HomeMy WebLinkAboutPermit Electrical 2005-11-10
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMITNO: COM2005-01425
ISSUED: 1111012005
APPLIED: 10111/2005
EXPIRES: 05110/2006
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
PROJECT DESCRIPTION: Datacom Wiring
TYPE OF USE: Addition
Commercial
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
~\O
Overlay Dist: ~ ~o ,~~~ Total:
#S '~ei" \)~ ,~
treet Trees ec..~' 0<:'> :I. \o'Ha~dicapped:
Paved Drive Rqd: \oa."" I O\e'0 ~e ",e ~l(;;~pact:
% of Lot Coverage: ~o<:'> i'1 'S'e ~e'" ~ ':0 C?J"S ~e'" '0
. Ole eo'O ",e I\} O~ e I\} 0-e
An~' ",\)~ o{'{\o _,,0,'0- _\ ~ ^'(\o._"
IPUBLIC IMPROVEMENi's.~~\ ~\\ '~o~,e~ \'0-e ~~~\,c;",.
\o\\~(,oa.~o' ~~\,)' o'O\~jdl;W~~k\Tj'ke:\t>.\.
0\'\' ':0 C?J"S ",oa.'\ ",e\" 0<:'> - ,{;'v ~
~ O~ --\o~ e (,e<:'> Do~nspo"o1s1Drains
W f!J~'. ,,~ 'S'e ':' \''O~ ~\(\'
~\j ~\<:'>'" \0\ ~ \'" \\. \
(,~ 'f;Jel <:,>\e
<:'>~(:' Ce
- Owner: JOURNEYMAN TRAINING TRUST FUND
Address: 20220 SW TETON AVE
TUALATIN OR 97062
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
M!~Y'
LR BRABHAM ,_.l'1~ \r i~?.:. ~O\
~n"l\\lF-.BHIJJD~~klRM*'fio~)~
u' . I' ..,. II' II ". . ~"
S V'c.r"'~" ~\ltc' 1>-~\.lV"-
'\~~ ~Q'r-\t ~r'/es~~
~\}\ :t.~~\ll QQ.
CQW.~ ~() 1lflJe Heat:
~wt \ Water Type:
Range Type:
. Energy Path:
Sprinkled
Contractor
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rlmary Construction Type
Secondary Construction
# of Bedrooms:
Frontyard Setback:
Side I Sethack:
Side 2 Sethack:
Rearyard Setback:
Solar Sethacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
SPerSqFt
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
1 of 2
Expiration Date
12/1812006
Phone
541-747-6638
n'a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Value
Date Calculated
'.
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01425
ISSUED: 11/10/2005
APPLIED: 10/1112005
EXPIRES: 05/10/2006
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
Fp.es Paid'
Fee Description
+ 10.% Administrative Fee
+ 7% State Surcharge
Low Voltage - Commercial Indus
Amount Paid
$4.50.
$3.15
$45.0.0.
Date Paid
11110./0.5
llI10,/0,5
llI10,/0,5
Receipt Number
120.0.50.0.00.0.0.0.0.0.0.170.4
120.0.50.000.0.0.0.0.0.0.170.4
120.0.50.0.00.0.0.0.0.0.0.170.4
Total Amount
$52.65
I Plan Reviews I
To Request an inspection caD the 24 hour recording at 726-3769. AlIinspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. wiD be made the following
work day. .
lJ.eouirefl In~,n~
Low Voltage: Prior to cover.
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 sball be done m accordance
with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaming to the work described herem,.
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 70.1.00.5 will be used
on this project.
I : 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 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/Journal Number
COM2005-0 1425
COM2005-01425
COM2005-01425
Payments:
T)lle of Payment
Check
',1,-,\
o
"
",
o
"
'",
11110/2005
.
RECEIPT #:
.P,'~'s:lJ'i<<;!'~_!LD",~,," ..'_ _',.
1IiL" '
, ,
, '
.' " I
__ .' J
.JIi.ty of Springfield Official Receipt,
WVelopment Services Department'
Public Works Department
1200500000000001704
Date: 11/10/2005
Description
Low Voltage - Commercial Indus
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
LR BRABHAM INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 32659 In Person
Payment Total:
I of I
to:02:2tAM
Amount Due
45.00
3.15
4.50
$52.65
Amount Paid
S52,65
S52,65
EC Q.1 78
.. JObNumooLnYl11~. O/4J.r::
l.R.~ "rCQ rELECTRICAL PERMIT - CONTRACTOR
.;)Jt>:::> INSPECTION LINE: 726-3769
City of Springfield Fax Line 541-726.3575
225 Fifth Street Electrical Inspector 541.725-3553
Springfield, OR 974n _ General information 541.726-3759
[J Job Addresr n'-,(11n1 fj;Nt/F. ff":'--/4,
Owners Name.,J.t.mIlrJfW 'l/AlII'#/' Date: I /J fI~/"~
Description of work:' {/N& LlIPE M~1t1 /ff / tV/Alt;
COMMERCIAL -i RESIDENTIAL 0 INDUSTRIAL 0 PUBLIC 0
!II Electrical Contractor: [,., K , f'?I(/fI?J1-+-, 'Z.N? .
5upervising Electrician SiW~"i~~ -r.?j - ,/ .d'_
Supervisors License #: '~4.S /' ,Expires: 10 tf
Construction Contractors Board #: A'I9 Expires::;l d
THIS PERMIT IS NOT VALID UNTIL SECTIONS 1 & 2 ABOV HAVE
BEEN COMPLETED AND SIGNED BY THE SUPERVISING
ELECTRICIAN PRIOR TO AN INSPECTION BEING REQUESTED
I IHSPEcnON TYPE
TEMPORARY
I UNDERGROUND
UNDERSLAB
I ROUGH
ISERVlCE
I lOW VOLTAGE
I MANUF HOMe SERVICE
j MANUF HOME CONNECTION
I SIGN
I
I
1 FINAL
ApPROVAL DATE
INSPECTOR
lJ.- /10 voC--
I /')
IV
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I TO BE REMOVED ONLY BY BUILDING OFFICIAL I