HomeMy WebLinkAboutPermit Electrical 2007-11-19
Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01698
ISSUED: 11/19/2007
APPLIED: 11/19/2007
EXPIRES: 05/19/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3560 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1702190000501
SPRINGFIETYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Replace (2) Existing 125 amp services and install 1 circuit to refeed range. (Two gang
meter).
Owner: PUUSTINEN-WESTERHOLM INA
Address: 3564 HAYDEN BRIDGE RD
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Contractor
LR BRABHAM
License
8699
BUILDING INFORMATION I
Expiration Date 'Phone
12/18/2010 541-747-6638
# 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 GaragelCarport
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: .
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm s~~h~tlieOregon law requires you. ~o
S . I fiI~fr,({ tWG.s adopted by the Oregon Utility
pecla Notific~tion' Center. Those rules are set forth NOT! C E:
Notes: ~0~tR~5~~~~-~gt~~~~~~~~ ~~~e9r~~~0~; THIS PERMIT SHALL EXPIRE IF THE WORK
vdi:.",; ~h: :CI~M {t\I.nt~. thA tp.l~~h~~e ~UTHORIZED UNDER THIS PFRMIT I~ I\lnT
number for the Oregon Utility NlJtIJ\v~L,,,i-, . . . vjlVlMENcED OR IS ABANDONED FOR
Center is 1-800-332-2344). ValuatIon DescflPtlOm Y 180 DAY PERIOD.
Sidewalk Type:
DownspoutslDrains:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01698
ISSUED: 11/19/2007
APPLIED: 11/1912007
EXPIRES: 05/19/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Amount Paid Date Paid Receipt Number
$14.40 11119/07 2200700000000001720
$7.20 11/19/07 2200700000000001720
$11.52 11/19/07 2200700000000001720
$4.00 11/19/07 2200700000000001720
$140.00 11/19/07 2200700000000001720
Total Amount Paid
$177.12
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.
Reouired Insoections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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:bhalada@quixnet.net
Receipt # EC520758
11I19/20071l:10:40AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
!KJ Addition/alteration/replacement
[K] 1 or 2 family dwelling
o Multi-family
o Commercial/Industrial
IJob no.: 6526 IJob address: 3564 HAYDEN BRIDGE RD
City/State/ZIP: SPRINGFIELD, OR 97477-7962
Suitelbldg.lapt.no.:
Cross street/directions to job site:
I
I
IWI""' /
Project name: INA PUUSTINAN-WESTERHOLM
I Subdivision:
Tax map/parcel no.: 1702190000501
REPLACE (2) EXISTING 125A SERVICES
Name: INA PUUSTINAN-WESTERHOLM
I Phone: (541) 726-8861 I Fax:
I Email:
I EJ. lic. no.: 20-87C I CCB Iic. no.: 8699
I Business Name: LR BRABHAM INC
I Contact: LARRY BRABHAM, JR.
!Address: 68 W Q ST
I City/State/ZIP: SPRINGFIELD OR 97477-2142
I Phone: (541 )7476638 I Fax: None
I Email: bhalada@quixnet.net
I Metro Iic. no.: [City lic. no.:
I Supervising electrician's Iic. no.: 4944S
l Supervising electrician's name: LARRY R BRABHAM, JR
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.
1,000 sq. ft. or less
I Ea addl 500 sq. ft. or portion
I-Limited energy, residential
(with above Sq. ft.)
I-Limited energy, multifamily
residential (with above s':l. ft)
I 200 amps or less
[201 amps to 400 amps
140 I amps to 599 amps I
I Bra\lch circuits ~ NEW, al~eration~()R extension, per panel. i
A. Fee for branch circuits with $400
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
,\,);.:;
$4.00
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.
I
I
I
I
II
II
I :
[ I. City Of Springfield
I
not olTered online at this jurisdiction
",!ii/!!!pil
Subtotal $144.00 I
State Surcharge (8% of permit fee) $1] .52 I
City Of Springfield fees · $21.60 I
TOTAL PERMIT FEE $177.12 I
10% Local Admin Fee; 5% Local Technology Fee
, . EfP;CTRICAL, PERMIT FEES'
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth- Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01698
COM2007 -01698
COM2007-01698
COM2007-01698
COM2007-01698
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200700000000001720
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/19/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page I of I
ONLINE LR Online
BRABHAM
Payment Total:
1 :07:08PM
Amount Due
140.00
4..00
7.20
11.52
14.40
$177.12
Amount Paid
$177.12
$177.12
11119/2007