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Home My WebLink AboutPermit Electrical 2006-5-19 . . LIl Y VI' ~rK11'lt.t<mLD Status Issued Building/Combination Permit PERMIT NO: COM2006-00467 ISSUED: 05/19/2006 APPLIED: 04/20/2006 EXPIRES: 11/19/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa, 541-726-3769 Inspection Line SITE ADDRESS: 3520 Olympic St ASSESSOR'S PARCEL NO.: 1702300001927 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Add Two Circuits for Five Flood Lights Owner: TRUSTY LEWIS S & CHRISTINE J Address: PO BOX 26321 HONOLULU HI 96825 Phone Number: 808-395-2525 I. CONTRACTOR INFORMATION I Contractor Type Electrical Contractor LR BRABHAM License 8699 BUILDING INFORMATION I Expiration Date 12/1812006 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: nla NUTlCE: I DEVELOPMENT INFORMATION I THIS PERMIT SHALL EXPIRE IF THE WORK Front yard Setback: AUTHORIZED UNDER THIS F~~erv\?y \lisli"", Side I Setback: COMMENCED OR IS ABAND reel tileW-\tqd: Side 2 Setback: ANY 180 0 ell /iAa. Rqd: Rearyard Setback: AY PERIOD. % of Lot Coverage: Solar Setbacks: 1.1.. REQUIRED PARKING '<b~otal: (\ _D' Handicapped: ct, V Compact: A"T""T"r-", .....lr'''' . . Street Improvements: Storm Sewer Available: Special Instruction: - d . _. -.. -. '.-'-;:1-" .-.. ......'1............ J............. I PUBLIC IMPROVEMENfU,IIw rules adopted by the Oregon Utility NOllllcaticSideW3ili Typ'e?Se rules are set fortr in OAR 952-001..010 throuqh OAR 952-00'i 0090 Y Downsp.outslDrains: . au" ,ay ,-,vla,I, \"VfJltlS of the rules t calling the center. (Note: the telephone ' number for the Oregon Utility Notification Center is 1-800-332-2344). Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00467 ISSUED: 05/19/2006 APPLIED: 04/20/2006 EXPIRES: 1lI19/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa, 541-726-3769 Inspection Line Total Value of Project Ff'f'~~ Fee Description + 100/0 Administrative Fee + 8% State Surcharge Add, Alter, E,tend Circ Add, Alter, E,tend Circ Ea Add Amount Paid Date Paid $5.50 $4.40 $43.00 $12.00 5/19/06 5/19/06 5/19/06 5/19/06 Receipt Number 2200600000000000627 2200600000000000627 2200600000000000627 2200600000000000627 Total Amount Paid $64.90 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully e,amined the completed application. and do hereby certify that all information hereon is true and correct, and I further certify that any and an 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 witbout permission of the Community Services Divisiop, 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 an 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 Paee 2 on 225 Fifth Street Springfield, Oregon 97477 541-726-3759'J>hone . u;:~~ ~.. C.&,of Springfield Official Receipt "Iopment Services Department Public Works Department Job/Journal Number COM2006-00467 COM2006-00467 COM2006-00467 COM2006-00467 Payments: Type of Payment Check cReceintl RECEIPT #: 2200600000000000627 Date: 05/19/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By LR BRABHAM Item Total: Check Number Authorization Received By Batch Number Number How Received nh 33402 By Mail Payment Total: Page I of I 10:35:40AM Amount Due 43.00 12.00 4.40 5.50 $64.90 Amount Paid $64.90 $64.9U 5119/2006 .~ EC 01.83 ~ JObNUmbe(hm~#fb.tf61 ~LECTRICAL PERMIT - CONTRACTOR INSPECTION LINE: 726-3769 City of Springfield ILJI'I~~ J""'l7 Fax Line 541-726-3676 225 Fifth Street W\ rrn-:J$:> - Electrical Inspector 541-726-3663 Springfield, OR 97477 General information 541-726-3759 mJObAddreSiE~~ta.p..c,. I Owners Name' . ., ate' 'I bD /iJ{' DeSCrIPtlOnO;work' r. j(1, i~ PNhl"'6.~ COMMERCIAl.t RESIDENTIAL ~ INDUSTRIAL ~ PUBLIC ~ ',( ~ Electrical Contractor: /..1(( .~ J11ti?o ~ ...L ~/~. t? Supervising Electrician 11# ~ ~-./-/- .tf{ Supervisors License #: ! ./ Expires: b/ I IP 7 Construction Contractors Board#: "'699 Expires: /~AIa6 THIS PERMIT IS NOT VALID UNTIL SECTIONS I & 2 ABOVE HAVE' BEEN COMPLETED AND SIGNED BY THE SUPERVISING ELECTRICIAN PRIOR TO AN INSPECTION BEING REQUESTED I I I I I I i I I I I I I I TO BE REMOVED ONLY BY BUILDING OFFICIAL I I INSPECTION TVPE !TEMPORARY I UNDERGROUND IUNOERSLAB I ROUOH ()lJT = f. I SERVICE I lOW VOLTAGE i MANUF HOME SERVICE I MANUF HOME CONNECTION I SIGN I I I FINAL ApPROVAL DATE INSPECTOR I:crJ; 11> o tc- ">- 1<,-01. .ltt