HomeMy WebLinkAboutPermit Electrical 2008-4-2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00454
ISSUED: 04/02/2008
APPLIED: 04/02/2008
EXPIRES: 10/02/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 300 FAIRVIEW DR
ASSESSOR'S PARCEL NO.: 1703274100101
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration Commercial
PROJECT DESCRIPTION: Install one circuit for HV AC unit and one for convenience receptacle adjacent to
HV AC unit.
Owner: RENEW AL AGENCY OF LANE CO
Address: 300 W FAIRVIEW DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
LR BRABHAM
License
8699
BUILDING INFORMATION I
Expiration Date
12/18/2010
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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
f~TJ;~TR<;mn~mu~la'MfeqU;res you to
NotifjCat~~~:~~~te1h by the Oregon Utility
in OAR 952-001-0010 those rules are set forth
0090. You ma . rough OAR 952-001-
Calling tho ,X.?~~a/~. ~OPI8S of the rubs r'll
'OOl}j.3d A"rtt-UU ~ J,N': ~ ber for th-e 'O;~ I' ,v'U""; t,: Ie reler:-J:>r:G
NOON\.I8\.1 SI uQ 0 iltI t r- n Descr C gon dilly Natlll" "'0'1
l:IO~ 03 v vo,a to - i enter IS 1-800-332-2344). val I
ION SIIlV\lH3d SIHl H30Nn O:j~~UJ1JF1"
Descriptio~HQM '!~ 9f ~MJt9clil>'PHS l~lJi\tiHi~~tr' ~~~~~e :~~:~: Value Date Calculated
:331101.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pae:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00454
ISSUED: 04/02/2008
APPLIED: 04/02/2008
EXPIRES: 10/02/2008
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
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$5.20
$6.24
$2.60
$48.00
$4.00
4/2/08
4/2/08
4/2/08
4/2/08
4/2/08
2200800000000000393
2200800000000000393
2200800000000000393
2200800000000000393
2200800000000000393
Total Amount Paid
$66.04
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
Pae:e 2 of 2
City of .Springfield
Electrical Authorization To Begin Work
E-mailedTo:bhalada@quixnet.net
Receipt # EC528060
4/]/20084:56:30 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permltcenter@cl.springfield.or.us
II,Y
n'~E OF WORK'
[X] AdditIOn/alteratIOn/replacement
o New constructIon
.Ii'
, CATEGORY OF CONSTRUCTION,
< < i 1\
o I or 2 famIly dwellIng
o Multl-falmly
Ii] Commercial /lndustnal
I ,c"iH'~,qB 'SP:E,INfORMATlo'N ANb' LOCATION
I Job no,: 6912 I Job address: 300 FAIRVlEW DR
I City/State/ZIP: SPRINGFIELD, OR 97477-2909
SUlte/bldg /apt no '
Project name: HAC S A of Lane Co
Cross street/dIrectIOns to Job sIte'
I SubdIvIsIOn: I Lot no,:
I Tax map/parcel no.: 1703274100101
Ii', .,', .",".., J?~~CRIPTION OF\'VORK ,11"
Install one CIrcUIt for HVAC Unit and one for convenience receptacle adjacent to HVAC Unit
,;' '
1\ , I ~ r
,I ~~IE CONTACT '
: 11:1\:\11 ,II, I
I Name: George
I Phone: (541) 682-4090
IEma11
I
I Fax 682-4090
\'i :,CONTRA'CTOR
I CCB IIc no
+"
/") \,
I EI IIc no.: 20-87C
I BUSiness Name' LR BRABHAM lNC
I Contact' 8699
IAddress' 68 W Q ST
I City/State/ZIP: SPRINGFIELD OR 97477-2142
!Phone, (541)7476638 IFax: None
I Emall: bhalada@qUlxnet net
I Metro IIc no:
SupervIsing electnclan's hc, no,: 4944S
8699
I City hc no,:
I SupervIsing electnclan's name. LARRY R BRABHAM, JR
Upon review and approval by your local JUriSdIctIon, your
permIt WIll be e-malled 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
I . , FEE'SCHEDULE ' 'i';
DeSCriptIOn Qty, Ea. Total
'Residential SINGLE- OR multi-family dweIligg UnIt, Includes I
.. II I , , (rll "
attac "ed ,garage '"
11,000 sq ft or less
I Ea addl 500 sq ft or portion
I Llmit~~J~~~rgy ,
I-LImIted energy, resldenllal
(WIth above SQ ft)
I-LImited energy, multIfarnlly
reSIdential (with above SQ ft)
I-Limited energy, commercial
(WIth above SQ ft)
I - Stand-alone lImited energy,
reSIdential
I - Stand-alone lImited energy,
multI-famIly
I - Stand-alone lImIted energy,
commercial
I Services' OR feeders ins~a!la!ion., alteration, AND/qRrelocation'
I 200 amps or less
1201 amps to 400 amps
140 I amps to 599 amps ,
TEMPORARY sem,c~~.I,piJ{.fee~ers mstallatJon,,~ltt;I:~tlOn,
AND/OR relocationll><'pllh,~ I ~ ",II/irl:k'/"ri,i: "
, I II",: I ,~ lifo, II/ill!' ,I'
I 200 amps or less
1 20 I amps to 400 amps
401 amps to 599 amps
Branch CirCUIts - NEW, alteratIOn, OR extenslOn;'p'erip'an"el
I {'" ~ , 1M 110, ~ ~ '" x '
A Fee for branch CirCUits With
service or feeder fee, each
branch CIrcuit
B Fee for branch Circuits $48 00 $48 00
WIthout service or feeder fee,
first branch CIrcuit,
I each add' branch circuit $4 00 $4 00
I ,Miscellaneous 'fi"ldd,dllU,1 U ' II dull';,
1 Service reconnect only
I Each manufactured or modular
dwellmg, servIce and/or feeder
I Pump or lITIgatIOn Circle
I Sign or outlme IIghtmg
SIgnal CJrCUlt(S) or IImlted- not offered onlIne at thiS Junsdlctlon
energy panel, alteration, or
extension
ELECTRICAL PERMIT FEES
,,11 II"
Subtotal I $52 00
State Surcharge (12% of permit fee) $624
City Of Sprmgfield fees * $7 80
TOTAL PERMIT FEE $6604
10% Local Admm Fee, 5% Local Technology Fee
I
I
* City Of Spnngfield
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
COM2008-00454
COM2008-00454
COM2008-00454
COM2008-00454
COM2008-00454
Payments:
Type of Payment
ONLINE CHGS
cRecemt)
RECEIPT #:
2200800000000000393
DescriptIOn
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 04/0212008
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:
10:21:37AM
Amount Due
4800
400
260
624
520
$66.04
Amount Paid
$66 04
$66.04
4/2/2008