HomeMy WebLinkAboutPermit Electrical 2003-12-22
,:\225FIFTIf STREETi,:e,>:.:,,,;< ,;:! :i;z::Y:,,: ,'; , ELA<TCAL PERMIT APPLlC 0 ',.,
,~ \' SPRINGFIELD OREGON 97477 o(''it~Q; :,~%,,:' "i; +:~".;::J.:'"L( . ',' ,>,,;;;~TI ~,
." ,". ;: INSPECTION REQUEST:' 726:3i69"~~' ~ ~]f;: t~ ;CitY Joh N~n;hcr (W,~V::{0.:ic:Co.:i;t7D ,
...: :';~ li~FFJ~,il~J&jJlj~6~'~~~~f::j~jff~ii~i~!~j.t.
, [S ~JI X: jJ1e-/J1t/</A-L ~{)~) Multi-Family per dwelling unit.
LEGAL DEScRiPTION Sen'ice Included:
170Z 3~-OO o Lf!Oo. Items
~~6' !?~EJ-7llTlJ;Nn~;t'Al FIW ~tf ~~~~ :~::;i~~~~s~oo $106.00 ~"
-tJ: jO~': ~e~~;o~-~!s1::lI~ and~'Rl!OWi~9:;~~e~~~~:~~:'::t~~~~'9n~.I1~~~g $ 19,00 -:;~;::
':.:.>, if work is no(started within ISO gk~;~a~n c., Each Manufd Home or c,:
.. 01 fsoissduance ~f if work is suspended for Zoning ~~ MS odulcr D;"I~ ng ,,:":..,:,',...','L..,.~,:l,:,:,;,,':, '.".:",'.'.':,., $ 50,00 >~:,::'
. '>. ays,,;..\~;.; Dale 1 ~ - ~~ -<) ':- jce or ee er {:~,~., 'r,';;: ,..~k
',' .',..",'.'::', 2, CONTRACTOR INST ALLA1il~0NL>ilgnalure~: :- ..L" ,.,:":;:'"',;,:":,~.,,,..,,.,.,,l"~"""':~"~:i', ' ,
~ . I,! I I' Al " - \.".:-'::'~_. '. .... ,;;.'t'.,.",......(.... .. .-'.S:5.7":.,"
'~.,~, ~: Electncal ~~~;~acto/,~.~t. R. Brabham, Inc. :~~~~ai::~~~J ter~t!~~!~~~i.!~?t~~~f?i;;> .,.--,t~\\
~;" ',(,~~,,-~':,;:~. J' .', :{"'~~~6\F~t:~E~:~~, :':i~~'
"" '68~Wes-t:il'''Q''Str t""'~' ..' ,1,,""""'<1"1"'" ':~.<.
: "l' ." Address ,:,: "".-. C'",;, ee .~,"...". 200 amps or less:'; . ".},.,'iif,;'"L$ 63.00 ' . ",.~
+.~ ... , ...'" -, 1"-1-, ''''''_
'=2'i;':;,: ~~1: d;':~~~ ,~- .-,' . 20J amps to 40a'amp f~';-~~Jt1$075.00 , '~~'~j.:i
1tl~?~g' CitySprfn.~L;i~q:'~i::Pl10ne 711~~~?:.'~h1';_ :;%1:~~ 401 Clmpsto600'amp ~}!-t~';J~~r.~r$]::25.do "(c~,fj
,~";:.'rr.,,: . ""'-'~'.';J -~'I ",,'~ .'t. "1\~:r~'\"1",,~ /,' ",,_< /;~_~, .' ".~~,
~:'~'b'~. ,~~,i'f~~~~ "S:f~t:q ~' -. :\';<601 amps to-l 000 am ,~~~.~,';r:.J~:.,~$163.00 .f'~S~"
~tlt'~<{ -1::' '.- '''-;r.:o-t"- ....,<<;, ,.,;~ ,1'_ .W~~~~ "'l~,,"~"'- ',_~
:J:'~~' Supelvisor-License'Niiihber .4'9.4 ".~'Over 1000 ampSIVolls' '~:~;L~'I:i$3,75,OO ':;::;r;;;',
"'t':l~;.'. ~ 'l"~_~~" :~~~::-~f~l ~"'jj!i.r . ...-~ " ~'\^^"...: '~:'"1.'""'~':l'..t "'~:.... ". ~~~
"~Wl' p.~ ,!t~Y.f..;4irSf.:l ,,'t~}.~ "'~' ,'Ei~;?)~ 'R~connect. Only - ~,:(;~} 'rtk'i!i~ ;~ $ ~500. 00 ,;, t:i~~~
1~:"'1', E' "~~D""~'~" 1<"J?O:t.",Q'I/:.r(!Hji':-f' ~~'~,.,1''l'.;o''''l'.,~ ~ - ~ -:lr"~""';
,1'~~~;~ xplratJon ate ',_.....,.~ \. I., ,;:....0...) ~\~)I'>;h.r;."-;:-i;~/i.-;"" ;-:.;t)~-r ~..:~~""~
~1'~~J'~ ."..<,..' .....:;~.r':~t~,~ 'r,fui)\l, 1i;"i: ..'1.... '." '.'f':~;-::\"t': -l';c>",j;."1;<,;\':.'7 -"" j-; .~~j,;o
J,l-,,;t~~:;' '''.~~J,'~.~~j~~'~ "'~.J-.I;"~&'"~8~..'(4:;-"Kt rnporarvjScmces.., C)\'~':';"~1:;:~
;i:':"'""IJI 'I .~, ,(:""-"t .,.p2..',.....- ;.. ..~...'fh,.'~~ 6"09:- ~,~ ..,_ o~... ',,- ."..p~.~...'~",~:t:;......,,....?!C'.....,j, ,O~""'~ :;tt~
:i'~; 'i' .'Constr.Contr:-Number"'i~j '':;'',.. staUation; Alteration eIocatio '{'~"-'~I'!'r"":
:: ~- ~:l ' oi;~~,::~~:.:j:~~",~''{,;,,~ ~vfiif..i'Q1'~ ~'~)~4.:1L~f,~i" '~~ ,~;~:u.~.;~, '. ':i
\~~'~~\'''.".;~'t I( ~a".c:zJ$il8Zf04~ ~~',;"~"'~~~~;<f;' .,,,_,~-&..,..::o: t ?'1
C~~ : ~~~~~;:~xpiration Date. . T .,~_.r"n r,- T 09 .a;~.B~ '?5.'j~~ ~:- _ ~ . i$2Q.9Q :" r:'_::'
.',"'..."1~"..r"'.. ~. '201 amps to 400 am "".'''''''''..~4$69 00 ' ..,..'
:'~~'1~'g\,'i::;;"'-'::-'~t~. .. .. -::'-:t, ." .':lj.!!;': -~ :.~~ ~1';:;;;'-":'"::- ';;,.., "'"J~ ~,:~,:...t~
;~ ~_~;';~..'''.~:.''~srSlgnahu'c of SupcJ"'\'Ismg Electl'lClan i OVer 401.to 600 am'p~~::._ :~~~"J.i5.::~~~$100,OO ~'~:'l~:g
o' '"'_~:"'(;:;"~'~I, ':.1-'-r_O.~,..~~... ~~rc. '~,;:.t":l- """""'-;'" ,,;!' .....,';I~"'~
,:-,.~ :':~~.c ~'.;;;;"k~'7..:.,,\;.,~r'I'-:,:;. ,_ Over 600 amps or 1000"0 ts see~ '1. ....tli'~r.:B.
. , 'il!,~"';J.}1."':l-:;:'iY'"?i;~.~_~~.. r~ / ...._-.';:::~>!~;?~'. ",.~ ,:l..-t""!5 '-..::
:~" JI'.~~-~~~i";'~Jl...~,,!~;r "~:>"'\'<'~'1,.ii"a "BlI above ... a~\~J..j.'~~ -; :~.,: ....-.-:
'.~.': '\<?iii~';j::'I~J!:t,7\~" ~ ~itt~'~r.' ~,h" ( , _~ .Ji;-~)r')i',~.~ MItt
:';{~'~(1.1~~~~; -:> ' .:,. . }"'.'.: ". ~'. \ '. :iff '2JI~ -, ~-;,~,'
<t';..1t,i....~""-:...>'l~ '" ~ ~'" ,,: ~ ;, 0 -~. '.' ~. ....~ '/-,.,. o~ .~.:. "e~4t"'l>>
~-:~j.',?-;'.~;;~~.;i}P:+;"~..:-~~-' A~~j:~~)..-)--:. '.~' ~. ~ D. Branch CirCUits _ ..::~ ~ -i 0 .fh-;:~
}';' ~t:J~iv~;;i's a;;''i/f:S''''''ff/'~C:'' - .', - 'j)- WV7l!Je4 A~Cic'" Ait~r~tion or Extension\Pe(Pita;;)" ,,'J;e,1i";iii t:, '~; ;;/
'.:~-: '''-'''::;o::-;;J!j. t~.....,_.<'l '_:'~r.,., _ou .~... ~' "_ ~/e'r>-'i-r''''':.H~ \M/-,..'cl"" \ ,r.t>:,,'~~:'~}/~';;; '.~h .;;~. '
~,-;f'~!'ZJt11??'~"~,If.. :"~~~<j,;n"-Z' t{:t(1.':.r" ~'/ll'-::.t~ ,.l' :"TC:..~~~:-.! \:." . tl_g,.'~~(J bY t ':"'~~:lr..f-fi.'jrJ,/:) .:l-:.f ;~;1:"
'..., t'".,,,' ,'-~..... /,;"'. ~ /,J.lJJ~ I.. n.t,lmM'.... (.I=l!i~'S:f"'i h:: ,QQ
..""~.,../t:.:.irAuurcss.. ~ > ',':' .:-. 0 " /.."l/Ir'r tOneCircUlt.';(. r'i "J-.->(..1'. ~::~.:$43.00~. ,:'t:~
'i's.r:'~""~i~'-""":Wt'r.;. '1d."7tKi'''. ~ '.'.-;"":0 / v~=-: .,.....-J..:I'~}~.~11 ~.,..,.;. ,:"."=,,':.~~,,,,"":~J~J,
<:t.,i J.J':?;".":""": ~'tI$- ~,- N'-- ':"'-"7J;"~3'Vc,u Sltfl"n;"H-r~(.l\I-..,-"l~''''''1 '-'11n~..~.-,\':~hl':"'r"ol.'-\.:;~~:-'~"'~' .,~~~.
. ,;-...-,.....,-,. '''- IV) ", .... ~ .:;, _ '" ",. . r'- . dL . 't;l.,.,.... 'IT.,,,,,.. '
'o'[ C'';, Citl ". '. _ .. Phone ',' ..: Ea'ih.~c!ditiOlial Circ~i! or "\.ith:~ervice.r..' '.- .'. C' .'.',
:::::..::;~~..~:'" ':<:.:"::'::', ,,'~ :.: ; '77.t)/tJ-. ~';:i:,:::_ I ~oYF~eder.Permitl'~~:"',~,,:~. '\...... ._:.~:~.ti$i3~OCt'9 .:.,~:':
,,'OWN'ER INSTALLATION ;~". 011::>".\,::;,;,::",". ,:3P, "".",,,1\ II '....1'1'\. "'C:'1\((~aMlI ' "
. .,~ ~ '. . : " . . ,;7-~ .' ~.a \\f1\;j-~' . "/""':.'~I'H,n f~'- ,1. \....i"
.,'" The installation is being made on:.: ',', E. Miscell~,'J,'iorJI(~,~!,:ice/ree(le~.no~,i~cl~~~.d)\).' '
property 1 own whIch IS not mtended. ' rEach mstallatlOn'.~: 1"",:10 oJ '.. ' .. "
. . . .... ..... ....' . .. _\ qO'". . "_.. . _
for sale, lease or rent:",:"'" .. .."':..::'... Plimp 'orirrigation".. ' $50,00
.. ' Sign/Outline Lighting $50,00
Limited EllergylRes ' $25.00
NOTICE: '. ' Lim~e\VCAAW/Comni , _ $~5.00_'
, Fi:WIT c.~ (QL EXPIRE IF lH ,,'
iHlOJ Riito UNDER Tfiil!J1ft\fiii\Mt1C&b.~~Irmit InsJlcction Fec is $45.00 + Surcharges
~~~~ENCEbURIS A8t~~~~~~r~~F ABO~E t/-5; 00 _
ANV180 OAVP~~IOO. 7% State Surcharge ~, I">
, '; , '" , /pJ!O/o Administrativc Fee '-! ' 00
, 5~ ,1:6
~~.
. . On-B,ers Signature:.
c' .
TOTAL
_LZ;D
.-:
Status
Issued
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01270
ISSUED: 12/19/2003
APPLIED: 12/19/2003
EXPIRES: 06/19/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7305 MAIN ST
ASSESSOR'S PARCEL NO.: 1702350004100
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE:
New
Commercial
PROJECT DESCRIPTION: Add I circuit
Owner: SPFLD MEMORIAL GARDENS
Address: % SCI MNGT CORP-PROP TAX PO BOX 42165 HOUSTON TX 77242
Contractor Type
Electrical
I CONTRACTOR INFORMATION .
Contractor
LR BRABHAM
License
8699
Expiration Date
12/18/2004
Phone
541-747-6638
BUILDmu uuORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Spccial Instruction:
Notes:
Description
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
I DEVELOPMENT INFORMATION'
_, M' "'Ac; yOU to
"'Oregon LOverl~~:~~~1'1 Utility
,,-:nEN1\01'l. ted b'#Street 'T, rees Rq,d: or'
,.... dOP J - ,."r.... R" l'
follOW' J\85 a '_,,' Thcr,'!.vedlDrive Rqd:,_OO
, ~celn,," ~hnAR':l:><-
~ot5ica\\I" 00' -1)0; 0 t\%'OfL. ot Coyerage:s \
M 95~~- I . cC'n\8~ n\ ~1'''' .
\n _~~ '_;nll r.~c.~' I)nt~l~"l'''''~''''' "hZ t?\q?~o~e_
uV'"c~\\in9 ,,',2 :e'j p.UBilG IMPROV'Ei,1'ENTS',
'o"n~~
number I I .'.... ,,~pn~'.r; .....'- .. .
,..................".
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZEO UNDER THIS PERMIT IS NOT
{'"""n'f'c:n nQ Ie:: ARANnnN.fO FOR
I Valuation Descri~~~ltO DAY PERIOD.
Type of Construction
$ Per Sq Ft
or multiplier
Date Calculated
Square Footage
or Bid Amount
Value
Total Value of Project
Paeelof2
.
. CITY OF SrKll'1hH~L1J
Building/Combination Permit
PERMIT NO: COM2003-01270
ISSUED: 12/19/2003
APPLIED: 12/19/2003
EXPIRES: 06/19/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
~
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid
Date Paid
$4.50
$3.15
$43.00
$2.00
12/19/03
12/19/03
12119/03
12119/03
Receipt Number
1200200000000002631
1200200000000002631
1200200000000002631
1200200000000002631
Total Amount Paid
$52.65
I Plan Reviews ,
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 Reouired Tnsnl'ctions I
I Rough Electric: Prior to Cover
2 Final Electric: When all electrical work is complete.
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 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 ofany 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 proper ti'me, 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
Paee 2 of2
225 Fifth" Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-0 1270
COM2003-0 1270
COM2003-0 1270
COM2003-0 1270
Payments:
Type of Payment
Check
~:
Receipt #: 1200200000000002631
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Add. Alter, Extend Circ
Minimum/Adjustment Electrical
Paid By
LR BRABHAM
Received By
djb
l.:heck Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 12/19/2003 8:06:06AM'"
Amount Paid
Item Total:
3,15
4,50
43.00
2.00
$52.65
How Received
In Person
Payment Total:
Amount Paid
$52,65
$52.65
.
.