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Home My WebLink AboutPermit Electrical 2010-06-21Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM20[0-00794ISSUED: 0612112010 APPLIED: 0612112010 EXPIRES: l2l2ll20l0 VALUE: SITE ADDRESS: 500 S 48TH ST ASSESSOR'S PARCELNO.: 1702324407300 PROJECT DESCRIPTION: 200 amp Service and 2 branch Circuits SPRINGFIETYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial Owner: Address: Contractor Type Electrical Contractor LR BRABHAM Expiration Date t2n8t20t0 Phone 541-747-6638 iS PERMIT SHALL EXP IRE IF THE WORK A,I.] THORIZED UNDER THI i prnur ls NoT NED FOR,!r IY 1BO License 8699 Valuation # 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: follow ruler Notillcdion h oAR es2-qli 0090. Yon maFotan calllng the nurb*brthe LXility $ Per Sq Ft or multiplier nla 952-001. the rules Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GarageiCarport Sq Ft Other: Occupant Load: Description Type of Construction Paee I of 2 Value Date Calculated t*t{iFlg&.tr r' U ILU t1\ (, r 1'\ r UKIvl.q!_!12.1U Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line CITY F Building/Combination Permit PERMIT NO: COM20L0-00794ISSUED: 0612112010APPLIED: 0612112010 EXPIRESI t2t2u20t0 VALUE: Fee Description + lloh State Surcharge + 57o Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid Total Value of Project Date Paid 6t2Ut0 6tzyt0 6t2yt0 6t2Ut0 Receipt Number 3201 0000000000003 l7 32010000000000003 I 7 32010000000000003 I 7 3201 00000000000031 7 $l l.l6 $4.65 $12.00 $81.00 $108.81 Plan Reviews To Request an inspection call the24 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. Ufor Electrical Ground: Install ground rod ai footing and call for inspection in conjuction with footing and/or foundation inspection. Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Underground Electric: Prior to cover Reouired Insoect 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. 1, Owner Signature Pase 2 of 2 Date /r, /2,to '!ees rato ;-- x^-zz- / Electrical Permit A cation 225 Fifth SffeetoSpringtield, OR+n€ il/ nooi€5f This permit is issued under OAR 918-309-0000. days ofissuance or ifwork is suspended for 180 days. * Permits expire if work is not started within 180 aPniNoFrErtl Permitno.(- JA - +1( Darc,6* Ll -1p Zoningapproval verified? fl yes f]No ! Residartial f] Government Job site address:5o State:f)rt m,771ru Reference:Taxlot.: Name: /// Address State ZIPCity: Fax:Phone: E-mail This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rant. OAR 47 9.s40(r) and 479.560(1 ). 5 '/-7r? Address: bl A/eSf ,// Business ,u ", /, ,(, I State: OR zD:4 7472 b638 F^*51//'74 7. 7/57 ,1/* CCB license "o.,86f! U BCD license no., 34 ,87C Signing supervisor's license no.: tl 1 I tt S Printname ofsigning supervisor: Lc"n^.2 B.o-AL,. dh. Signature of sigaing Residential, per uni! service included: 1,000 sq. ft. or less (4)$134.00 $ $ 2s.00 $ Each additional 500 sq. ft. orportion thereof Limited energy (2)s 32.00 $ $ 63.00 $ Each manufactured home or modular dwelling service or feeder (2) Services or feeders: installation, alteration, relocation /$ 81.00 $g/.4200 amps or less (2) 201 to 400 amps (2)$ 95.00 s $1s8.00 s401 to 600 amps (2) $20s.00 $601 to 1,000 amps (2) Over 1,000 amps or volts (2)s469.00 $ $ 63.00 $Reconnect only (2) Temporary services or feeders: ins tallation, alteration, relocation 200 amps or less (2)$ 63.00 $ 201 to 400 amps (2)$ 87.00 $ 401 to 600 amps (2)$1 26.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: eEach branch circuit s 6.00 $/l,a b. Fee for branch circuits without purchase of a service or feeder fee First branch circuit (2)s 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous feesz service or feeder not included Each p"mp or irrigation circle (2)$ 63.00 S Each sigrr or outline lighting (2)s 63.00 $ Signal circuit or a limited-energy panel, alteration, or extension (2)$ 63.00 $ (A) Enter subtotal ofabove fees (Minimum Permit Fee $58.00) Each additional inspection: (l)$58.00 tfa,M $ (B) Enter l2% surcharge (.12 x [A])s /l,tb (C) Technology Fee (s% of [A])$ TOTAL fees and surcharges (A through C):$/08,8/ $v $ 440-2s8+t (9/08/COM) ww **{/(tf ////t€x6taut) SCAI I 'I L}' DEPI\RTMENT T]SE ONLY LOCAL GOVERNMENT APPROVAL #ommerctal t( 7 fnt<rlll Sl PROPERTY. OWNER E-mail: /hahl/, FEE SCHEDULE Number of inspections per item { }ary.e-ost ea. Total 'cost APPLICANT USE 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt I elopment Services Department- Public Works Department RECEIPT #: 3201000000000000317 Date: 0612112010 ll:28:0eAM Job/Journal Number coM2010,00794 coM20l0-00794 coM20l0-00794 coM20l0-00794 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + l2Yo State Surcharge + 5%o Technology Fee Amount Due 8r.00 12.00 I l.16 4.65 Item Total:$108.81 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check LR BRABHAM,INC KLK KLK In Person Payment Total: sl08,8l -mE8T' 38849 cReceintl Page I of I 612y20t0