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Home My WebLink AboutPermit Electrical 2007-01-08rf\t](-ru+trftr" Building/C ombination Permit PERMIT NO: COM2007 -00034Status Issued 225 Fifth Street, Springfietd, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line ISSUED: APPLIED: EXPIRES: VALUE: 0U08t2007 0u08t2007 07t08t2007 SITE ADDRESS: 361 SHELLEY ST Springfield TYPE OF WORK: Electrical Work Only ASSESSORTS PARCELNO.: 1703271009300 TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Install l00amp Subpanel, 5 general use circuits and I equipment circuit. Owner: Address: Contractor Type Electrical POSER BUSINESS FORMS INC PO BOX 409 FAIRIIOPE AL 36533 Contractor LR BRABHAM License 8699 Expiration Date 12fi8/2010 Phone 54t-747-6638 CONTRACTOR INFORMATION )RMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Paee I of2 Value Date Calculated Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00034ISSUED: 01/08/2007APPLIED: 01/0812007EXPIRES: 07/0812007 VALUE: Fee Description + l0o/o Administrative Fee + 57o Technology Fee + 8olo State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid Total Value of Project Date Paid u8t07 U8t07 u8/07 U8t07 u8t07 Receipt Number 2200700000000000028 2200700000000000028 2200700000000000028 2200700000000000028 2200700000000000028 $8.10 $4.0s $6.48 $18.00 $63.00 $99.63 Fees Paid Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection 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. Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover Reouired Insnect 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 Communify 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 Pase 2 of 2 Date City of Springfield Upon review and approval by your local jurisdiction, your permit will be e.mailed or faxed within onc busincss day, with instructions on howto schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permil is not obtained. The local building depailrnent may determine that an Authorization To Begin Work is nutl and void if it does not meet applicable land use laws and local ordinances. Etectrical Authorization To Begin Wot E-mailed To : bhalada@quixreL net Check on status of Permit: Contact http://www.cisprirgfield.or.uVdsd/Building/index.htm City Of 10Yo Local Receipt# &W llsnffi7 4:56:46PM 5o/o Technology Fee [] t't"" corubuction [J eaationr"f.ratiory'replaconent [-l 1 or 2 famill rlwelling I trlotti-faloity lEl Commccial / In&$tiat Jobeddress 361 SHELLEYSTJob no,: 6243 City/StateZIP: SPRINGFIELD, OR y1477-Xl7 Suite/bldg/apt.no.: Project name: SPECIALIZED METAL POLISHI Cro*s streeUdirections to job site: Subdivision:[,ot no.: IOOA SUBPANEL, Name: pgy41pgp5951 CIRCUTT Tar map/percel no.: 1703271009300 Phone: (541) 7ul4-69.16 Fax: Email: El. lic. no.: 2G'87C CCB lic.no.: 8699 &rsincss Nams LR BRABHAM INC Contact: LARRY BRABHAM JR Address.63WQST City/StateZIP: SPRINGFIELD OR n 477 -21 42 Phone: 5417476638 Fa* 5417477157 Em ail : bhalada@quixnsln€t Metro lic no.:City lic no.: Supervising electrician's lic. no.: 49445 Supervising electrician's name: LAITRY R BRABHAM JR Total d*-:]lr ,..: ,.::.|.,1,, I Qty. 'arrily.fwellj -!-:L-a Er. 1,000 sq. ft. or lcss Ea. addl 500 sq. ft. or portion - Limited energy, rtsidsrtial (with abovo sq. fL) Sliorl:,. : s63.00 iliffi,? I -l t-GiGd ",t.rgy, rnoltifu-ilv residmtial (with above sq. 11.)ffi 200 amps ot lesr 201 amps to.l00 4mF 401 amps to 599 amps 2fi) amps or less :rs installati ':!.:tr it:tii, iOl omp. to,l00 amps 401 amps to 599 amps @ A Fee for b'ranch ciruits with above service c feeder fee, each branch circrrit .,..-.1 irOn:exrq*ii -i I I'1II,'r sr8.00 B. Fee for branch circuib without service or feeder fee, fint braoch circuit, eadr addl branch ctcuit Servie reconnect only )Iiscellmeuus - Each manufachred or modular dwelling, service and/or feeder Pump or irrigatiol circb Sign or outline lighting energy panel, alteratiol, or or lvl.inimum Fee M5.00 State fee)s6..18 $12.15Cit-v Of Springfield ties ' TOTALPERMIT FEE s99.63 This Authorization To Begin Work must be posted at the job site until replaced by a Permit. SO/OR rcto $63.00 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C"- of Springfield Official Receipt r , elopment Services Department Public Works Department RECEIPT #: 2200700000000000028 Date: 0110812007 8:53:31AM Job/Journal Number coM2007-00034 coM2007-00034 coM2007-00034 coM2007-00034 coM2007-00034 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + lUoh Administrative Fee Amount Due 63.00 18.00 4.05 6.48 8.10 Item Total:$99.63 Payments: Type of Payment Paid By Check Number Received By Batch Number Arithorization Number How Received Amount Paid ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE LR Brabham Online $99.63 Payment Total: -Sffi cReceint I Page I of 1 11812007