HomeMy WebLinkAboutPermit Building 2008-8-19
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-0I243
ISSUED 08/19/2008
APPLIED, 08/1912008
EXPIRES, 02/19/2009
VALUE'
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
SITE ADDRESS 611 V ST
ASSESSOR'S PARCEL NO 1703262101407
Sprmgfield TYPE OF WORK Electncal Work Only
TYPE OF USE
AlteratIOn
ReSldent..1
PROJECT DESCRIPTION Reconnect only - Damdged Meter Base
Owner ZIMMERMAN REVOCABLE LIVING TRUST
Address 2418 16TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electncdl
Contractor
LR BRABHAM
License
8699
BUILDING INFORMA nON I
ExpiratIon Date
12/18/2010
Phone
541-747-6638
# ofUmts
Pnmary Occnpancy Gronp
Seconddry Occnpancy Gronp
Pnmdry ConstructIOn Type
Seconddry ConstrnctlOn Type
# of Bedrooms
# of Stones
HeIght of Strnctnre
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled Bnlldmg
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occnpant LOdd
n/d
I DEVELOPMENT INFORMATION I
Frontyal d Setback
SIde I Setback
SIde 2 Setback
RearYdrd Setback
Solar Setbdcks
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Totdl
HandIcapped
Compdcl
I PUBLIC IMPROVEM~NTS I
Street Improvements
SIdewalk Type
Storm Se~v.aluble DownspoutslDrams
S I All tNI DN' Oregon law requires you to
pec.. ~!f6Wf\ms adopted by the Oregon Utility
Notification Center Those rules ale set forth NOTICE:
Notes In OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
onon Y"" ma.. "htoon Mn,no nHhn ."IM hI' ~ - - --- J"[;:F; -:-1118 :'~:r[MIT 'e: ..t;).T
callmg the center (Note the telelJnone ~u I nunl'-'-u I, D FOR
number for the Oregon Utility Notl ,Naluation Descriotion MMENCED OR IS ABANDONE
Center IS 1-800-332-2344) , , J\ Y 180 DAY PERIOD.
$ Per Sq Ft Square Footage
Descnptlon Type of ConstructIOn I I B d A Value Date Calculated
or mu tip lef or I mount
Paee I of 2
-[;."; ~
~-
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01243
ISSUED' 08/19/2008
APPLIED. 08/19/2008
EXPIRES 02/19/2009
VALUE'
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fees Pal~ .
Fee Descnptoon
+ 10% AdmmlstratlVe Fee
+ 12% Stdte Surcharge
+ 5% Technology Fee
Service Reconnect
Amount PaId
Date Paid
Receipt Number
$570
$684
$285
$57 00
8/19/08
8/19108
8119108
8119108
2200800000000001260
2200800000000001260
2200800000000001260
2200800000000001260
Total Amount Pdld
$72 39
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 workmg day, mspectlOns requested after 7:00 a.m. will be made the following
work day
I ReoUlred Tnsnechons I
Electnc Service Approval required pnor to utollty company energlZmg servIce
By signature, I stdte and agree, that I have carefully exammed the completed appllcatoon dnd do hereby certof) that all
mformdtoon hereon IS true and correct, and I further certofy that any and all work performed shdll be done 10 accorddnce With
the Ordmances of the City of Spnngfield dnd the Laws of tbe State of Oregon pertdmmg to the work descnbed herem, and
that NO OCCUPANCY Will be made of dny structure without permissIOn 01 the Commumty ServIces DIVIsIOn, Bu.ldmg Sdfety
1 further certify that only contractors and employees who are 10 compliance with ORS 701 005 will be used on thiS project
I further dgree to ensure that all reqUIred IDspectlOns are requested at the proper tIme, that each address IS readable from the
street, that the permit card IS located dt the front 01 the property, and the approved set of pldns will remam on the sIte at all
times dunng constructIOn
Owner or Contractors Slgndture
Date
Page 2 of 2
City of Sprmgfield
Electncal AuthonzatlOn To Begin Work
E-malled To bhalada@qu"net net
ReceIpt # EC536395
8/19/2008 " 32 14 AM
~
By Phone
Check on status of permIt
(541)726-3753 or Emall permltcenter@clsprmgfield orns
TYPE OF WORK
10 New constructIOn
[KJ AddltionJdltlrauonlreplacemcnt
CATEGORY OF CONSTRUCTION
@ lor 2 famIly dv.cllmg
o COInmen..18] IlndustTldl
o Multlvfdmlly
JOB SITE INFORMATION AND LOCATION
IJobllo 7176 \ Job address 611 vsr
IOty/,tateIZIP SPRINGrIELD OR 97477-2260
I Smtc/bldg lapt no
I Project name WAYNe ZIMMERMAN
Cross street/dlrectlOlls to Job site
ISUbdll-J"101l
Iln m-Jp/parcelno
I
RECONNEll ONLY
J Lot no
1703262101407
DESCRIPTION OF WORK
DAMAGED ML I ER BASF
SITE CONTACT,
IName WAYNE ZIMMERMAN
)Phone (541) 747-3301
I Emall
Irax
CONTRACTOR
I EI he no 20-87C I CeB hl no 8699
I Bu~me~s Name I R BRABHAM INC
I Contact 8699
IAddress 68 W Q ST
I Clty/Slllfe/ZIP SPRINGIII::LD OR 97477 2142
I Phone (541)7476638 I Fax None
I Emall bhalada@qUlxnet net
I Metro he no r City he no
I SupervIsing electnClan'.. he no 4944S
I SupervIsing electncldn'!l name LARRY R BRABHAM, JR
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
NOTE This AuthOrization To Begin Work expires within 180
days If a permit IS not obtained
The local bUilding department may determine that an
AuthOrization To Begin Work IS null and VOId If It does not
meet apphcable land use laws and local ordinances
1 j FEE SCHEDULE
II DescrlptlOn I Qty I Ea I Total
I Resldentla! Sr~GLl.- OR mUltl;::t<!g'I!!~~Welll!:l~~fU)lIt Includes
I attached garage ~ ~ ~- ~
jllOOOSqftO'lcSS I I I
I Ea addJ 500 sq H or portIOn
I Iltmtted Energy
I I - LlIlllkd energy reSIdential
I (Vtlth above sa ft)
I - LIITIlted energy multIfamily
I reSidential (With above sa ft )
I I - Llmltt:d energy commerLlal
(WIth above sa ft)
I - Stand-alone limited energy
reSIdential
Stand-alone limIted energy
multI-family
Stand-alone limIted energy
commLrClal
! Services OR feeders Installatlon, dlteratlOn, ~ND/OR relocdtlon
I 200 amps or less
I 20 I amps to 400 amps
40 I amps to 599 amps
lEMPORARY services OR fl.edcrs IIIstallatlon, alteration,
~ Z~#'4'" ,~- dt'^"",t "*'~ "'.
AN!>JOKrelocdtlOn-c _~C;C!~ ~~0:;::7:::z~~~3!:;: ?~ ":,- ""-
1200 amps or less
I 20 I anlps to 400 amps
I 40 I amps to 599 amps
J B~~~h elfCUlb - NEWl alteratIOn, OR exten~~o~n, per panel
I A Fce lor branch CIrCUIts With I I
servKL or feeder fee, edLh
branch CIrCUIt
18 ree tor branch ClrcUlts I
WIthout service or teeder Ice
first br,mch ClrCUI!
! each add! branch CirCUIt J
I MI'lcellaueous
I Service reconnect only
I Each mallufdLtured or modular
d\H.lImg, servICe and/or feeder
I Pump or IrngatlOlI Llrcle
I SIgn or outlme Itghtmg
SIgnal CIfCUlt(S) or l1mlted-
energy panel alteratlon or
extensIOn
I
$S7 00 I
I
I
I
I
I
SUhtotal1 $57 00 I
State Surcharge (I2% ofpermtt fee) $684 I
CIty Of Spnngfield fees * I $8 55 I
L TOTAL PERMIT FEE I $72 39 I
* CIty Ot Spnngficld tees 10% AdmmlstratlOn Fee, 5% Technology Fee
$5700
ELECTRICAL PERMIT FEES
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1243
COM2008-0 1243
COM2008-0 1243
COM2008-0 1243
Payments
Type of Payment
ONLINE CHGS
LRl,celOtl
RECEIPT #:
Descnptlon
Service Rt.-connect
I 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlStratlve Fee
Paid By
ONLINE PERMIT CHGS
2200800000000001260
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
Date: 081I9/2008
Item Total
Check Number Authorization
Received By Batch Number Number How Received
DDK
Page I of I
ONLINE LR Onlme
BRABHAM
Payment Total
12 09 I3PM
Amount Due
5700
285
684
570
$72 39
Amount Paid
$72 39
$72 39
8119/2008