HomeMy WebLinkAboutPermit Electrical 2009-11-4
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.... City Of Spr,irigfi.eld
" 225 Fifth St : ':';' ;:':;:.'-
.' Springfield, OR .97477
:~7 . Phone: 541-726.3753
" ~~J~ ..Email: permitcenter@cLspringfield.or.us
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11Ilt~~4~fE~ORYloFJc.Q~-S;fRUJ5'fIQN~t!~~":~',i~l
100 1 or 2 family dwelling 0 _ MUI~.faT'f.1.i~~~._.p Comm~rcial 0 Accessory
1i\li&jf~i>ftI!"JOB'SiTE!iNF.ORMATION1ANDnrdcATiO~'1t,Nl[~:~"~
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Residential Electrical Authorization To Begin Work
69600-BEL-09-00227
Approval Code: 614001 11/4/2009 2:15 pm
E~majled To: bhalada@quixnet.,:et
- ,~~r';~' ~:i-:.Y:/'; .~'; ;4.:_M ~}P.GAN: REVIEW6::,.; \ '~~~L~.rft::.;.::;x~~~~~~
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three stor
o Marinas and boat yards
o Floating buildings
o Commercial-use agricullural
buildings
D Installation of a 150 twAor
larger seperately derived sys
D "A", "E". or "1-2" or "1-3"
o Recreational Vehide Parks
o Supply voltage for more th~n
600 supply volts nominal
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amp~ for all other
Job Address: 3192 '~ALEIGHWOOD AVE
o Fire pumps
o Emergency systems
o Addition of a new molar load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
<;:ity/StateJZJP: SPRI~_,~~J.EfP, .9~ 97477
I Suite/bldg./aptno.: :.-: i'''-,
1 Project Name: KEVIN BARBER
I C'OSS SlnI.Udbectlons to job .IW,
.1 Tax map/parcel no.: 1703221'318100 ',."'- -
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I Description Ea. Total
REPLACE lUG ON NEUTRAL BUSS
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I $63,00
I Reconnect only
IElectrical:Pen-nitFees ".;:,'.,!(-. .,
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOT~L PERMIT FEE
$63.00
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1h'~~~~~~!lTTE'~Qt!I~C;T(~iir'.JfB~:;''jf,7;;:;+~'fJ
$63.00
$7.56
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Name: KEVIN BARBER
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Phone: 541-968.7493
I Emall:
$3,15
I
1114101
$73.71
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CCf- )La!q
I Elec lic. no.: 20-87C'1::'
Business Name: LR BRABHAM INC
CCB lie. no.: 8699
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Contact:
I Address: 68 W Q 5T
I City/StatelZlP: SPRINGFIElD,OR 974772142
I Phone, 541,ll~U};I(;E: Fa,,"""
Emall.LRB~o/.\~i~f.ii~ ~iiALL EXPm;:: J;';",JlweM
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M."ol;,.n'l":mn~n~w~~n nR I~ AR'41IllmNEDmR
I Supe""Slngf\(off>c)~~I~A<Y PERI09~
l Supervising Electrician's Name: LARRY R BRABHAM, JR
Number of inspections Included In paid services:
Residential Service::4 ~
Reconnect Only: 1
All Other Services: 2
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001.
0090, You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is Hl00-332-2344).
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Upon review and approval by your local JuTtsdlctlon, your pennit will be a_mailed or fIXed
within one business day, with Instructions on how to .ch~ule your Inspection,
NOTE: this Author1zatJon To Begin Wor1t expires within 180 days If. pennlt Is not obtained.
To Begin Work 'Is null and
The local building department may detennlne that an AuthOr1zatlon
void If It does not meet applicable land use laws and IGear ordinance..
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Inspections Phone: 541-726-3769
': Th:.8 Authorization To Begin Work must be posted at the job site until replaced by a Permit
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SITE ADDRESS" '3192 RALEIGHWOOD AVE
, ASSESSOR'S P~RCELNO.: 1703221318100
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PROJECT DESCRIi>TioN;"Repl~ce lug on nuetral buss
. Status '~Is~ued});,:"", 'j:'"
225 Fifth Street, Springfield, OR~:~
541-726-3753 Phone
541-726-3676 Fax
541-726'3769 Inspection Line
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Owner:
Address:
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CITY OF SPRI1~\.JJ<H.,LD
Building/Combination Permit
PERMIT NO: COM2009-01619
ISSUED: 11/04/2009
APPLIED: 11/04/2009
EXPIRES: 05/04/2010
VALUE:
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
Phone Number: 541-968-7493
BARBER KEVIN MICHAEL'& DANA MARIE
3192 RALEIGHWOOD~A VE""
SPRINGFIELD"'OR"97477
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Contr'actor Type
Electrical
Contractor
LRBRABHAM
# of Units: "': ::~:;" 1;' ; ~,:: .t~..
Primary Occup~ncy'Group:
Secondary Occupancy qroup:
Primary Construction Type
Secondary Construction Type:' ., ..
# of Bedrooms: " ,r
I CONTRACTOR INFORMATION .
License
8699
'.. I, BUILDING INFORMATION I
Phone
541-747-6638
Expiration Date
12118/2010
# 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 O'ther:
Occupant Load:
nla
~,!, ; _! ,(j, ,';'" ,..,Ji ;;~" I, DEVELOPMENT INFORMATION'
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Frontyard S~~AA'fE: ' , ' ',' ':Q;:'!!.l'~Dist:
Side 1 SetbaJrtH'?, " .~RryrlT SHA~LEXPIRE' IF TH~UMTrees Rqd:
Side 2 Setbaer.rrHORIZED, UNDER THIS PERMIT I&-ldfj'lirive Rqd:
Rearyard se16'JClMENCED OR IS ABANDONED FORof Lot Coverage:
Solar Setba9l;,SJ:Y 180 DAY PERIOD. '
~~. -;\. .--:~f; ~h~ .
Street Improvement~:
Storm Sewer Available:
Special Instruct!pn::' ;,
Notes:
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. .t[';l ,,;';'-'.it: J ,oF:. .,;; ~~
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Description t Type of Construction
/
_h.. . .~;,.. ~ .i~ -
REQUIRED PARKING
Total:
AITENTION: oregory~;F&lllI{!lt! you to
follow rules adopte~~l( B(egon Utility
Notification Center. Those u es are setforth
In OAR 952-001-0010 through OAR 952-001-
0090, You may obtain copies of the rules bv
" ..../11/111'/1.. """mer. \NOle: me telepnone
I PUBLIC IMPROVEMENTS I number for the Oregon Utility Notification
"< , sid&Mf.et~J:-80ll-332-2344I.
DownspoutslDrains:
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." Valuation Des~ription ,I
:~~w.:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
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Status Iss!led " "...,..j,",', , .' '.'
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225 Fifth Street; Springfield;OR;'i.:'-i,:C':'
541-726-3753 Phone:;"'~: ': ,. .',';f .
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541-726-3676 Fa!, .. .
,541-726-3769 Inspec'tion'Line
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Fee Description'r, '
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+ 12% State Surcharge!:' ',",,". 'f",'
+ 5% Technology Fee' .. (,; "">1'., '"
Service Reconnect
Total Amount Paid
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Amount Paid
$7,56
$3.15
$63,00
'" $73,71
Total Value of Project
Fe~s P3id I
Date Paid
I Plan Reviews I
11/4/09
11/4/09
11/4/09
CITY OF ~rKll'\il.J.HJ!,LD
Building/Combination Permit
PERMIT NO: COM2009-01619
ISSUED: 11/04/2009
APPLIED: 11/04/2009
EXPIRES: 05/04/2010
VALUE:
Receipt Number
2200900000000001260
2200900000000001260
2200900000000001260
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,
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I R~rolJired Insnections I
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Electric S'ervice: :'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 oflhe 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 structure without permission of the Community Services Division, Building Safety,
I further certify:tha{oniy contracto;s 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 constr~ction.' :..~...~
Owner or Contractors Signature" ,;~ '
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Page 2 of2
Date
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225 Fifth Street', .' ~~IJ!~j.::::l
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City of Springfield Official Receipt
Development Services Department
Public W~rks Department
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,JUi:CEIPT #:
2200900000000001260
Date: 11/04/2009
3:08:58PM
Job/JournalNumber-""
COM2009-01619
COM2009-0l619
COM2009-0l6l9
, D~sc~~i~ti~n','~~:~:'~f~~~'}~.:" .:'~. '."
Service.Recon~~c~::, '.
+ 5% Technology F~e '
. ': 12% State "Surcharge <:
: "\~f;:,:,..~~,iJ}fjN;;,< ,.i,~ .
ONLINE CHGS:.';PJ:'lJ;IN~LPERMIT CHGS
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Received By
KR
Item Total:
t:heck Number Authorization
Batch Number Number How Received
Amount Due
63,00
3,15
7.56
$73,7]
Payments: "
Type of Payment
','iL,' ~:; 'i~::"\~~~!"'( :'.
:.;f~a'i,d:By
Amount Paid
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ONLINE LR Online
BRABHAM
Payment Total:
$73,71
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$73,71
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cReceintl Page 1 of] 11/4/2009
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