HomeMy WebLinkAboutPermit Electrical 2008-4-23
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00568
ISSUED: 04/23/2008
APPLIED: 04/23/2008
EXPIRES: 10/23/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4795 FRANKLIN BLVD SPACE 32 Eugene
ASSESSOR'S PARCEL NO.: 1803022002900
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Install and wire 200 amp service for RV space
Residential
Owner: RIVERSIDE MOBILE HOME COURT LLC
Address: 2100 STONE CREST DR
EUGENE OR 97401
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
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:
Sidewalk Type:
ATTENTtQWnQ.,otl~r.~iP/lal,i,nfSequires you to
follow rules adopted by the Oregon Utility
NotificatIon Center. Those rules are set forth
Notes: In OAR 952-001-0010 through OAR 952-001-
"; &" .'" _ 009~:, You may obtain copies of the rules bv
I~\U 11\.1". '1~~lIl!:::1l1l~ \.i~IIl~I. ll'Wle: me Ielepnone
THIS PERMIT SHALL EXPIRE IF TH E~illY\ion DescriotioJl, "ber for the. Oregon UtIlity NotIfication
AUTHORIZED UNDER THIS PERMr I\) I'IU I Center IS 1-800-332-2344).
Descri~~1MENC~tUfJ ~AM~NED roRr S.q ~t Squa.re Footage Value Date Calculated
ANY 180 DAY PERIOD. or multiplIer or Bid Amount
Storm Sewer Available:
Special Instruction:
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00568
ISSUED: 04/23/2008
APPLIED: 04/23/2008
EXPIRES: 10/23/2008
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
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$7.00
$8.40
$3.50
$70.00
4/23/08
4/23/08
4/23/08
4/23/08
3200800000000000240
3200800000000000240
3200800000000000240
3200800000000000240
Total Amount Paid
$88.90
I Plan Reviews ~
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
Paee 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E-maIledTo:bhalada@quixnet.net
Receipt # EC529164
4/22/20085:02:48 PM
Check on status of permit
By Phone: (541 )726-3753 or Email: permitcenter@ci.springfield.or.us
'\ W'\iI"')iI<'2'dtTVF:lE 9FWORK,wwd'<1'ld"dl<<<"
~ I, I '",,, I '" '" ", ,I>> x
[X] AdditIOn/alteratIOn/replacement
D New constructIOn
I I, 'J
,"
[Xl I or 2 family dwellmg
d1,CATEGORV'oF'CONSTRUCT,'C)N 'W '
<- ~"~IIII'I,I>' "<," I <
D Muhl-farmly D Commercial/ Industnal
I" ,<'1'1
I ilil ' I\p JOB SITE' INFORMATIoN AND LocAiioN"'1 W
/111 r 1,1'< I;" I
IJob no.: 6948 IJob address: 4795 FRANKLIN BLVD
I City/State/ZIP' EUGENE, OR 97403-2455
I Smte/bldg.lapt.no: SPC 32
I Project name. RIVERSIDE MOBILE PARK
Cross street/directIOns to job sIte:
ISubdw~IOn: ILotno:
I Tax map/parcel no.: 1803022002900
I '11 DE~$,R1PTION Of,,~9RK
INSTALL & WIRE 200A SERVICE FOR RV SPACE
I
I Name: ELAINE
I Phone'
IEmall:
I
1 EI. hc. no' 20-87C
I Business Name: LR BRABHAM INC
I Contact: 8699
!Address. 68 W Q ST
I City/State/ZIP. SPRINGFIELD OR 97477-2142
I Phone: (541)7476638 I Fax. None
I Emall bhalada@qUlxnet net
I Metro hc. no.:
I SupervIsing electrICian's hc no.: 4944S
I SupervIsing electrICian's name: LARRY R BRABHAM, JR
WPI'I'SITECONJA"GT"\ld,
(,\<<'<,' ~" 1<< ,il,
I Fax
'" I I
i CONTRAC:rOR'
I CCB hc. no.. 8699
I City hc. no.:
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 Begrn Work ,s null and VOId If It does not
meet applicable land use laws and local ordinances
" '11"\;\\ '1, l,po'd 'bifJ?~,~CHEDULE,<< "p'" ' il,l
I DeSCrIptIOn I Qty I Ea. I Total
'Residin'ti~I"SINGILE- OR mulh-family dwelling unit:nncludes
11 ;~ttached ;':a ~*> 7~JYkTII' \ eX~, '< '1711 ''''r'iliqT < i,
'<<,""o,g g <<1<<
1,000 sq ft or less
lEa addl 500 sq ft or portIOn
"..I I tilItjied~'~nergy
I I - LImIted energy, reSidential
I (wIth above Sq ft)
I' - LImited energy, multIfamily
I reSIdential (With above sq ft)
I I-LImIted energy, commercial
(With above Sq ft)
I - Stand-alone lImIted energy,
resIdentIal
I - Stand-alone lImited energy,
multI-family
1 - Stand-alone limIted energy,
commercial
I' Services OR fe~J~~s"insta1lation, ai't/!ratIOn, AND70R':relocation
, I, H <i pi "[<I ~ i
1 200 amps or less $70 00 $70 00
1 20 I amps to 400 amps
1401 amps to 599 amps
:",IEMPORARY sh'vlcesDR feederS"lnstaJlatton, alteratIOn,
:~A,l\:T<D<!;'w7"O' OR'""V I atlon r ",/\/\1/1',' ~ p,~'<< ii' ~ ~Y,
~;;\1",~1ffI!V'4'%~~'''O~ A{''/h<v ' ~ i< i<i<il il<I"' ",i< \<
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
I <- I IP"+t," I'll, ' i ,
Branch cir~U1,ts..~}~EW, alteratI~n" 9,R extension, p~r panel "
A Fee for branch CirCUits With
" , , service or feeder fee, each
branch CirCUit
B Fee for branch CirCUits
WIthout service or feeder fee,
first branch CIrcuit,
I each addl branch CirCUit
I Mls'c~lIltneous I p
, ~ ,~+ Hi" "t
I ServIce reconnect only
I Each manufactured or modular
dwellmg, service and/or feeder
I Pump or IrngatlOn CIrcle
I Sign or outlIne lIghting
SIgnal clrcult(s) or IImlted- not offered onlme at thIS JUTlSdlctlOn
energy panel, alteratIOn, or
extensIOn
iE;:LECTRICAt: PE~'NIIT F~~~\ I " . I , '
Subtotal I $70 00
State Surcharge (12% ofpenmt fee) $840
City Of Spnngfield fees * I $10 50
TOTAL PERMIT FEE I $8890
10% Local Admm Fee, 5% Local Technology Fee
I
I
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
COM2008-00568
COM2008-00568
COM2008-00568
COM2008-00568
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
3200800000000000240
DescriptIOn
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 04/23/2008
Item Total:
Check Number AuthorizatIOn
ReceIved By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
DDK
Page I of 1
ONLINE LR Onlme
BRABHAM
Payment Total:
11 :08:25AM
Amount Due
7000
350
840
700
$88.90
Amount PaId
$88 90
$88.90
4/23/2008