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Home My WebLink AboutPermit Electrical 2006-3-1 . . CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: COM2006-00107 ISSUED: 03/0112006 APPLIED: 0112712006 EXPIRES: 09/0112006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2861 PIERCE PKWY ASSESSOR'S PARCEL NO.: 1702302300102 Springfield TYPE OF Electrical Work Only TYPE OF USE: Addition PROJECT DESCRIPTION: Install Two Electrical Circuits to PA Equipment and Projection Screen Commercial Owner: Address: UNITED ASSN LOCAL 290 APPRENTICESm 20220 SW TETON AVE TUALATIN OR 97062 Phone Number: 541-726-1131 'CONTRACTOR INFORMATION' Contractor Type Electrical Contractor LR BRABHAM License 8699 I BUILDING INFORMA nONI Expiration Date I2/18/2006 Phone 541-747-6638 # of Units: , Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: ' Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION' Front yard Setback: Side 1 Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: IPUBLIC IMPROVEMENTS' Street Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains CGw\'b \ Notes: I Valuation Descriotion I Description Type of Construction SPerSq Ft or multiptier Square Footage or Bid Amount Value Date Calculated 1 of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00107 ISSUED: 03/0112006 APPLIED: 01127/2006 EXPIRES: 09/0112006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $4.60 $3.68 $43.00 $3.00 3/1/06 3/1/06 3/1/06 3/1/06 1200600000000000220 1200600000000000220 1200600000000000220 1200600000000000220 Total Amount $54.28 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. ~rprlTno,~ Rough Electric: Prior to Cover 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 wID 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 wllI 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.. located at the front ofthe property, and the approved set of plans wiD remain on the site at all times during construction. Owner or Contractors Signature Date 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Joomal Number COM2006-00107 COM2006-00 107 CClM2006-00 I 07 COM2006-00 107 Payments: Tll'e of Payment Check .:. ,~ ,\ :C :c -, . .> ( ( .' ., 3/1/2006 . RECEIPT #: ap~ Wit..! .iij.ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200600000000000220 Date: 03/0112006 Description Add, Alter, Extend Cire Add, Alter, Extend Cire Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By LR, BRABHAM Item Total: Lbeck Number Authorization Received By Batcb Number Number How Received ddk 33036 In Person Payment Total: I of I 8:57:52AM Amooat Due 43.00 3,00 3.68 4.60 $54,28 Amount Paid $54.28 $54.28 " EC 0 1 8 1 Job Num'ber c.O 11& 6 . 0(>/&1 ELECTRICAL PERMIT - CONTRACTOR INSPECTION LINE: 726.3769 City of Springfield 0 ~ Fax Line 541.726-3575 225Fifth Street I -7""7'''6 Electrical Inspector 541.725.3663 Springfield, OR 974n r f J l/ Generallnformation 541-726-3759 'I. ITJ Job Address: ~~W~ ' Owners Name: Dfrr~ tL;J(J1J.1:ljJ(} ~s~ ' . {/ . .' ~I ~. eif;C;iL/W: 7l' /'" . }" . ,~L 0 lNP RIAL '1, PUBLIC 0 ~ Electrical Contractor: L J!-- . O.lj/ft!.#.i'h?> ~I /'" ~_ Supervising Electrician Si~}~re:, ~ ~ 7? ,.' If. Supervisors License#: 't7W;;'" Expires:/tlR 'IJ 7 Construction Contractors Board #:.:.16'1'1 Expires: / ~~~ ~ 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 IHSPECTlON TYPE TEMPQRA,RY UNDERGROUND IUNDERSLAB I ROUGH I SERVICE I lOW VOLTAGE I MANUF HOME SERVICE I MANUF HOME CONNECTION I SIGN I I I FINAL ApPROVAL DATE INSPECTOR q(Jr-- '-'!' -I~ -/)1 ~-.,)U4 J I TO BE REMOVED ONLY BY BUILDING OFFICIAL \ I