HomeMy WebLinkAboutPermit Electrical 2003-8-18
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Electrical.2b~liacto~'T:L. R. Brabham, Inc.
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,,225 FIf'TH STREET;; ~.'" '.';'" ,V :,::~'~,': ~;, . EL.CAL PER!vlJT APPLICATION
'" SPRINGFIELD, OREGON 97477 <:~-,;; 1;/ <~::':-: "/ e;., ", ':':"""<..;~' ~ i" ;,' '," . ..,
. INSPECTIONREQUES1:'726-37~?;' ~~ ~j;~ t~ ,Cit)'JohNumbercomtaO~-06>7S'.'1
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LEGAL DESCRIP . ION 0 0. 17 :~~!~~S~obllte\l'?\ .equI , -11--1 _ ~,_
I 70 Z. sOiDO l 12 0 applev." _ hi.", ,-ost SUl1); i
200\og- ~o ~ - '~,.:
1000sq,ft.orless <t,. 3S~$1060ll-' "
EacIY\lIl'diITonal500 \Ule _ .'.:"
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thereof $ 19,00
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20] amps to 490_'~1_~p~'" '~"~~{~~r:t~;'?Hl.:i;~~?~~Q9,. :.:;;~~t~
'., 401 amps to, ROO ~riW€&", ;~}0j,1;.".~\\!$r?5.iio :"!"':'!1
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~:'O\'er 1000 a'mpSlyolts:;;:' "":~;.t~~~$315.00'~;.Ji~;.~
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~O Ol'-~ -{o\l.Sir~Q.uflme~jgli'ti~'2: $50,00
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QIJ c-a\\\~-kniit~R.f.ifergy/cemm $45,00
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!\.rrnimum Electric Permit InsJlection Fcc is S45,QO + SurclulI"gcs
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Permits are rion-transferable and expire
if work is not 'started within 180 days
of issuance or if work is suspended for
] 80 days,:,
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2, CONTRACTOR INST ALLA TIONONL Y
. OWllers Signature:.
4. SUBTOTAL OF ABOVE
70/0 State Surcharge
/0.2% Administrative Fce
TOTAL
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
.
SITE ADDRESS: 3240 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1702300001928
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00759
ISSUED: 08/15/2003
APPLIED: 08/15/2003
EXPIRES: 02/15/2004
VALUE:
Springfield TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTlON: Wire new CNC machine
Owner: CHROME WORLD
Address: 3240 OLYMPIC ST SPRINGFIELD OR 97478
Contractor Type
Electrical
TYPE OF USE:
New
Commercial
I CONTRACTORINFORMATlON I
Contractor
LR BRABHAM
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
License
8699
BUILDING INFORMA TlON I
Expiration Date
12/18/2004
Phone
541-747-6638
# of Stories:
Height of Structure ~
Type of Heat: _~,(;:j~ ~
Water Type: ~....' ~(;:j
Range TYP~"'\~ ~ {;J ~
Energy ~'il.~~ ~<::s
~~ ~<<; ~4Y
~. .,S _N
I DEVEJ.:6j{~~FORMATlON I
.i1~~ru.!l.Q.
~. _~ - ~~v ~ '~. o~9.UIRED PARKING
"',<V ~~. ~rl..&-:"~. 0"'~ ,,,,-~'. ~<
~' ~<<; ~~ ':Qd;11W':',st: ,:,'~ O~ 'f~till;.,Cl
~ ~~ x:-(;:j~ ~r;Jf'$..tf~et Trees Rqd: ~0~~0QJ ~eHandlcapped:
"\ ~"\ _~<<.; ~Ved Drive Rqd: ^ \?>~ ~0 0'" 'b' <.<;o"riq,a-cl':n
~ (;:j~' ,'l) O'-,,~ ~ O'?-' 0P !:'v
,,~~ % of Lot Coverage: 0~0QJ nO'O r:,0 \ ^~ ~ ~ ,,~O ~O~
....'\~ ..s. :0,.".....0 ':'''' 0 :-,0'< . <:,'b'
r 0'- :..0(( ~,- ~\O '0'" n,e ~,~
.-<~ n..V ^'~. .....~ _()\: ~"^'" _,0
VN
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
I PUBLIC IMPROV~MENl'S'i00':'.ClI.) ~iY~ ~0'0:V~~\~'>.\'
.' :-'1.)- ~v' S:P 0'0 ,.~ !:' ~~
'O~ <.~'1l' nf-~ ""Sidewlilk TiYpe.:,~
'\ 'iSo'v -p ,,- <:,0" O\""'!:)"
~o O'?-<(- -l. 0-> ~o,\~~P!'.gts/'i')rains:
\~ !:)C?lCl' ~,~~ ~,o\ :0,.0\\
(:J <:,'b' '$;)000""
",->~
I Valuation DescriDtion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Description
Type of Construction
Total Value of Project
Paeelof2
Value
Date Calculated
.
. CITY VI' ~rKJj'lut<l~LD '
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00759
ISSUED: 08/15/2003
APPLIED: 08/15/2003
EXPIRES: 02/15/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Ff'f'~ Paid'
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid
Date Paid
Receipt Number
$4.50
$3.15
$43.00
$2.00
8/15/03
8/15/03
8/15/03
8/15/03
1200200000000001968
1200200000000001968
1200200000000001968
1200200000000001968
Total Amount Paid
$52.65
I Plan Reviews I
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 R('(ll~jtrf'd In~nf'dinn~ .
II II,IT II i ..
1 Rough Electric: Prior to Cover
2 Final Electric: When aU 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 of any 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 aU 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
Pa!!e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00759
COM2003-00759
COM2003-00759
COM2003-00759
Payments:
Type of Payment
Check
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Receipt #: 1200200000000001968
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Paid By
LR BRABHAM INC
Received By
djb
L'heck Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/15/2003 1:18:45PM
Amount Paid
3.15
4.50
43,00
2,00
$52.65
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$52.65
$52.65
.
.