# 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:
n/a
Lot Size:
S9 Ft Is! Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: '
Occupant Load:
,
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side 1 Setback: # Street Trees Rqd: Handicapped: '
Side 2 Setback: Paved Drive Rqd: . Compact:
Rearyard Setback: % of Lot Coverag~~,TTENTION: Oregon law requires you.~.~
Solar S.~tb~~ks: follow rules adopted by the Oregon ~~ I Yh '
/Vllrr~li=. i:~~:~:::.:.~:-:-~"",:,..,t.,r ThMerulesares~.orl.
THIS PERMIT SHALL EXPIRE IF TH1{.llJJLIC IMPROVEM~ 952-001-001 ~ thrOu,gh ~~~e\:l~u~e~UbV
" AIITI-I()Ql7Cr.l "allrh ~You may obtain copies 0
StreetTmptbvements:UNDER THIS PERMIT IS NOT. aliing th~i~SWa!k 1{yp.-c.a: the tel~~ho~8
COIVlMmNGW rlR IS ABAN C . n ~w..utjlity NotifIcation
Storm~~V18 v~Il- I~': DONED FOR . number fCl)bWh~~flU 'o-=5~~.~344).
Speci3I''fnstru i~.ft PERIOD. Center IS ,'.] .
I DEVELOPMENT INFORMATION I
Notes:
I Valuation Description' I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2;e 1 of 2
.
-9~~,,!!\~'J!:R).,
" l
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Amount Paid
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm ServlFdr 200 amps or less
Total Amount Paid
$7.00
$3.50
$5.60
$70.00
$86.10
Total Value of Project
Fees PJlW
Date Paid
11/30/07
11/30/07
11/30/07
11/30/07
I Plan Reviews I,
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01759
ISSUED: 11/30/2007
APPLIED: 11/30/2007
EXPIRES: 05/30/2008
VALUE:
Receipt Number
1200700000000001452
1200700000000001452
1200700000000001452
1200700000000001452
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 ~eauired I~ons I
Electric Service: Approval required prior to utility company energizing service.
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 the work described herein, and
that NO OCCUPANCY will be made of any structure withoutpermission 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.
Owner or Contractors Signature
Page 2 of 2
Date
.rical Authorization To Begin Wor.
E-mailedTo:burrellbros@integraonline.com
City of Springfield
r
Receipt # . EC521642
11/30/2007 11: 15:26 AM
.Check on status of permit
By Phone: (541 )726-3753 or Email: permitcenter@cLspringfield.or.us
I'::',"':;:~':(t,:,,~\,.' ',~" 'FEE'~b.jED'ULI~, "", ,,',."
I Description I Qty. I Ea. I Total
. Rc'sid'entiaI.SINGLE:,OR miilti-fainily dwellhig unit. 'Inclu'des,; ,': .
~,""" ".,' 'f' \ :~ ", . . '..r ',.' ", , ." . " , '. . """" . .," ,
'attached,g' arage,,"'i';'v""': ,',' "", " ", ' "', , ,': ,,', ", .",'
:.'''.''h ',; i ..' ..\."..'.~. ,::',<.>r::'. '_,'. _7,'" ",_' ~ , " .. ". ,.' " . ...' ,
11,000 sq, ft, or less
lEa, addl 500 sq, ft, or portion
I . Limited energy, residential
(with above SQ, ft,) ,
. Limited energy, multifamily
residential (with above sq, ft,) ,
s~'g,icd;.bR feeder$'in$'tafiatio'ii; alte'ration,,'AND/OR 'i'eiocation"",' ,
;.',,' " . J. .' - ..: ", -, " "', ',' , ' "..- "..., ,.' _
'I 1200 amps or less $70,00 $70,00
1,201 amps to 400 amps
1401 amps to 599 amps
;trI!}MP~)R;\.RY: servic~s OR feeders installation, alteration, " ,\:;', "
ANb/OR~:relocation, ,", ";'-".;, .'~" / . ~,,;, '1' '\" . , .,' .. I "',,: :,"
,J I :::::::~p, .. .
, 1401 amps to 599 amps ,
I:B.ranch ~iicui~~ NEw".alteraH~n,OR:,extensiQn, per panel, ,!' .,
A, Fee for branch circuits with
above service or feeder fcc,
each branch circuit.
B. Fee for branch circuits
without service or feeder fee,
first branch circuit;
I each addl branch' circuit
".' . '",i'-" '.-,
J\oIiscelhineous.." ,:
" ,."'"
I
I
COM:;:.) () U 1
RCPT #. \ fA 0\)'1 -- \ t..t S '--
DATE ~~ED' 1\ - b,) - 0-1
PROC~~b1) ~ !. \ fY) ~ fU .
'~\ ,
This Authorization To Begin Work must be posted at the job site until replacea--by a Permit.
"jf;'-,: f;' -'., 'i':," < _.~:~, )~I """"'1'1
~~?~\\{,:._,l .: ',~t~;~~'::~....~':";',,~
I"~' '''i,:'' ,', ..,,','t,' ;:;:":""":TY"" p' 'E.'O'.F'W"'.O'R...'K. ,;,:''''',
,~.:,",',~' '~,.j:'.",', .'., ~-, ,..'1' ",: ' ,..(.:.......~,'
.. " .. -.. .. -. .. . . ~..' .. " 'l -...
, 0 New construction [X] Addition/alteration/replacement
I~"l"~~", "';', ,.,.,,-~', '-J',' "~;"',,"" _:'.. '.;."",-:, . >."...:;.._....,...,,:.:....,,_..~:,',..\,)~....
, ' "",""~' . " ."',. '.., 'CATEGORY OF: CONSTRUCTION ~ t ..
."....'~: ,': : 'it '" 1 ,;' ", ,,,,,,,,,'.;..l'. Yrr.; ;'''''' 'do., ,~~":;,, " " ,J':5':'i, ,;::;:i '~~;;,
!XlI or 2 family dwelling . 0 Multi.family 0 Commercial/Industrial
I"';'" ." ',",';",jOe'sITEiINFO"RMATI6N'ANDCOCATIC)'N';;'..< .,.1,:0;",.';, :"\(,,':',
....::;;"...,;..-.;,~:. "":"'''':''"l' ..,':",':' ,"':. ~..'.".'.'.,.i',".,'."-" ., ;..;._.;:;_..._;,~~,..",':~.;l/}'<\...:.:'~'~:,.',
,Job no.: IJob address: 5335 DAISY ST
I City/StateIZIP: SPRINGFIELD, OR 97478.7904 ,
!Suite/bldg.lapt.no.: SPC 145
I Project name:
Cross street/directions to job site:
I Subdivision:
!Tax map/parcel no.: 1702330001300
I ' ' ," ' '" '"',''' " ..
, ':,:-" .' ':.:' J;{.;, ,::~\.:;.o~~9~t~Ti!9N.Qf;"V'.J9,~'5'
pedistal repair ,
I Lot no.:
-'("$'.:
.:' :;.,'~ ,': .1',-. ',"'1 - -'~."." '.' ..". "c ~'<J.:~~::";,!:,/:~~~: >f" ..;.);,/.
t:i",~;,,, ,',SITE:CONTA' T. ,.; ',,,,,' ",s;; ''t, "
~Hi;-';_5"'~ >,.:_:.~'i-~~"':~i."?)'.:~>~1,~_'t;,F ,> 'ht,~..;~, s:1:JtRI.;;<I! 0i~,oih,
I,
I Name: Santiago Estates
I Phone: (541)747.4919 '
IEmail:
I i :')'~;', ' 't.:.; ":,: .}'i;~~< ::,'~':'C~:~T~qTOR'P":~:;"~
I EI. lie. no.: 20-442C I CCB lie. no.: 136446
I Business Name: BURRELL BROS ENTERPRISES INC,
I Contact: Joshua Burrell
IAddr~ss: PO BOX 697
I City/StateIZIP: WALTERVILLE OR 97489.0697
I Phone: (541)7472724 I Fax: (541)7441047
I Email: burrellbros@integraonline.com
I Metro lie, no.:
I Supervising electrician's lie. no.: 472IS
I Supervising electrician's name: JOSHUA J BURRELL
IFax:
I City lie. no.:
Upon review and approval by your local jurisdiction, your
permit will be e.mailed or faxed within one business day,
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 department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances,
I
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Service reconnect only
I Each manufactured or modular
, dwelling, service and/or feeder
I Pump or irrigation circle'
I Sign or outline lighting
Signal circuit(s) or limited.
energy panel, alteration, or
extension,
I! .'::l~:,,'f<"'ELECTRICA~'PERMIT FEES
I
I
I
I
· City Of Springfield
not offered online at this jurisdiction
.,."
Subtotal $70,00 I
State Surcharge (8% of permit fee) $5,60 1
City Of Springfield fees' $10,501
TOTAL PERMIT FEE $86,10 I
10% Local Admin Fee; 5% Local Technology Fce
()l,fi1
225 Fifth Street
Sp'ringf!.~ld, Oregon 97477
541-726-3759 Phone
.
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c.r Springfield Official Receipt
I lopment Services Department
Public Works Department
RECEIPT #:
1200700000000001452
Date: 11/30/2007
1 :53:09PM
Job/Journal Number
COM2007-01759
COM2007-01759
COM2007-0 1759
COM2007-01759
Description
Perm ServlFdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM ONLINE BURRELL Online
Payment Total:
Amount Due
70,00
3.50
5.60
7.00
$86.1 0
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
$86.10
$86.10
cReceintl
Page 1 of 1
11/30/2007