HomeMy WebLinkAboutPermit Electrical 2008-1-22
L~ ,\L
~'\- ~F--
\~b~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00086
ISSUED: 01/22/2008
APPLIED: 01/22/2008
EXPIRES: 07/22/2008
VALUE:
Status
Issued.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2038 HARBOR DR
ASSESSOR'S PARCEL NO.: 1803112203900
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Install circuit for lighting and receptacles in garage
Residential
Owner: KOZIOL JOHN DANIEL
Address: 2038 HARBOR DR
SPRINGFIELD OR '97477
Phone Number: 541-232-1987
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
LR BRABHAM
. License
8699
BUILDING INFORMATION I
Expiration Date
12/18/20 I 0
Phone
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 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
II/a
I DEVELOPMENT INFORMA nON I
IJ
Front yard Setback:
Side I 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
Sidewalk Type:
. Jaw requIres you to
ATTENTID\Nv.QfIf>\1~\)r'"~:oregon Utility
follow rules adopte Y are setforth
Notification Center. Those ru~egAR 952-<l01.
Notes: in OAR 952-001-0010 throu.~s ofthe rules by
u nT I (' J:. 0090. YOU1 may ~!:t~i~l'~~f.:. JllA !el~~hOne
THIS PERMIT SHALL EXPIRE IF T~\JII1" .. j~~b~f 'f~~ the Oregon Utility Notl cauon
AUTHORIZED UNDER THIS PER~ron DeSCriPtIOn'" Center Is 1-800-332-2344).
. COMMEN,CED QR IS ABA~DONEl)lPe~Sq Ft Square Footage
DescnPt~~y 180'(j~'!l~Uf1:uctlOn or multiplier or Bid Amount Value Date Calculated
Street Improvements:
Storm Sewer Available:
Special Instruction: ..
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00086
ISSUED: 01/2212008
APPLIED: 01/22/2008
EXPIRES: 07/22/2008
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.
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend C;rc
MinimumlAdjustment Electrical
Amount Paid
Date Paid
Receipt Number
$5.00
$6.00
$2.50
$48.00
$2.00
1/22/08
1/22/08
1/22108
1/22108
1/22108
3200800000000000045
3200800000000000045
3200800000000000045
3200800000000000045
3200800000000000045
Total Amount Paid
$63.50
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.
,. Reou ired Tnsnections I
,II r
Rough Electric: Prior to Cover
Final Electric: When all electrical wnrk is complete.
By signature, I state and agree, that 1 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 he 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
Paee 2 of2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:bhalada@quixnet.net
Receipt # .EC524149
1/18120084:31 :03 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I 0 New construction
[K] Addition/alteration/replacement
$48.001
1
I
I Service reconnect only I
I Each manufaclllred or modular I
dwelling. service and/or feeder
I Pump or irrigation circle I
I Sign or outline lighting! I
I Signal circuit(s) or Jimited- Inot ofTen~d online al ,his jurisdiction I
energy panel, alteration, or
extension.
I'. ELECTRicAL:PERMiTFEES -,,_, - i," 1
I Subtotal I $48.00 I
i Minimum fee llsed instead of Subtotal I $50.00 I
I State surcharg.e (12% ofpcrmit fee) I $6.00 I
I City OrSpringlield fees" $7.50 I
r TOTiU.. PF.:RJlIlT FEE $63.50 I
~bM~., c{J(i1 ;?~ ZJu O;,\'f7" .0,,1 Technology Fee
.., . '
RCP't/#: .;:2.:;) eT/J r - '15
sso: /-- -:J.:J~
~ ~~~d bv a Permi~'
') C/
CAT.' Eq~YOF CONSTIl.UCTIO"N-;'
_.... . .... . -- . "..
o Multi-family
o Commercial/Industrial
:~'_:';:,-~:;7~.:'~:--- )i'{JB~:~l~~)N,F9~~~Irb1' ANQ,'zt?~ATlb!4t0j-:_~~'~"
Job no.: 680~ I Job address: 2038 HARBOR DR
ICit)'/StateIZIP: SPRINGFIELD, OR 97477.5355
I Suitelbldg.Japt.no.:
I Project name: SUE KOZIAL
Cross street/directions to job site:
Subdivision:
ITax map/parcel no.:
ILot no.:
1803112203900
INSTALL CIRCUIT FOR LIGHTING AND RECEPTACLES IN GARAGE
1:,,:':-
IName: JOHN KOZ1AL
I Phone: (541) 232- i 987
IEmail:
--"'~rsItE~S9~T.l\ct;i'ft-
IF."
CONi~,A!.9!'
"""
I EI. lie. no.: 20-87C
I Business Name: LR BRABHAM INC
/Con,act: LARRY BRABHAM, JR.
!Addrcss: 68 W Q ST
I Cily/Sl'ternp, SPRINGFIELD OR 97477,2142
I Phone: (541 )7476638 I Fax: Nonc
I Email: bhalada@quixneLnet
I Metro lie. no.:
[Supcn'isillg electrician's lie. no.: 49445
jSupen'ising electrician's name: LARRY R BRABHAM, JR
I CCB lie. no.: 8699
ICity lie. no.:
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Work expires within 180
days jf a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordl~ances.
This Authorization To Begin Work must be ~
I DeseriptiOlI Qty. I Ea. Total
1"1{esj(le?t'i~~'~INGLE~J~~;ri~Jilti~fal11i1Y'd"'~lll~g'U~it In~H!des
jl~a",~hcdgarag~ ~ .,{+i,;"1,, . ._' ,r: -~'. - ',' ~
11,000 sq. n. or iess I I l
lEa, addl 500 sq. ft, or portion. 1
I'Limite,! 0,$i/ '
I "Limited energy, residential
(with above Sq, ft.)
I-Limited energy, multifamily
residential (with abovesq, ft.)
I-Limited energy, commercia'!
(WIth aboycsa. ft.)
I - Stand-alone limited energy,
residential
I - Stand-alone limitt:d energy,
multi-family
I - Stand-alone limited energy,
commercial
1;,~gryiccs"-ORIfe~~,~rs inSt'a~ati_~~~~lier~i'j~1l1Al'i~jO(f~r{i;~'#t~~n
1200 amps or less
20] amps to 400 amps
401 amp~ to 599 amps
'l'f:j\ft.OIL-\RY. scn'icesDR}rcdCrs.installaiiori!,alteration,_
1-AN'ij/(>R~relocntiOij't;'''f'}" -'-'"__ ';~:i",:%: ,;"""> ~ c'''i .-
~..-
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
,J~ra!lch:'~'irs~jJ:~':'dN~;\~/~!t0~~~~~n;'Oif cxtc.!lsi(m~ per panel.
A. Fce for branch circuits with
service or feeder fee, each
branehcireuit.
lB. fee for branch circuits
without service or feeder fee,
first branch Clfcuit:
I each add! branch circuit
$48.00
"' I
I
I
I
I
I
I
I
I
I
I
"1
- ~
I
I
I
~I
I
I
I
,:.""
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00086
COM2008-00086
COM2008-00086
COM2008-00086
COM2008-00086
Payments:
Type of Payment
ONLINE CHGS
cReceintl
\
RECEIPT #:
3200800000000000045
Date: 01/22/2008
Description
Add, Alter, Extend Circ
Mini!"um/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
+ I 0% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Lheck Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE LR Online
BRABHAM
Payment Total:
Page I of I
7:39:32AM
Amount Due
48.00
2.00
2.50
6.00
5.00
$63.50
Amount Paid
$63.50
$63.50
1/2212008