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HomeMy WebLinkAboutPermit Electrical 2007-11-19 Status Issued rl?~ 'v \If/: ~ ~~~ 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