HomeMy WebLinkAboutPermit Electrical 2009-2-2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00152
ISSUED: 02/02/2009
APPLIED: 02/02/2009
EXPIRES: 08/0212009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2150 LAURA ST SPACE 105
ASSESSOR'S PARCEL NO.: 1703271004400
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Two new circuits for general use receptacles @ moliile home park shop. (The address
given is one space west of the shop - the shop itself does not have it's own space
number).
Owner:
Address:
WUORINEN CARL A,
2150 LAW LANE
EUGENE OR 97401
Phone Number: 541-870-7202 Pal
I. CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
LR BRABHAM
License
8699
BUILDING INFORMATION 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 Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:,
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Total:
Handicapped:
Compact: ,
ATTENTION' Ore '
follow rules ~do ?~n Jaw requires YOll to
Notificalirm I"^^'? e., by the Oreoon f IHlit,.
1/1 UAR 952 '00 1-00'1(j ti,u,":" JUles 81'e sol fori"
0090, You ma b ' ,Iough Or','1 05 J."1_
''''d' Ik T yo taln cnljl~o" 'h ' .
'01 ewa (; ype:,.... .... , ...", u : ;' r; '/ ,.I,' -,
.... --, '~IItl;::r. (Not,:,.. -jl- _, _ ~..
number tnr f-j.- ~ f"\ _ ...... l;: ',. ,A ~ .
Downspouts~raiii~:J:' I liUI' "',
"e""",,~~;, _ _
~fvJ ~
~~
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
!.: '~l""l j\ r.:
, ,J i '0.,,";:
'; ,." C)E'f"
'"Iv I - lil11T SHAll EX
',:.nHllRIZ~D PIRE IF THE WORK
COMMENCED ~~~~~~~~60ERMIT IS NOT
ANY 180 DAY PERIOD. NED FOR ,
Page I of 2
Status
Issued
225 Fifth Street, Springfield, OR
.541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amount
Total Value of Project
, Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Teclinology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount'Paid
Date Paid
$7.32
$3.05
$55.00
$6.00
Total Amount Paid
$71.37
I Plan Reviews ,
2/2/09
2/2/09
2/2/09
2/2/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00152
ISSUED: 02/02/2009
APPLIED: 02/02/2009
EXPIRES: 08/02/2009
VALUE:
Value
Date Calculated
Receipt Number
3200900000000000057
3200900000000000057
3200900000000000057
3200900000000000057
To Request an inspection call the 24 hoUl' 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.
Reollired I nsnections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examiued the completed application and do hereby certify tliat 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 of tbe City of Springfield and tbe Laws of the State of Oregon pertainin'g to the work described Iierein, 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 witli ORS 701.005 will be used on this project.
I further agree to ensure tbat all required inspections are reqnested at the proper time, that each address is readable from the
street, tliat 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
Pa2e 2 01'2'
Date
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:bhalada@quixnet.net
Receipt # EC54/i079
1/30/20094:02:16 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitceuter@ci.spriugfield.or.us
D New construction
. [K] Addition/alteration/replacement
[K] CommerciallInduslrial
IJobno.: 7416 IJobaddress: 2150 LAURAST
ICity/StutclZlP: SPRINGFIELD, OR 97477-7106
ISuitc/bldg.lapt.no.: SPC 105
I Proj.ect name: MONTA LOMA MOBILE PARK
Cross street/directions to job site:
I Subdivision:
ITax map/parcel DO.: 1703271 ]02100
I Lot no.:
TWO NEW GENERAL USE RECEP'IACLES @ MOBILE HOME PARK
SHOP, (THE ADDRESS GIVEN IS ONE SPACE WEST OF THE SHOp. THE SHOP
ITSELF DOES NOT HAVE ITS OWN SPACE NUMBER)
IName: JOHN SUTTON', PARK MANAGER SPACE #110
) Phone: (54]) 870-7202 I Fax:
I Email:
I EI. lie. no.: 20-87C I CCB lie. no.: 8699
I Business Name: LR BRABHAM INC
I Contact: LARRY BRABHAM
!Address: 68 W Q $T
ICitylStatclZlP: SPRINGFIELD OR 97477-2142
1 Phone: (541)7476638 1 Fax: Nooe
I Email: bhalaJa@quixnet.net
I Metro Iic. no.: I City lic.'no.:
I Supervising electrician'slic. no.: 4944S
I Supervising 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 determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
1,000 sq. ft. or less
I Ea. addl 500-sq, ft. or portion
I-Limited energy,
(with abOve Sq. ft.)
I-Limited energy, multifarnily
residential (with abOve sq. ft.)
I-Limited energy, commercia'l not offered online at this jurisdiction
(with above sq, ft,)
I - Stand.alone limited energy,
residential
I . Stand-alone limited energy,
multi-familv
I . Stand-alone limited energy,
commercial
1200 amps or less [2]
120] amps to 400 amps [2]
140] amps to 599 amps [2J
IC:EK!P,j:>.~~:~_,Y'.:=.'S~~~S',~.91(f~~d..,:~..,rs.':}n.'~,siaililH~Heratjopl
:~~QJtr:e!oSl~!!~~~~~~~+:1~L'%>"
1200 amps or less [2] I
I 20 I amps to- 400 amps [2. ) I
1401 amps to 599 amps [2]
I~BrnWcilrcTrcuiis~NEIvrafitrat'iOn?\bR\;;xtensiOii;fj)e;;p~I..gh~"1
,^'<I,,-,,- ,"'il,'0-_'."~C~"""''''''''''~=_''''~r_"""",,,J.'''''''~'''.'"'"''''''''',,~..A~'""''"~~
I A, Fee for br.anch Circuits with
service or feeder fee, each
branch cirCUIt
I B, fee for branch circuits
without service or feeder fee,
first branch circuit r21
I each add], branch circu-it
$55,00
$55,001
$6001
$6,00
Service reconnect only [2]
I Each manllfactu~ed or modular
dwelling, service'and/or f~eder
121 '
I Pump or irrigation circle [2)
I Sign or outline lighting (2)
I Signal circuit(s) or limited-
alteration, or
'I
1 Subtotal I
1 State Surcharge (12% of permit fee)
I' City OfSpriOlil1eld fees .'1
I TOTAL PERMIT FEE
. City or Springfield fees: 5% Technology Fee
[Default number of inspections allowed}
Co/YJ2009 _ 00/5:2.
~;k- 0 2...--CJ f
/7r;;...
$6100
$7,32
$3.05
$71.37 I
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
Job/Journal Number
COM2009-00 152
COM2009-00 152
COM2009-00 152
COM2009-00152
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Date: 02/02/2009
3200900000000000057
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njrn ONLINE If brabham Online
Payment Total:
Page 1 of 1
1:'57:llPM
Amount Due
55,00
6,00
3,05
7,32
$71.37
Amount Paid
$71.37
$71.37
2/2/2009