HomeMy WebLinkAboutPermit Electrical 2008-12-22
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01798
ISSUED: 12/22/2008
APPLIED: 1212212008
EXPIRES: 06/2212009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4475 DAISY ST SPACE 95
ASSESSOR'S PARCEL NO.: 1702323406500
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Electric service relocation @ sp#95
Owner: COUNTRY MANOR LTD PTRSHP
Address: 7007 SW CARDINAL STE 185
PORTLAND OR 97224
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
LR BRABHAM
License
8699
BUILDING INFORMA TlON I
Expiration Date
12/18/2010
Phone
541-747-6638
# of Units:
Primary Occupancy Group:
Secondary Occupancy 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 Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
II/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
ATTENTION' 0 '
fnllnl" .....'~ . regon law rt:1n,,;..__
I PUBLIC IMPROVEl\1]';N:fSII ,; c~~;~~'~~ by the Oreg~~ l;;iI;~
"vv2-001 r"~n ose lules are set torth
0090, You ma S'dewalli.I'l1Y1',e; OAR 952 0
cal/' y Obtain coo;o, n' 'h - 0 l-
Ing the ceDo>>:n,pouts/Drains:~ rules by
nUmber tor the Ore' 'V,"", rne telephone
C gon Utility N t't'
enter is 1-800 33 0 Ilcation
- 2-2344).
Total:
Handicapped:
Compact:
Street Improvements:
.;., CjIICF...
Storm Sewer Available:
" ~ n-p"IT
SpeclllllllstmctlOn: SH'A
. . "UR/ "LL
COMA ZED UN EXp/R
Note~:fvV' /fENCED DOER THIS E IF THE ~
180n~\/~ RISAO,., PERMrr._ DRK
. eN/DO 1"uUNE .\. '~:Jt
, D F~fWaluation Descriotion I
Description
Type of C"'Oiistrnction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Vallie
Date Calculated
Page I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01798
ISSUED: 1212212008
APPLIED: 12122/2008
EXPIRES: 06/2212009
VALVE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pa.irl I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$7.30
$8,76
$3,65
$73.00
12/22/08
'12/22/08
12/22/08 '
12/22/08
3200800000000000802
3200800000000000802
3200800000000000802
3200800000000000802
Total Amount Paid
$92.71
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. Reouirerl htsne~tion~ I
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, an'd 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 withont 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 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
Date
Pal!e 2 of2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:bhalada@quixnet.net
Receipt # EC543989
12/22/20082:29:52 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
l{iji:f~~ir~K!~~~~I~~~lt"lilf~1Q~:..i.:V~~ :~;~~~(:~~~A"::~~t:~\f ~-~,JI
10 New construction [X] Addition/alteration/replacement
l'it'~~~i~.q~~!~~~~~J;~~IEG9Eyrgf~S9i!f~Q~!If[N~~t:i~~l3~:;~~" "
IlK) I or 2 family dwelling 0 Multi.family D Commercial/Industrial
IJobno.: 7369 IJobaddress: 4475 DAISYST
I City/SlatefolIP: SPRINGFIELD, OR 97478~6656
I Suitelbldg./apt.no.: SPC 95
I Project name: COMMONWEALTH REAL ESTATE
Cross street/directions to job site:
I Subdivision:
ITax map/parcel no.: 1702323406500
ILot no.:
ELECTRIC SERVICE RELOCATION @SPACE#95
I"., ~, '.~ Jll;".'_, "','""'~"W- '''''''-,-'~, ..'.., ".""''', s.'-'.'- ",' " '.',''',''''''''''
;~- ,"f~:i' t~r.lt..'jf:r~,~.tf;i"'-J~-~.:?f1"JtS!!~~~9_~T~EJ~":,;,;:::' ':;1'&~"~ >;::.0'" ", :!.>~+l',:,.;it '" of";;_'
IName: DAVID, SITE MANAGER
I Phone: (541) 953~1452 1 Fax:
jEmail:
1;~~c:s~f~ttBf{~:;;~~?:f~~~C2])~~C,T9ft~~~~:~r~:~~L
110:1. lie. no.: 20.87C I CCB lie. no.: 8699
I Business Nllmc: LR BRABHAM INC
I Contact: LARRY BRABHAM
IAddress: 68 W Q ST
ICity/StatcfLlP: SPRINGFlELDOR 97477-2]42
!I'hone: (54] )7476638 I Fax: None
I Email: bhalada@quixnet.net
I Metro Iic. no.: I City He. no.:
I Supervising clcctrician's Iic. no.: 4944S
I Supen1ising electrician'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..
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may detennine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
1~~J~;.~~~~ri4f:~~~~Ii~~_~E-~U~~{.i@~~~:~~~
I Description Qty. Ea. J Total
I;R"Csj,(Jrllthlf,SI1'12~ti~R;multr:ftlniil},'~d"~,'lIjn,g,unl~liiClii'des
Jt{~fl~~g~iMEEj:~~ft~1~~i~~-1~,<~~:,"~:" .-/$
I 1,000 sq, ft, odess I I j I
I Ea. addl 500 sq. ft. or portion . I
I^'p.". '~"-'''",.,H..~'''''',''''!.,_''\,,_''''''>I
t~~TJ.t~:F~n~~~~i:~f;;j1':;,\44~ ,tf,1~f "'$~;'ir.:':]'~iJ~:~'~;fm~;.~/:t~~:?
I-Limited energy, residential I I
(with above sa. it.)
I' - Limited energy, multifamily I I
residential (with above SQ. ft,)
I . Limited energy. commercia] I I
(with above SQ. fU
I ~ Stand-alone limited energy,
residential
I - Stand-alone limited energy,
multi-family
I - Stand-alonelimited energy,
commercial
[Csr~f~~! QRW~-.!ry'i~s!~!Lli!,f~JSi1!t~;;~jo,lii_;I~'R!p~ft~i~eti~lr..~-~.
1.200 amps or less $73.00 $73.00
I 20 I amps to 400 amps'
1401 amps to 599 amps
I'TE~IPORARY senic.cs OR~feeders'instJlllatikn;;allera~i.~ - -.'
.~-. "~";-P "I '};..... "->.v"''''' ~""""i?:(~~~~"
,~~D/O!l~lo",c:Jt~l!.!l .. ~. ~:...", ~,!f~'f:illif.Jri(~d':;M(;~ "f~:L"Xwij..'/,'. '.,"
1200 amps or less
120] amps to 400 amps
1401 amps to 599 amps
I;Br:fnt;h'cirCuHS~NE\V','''riite;ation,''OlfexiCnsion'/i>er;p'anel~11:':,"> ~. ~I
:=;:;;,:",., '''.~~~"",Ylttk'''''''.o.-;., ~. <c.=~\~__'",_<,~_^~".'":,"~,:"_<""",,,,,,o:!'!,,",,<"~'. - t
I A. Fcc for branch circuits with I
service or feeder fee, each
branch circuit.
B. Fee for branch circuits I
without service or feeder fee,
lirst bmnch circuil:
each add] branch circuit I
1 '-"-:, ,."-...._--~....'''-~'''~.- "';-:.>;..,.,. ''--'''--~-=''~''--'1:'''~,,"''~'.\:'''''''"4;''-' I
:~iis~e~II.!!l~~~1!~'-A'1, :~~i-" '--:;:!~i4h:', ;;:~-:i1J~~~f~.: ~ f;//::'_'
I Service reconnect only
I Eal;h manufactured or modular
dwelling" service and/or fceder
I Pump or irrigation circle
I Sign or outline lighting
I Signil] circuit(~) or limited-
energy pane], alteration, or
extension.
11I~~;,',i"i~.;'':''EL~~t:Rfi:A,L P~~I\lI(F~g~'~@~;J.;;:~'"
I Subtotal $73.00
i State Surcharge (12% of permit fee) $8.76
I City OfSpringlie]d fees" $10.95 I
1 TOTAL PERJ\IIT FEE $92.711
.. City Of Springfield fees: 10%Administration Fee; 5% Techno]ogy Fee
Cern';;! tlOa ~ 0 17Cj 6'
I)..-J")-O ~
Nr-^'
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
Job/Journal Number
COM2008-0 1798
COM2008-0 1798
COM2008-0 1798
COM2008-0 1798
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
,
3200800000000000802
Date: 12/22/2008
Description
Perm Serv/Fdr 200 amps or less
, + 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee'
Paid By
ONLINE PERMIT CHGS
Item Total:
Checl{ Number Authorization
Received By Batch Number .,Number How Received
njm ONLINE brabham Online
Payment Total:
Pagel of 1
2:58:25PM
Amount Due
73,00
3,65
8,76
7,30
$92.71
Amount Paid
$92,71
$92.71
12/22/2008