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
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Permits are does
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