HomeMy WebLinkAboutPermit Electrical 2008-6-13
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CITY OF SPKll'\iuNELJ) .
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-00854
ISSUED 06/13/2008
APPLIED 06/1312008
EXPIRES. 12/13/2008
VALUE:
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 1473 5TH ST
ASSESSOR'S PARCEL NO 1703264201300
Sprmgfield TYPE OF WORK ElectrICal Work Only
TYPE OF USE
New
ReSIdential
PROJECT DESCRIPTION Install service lateral
Owner OLSON KEN & MARILYN
Address 87417 HALDERSON RD
EUGENE OR 97402
Phone Number 541-935-1182
I CONTRACTOR INFORMATION'
Contractor Tvpe
Electncal
Contractor
LR BRABHAM
License
8699
BUILDING INFORMATION I
ExpiratIOn Date
12/18/2010
Phone
541-747-6638
# of DOlts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary Construcllon Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
Height of Structure
Type of Heat
Water Type
Range Type
Energy Path
Sprmkled Buddmg
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Cdrport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback
SIde I Setback
Side 2 Setback
Rearydrd Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
Handicapped
Compact
Street Improvenf'lfJT!CE:
Storm Sewer A~~gERMIT SHAll EXPIRE
Special Instruce<ml RIZED UNDER THIS PE'F THE WORK
UMMENCED OR IS RMIT IS NOT
Notes .NY I SO D4~' PEi:UotBANDONED FOR
ATTENTION Oreaon law reOLdres yOU to
I PUBLIC IMPROVEMENTS .roilow rules adopted by the uregon Utility
. .wotlfreallon Center Those rules are set forth
Ii1 OA$id6i'aOOTfpe,O through OAR 952-001-
Q090n You may oQJaln copies of the rules by
ealn'rl'g"tIi'C'C'I:\'1f~fatN'ote the telephone
number for the Oregon Utility Notification
Center IS 1-800-332-2344).
I ValuatIOn DescnDtlOn I
DescnptIon
Type of ConstructIOn
$ Per Sq Ft
or mulllpher
Squdre Footage
or Bid Amount
Value
Date Calculated
Paee I of2
-ii:~
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00854
ISSUED' 06/1312008
APPLIED. 06/13/2008
EXPIRES 12/1312008
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fees Paid I
Fee DescnptlOn
+ 100/0 Admmlstrahve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm ServlFdr 200 amps or less
Amount PaId
Date PaId
$700
$840
$350
$70 00
6/13/08
6/13/08
6/13108
6/13/08
Receipt Number
3200800000000000403
3200800000000000403
3200800000000000403
3200800000000000403
Total Amount PaId
$88 90
I Plan Reviews I
To Request an mspectlOn call the 24 hour recording at 726-3769. All mspections requested before 7'00
a.m. will be made the same workmg day, mspections requested after 7'00 a m. will be made the followmg
work day.
I ReoUlred r nsnecti'lns I
Electnc ServIce Approval requIred pnor to ullhty company energIZIng service
By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certify that all
mformallon hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance With
the Ordmances of the City of Springfield and the Laws of the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY will be mdde of any structure Without permissIOn of the CommuOlty ServIces DIVISIOn, Buddmg Safety
I further cerllfy that only contractors and employees who are m comphance With ORS 701 005 WIll be used on thiS project
I further dgree to ensure thdt dll reqUIred mspectlOns are requested at the proper lime, that each address IS readable from the
street, that the permit card IS located at the front of the property, and the approved set of plans WIll remam on the site at all
hOles durmg construchon
Owner or Contractors Signature
Date
Paee 2 of2
City of Springfield
Electrical AuthorizatIOn To Begm Work
E-maded To bhalada@qUlxnet net
Receipt # RC532077
6112/2008 3 58 II PM
~
By Phone
Check on status of permit
(541)726-3753 or Emall permltcenter@clsprmgfieldorus
DeSCriptIOn Qty
1~~5~~~!~ SI~Q~~~~1:~;m$tl;:f;tmlly
1!!!~!l~g~ragt: dt~& 5>^"~~
11 000 sq ft or less
I Ea addl 500 sq ft or portIon
'~t~'li~1-gy ~
~lmlted energy resIdential
(WIth above SQ ft)
I LimIted energy multifamIly
resIdential (wIth above sa ft)
I Llmlled energy commercla-]
(WIth above sq ft)
I-Stand alone hmlted energy
reSIdentIal
I . Stand alone limited energy
multl-famllv
I-Stand alone limited energy
commercIa]
I ~:::::s;~;~!i>~iiaJlii.f!,:n~ alteratlOn,;NPP$~~~~'d"O"$70 00 I
I 20 I amps to 400 dmps I
140 I amps to 599 amps I
I TEMPO~Al\Yl!L~~ QR !~~rslnstallaho~ I
AND/OR relo~C!t~~~-
I 200 amps or less I
1201 amps to 400 amps I
/401 amps 10 599 amps I
I Bnmc!l Clrcllds"~~~~t!!:~I~!!. OR extt.nslO~n~=p~ ~;rn~!ll I
I A Fee for branch CIrcUIts With I I
service or feeder fee, each
branch CirCUit
I B fee for branch CirCUits I I
\'.Ithout servIce or feeder fee,
fir~t branch CirCUit
I each;d~l~~ :rcUlt I I
Mlscella!,e~~ES:::~_~ I
I Service reconnect only I
Each manufactured or modular I
dwelling, service and/or feeder
I Pump or IfflgatlOn CIrcle I
I Sign or outline ilghtmg I
I Signal Clrcult(s) or hmlted- not offered onhne at thiS JunsdlctlOn I
energy pdnel, alteratIOn, or
extensIOn
1
Subtotal $7000 I
State Surcharge (12% ofpenmt fee) $840 I
City OfSprmgfie]d fees. $10 50 I
T01ALPI<.R.1I r I-EE $8890 I
. r~f'':'.;- ","V'~ .",0 LOCliT.A:dmm 'ee, 5% Loca] Techno]ogy Fee
2 (")\1?: / ('lc) 'K5L!--
COM I
2,2(;U6' ~ Lj-o~ /.
RCPT# r
""""SED 0- 1;3.;/) .
D,o;rE PR"""", ! /', -
/{U1/'~
Begrn Work mu~ t~1he JOb }1f~ until renl"",r1 2>y a Permit
/ u
TYPE9'E WORK
I
J
I [Xl ] or 2 faml]y dwellmg D Multi faml]Y D CommerCial /lndustnal I
1 S1J".INFORMAT!.ONj'@':'LOeA\IO..N~C:~~-sr.~~~.:.r.71
IJobno 7029 IJobllddress 14735THST I
IOty/StatelZlP SPRINGFIELD OR 97477 3052 I
I ~Ulte/bldg /apt no I
I Project name KFN 01 SON I
! 0 New constructIOn
/2{] AdditIOn/alteratIOn/replacement
Cross street/directIOns to Job site
I SubdIvISion
I lax mdp/parcel no 1703264201300
1 ' ~Sj;~D"SCRIPTION OF'Wp~K0]t
INSTALL SERVICI:. LAI I:.RAL
ILot no
{"
~ .
I NlIme
IPhone
IEmad
, "
UN OLSON
(541)9351182
I"X
CONTRKCT()R
ICCBhc no
I EI lie no 20-87C
I BUSiness Name I R BRABHAM INC
I Contact 8699
IAddress 68 W Q ST
I Clty/StaterL.IP SPRINGFIELD OR 97477 2142
IPhone (54])7476638 IFax None
I Fmall bha]ada@qUlxnetnet
I Metro hc no
ISupenlsmgelectncllln'shc no 49445
I Supervlsmg electnclan's name lARRY R BRABHAM JR
8699
I City hc no
Upon review and approval by your local JUflsdlctlon, 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 locaJ bulJdlng department may determine that an
Authonzatlon To Begin Work Is null and VOId If It does not
meet applicable land use laws and local ordinances
ThiS AuthOrization To
SCHEDULE
,I
I
I
1
I
I
I
I
I
I
I
~a
Total
ELEeTRfqAL PERMIT FEES
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00854
COM2008-00854
COM2008-00854
COM2008-00854
Payments
Type of Payment
ONLINE CHGS
cRecemt I
RECEIPT #:
ii:ji
3200800000000000403
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
ONLINE PERMIT CHGS
City of Sprmgfield OffiCIal Receipt
Development ServIces Department
Pubhc Works Department
Date 06/13/2008
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
NJM
Page I of I
ONLINE LR Onlme
BRABHAM
Payment Total
7 18 31AM
Amount Due
7000
350
840
700
$88 90
Amount Paid
$88 90
$88 90
6/13/2008