HomeMy WebLinkAboutPermit Electrical 2008-10-3
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DATE ,.
SOURCE
225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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JOB DESCRIPTION:
Pv5T/f1/ IElJJIJ. 56XV;~e fo
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not started ,,,ithin 180 days of issuance or if work is
Suspended for 180 days.
Date
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3. '~COMPLETEFEESCHEDlJLEiBEEOW""J?Il!,J!l,~i!J1'ili,iW!,~"",~f$
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Sen'ice Included
1000 sq, ft, or less
Each additional 500 sq. ft or
portion ,thereof
Each Manufact'd BOIlle or
Modular Dwelling'Service or
Feeder
$117,00
$ 21.00
$55,00
rrr3dR(~@WlN~TALt!4.~;i}!i~~oNI/;l~ B. 1~~;:;~~~f~f;~~lf:~1ri~1i~~~j~f~~~11i@'~fir:nr~
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~47ectncal Contractor {/(. 6/f II-b AI1t11 I tfX:-. 200 Amps or less ' $ 70,00
/: \> /')~"-r 1I/i\"L1..6'~":- 201 Amps to 400 An1Ps $$18338.0,000
Address w{) Wb;? {J/ .7fK.C/r;;-( 401 Amps to 600 Amps
~ -L./' ',I I" 60i Amps to 1000 Amps $180,00
City JjJJfIAl{;(/€UJ Phone 1,7,~",J,g OvcrlOOOAmpslVolts $41300
Recollllect Oniy $ 55.00
Expiration Da te
I
L/9~4r
/0/1//0
1691
/ijI ~/JtJ
Supervisor License Number
Constr. Contr. Number
Expiration Date
;"{.Z;"""Y\,,08i~*,{JJ.;:@;i~,.(if;~liSi~ff~'1"'C.~~~T~:w!.af~,~~~');J,~:,R\\:;:'?~i;X'I1f'3')1\~',:,;~"G"::!!.r:0.H,~I..'i~:;
C. w,Temlfor2h::,'sel:t;iCtis;.or~Fee'deisl';:4i,~~t{~~"~~'f~~~~li46~~~.;;fi;L~~;s~'~~1~
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,
Installation, Alteration or Relocation
/
p$ Ss, - B1. ro
$ 76,00
$110.00
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Ove~?~~!J.~,?r)Ooo Y~lts set> "B.:' ~!?,2v".:... . ." ,'. ,
. ;kll:';B~\';k;lt;:!i'--;!;"j".":}Ji;;'f_~;'~JrJ..fffi~<.'~l'.~:f~:q.:tit.1i%'im~?~";r-~10"':~",~l;;;;,~,:pp~~~fi;~gjgf;\:'Tl:'i~
S t f S EI t D ";'\" ran-ch"CH'Cuitif~~!.*;"','-"0-';i':'\~'\'1,!:;\'-:~,.."'.-;7'..-.1'$:~1':.:~,.ii'{;X@"';F~~"~':~~]'Z-',;"-",;r.'i'~,~'j;~'
igna' urn o. upcrvising ec rician .. 1~4.i\,f;\:<~',~';"'i>;;>,-;&~)'!<";:i:.tl~WW,~~,':~~}~1~Wt';'~g:~-1~;;;?,;;'j:~~~;'!:~iht~\~At~i~-w&:#1~'&'!$~,:~tJ
/ .4 ~. /' . /Y , New Alteration or Extension Per Panel
/-;f;;u7 4'5~~L/~ -A OncClremt.." - ',."" $4800,.."..
- ,::7 (' _ \ _ ./' ' Each AddltlOnal CirCUit or WIU,
O,mers N~ll'~'\~\_ ,~~ \ \ \O~ '- _~:;'~:";i:>>:QJ:L~~:~'~~;?'!~~I"C~,,~a~':'~ "",~~,,~~!>,,
Address ll\) I\. ,"Yl Ul t"" W E. ~~~!!fJR~fHT&,'l11IDfM11!'SfiAlt',~fthJt'1E~
City()\'\.~F\tftf' - Phone -. 'PlUllP or irriga~WHORIZED UNDER THI$,~~MIT IS_ NOT
. ~ " SignlOutlino L~h\M~ENCED OR 15 AB~E(i fUll
OWNER INSTALLA~ION Limit~a Energ~XiJ~gaPAY Ptl1lUU, $ 28,00
The installation is' being made on property I own which Limited Energy/Commercial $ 50.00
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
O~l1ers Slgna-=~~sN~~;:~~n~~~h~eg~:~~~~~~!!~!~5~~~.tK..\iI -Sf:i>S~f-\
NOlmcatlOn !jemer. I nose rUles are set forth 00/0 Administrative Fee 5', "10 !),",\ 0
In OAR 952..o01-G010throughOAR 952..001.;;% Technology Fee ,..;2" 7"') '2..~
0090. You may obtain copies of the rules by La .%5"'1'7 ;,U}
Inspection ReqoallinliJ2thlJ7C9nter. (Note: the telephone TOTAL VI, u..' V'\
number for the Oregon Utility Notification . Sh",d D';';'1T)'Bu;ld;ng Fo'msIEk,~;col Pmn1t Applicoj;on I-DS,doc
Center is 1-800;-332-2344), ~ ,
,"',.
Status
Issued
CITY OF SPRINGFIELD
:Building/Combination Permit
PERMIT NO: COM2008~01503
ISSUED: 10/03/2008
APPLIED: 10/03/2008
EXPIRES: 04/03/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone '
541- 726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3002 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703220002300
SPRINGFIETYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Temporary Power for Construction Trailer
Commercial
Owner:
Address:
GA TEW A Y MALL PARTNERS
110 N WACKER DRBSC 3-04 ATTN PROP TAX ADMIN
CHICAGO IL 60606
I CONTRACTOR INFORMATION.
Contractor Type
Electrical
Contractor
LR BRABHAM
License
8699'
BUILDING INFORMATION I
Expiration Date
12/18/2010
Phone
541-747-6638
# of Units:
Primary Occnpancy Group:
Secondary Occnpancy Group:
Primary Construction, Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd FI~or:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
, DEVELOPMENT .~NFORMA TION ,
Front yard Setback:
Side 1 Setback:
Side 2 Seiback:
Rearyard Setback:
SoJaI' Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot,Coverage:
,
REQUIRED PARKING
Total:
Handicapped:
Compact:
I ~UBL1C 1MPROV~MENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I .valuation D~scriotion I
Description
Tvpe of Construction
, $ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 01'2
Status
Issued
CITY OF SPRINGFIELD'
;Building/Combination Permit
PERMIT NO: COM2008-01503
ISSUED: 10/03/2008
APPLIED: 10/03/2008
EXPIRES: 04/03/2009
VALUE:
225 Fifth Street, Springfi~ld, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid.
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge,'
+ 5% Technology Fee
Temp Power 200 amps or less
Amount Paid
Date Paid
Receipt Number
$5.70
$6.84
$2;85
$57.00
10/3/08 ,
10/3/08 '
10/3/08
1013108
1200800000000001033
1200800000000001033
1200800000000001033
1200800000000001033
Total Amount Paid
$72.39
I Plan Reviews 1
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, inspectio'1s requested after 7:00 a.m. will be made the following
work day.
, Reauired r' <oections ,
~lllllrl I" ,UiAII
Temporary Electric: Approval reqnired prior to Utility Company energizing pole.
By signatnre, I state and'agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is trne and correet. 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 structnre without permission of the Community Services Division, Building Safety.
I fnrther 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 reqnired inspections are reqnested 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 Signatnre
Date
Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM200S-0 1503
COM200S-01503
COM200S-0 1503
COM200S-0 1503
Payments:
. Type of Payment
CreditCard
cReceioll
RECEIPT,#:
, Description
Temp Power 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
,+ 10% Administrative Fee
Paid By
LARRY BRABHAM JR
LR.BRAB
City of Springfield Official Receipt
Development Services Department
Public Works Department
120080000000QOOI033
Date: 10/03/2008
, Item Total:
Check Number Authorization
Received By Batch Number Number How Received'
IIh
0]3010 Phone
Payment Total:
Page I of 1
7:58:38AM
Amount Due
57,00
2.S5
6,S4
5,70.
$72.39
Amount Paid
$72.3?
$72.39
10131200S