HomeMy WebLinkAboutPermit Electrical 2008-8-6
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED:
APPLIED'
EXPIRES:
VALUE:
COM2008-01164
08/06/2008
08106/2008
02106/2009
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 2703 I ST APT A
ASSESSOR'S PARCEL NO 1703361100604
Sprmgfield TYPE OF WORK ElectrICal Work Only
TYPE OF USE
New
ResIdentIal
PROJECT DESCRIPTION Electnc ServIce Change
Owner WILSON KENNETH E & DIANE A
Address 562 WARRINGTON AVE
EUGENE OR 97404
Phone Number 541-554-8099
I CONTRACTOR INFORMATION I
Contractor Type
Electncal
Contractor
LR BRABHAM
License
8699
BUILDING INFORMATION I
ExpiratIon Date
12/1812010
Phone
541-747-6638
# of Umts
Pnmary Occupancy Group
Seconddry Occupancy Group
Pnmary ConstructIOn Type
Seconddl')' ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Wdter Type
Range Type
Energy Path
Sprmkled BUlldmg
Lot S,ze
Sq Ftlst Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Cdrport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Notes
NOTICE:
THIS PERMIT SHAL
AUTHORIZED L EXPIRE IF THE WORK
COMMENCED ~~~~~~HIS PERMIT IS NOT
1l~IV 1 On ~.. __ ,~NDONm !'nO
- - ....., IJ I Ln"'"
rValuatIon DescflDtIon I
Total
HandlcapRed 'n
ATTENTIO~I Oroor~ 'Compact' -r : ~ ,
I d I ," V
follow ru 1% a VI)"" _ I lh
Notification Center 1" ,,_ _ ,. ria - G,
._ ""0 o~?_nn1_nn1Ot,1I0Uqh OAn 9b2-001-
I PUBLIC IMPROVEMENTS,090 You may obtain caples Ot I,W I UI~' uy
callin the center (Note the telephone
num~~WlI!i1I)(j)~gon Utility Notification
Do~Rj')!3t/bdr~Pn~-332-2344l.
Overlay DISt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Front yard Setback
SIde I Setback
SIde 2 Setback
Rearyard Setback
Soldr Setbdcks
Street Improvements
Storm Sewer A vaIldble
Specldl InstructIOn
DeSCrIptIOn
Type of ConstructIOn
$ Per Sq Ft
or multIplier
Square Footdge
or BId Amount
Value
Ddte Cdlculated
Page I of2
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Status
Issued
CITY OF ~rKl1~GFIELD.
Building/Combination Permit
PERMIT NO: COM2008-01164
ISSUED: 08/06/2008
APPLIED: 08/06/2008
EXPIRES' 02106/2009
VALVE'
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspechon Lme
Total Value of Project
!fees Paltl ,
Fee DescriptIOn
+ 10% Admmlstrallve Fee
+ 12% State Surchdrge
+ 5% Technology Fee
Add, Alter, Extend C1rc Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date PaId
Receipt Number
$12 20
$14 64
$610
$52 00
$70 00
8/6/08
8/6/08
8/6/08
8/6;08
8/6/08
3200800000000000544
3200800000000000544
3200800000000000544
3200800000000000544
3200800000000000544
Total Amount PaId
$15494
I Plan ReViews I
To Request an inspectIon call the 24 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,
I Re(]U1retllns?ectJo~s'
Rough Electnc Pnor to Cover
Electnc Service Approval requlI ed pnor to uhhty company energlzmg service
Fmal Electnc When all electncal work IS complete
By sIgnature, I state and agree, that I have carefully exammed the completed apphcahon and do hereby certify that all
mfOl mahon hereon IS true dnd correct, and I further certify that any and all work performed shall be done 10 accordance WIth
the Ordmances of the CIty of Splmgfield and the Ldws 01 the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY will be mdde of any structure WIthout permIssIOn 01 the CommuDlty ServIces DIVISIOn, BUlldmg Sdfety
I further certify thdt only contractors and employees who are 10 comphance WIth ORS 701 005 wIll be used on thIS project
I further agree to ensure that all reqUIred mspechons are requested at the propel hme, that each address IS I eadable 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 slle at all
tImes dunng constructIOn
Owner or Contractors SIgnature
Date
Pa2e 2 012
CIty of Springfield
Electrical AuthorlJ~atIon To Begm Work
E-maded To bhalada@qUlxnet net
ReceIpt # EC535555
8/5/2008 4 08 05 PM
',PtjllElELll
I ~
III
By Phone
Check on status of permit
(541)726-3753 or Em.I1 permltcenter@clsprmgfield or ns
TYPE OF WORK
II
) I Description I Qty I La
I Resldentllll SINGll~ OR mult~~famll) dwellmg Ulllt
'I oltt.llhed gardgl
111,OOOSqftOfleSS I I
I Ca add! 500 sq ft or portion I
'I
I Llmlte~ Euergy
I I LimIted energy resldentml
I (wIth above sa It)
I LimIted energy multifamily
I re~]dentldl (wIth above Sq ft)
I I - Llmlled energy, commercld-l
(with dbove sq ft)
- Stand alone limited energy
resIdential
+ Stand+alone limited energy
multI fdmllv
Stand-alone limIted energy,
commercial
SenlCl'i OR feeders msiallntlOn, alteratIOn, AND/OR reloca!:Jon
FEE SCHEDULE
10 New constructIOn
IX] Addltlon/alteratlOnJreplacement
lotal
Intludl.."S
CATEGORY OF CONSTRUCTION
I [XJ I or2 f<lmlly d\\cllmg D MultI-famIly D Commercial/Industrial
I JOB SITE INFORMATION AND LOCATION
IJobno 7146 IJobaddre!>!> 2703 1ST
IOty/Shte/ZIP SPRINGFIELD OR 97477-4392
1 SUlte/bldg /.tpt no APT A
Project nJme KEN WILSON
Cross streetldJrl~'CtlOns to Job site
ISubdlvl!>lOn
ITa't map/parcel no
1101 no
I
$70 00 I
I
I
I
I
I
I
I
$5200[
I
I
I
I
I
I
I
I
ELECTRICAL PER~II FE~S:? f 1 , I
Subtotal $12200 I
State Surcharge (]2% of permIt fee) $1464 I
City OfSnrmgfie]d fees * $1830 I
IOTALPLRMITFFE $15494 I
10% local Admm he 5% Local Techno]ogy
1703361100604
I DESCRIPTION OF WORK
ELECTRIC .)ERVICE CHANGE
SITE CONTACT
200 amps or less
I 20 I amps to 400 dmps
140 I amps to 599 amps
11 EMPORAH.Y services OR feeders 1I~!all~tIon, alteratIOn,
AND/OR reIocJtlOn ~%
I 200 amps or less I
120] amps to 400 amps I
1 40] amps (0 599 amps I
I Brunch CITClllb - NEW, alteratIOn, OR extcR!>wn. per p.mel
I ^ Fee for branch CIrCUits with 13 $4001
service or feeder fee each
branchurcull
I B l<ee tor branch CIrCUIts I
Without service or feeder tee
first branch CIrCUIt
1 each ddd] bnnch CIrCUli I
I Miscellaneolls
I ServlcL reconnect only
I hach manufactured or modular
dwellmg, servIce and/or feeder
1 Pump or lITIgation CIrcle
I SIgn or outlme lIghtIng
'SIgna] clrcUlt(s) or IIml!ed-
energy pane] alteratIOn or
extensIOn
$7000
I Nllme KI:N WILSON
I Phon, (541) 554 8099
IFma11
IF",
CONTRACTOR
I. I III no 20 87C I CCO he no 8699
I OU<;lOe"" Ndml LJ{ BRABHAM INC
I Contdct 8699
IAddrc!>!l 68 W Q ST
1<"lty/StlltC/ZIP SPRINGFIFLD OR 97477.2142
I Phont. (541 )7476638 1 Fax None
I EmmI bhalada@qUlxncl net
I Metro he no I City he no
I Supervising electnclan's he no 4944S
I SupcrvlMng c1cctneldn's ndlne LARRY R BRABHAM JR
not offered online at thiS JUTlSdlctlOn
Upon review and approval by your local JUrisdiction, your
permit Will be e-malled or faxed Within one bUSiness day,
With instructions on how to schedule your inspection
I
I
I
I
I
* CIty Of Sprlllgfie]d fees
NOTE ThiS AuthOrizatIOn To Begm Work expires wlthm 180
days If a permit IS not obtamed
ThiS AuthOrization To
COM';:) mi r -'"D \ I ({J 4-
RCPTI#:32.fTi) K' - 5'+Y'
DATE PROCESSED' 6j 0/ () (j'
Begin Wor ~ llRGlCl!&S~~ !dRtll ,Qj:?I, ced by a Permit
, . .
(
The local bUIlding department may determme that an
AuthOrizatIOn To Begin Work IS null and VOid If It does no
meet apphcable land use laws and local ordinances
225 FIfth Street
Springfield, Oregon 97477
541-726-3759 Phone
......~INGp:J~'91i1i1l l,
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Job/Journal Number
COM2008-0 1164
COM2008-0 1164
COM2008-0 1164
COM2008-01164
COM2008-01164
Payments
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #,
3200800000000000544
Descnptlon
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Clrc [a Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmIstratIve Fee
CIty of Springfield OffiCial Receipt
Developmcnt ServIces Department
Pubhc Works Department
Date, 08/06/2008
Item Total
t:heck Number AuthorizatIOn
Received By Batch Number Number How RClclved
PaId By
ONLINE PERMIT CHGS
NJM
Page 1 of 1
ONLINE LR Onlme
BRABHAM
Payment Total
8 11 I2AM
Amount Due
7000
5200
6 10
1464
1220
$15494
Amount Paid
$15494
$15494
8/6/2008