HomeMy WebLinkAboutPermit Electrical 2007-7-25
Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01098
ISSUED: 07/25/2007
APPLIED: 07/25/2007
EXPIRES: 01/25/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 713 WATER ST
ASSESSOR'S PARCEL NO.: 1703352210402
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Service Repair
Owner: SEAHOLM CLAUDIA M & ERIC E
Address: 713 WATER ST
SPRINGFIELD OR 97477
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
Front yard Setback:
Side 1 Setback: .
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PA~KING
Total:
Handicapped:
Compact:
Notes:
ATTENTION: Oregon ENTS
follow rules adopted
Street ImprovementsNotification Center. Those rules are set forth
. D OAR 952-001-0010 through OAR 952-001-
Stor~ Sewer A~allab J090. You .may obtain copies of the rules by
SpecIal InstructIOn: calling the center. (Note:.t.he tel~pho~e
number for the Oregon Utility NotificatlC~~OnCE:
Center is 1-800-332-2344). -I'HIS PERMIT SHALL EXPIRE IF THE WORK
.".'_L' ''''~.;:'iLc[, UIJ~;:;--, TIIIO rCmmT IS U~T
Valuation DescEf'li&H: CED OR IS ABANDONED FOR
A 1 DAY PERIOD.
Square Footage
or Bid Amount
Sidewalk Type:
Downspouts/Drains:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Value
Date Calculated
Page 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01098
ISSUED: 07/25/2007
APPLIED: 07/25/2007
EXPIRES: 01125/2008
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
7/25/07
7/25/07
7/25/07
7/25/07
Receipt Number
3200700000000000503
3200700000000000503
3200700000000000503
3200700000000000503
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
Page 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:burrellbros@integraonline.com
Receipt # EC514523
7/25/20071:50:26 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
IKJ Addition/alteration/replacement
[Xl I or 2 family dwelling
o Multi-family
o Commercial/Industrial
11,000 sq. ft. or less
I Ea. addl 500 sq. ft. or portion
I-Limited energy, residential
(with above sq. ft.)
- Limited energy, multifamily
residential.(with above sg. ft.)
;~~ri:icis9Rf!led~rs. iDsiallation,'alte~Jti()Jj~AND/9~~~I~ci1tion
'd,i,i,,,,)~E,~,,~,,',,,,,,,~0i,,,,,,<I<<<<,II""'",!,,~,~,,t,,,,,,'V''' ,,","',",~__ _, ____"_______nm____ __ ______mnm__ (.n'_' ~" I, "x '''', x" ,,-:
200 amps or less ! I $7000 $70.00
1201 amps to 400 amps I
401 amps to 599 amps I
Job no.: IJob address: 713 WATER ST
I City/State/ZIP: SPRINGFIELD, OR 97477-3875
I Suite/bldg./apt.no.:
I Project name:
Cross street/directions to job site:
I Subdivision:
Tax map/parcel no.: 1703352210402
I Lot no.:
200 amps or less
120] amps to 400 amps
401 amps to 599 amps
service repair. .....EMERGENCY
Name: Claudia Seaholm
I Phone: (541)747-9399
I Email:
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;
each addl branch circuit
IFax:
lEI. lie. no.: 20-442C ICCB lie. no.: 136446
I Business Name: BURRELL BROS ENTERPRISES INC
I Contact: Joshua Burrell
IAddress: PO BOX 697
I City/State/ZIP: WALTERVILLE OR 97489-0697
I Phone: (541)7472724 /Fax: (541)7441047
I Email: burrellbros@integraonline.com
I Metro lie. no.:
I Supervising electrician's lie. no.: 4721 S
I Supervising electrician's name: JOSHUA J BURRELL
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 Iimited-
energy panel, alteration, or
extension.
I City lie. no,:
I
I
I
I
· City Of Springfield
$70.00
State Surcharge (8% of permit fee) $5.60 I
City Of Springfield fees' $10.50 I
TOTAL PERMIT FEE $8610 I
10% Local Admin Fee; 5% Local Technology Fee
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: t)(J7) 1 - 0/0 9' ~
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
RCPT#' .~JIJ/)--; - 50~
DATE PROCESSED: -; ~'5 (J7
PROCESSED BY: -Jh /.7111 l2<
This Authorization To Begin Work must be posted at the job site until r~lace~ a ,term it
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.
215 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0l098
COM2007-01098
COM2007-0 1 098
COM2007-0 1098
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
3200700000000000503
Date: 07/25/2007
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ lO% Administrative Fee
Paid By
ONLINE PERMlT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm
ONLINE burrel bros Online
Payment Total:
Page 1 of 1
2:09:42PM
Amount Due
70.00
3.50
5.60
7.00
$86.10
Amount Paid
$86.10
$86.10
7/25/2007