HomeMy WebLinkAboutPermit Electrical 2008-11-5
CITY OF SPRINGFIELD
Building/Combination Permit
.II
Status
Iss u ed
PERMIT NO: COM2008-01625
ISSUED: 11/0512008
APPLIED: 11/0512008
EXPIRES: 05/0512009
VALUE:
"
225 Fifth Street, Springfield, OR
541-726-3753 Phone .
541-726-3676 Fax
.541-726-3769 Inspection Line
SITE ADDRESS: 422 S68TH PL
ASSESSOR'S PARCEL NO.: 1702344400707
Springfield TYPE'OF WORK: Electrical Work Only
I
TYPE 'OF USE: Addition
Residential
PROJECT DESCRIPTION: Install circuits to hot tub
Owner:
Address:
BURNETTE BRYAN K & SHAUN R
422 S 68TH PL
SPRINGFIELD OR 97478
I. CONTRACTOR INFORMATION ,
,
Contractor Type
Electrical
Contractor
LR BRABHAM'
License
8699 :
BUILDING INFORMATI~NI :I
Expiration Date
12/18/2010
Phone
541-747-6638
# of Units:
Primary Occupancy Group:
Secondary Occupallcy 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 Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
II/a.
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
FrontyalllQ1tlJ.l!i;: Overlay Dist:
Side I selhY~PERMIT SHALL EXPIRE IF THE WQIS~eet Trees Rqd:
Side 2 SEMh'ffiORIZED UNDER THIS PERMIT IS tiQ~ed Drive Rqd:
Rearyan!;~~nM~CED OR IS ABANDONED FOR % of Lot Coverage:
Solar SeWMIjk':80 DAY PERIOD.
Street Improvements:
Storm Sewer Available:
Special Instruction:
\~~
~\~
Total:
ATTENTION: OregonWaW(li'cgp~.\'&: youto
follC)w rules adopted C'blntwab!~8gon Ulllity
Notification Center. Those'rules are set forth
in OAR 952,001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
I PUBLIC IMPROVEMENTS I c~nmg me cemer. ll~O(e:. me le'''flIJU''''
. . number for the Oregon Ulllity Notlflcallon
" Sid.QOOt<er:tioJ-800-332-2344):
Downspouts/Drains:
Notes:
I Valuation Descrintion I
Description
Tvpe. of Construction
$ Per Sq Ft
or multiplier
"
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2 il '
_'?1~!!~;!:\F.:,l~.PJ:..;_
f: ,
~I' ,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726.3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid
$5.50
$6.60
$2,75
. $,,50,00
$5.00
$69.85
Total Value of Project
Fees Paid I
Date Paid
11/5/08
1115/08
1115/08
11/5108
1115/08
I Plan Reviews I
CITY OF SPRINGFIELD
"
Building/Combination Permit
,. .
PERMIT NO: COM2008-01625
ISSUED: 11/0512008
APPLIED: 11/05/2008
EXPIRES: 05/0512009
VA.LUE:
,
,
Receipt Number
2200800000000001612
2200800000000001612
2200800000000001612
2200800000000001612
2200800000000001612
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 afte~ 7:00 a.m. will be made the following
work day.
I Rellllired T nsnections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I ha~e c~refully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with
the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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 prope~ time, that each address is readable from the
street, that the permit card is lo~ated at the front of the property, and the approved set of plans willl'emain on the site at all
times during construction.
Owner or Contractors Signature
Pa2e 2 of2
Date
City of Springfield
Electrical Authorization To Begin Work
"
E-mailedTo:bhalada@quixnet.net
Receipt # EC541366
1115/2008 10: II :32 AM
Check on status of permit :1
By Phone: (541)726-3753 or Em.i1: permitcenter@ci.springfield,or,us
ID New construction
IX] Addition/alteration/replacement
11,000 sq. ii, or less
I Ea. addl 500 sq, ft. or portion
[KJ 1 or 2 family dwelling
DMulti-farhily
D Commercial/Industrial
IJob no.: ,.7301 IJob address: 422 S 68TH PL
ICily/State/ZIP: SPRINGFIELD. OR 97478-7304
I Suite/bldg.Japt.no.:
I Project name: BRYAN BURNETTE
Cross street/directions to job site:
I Subdivision:
ITax map/parcel no,: 1702344400707
ILot no.:
I - Limite~ energy, residential
(with above Sq, ft.)
1 . Limited energy, multifamily
residential '(with above SQ, ft.)
.1 - ~iinited,erieigy, commercial
(wIth above Sq. ft.) .
1 - Stand-alone limited energy,
residential
1 - Stand-alone limited energy,
multi-family
I - Stand-a~onc,limited energy,
commercial
CIRCUIT TO HOT TUB.
I 200 amps ,or Jess
120] amps io 400 amps
1401 amps ;0 599 amps
IName; BRYAN BURNE'nE
I Phone: (541) 726-7561
I Email:
I Fax: 726-7561
1200 amps or less
201 amps 1'0 400 amps
140] amps ~o 599 amps
![~iI~W]lli:~~~~:,:1~~t~~1l1~o~;j?&~!~~tf~l:~5Bpl~n.~~Jjt ;'1
I A, Fee for:branch circuits with ~ 1 I
service orirot'l'~'!'IeN: Or gon la requires you to
branchclrfll1l. I J. J I ...... ."".~-
I B.Fce lorlbHri\ctiYcitl!tl8~ Q V.HO vy f 10 ......$~b.d \..Ii~~~O
w;lhmlt ,j,kjillmaWlIlfIrG.enti r. Those rules ate set forth
firstbra~dlza"'JJ..n1_r'i1Iith 'It;?-001-
I e"h 'dum~ eml. 111.31{ .')1 M.ir !'m1.RS.,0.AA\lIlI ("Ie.rh'll:
1;~tiSfeilifn'''~I.I''I':t;''"&t.h~e. icu'e"ntUer.!%U('KiQ,'ufe~+i'("e'tfele:lhone';:.
'"'L~"""WC:::,.:":,,,,:':"''''-.:1 '..l\t~.". .". :. . ...... t~...... ,.",UL J;. "'..._
Service ce<l3bliOiooryfor the (i)regon U[tility Noti ication
Each man~factllred ol.fJ9;flat:&f IS l-tiUU-;j;'I'ii:::-~;j44J.
dwell mg. servIce and/or feeder
I Pump or irrigation circle
I Sign or out.line lighting
Signal circuit(s) or limited-
energy pane], alteration, or
extension. "
lEt Ue, no,: IJ;I - r -H~WI~(itm.w~RK
IBn',"essName:~Ifb,~~lllN\' -- - S FTr.rllT IS N:}T
I Conhlc\: LARI\\lWABID!~EO UNDtn I HI I ,
IAdd"'" 68 vM51/111v1EN~ED 9!1_18 ABANDDN[3 rar.
ICi'Y/Slale/zIPf\l~Il'niit\hlffllR Ij'M~.Y,1&
1 Phone: (541)7476638 IFax: None
I Email: bhalada@quixnet.net
I Metro lie. no.: ICity lie. no.:
I Supervising electrician's lie. no.: 49445
I Supen-ising elcctricia.n's name: LARRY R BRABHAM, JR
Upon review.and approval by your local jurisdiction, your
permit will be e.mailed or faxed within one business day,
with instructions on how to schedule your inspection.
I
I
I
I Jr
'City Of Springfield fees:
'C~O';"'"I
"'.'." ",.;, .-,
Subtotal I $55.00 I
State Surcharge (12% of permit fee) I $6.60 I
City Of Spnngfield fees" $8,25 I
TOTAL PERMIT FEE $69.85 I
] 0% Administration Fee; 5% Techno]ogy Fee
NOTE: This Authorization To Begin Work 9xplres within 180
days If a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null arid void if it does not
meet applicable land use laws and local ordinances.
COYY1d.OO8 - 011l2.s
'I
oo1)UK, ,Co I ;r
".n. 0 /'
ll,:~
1(09S\OO
This Authorization To Begin Work. must be posted at the jobisite until replaced by a Permi!.
'I
225'Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~r.,-. ~'~'!F.'.~jj.'!~~_~'...l.
~.~ ..
.:...." '...
-,,,-.: ...
._C~. ~,,_._-
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM200S-0 1625
COM200S-0 1625
COM200S.0 1625
COM200S-0 1625
COM200S.0 1625
Payments:
Type of Payment
ONLINE CHGS
cReceint I
RECEIPT #:
2200800000000001612
Date: 11/05/2008
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Totat:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE LR Online
BRABHAM
INC
Payment Total:
/
Page 1 of 1
10:31:56AM
Amount Due
50.00
5,00
2.75
6,60
5.50
$69.85
Amount Paid
$69.S5
$69.85
11/5/200S