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HomeMy WebLinkAboutPermit Electrical 2003-11-19Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-01159ISSUED: llll9l2003 APPLIEDz llll9l2003 EXPIRES: 05/1912004 VALUE: SITE ADDRESS: 305 S 4TH ST ASSESSOR'SPARCELNO.: 1703353407700 PROJECT DESCRIPTION: 100amp panel and 6 circuits Springfield TYPE OF WORK: Electrical Work OnIy TYPE OF USE: New Commercial Owner: Address: TIMBERPRODUCTS CO PO BOX 269 SPRINGFIELD OR 97477 Contractor Type Electrical Contractor LR BRABHAM Expiration Date 12n8t2004 Phone 541-747-6638 License 8699 CONTRACTOR INFORMATION # 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: Lot Size: Sq Ft lst Floor: Sq Ft 2nd tr'loor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: VN Street Improvements: Storm Sewer Available: Special Instruction: Notes: -Sidewalk Tvoe: T-11'r"tu"snmesxrr*E rF THE woBK nuiHoiirirD uNDER lHls PERMIT l-s-NoT Cortnrtnrr'rcED 0R ls ABAND0NED FoR ANY 180 DAY PERIOD. REQUIRED PARIflNG Total: Handicapped: Compact: ^---**-, iq 1-8 $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Pase 1 of2 Description Type of Construction Value Date Calculated t ult-t-rl1\ u rN r t,I(Ivr,q. r r!2N_l Valuation Description I OF'SP Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2003-01159ISSUED: llll9l2003APPLIEDz llll9l2003 EXPIRES: 05/1912004 VALUE: Fee Description + l0Yo Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $8.10 $s.67 $18.00 $63.00 $94.77 Date Paid tut9t03 tut9t03 lut9t03 tut9t03 Receipt Number 2200200000000001782 2200200000000001782 2200200000000001782 2200200000000001782 Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wiII be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rough Electric: Prior to Cover 2 Electric Service: Approval required prior to utility company energizing service. 3 Final Electric: When all electrical work is complete. Reouired fnsnections 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 Pase2 of2 r( ees ralo l 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cify of Springfield Official Receipt Development Services Department Public Works Department 00000001782 Date: llll9l2003 coM2003-01159 coM2003-01159 coM2003-01159 coM2003-01159 + 7%o State Surcharge + l0%o Administrative Fee Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add Item Total:$94.77 5.67 8.10 63.00 18.00 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check LR BRABHAM INC djb In Person Payment Total: $94.77 $94.77 ) .: 225 FIFTH STREET '.'" SPRINGFIELD, OREGOT. )7, I lYt J>u.er6 )LEGAL D ON lao33 -93 Y OAAU-J DES u t]'tfrNutftL ..',;:::r:: :r ,r.:::.,:;.:!t: f i,j:1rjl.:le2. CONTRACTOR INSTALLATION ONLY Electrical'.R. Brabham, fnc. Address rr Qrr Street Fxpiration Date Sup cn'isin g Electrician Multi-Family per du'elling unit. Senice Included: 1000 sq.ft. or less Each additional500 ces or Fecders In.stitllittion, Al Rcklcirtion: 200 amps or 201 aurps 1o 401 anrps 01 amps Over Items Cost $ 106.00 $ 50.00 $50,00 $50.00 $25.00 s+5.00 $t , $ 19.00 'i,' ,:,,, IS PERMIT "B" abo\re ,,la ranch Cir'cuits r5 5ftH for sale, lease or rent. :" , f '''^n'1)' i"-'; l'tl! Orrners Signature: EOIt!!i.^,' cu^r r FxptRE tF THE woRK I Hlb rEntvtt ' 3.00 cr not included) Liglrting Linrited Energl,/Res Limited Energy/Comnr lS l*&trirum Electric Permit Inqrection Fec is S45.00 * $urchlrgcsUNDER THAUTHORIZED COMMENCED OR IS ABAN DONED IOR_ ,I. SUBTOTAL OF ABOVE 7Yo State Surchitrge; . lL.Ylr Administrative Fec 0a PERIODr q +,11 ANY 180 DAY TOTAL 77 ':rj: .} ].,,' :-::: .:..-., -'.,. '| | :.:.1: -.;' .' :t;.:, :.,1:.:..r:'."":- 1. t. . a. !.-t;, .;t'ii_it . 1:.;t; li;,';:"'''' lr:iilr ::r:1r:::li:::,. . I 4.r.. .;r::! -, ;:.r.. ' i: ):. ..:!:t:.:.:.: R]CAL Citi'' Joh J,. t. 7 5,9 .,. : Sumt,, :.. TKI+N Permits are does Center 952-00 1-0010 center the Oregon nlles i or u'itir The installation is being property I olvn