HomeMy WebLinkAboutPermit Electrical 2007-11-13 (2)
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SCA~'NEO
4l:ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01675
ISSUED: 11/13/2007
APPLIED: 11/13/2007
EXPIRES: 05/13/2008
VALUE:
Status
Issued
SITE ADDRESS: 5335 Daisy St Sp 78
. ASSESSOR'S PARCEL NO.: 1702330001300
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Service/ EMERGENCY - METER BASE NEEDS REPLACED
Residential
Contractor Type
Electrical
Contractor
BURRELL BROS ENTERPRISES INC
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License v1 NltExpir.ationcV]/eMO/pnone
136446 08/2-0/io09 N311S41_747_2724
Owner:
Address:
SANTIAGO ESTATES ASSOCIATES LLC
11211 GOLD COUNTRY DR STE 100
GOLD RIVER CA 95670
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:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard 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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NnT't'r:.
I PUBLIC IMP~m~E_HALL EXPIRE IF TH. I: WUMI\
AUTH'O- . t NDE~.Jj1IS PfRM~T IS NOT
. COMMENCED OR IS Ai1}{ffljd~~CO ~OR
ANY 180 DAY PERlcPJ~nspouts/Drams:
Notes:
-
.,....,.,.
I Valuation Description I
Description.
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
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.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01675
ISSUED: 11/13/2007
APPLIED: 11/13/2007
EXPIRES: 05/13/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
Amount Paid Date Paid Receipt Number
$7.00 11/13/07 2200700000000001701
$3.50 11/13/07 2200700000000001701
$5.60 11/13/07 2200700000000001701
$70.00 11/13/07 2200700000000001701
Total Amount Paid
$86.10
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. ' 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 J 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.
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
..
Pa2e 2 of2
City of Springfield
~ical Authorization To Begin work.
~i1ed To: burrellbros@integraonline.com
Receipt # EC520445
11/13/2007 11 :39:22 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
TYPE OF WORK' ,",
SITE CONTACT "
'1
1 'r ' FEE SCHEDULE
I Description I Qty. I Ea. I, Total
Residential SINGLE- OR multi-family dwelling unit. Includes'
attached garage
11,000 sq, ft, or less
I Ea. addl 500 sq, ft, or portion
I-Limited energy, residential
(with above sa. ft.)
I-Limited energy, multifamily
residential (with above sa. ft.)
1 Services 9R feeders installation, alteration, AND/OR relocation
1200 amps or less $70.00
120 lamps to 400 amps
40 I amps to 599 amps
TE;MPORARY services OR feeders installation, alteration,
AND/OR'relocation .',< , '
1200 amps or less
1120 I amps to 400 amps
,'I 1401 amps to 599 amps
1 Branch circuits ~ NEW, alteration, OR extension, per panel
A. Fee for branch circuits with
above service or feeder fee.
each branch circuit.
B. Fee for branch circuits
,I without service or feeder fee,
first branch circuit;
I I each addl branch circuit
I Miscellaneous
I 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.
$70.00
."
o New constmction
[X] Addition/alteration/replacement
CATEGORY OF CONSTRUCTION
[Xl I or 2 family dwelling
o Multi-family
o Commercial/Industrial
, JOBSITEINFORI\IIATIONAND LOCATION'" ',':
Job no.: I Job address: 5335 DAISY ST
City/State/ZIP: SPRINGFIELD. OR 97478-6294
Suite/bldg./apt.no.: SPC 78
Project name:
Cross street/directions to job site:
Subdivision:
I Lot no.:
Tax map/parcel no.: 1702330001300
. DESCRIPTION OFWOR~". ,
EMERGENCY......meter base needed replaced
,
" ", .'
Name: Santiago Estates
Phone: (541) 747-4919
Email:
I Fax:
CONTRACTOR . ,
EI. lie. no.: 20-442C I CCB lie, no.: 136446
Business Name: BURRELL BROS ENTERPRISES INC
Contact: Joshua Burrell
Address: PO BOX 697
City/State/ZIP: WALTERVILLE OR 97489-0697
Phone: (541)7472724 IFax: (541)7441047
Email: burrellbros@integraonline.com
Metro lie. no.:
not offered online at this jurisdiction
I City lie. no.:
I'
I
I
I
I
* City Of Springfield
, I
ELECTRICAL PERMIT FEES
Subtotal I $70.00
State Surcharge (8% of permit fee) $5,60
City Of Springfield fees · $10.50
TOTAL PERMIT FEE $86.10
10% Local Admin Fee; 5% Local Technology Fee
Supervising electrician's lic. no.: 472IS
Supervising electrician's name: JOSHUA J BURRELL
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.
COM:12rm7 - O/&7"S-
RCPr#:;:::Qa:z.,- /7() /
II ~ /07
PROCES /I'--
" . I
This Authorization To Begin Work must be posted at the job site until re~ac~? a Permit.
"
NOTE: This Authorization To Begin Work expires within 180
days if a permit Is not obtained.
DATB PRO
-
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.
225 Fifth Street
Spr~n~!ield, 9regon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0 1675
COM2007-0 1675
COM2007-0 1675
COM2007-01675
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Ci. Springfield Official Receipt
D opment Services Department
Public Works Department
2200700000000001701
Date: 11/13/2007
2:09:38PM
Description
Perm ServlFdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
70,00
3,50
5,60
7.00
$86.10
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM ONLINE BURRELL Online
Payment Total:
Amount Paid
$86,10
$86.10
Pagel of I
II II 3/2007