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Home My WebLink AboutPermit Electrical 2009-3-3 City of Springfield / , i_oRELO "."",._,-,.- Electrical Anthorization To Begin Work' E-mailedTo:bhalada@quixnet.ne! Re~eipt # RC54758'(, (AV; 3/3/20098:29:12 AM Q /'f- . \. l Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springlield.or.us I-Limited energy,'residential . (with above so. ft.) I - Liniited eneigy~ 1l1ullifamily residential (with above sq. ft.) I' - Limited energy, commercia"1 (with above SQ. ft.) I - Stand-alone limited energy, residential I - Stand-alone limited energy, multI-family - Stand-alone limited energy, commercial [$!:ftg~2){lt~~(E:~i}n}X~Il~~iiMt~l!~it!~!i~~Bg'(9J~:~E~.c@~-R'i?'}J! 1,200 amps or less [2] 120 1 ~mps to 400 amps (2] 1401 amps to 599 amps [2] 1~~~~i~Efri~~Iro~~~;~i;c~~~*:H:~~~?l~~r~~}~~::if:~~1 1200 amps or less [2] I 1201 amps to 400 amps [2] I I ;:::: ~~II ~7:;:~;~8 I fa>: 746.7808 I 1~0;.[~:;;~:~~"&;}~~li~:~,i!2€~o~:!€\e~si6nLpc,f paP,'!I[.i=. I :;:~~~t':;~lli~~~~!!iMrJ;iSMt~I'tfflIE%iFJ}THE4W(jRK,~~~~1 :fiE&~~;~~~~I~Olb;7h~li ~~~E~l i~~f; I lEt lie. no.: 20.{,ClTHORIZED UNDERllTfIIgcP'ERMfl" IS NOT . '~itU~aA~~g~~1ItO,O'1OIhrOUghl ~Ail~1;~oo1}5500 I Du,"n." N.me:CO!~MjjfiKJfl!)C()R IS ABANDONED FOR I t1,>flfrlih'ilb eVOlil m~v nht~i "Mil'. , If th" rlllE . hy Conlac" LARiA'r~l{A1l8&1)AY PERIOO I l,achae.<!lJlir.l'I}'lht4veutsenler. INole: lh!, lelepho1!\ IAddre,,, 68 W Q ST I ;A!il1!l~!~rpfi:jr,tl'iElLQlg9Qil!Wtllitw~otificationf~J:~ ICity/S""e/ZIP: SPRINGFIELD()R 97477-2142 I I SctVicereconn~eli1~!l!2iS 1-S00-332~2 344). I IPhonc: (541)7476638 I Fax: None II Each ~ariufac~uredor modular I . - dwellmg, servIce and/or feeder I Email: bhalada@quixnet.net 1 r21 I Metro Ik. no.: I City lie. no..: I I Pump or irrigationcircle [2] I I Supervising electrician's lie. no.: 4944$ I I Sign-or ,outline lighting [2] I , Signal or llmited- ! I I Supervising electrician's name:" LARRY R BRABHAM, JR I or 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. . . , D New construction lliJ Addition/alteration/replacement 10 I or 2 family dwelling 0 Multi-family [K] Commercial! Industrial l~f~~t~kii~t~l{~~BI~!T~1LN,~Q~M~Ti[N1\~]~io;~~~JQ~'~~1f1ir.r.J~~$~1 IJobno.: 7453 IJobaddress: 631 WCENTENNIALBLVD I I City/Stllte/ZIP: SPRINGFJELq, OR 97477-2833 I I Suite/bldg.lapt.no.: I 1 Project name: SUNNY DESTINATIONS I Cross s'treet!dircctions to job site: I Subdivision: 1 Tax map/parcel no.: I Lot no.: 17032743QS805 CIRCUIT FOR TANNING BED ~OTE: This Authorization T~ 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. ~oC\ ro \'if ~ Description I Qty. I [a. J Tutal I I~ReSideniiiil 'SINGE.E::O.R;muiH:.filffiiiY:dweiiing-ullit,": Inchjdcs~',_:\tl,~; 1~.:,"",....,~...:".....,.0;'~" .(;.,,, .... .:"'''"''~'~'~''+''' -".-~".,:' :. ."1.... ~~., '4."';-';'"-<",, 'idtachcd:"ga'rage"'* '.'. '''',.i::5;:;'''S~+ :" ...-n, ..'~.c-',.- ...'.."",~--" ._";.;'",, '. ,_ < "" ,. _...., _,,,,,,' _,0.m~ .m:..., .. :%"~<fl4'~.,,; ~,.t:"':., .),;,,01;:::;, '''':';:~ :~ .";A.-l\",&,.0:'~,.I;.': I 1,000 sq. ft. 0,liss[4] I I I I I Ea. addl 500 sq. ft. 0' ponion I I I I Inot offered online at this jurisdiction I I I I I I I I I I TOTAL PERMIT FEE .. City Of Springfie1cl fees: 5% Technology Fee /~q":b2~e5'aIlOW~~ ~f3 \ en Subtotal Minimum.fee used inslead'ofSublOtal State Surcharge (12% of permit fee) City Of Springfield fees" $55.00 I $58.00 I $6.96 I $290 I $67.86 I This Authorization To Begin Work must be posted at the job site untilrep'aced by a Permit. , ! . _ n \;)~ c..:'"'\L-t. rI L/ '3 ~~'( fI (i\ ~ CITY OF SPRINGFIELD ,Building/Combination Permit . PERMIT NO: COM2009-00295 . ISSUED: 03/03/2009 APPLIED: 03/,0312009 EXPIRES: 09/03/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 631 W CENTENNIAL BLVD ASSESSOR'S P ARCELiNO.: 1703274305805 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Circuit for tanning bed Owner: CENTENNIAL SHOPPING CNTR LLC Address: 331 FILBERT ST SAN FRANCISCO CA 94133 , CONTRACTOR INFORM~TlON I Contractor Type Electrical , Contractor , LR BRABHAM License 8699 B~I~D1NG INFORMATlO~,1 Expiration Date 12/18/2010 Phone 541-747-6638 i I. # of Units: Phmary 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: nla .Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: IliQUlRED PARKING Front yard Setback: Overlay Dist: Total: Side I Setback: # Street Trees Rqd: Handicapped: Side 2 Setback: Paved Drive Rqd: . '<rg.wP~J:t.. to Rearyard Setback' , % of Lot Coverage: ATTENTION: Oregon. yUtres you. . NO'lICE' follow ruies adopted by the Oregon Utility Solar Setbacks: . . .' Th I are set forth TIII'= nr-n\"T NJ" I ['vnlO[' II: TUr: wntll( Notification Center. ose ru es _ _ _ _ __ .... ".-...... _...._-~- 'nOAH8b~~UU1.UUIUllIIUU'::tllVn.'I>J.....,-..........1 AUTHO~IZED UNDER THISI P~M.t ':iS1~Y4)VE,MENTS ~090. You may obtain copies of the rules by Street ImprovelnQ/ilJiAENCED OR IS ABANDONW l-UK . caISil\}iIlaWf9/M (Note: the tele~hone LlMV 1 AQ DAY PERIOD. number for the Orellon Utility Notification Storm Sewer AvYil~bl~ DO"e~IW~'liPf'OOU-332-2344). Special Instruction: I DEVELOPMENT INFORMATION I Notes: I Valuation Description ,I Description Type of Construction $ Pcr Sq Ft or 'multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 00 -~-","'.A.'!'N...,(il,-..-..I!!"..'IlII,;,"".'iii'.. ,...........,.....'..... !i~ ",~ i:'" ~1~ ::; .:- ..........! , "'; '. " .... "..,. -., ~ .J Status Issued. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00295 ISSUED: 03/0312009 APPLIED: 03/03/2009 EXPIRES: 09/0312009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pair! I $6.96 $2.90 $58:00 3/3109 3/3/09 3/3109 Receipt Number 3200900000000000138 3200900000000000138 3200900000000000138 Fee Description + 12% State Surcharge' + 5% Technology Fee , Add, Alter, Extend Circ' Amount Paid Date Paid Total Amount Paid $67.86 I Plan Reyiews , 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 Re/luirer! Insoections I Rough Electric: ~rior to Cover Final Electric: W~en all electrical work is complete. By signature, I state and ,agree, that I have carefnlly examined the completed, application and do hereby certify that all information hereon is trne and correct, and I further certify that any and all work performed shall be done in accordance witb 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 ~ilI be made or 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 tbe proper time, that each address is readable from the street, that tbe 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 constructio~. Owner or Contractors Signature Date Paee 2 of2 2i5 Fifth Street Springfield, Oregon 97477 541426-3759 Phone Job/Journal Number COM2009-00295 , COM2009-00295 COM2009-00295 Payments: Type of Payment ONLINE CHGS cRecdotl RECEIPT #: Descr,iption Add, Aller, Extend Circ + 5% Technology Fee , + 12% Statc Surcharge Paid By ONLINE PERMIT CHGS i I ., r~~~;iiI .-.: , City of Springfield Official Receipt Development Services Departmenf Public Works Department 3200900000000000138 Date: 03/03/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE LR Brabham Online Payment Total: Page 1 of I 9:12:26AM Amount Due 58,00 2,90 6.96 $67.86 Amount Paid $67,86 $67.86 3/3/2009