HomeMy WebLinkAboutPermit Electrical 2007-7-11
Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01020
ISSUED: 07/11/2007
APPLIED: 07/11/2007
EXPIRES: 01/11/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 340 38TH ST
ASSESSOR'S PARCEL NO.: 1702311306300
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Service Change
Owner: VALENCIA MARTHA A
Address: 340 38TH ST
SPRINGFIELD OR 97478
Phone Number: 541-746-4647
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:
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 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:
I PUBLIC IMPROVEMENTS I
Sid ~alk..I to
AI I t:NTlON: trregon~BW""" ~I"
follow ru'elPa.~_~egon forIft
Notification Center. Those NI'c;%: :="'1-
In OAR 952-001..Q010thrOUgh of the"'''
0090 You may obtain copies
caliinfJ the cent~r. (Note: the ~
.,J ber lor (08 VI ,,~\,.. uamtJ n ~ ". .
tion Center is 1-800-332-2344).
Notes:Not'CE: ufT SHAll EXf>\RE \f lHE wg~~
TH\S PERIVI ~ .ij. UOEP. T~'~ PERM\l \5
AU1HOKlLt.O . At'~DONED ~
COMMENCED OR \SOOA9 Valuation Descri
NY 180 DAY PER\ .
. ~ . $ Per Sq Ft Square Footage
DeSCriptIon Type of ConstructIon It' I' B'd A
or mu Ip ler or I mount
Value
Date Calculated
Pae:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01020
ISSUED: 07/11/2007
APPLIED: 07/11/2007
EXPIRES: 01/11/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
$7.00
$3.50
$5.60
$70.00
7/11/07
7/11/07
7/11/07
7/11/07
Receipt Number
3200700000000000466
3200700000000000466
3200700000000000466
3200700000000000466
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Total Amount Paid
$86.10
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a,m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Reouired Insoections I
Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I
further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa2e 2 of 2
. City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:burrellbros@integraonline.com
Receipt # EC513790
7/10/20074:42:24 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
lliJ Addition/alteration/replacement
1,000 sq. ft. or less
Ea. add] 500 sq. ft. or portion
I-Limited energy, residential
(with above sq f1.)
- Limited energy, multifamily
...!!,sidential Jwith above sq f1.)
I ;~;~iii~~~Oll,.~~~~~;i;s!~!!~!!o'n;8al~r~tig,~t\~/OI~~1g$(lltion' '. . . I
1200 amps or less $70.00 $70.00 I
1 20] amps to 400 amps I
1401 amps to 599 amps I
[Xl 1 or 2 family dwelling
o Multi-family
o Commercial/Industrial
I Job no.: I Job address: 340 38TH ST
I City/State/ZIP: SPRINGFIELD, OR 97478-5738
I Suite/bldg.lapt.no.:
I Project name:
Cross street/directions to job site:
Subdivision:
I Lot no.:
1 200 amps or less
120] amps to 400 amps
140 I amps to 599 amps
IB~incbci~!l~~;:f~~W,alt~~ti.oDrOR exte~~i?n;\per panel.
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
B. Fee for branch circuits
without service or feeder fee,
first branch circuit~
1 each addl branch circuit
Tax map/parcel no.: ] 7023] ] 306300
service change
I Name: Adan Valencia
I Phone: (541) 746-4647
!Email:
I Fax:
EI. lie. no.: 20-442C I CCB lie. no.: 136446
I Business Name: BURRELL BROS ENTERPRISES INC
I Contact: Joshua Burrell
I Address:
I City/State/ZIP: WALTERVILLE OR 97489-0697
IPhone: (541)7472724 /Fax: (54])744]047
I Email: burrellbros@integraonline.com
I Metro lie. no.: 1 City lie. no.:
I Supervising electrician's lie. no.: 4721 S
l~~pervising 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.
Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
1 Pump or irrigation circle
I Sign or outline lighting
Signal circuit(s) or limited-
energy alteration, or
I
I
I
I
* City Of Springfield
Subtotal I $70.00
State Surcharge (8% of permit fee) $5.60
City Of Springfield fees * I $1050
TOTAL PERMIT FEE $86.10 I
10% Local Admin Fee; 5% Local Technology Fee
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
COM: ~ ()lJ, ,/ 0 I b d 0 -..
RCPT#: '3QQDf'- LfGtCp
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.
DATE PROCESSED: ,- / 1- 07
PROCESSED By://O/}?r:t) /x../
This Authorization To Begin Work must be posted at the job site unti'l~ePlac~:t a Permit
. .
225.Fifth Street
. Springfietd, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200700000000000466
Date: 07/11/2007
7:44:49AM
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
70.00
3.50
5.60
7.00
$86.10
Job/Journal Number
COM2007-0 J 020
CO M2007 -01020
COM2007 -01020
COM2007 -01020
Description
Perm ServlFdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
NJM
ONLINE BURRELL Online
BROS
Payment Total:
$86.10
$86.10
cReceint 1
Page J of I
7/11/2007