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Home My WebLink AboutPermit Electrical 2008-11-12 L.M ~ J t-l" ,.o~ II' \3q,1l'7/ , f'l\V ,,- Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax ,541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01648 . ISSUED: 11/12/2008 APPLIED: 11/12/2008 EXPIRES: 05/12/2009 VALUE: SITE ADDRESS: 1175 CENTENNIAL BLVD .. ASSESSOR'S PARCEL NO.: 1703264412000 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Replace meterlmast Owner: HALEY VIRGINIA K Address: 1175 CENTENNIAL BLVD SPRINGFIELD OR 97477 TYPE OF USE: New Residential I. CONTRACTOR INFORMATION 1 Contractor Type Electrical Contractor LR BRABHAM License 8699 BUILDING INFORMATION 1 Expiration Date Phone 1211812010 541-747-6638 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: RangeType: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION 1 I PUBLIC IMPROVEMENTS I :A"<'?',,~(.',nnB-' SI J81U8'" ,S,dewalk-TYRe:' >, " flr.!1';~'!i'I(JN ('HIli UOB8,lO 841 101 18qwnu , 8UO'lDo)Vl1sp<juts/Elr,ailll.:1U80 841 BU!II110 ~,saln1 84110 S81900 U!lllqo AllW nOA '0600 -tl00'1:S6 8'10 4Bn01410~00-~00-1:96l:1VO UI 1IiWOl18S 8m S81n! 8s041 '181U8:) UO!lllO!I!ION &limn ~OB810 841 Aq p81dope S81nJ MOllO! I_"~"'~'>J'"'''''' mOI'u"u",u 'I~UW'l;UJ,V Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: , Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: '" .. Notes: NOTICE: fll;:' ;;:::~,;v1ff";';;~~~ ~~r;;'~ ii- ~ n~ "'" 'nft AUTHORIZED UNDER THIS PERMI'MfltNamn Description COMMENCED OR IS ABANDONED ~LlK DescriptiV~Y 1801%)( 6lflRJOOr-uction $ perl~q I~t . . or mu tip lei" REQUIRED PARKING Total: Handicapped: Compact: Square Footage or Bid Amount Page I of2 Value Date Calculated Status Issued 225 Fifth Sfreet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541~726-3769 Inspection Line Fee Description + 100;. Administrative Fee + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Total Amount Paid Amount Paid $7.30 $8.76 $3.65 $73.00 $92.71 Total Value of Project Fees Paid 1 Date Paid I Plan Reviews , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01648 , ISSUED: 11/12/2008 APPLIED: II/12/2008 EXPIRES: 05/12/2009 VALUE: 11112/08 11/12/08 II! I 2/08 11/12/08 Receipt Number 3200800000000000741 3200800000000000741 3200800000000000741 3200800000000000741 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 Rellllired Tnsnections 1 Electric Service: Approval required prior to utility company energizing service. 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 ofthe City of Springfield and the Laws of theState 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 witb 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. Owner or Contractors Signature Page 2 of2 Date City of Springfield Electrical Authorization To Begin Work E-mailedTo:bhalada@quixnet.net Receipt # EC541824 1I/12/2008 10:39:04 AM Check:on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us . ] or 2 family dwelling o MuJti~family o Commercial/Industrial 11,000 sq. n. or less I Ea. add] 500 sq. [1. or portion I 0 New constmction [] Addition/alteratiowreplacement IJob no.: 7313 IJob address: 1175 CENTENNIAL BLVD I City/StaterL.lP: .SPRINGFIELD,OR 97477-3253 I Suite/bldg.lapt.no.: [Project name: VIRGINIA HALEY Cross street/directions to job site: I Subdivision: Tax map/parcel no,: 17032644] 2000 I Lot no.: - Limited energy, residential (with above SQ. [1.) I-Limited energy, multifamily residential (with above SQ. [1.) I-Limited energy, commercia"] . (with above SQ. [U - Stand-alone limited energy, residential - Stand-alone limited energy, multi-family ~ Starid-alone limited energy, commercial IfS~rvic-es~~~1f~~~mJ!~i~~lteii~~~~B~J:e:i?~atjo~~:~ff! 1200 amps or less 11 $73.00 $73.00 1201 amps to 400 amps I 140 I amps to 599- amps /MAST I Name: VIRGINIA HALEY IPhone: Email: IF,,: 1200 amps or less 120 I amps to 400 amps 140 I arnps to 599 amps I A. Fee for branch circuits with servIce or feeder fee, each branch circuit. I B. Fee for branch circuits , without service or feeder fee, first branch circuit:. I eachaddl branch circuit I EI. lie. no,: 20-87C I CCB lie. 00.: 8699 I Business Name: LR BRABHAM INC I Contact: LARRY BRABHAM IAddress: 68 W Q ST I Citf/StatelZlP: SPRINGFIELD OR 97477-2]4~ IPhone: (54])7476638 I Fax: None I Email: bhalada@quixnet.net I Metro lie. no.: '1 City lie. no.: I Supe~isiog electriCian's lie. no.: 49445 I Supervising electrician's name: LARRY R BRABHAM, JR reconnect only I Each manufactured or modular dwelling,service andlor feeder I Pump or irrigation circle I Sign or outline lighting I Signal circuit(s) or limited- energy panel, alteration, or extension. 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. Subtotal $73.00 I Stale Surcharge (]2% ofpennil fee) $8,761 City Of Springfield fees * $10.95 I 1 TOTALPERMITI'I<:E $92.711 * City OfSpringfie]d fees: 10% Administmtion Fee;"5% Technology Fee ~lh-J,OOi( -(~ l!,,'t,f' il -I 1../'2' 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 Workis'null and void if it does not meet applicable land use laws and local ordinances. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public WorkS Department' RECEIPT #: 3200800000000000741 Date: 11/12/2008 12:39:00PM ONLINE CHGS Paid By ONLINE PERMIT CHGS Item Total: Check Numbe-r Authorization Received By Batch Number Number How Received Amount Due 73,00 3,65 8.76 730 $92.71 Job/Journal Number COM2008-0 1648 COM2008-01648 COM2008-0 1648 COM2008-0 1648 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Payments: Type of Payment Amount Paid NJM $92,71 $92.7] cReccil1t\ Page I of I 11/12/2008