HomeMy WebLinkAboutPermit Electrical 2010-4-27
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfield.or.us
D New Construction lRl Addition/alteration/replacement
'" .. ,CATEGORY.OF CONSi:R(JCTI6N'~':'~"'*'~'
o 1 or 2 family dwelling
D Multi-family 00 Commercial
D Accessory
JOBSITEclNFORMA TION AND.toeA TioN ""Cc;''"
Job Address: 305 S 4TH ST
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.laptno.:
Project Name: TIMBER PRODUCTS COMPANY
Cross Street/directions to job site:
Tax map/parcel no.:
1703353407700
.C ~,; ',,';"", ~'>l'&[)ES'CRIBJION,PF'JVPRK:__.
2 CKTS FOR INSTALL OF EXHAUST FANS/MOTION SENSORS IN BATHROOMS
.'
;SITE.eONTii-c.i:~,~
. Name: SALLY McKINNEY
Phone: 541-744-4220
Fax:
-..........
Email:
'~:"'_."".
:'~ :../ CONTRACTOR,'
".;:
Elec lie. no.: 20-87e
8699
eea lie. no.:
Business Name: lR BRABHAM INC
Contact:
Address: 68 waST
City/State/ZIP: SPRINGFIELD, OR 974772142
Fax:
~
Met.o lie. no,' AUTHORIZED I
supe",'s'ngEle[,;,'JMMHIDED OJill<!1J ABANDONED F
Supervising Eleft\rl~iXn'~ ~J~e) y ff~OORABHAM, JR
Number of inspections included In paid services:
Residential Service: 4
Reconnect Only 1
All Other Services' 2
Upon revIew and approval by your local Jurisdiction, your permit wlll-._b!l~.~.malle~...or faxed
within one business day, with Instructions on how to schedule your inspection. . 1": :
NOTE: This Authorllation To Begin Work expires within 180 days If a permltls not obtained.
The local building department may determine thai an Authorilatlon To Begin Work Is null and
void If It does not meetappl1cable land use laws and local ordinances.
e \().l'j\'1
Commercial Electrical Authorization To Begin Work
69600-BEL-10-00183
Approval Code: 217282 4/27/2010 10:32 am
E~mailed To: bhalada@quixnet.net
.'( " ..,"'LAN'REVIE\N~ .' ......... . '" I
Please check all that apply: o Hazardous locations
o A service or feeder beginning o A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds o Buildings more than three stor
10,000 Amps at 150 Volts or
less to ground exceeds D Marinas and boat yards
14,000 Amps for all other D Floating buildings
D Fire pumps o Commercial.use agricultural
buildings
D Emergency systems o Installation of a 150 KVA or
o Addition of a new motor load larger ~eperately derived sys
of 100 HP or more o "A", "E", or "1.2" or "1.3"
o Six or more residential units in D Recreational Vehicle Parks
one structure
o Health care facilities D Supply voltage for more than
600 supply volts nominal
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Description I Qty. I E.. Total
~~i3,hc,~;c!rt:ujts_"" > ~ ,;, :;;;-Z:;~~ ;~,';;~,,:';,;: ' ., '"
Branch circuits without service or 1 $55.00 $55.00
feeder
Branch circuits each additional 1 $6.00 $6.00
circuil without service
Elect'rical PermitFees~, 'f".L, ,," ..~.h~. l'...."- " ,
Subtotal $61.00
Stale surcharge (12% of permit $7.32
totall
Technoiogy fee (5% of permit total) $3.05
TOTAL PERMIT FEE $71.37
L\C)AStCi
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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 1.800.332.2344).
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Inspections Phone: 541.726.3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00519
ISSUED: 04/27/2010
APPLIED: 04/27/2010
EXPIRES: 10/2712010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 305 S 4TH ST
ASSESSOR'S PARCEL NO,: 1703353407700
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: 2 circuits for installation of exhaust fans and notion sensors in bathrooms,
Commercial
Owner: TIMBER PRODUCTS CO
Address: PO BOX 269
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
LR BRABHAM
License
8699,
BljILDIl~'-G:iNF'ORMA TION I
, Expiration Date
12/18/2010
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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard SetYlIlOI<oCE
Solar Setbac~~ I' r;:
','Overlay Dist:'
# Street Trees Rqd:
Paved Drive Rqd:
.,"C; c'~;;: :~";:~:,~..;~~.:,of Lot Coverage:
Total: . ..
Handicapped:" ' ,-
Compact:
ATTENTION: Oregon law requires you,to
WORK db the Ore on Utility
AUTHORIZED UNDER THIS P,'j(WlJ& ~ROVEMENTS ~ Notification Center. Those ru es are se 0
("nM~nr:NCED OR IS ABAN' DO~m'" Iln OAR 952-001-0010 through OAR 952-001.
Street ImprdVWle'Ii~, I n 009@idffloll\q~llbtain copies of the rules by
ANY ,1 RO DAY PERIOD. " ' c.,ll' ~ ~~r..~ote: the telephone
Storm Sewer A valla ole: "'"','" , "'~, "t'" " " '1')HW,; f{, ts, 'aJ ' Ut',lity Notl'f,'cation
" --",- 'C;~' ~..." " number- r e ra n
Special InstructIOn: ','-il ",,' , C t ' 1 8003322344)
_.,Ii;!. f",_ en ef IS _ ~ A .
Notes:
T,: ,
I Valuation Description ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
-<r.o'
Page I of 2
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'(f~3~ .!:L ;N'" ',' '
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Total Value of Project
I Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$7,32
$3,05
$55,00
$6,00
Total Amount Paid
$71.37
I Plan Reviews ~
Date Paid
4/27/10
4/27/10
4/27/10
4/27/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00519
ISSUED: 04/27/2010
APPLIED: 04/27/2010
EXPIRES: 10/27/2010
VALUE:
Receipt Numher
1201000000000000382
1201000000000000382
1201000000000000382
1201000000000000382
"'~""'. .. )':;'. "~
To Request an inspection call the 24 hour rec~rdi~g '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. .,.. . .
I ReQuired InsDections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, 1 state and agree, that I have carefully examined th'e completed application and do hereby certify that all
information hereon is true and correct, and 1 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 struclure without permission of the Community Services Division, Building Safety,
1 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 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 construction.
Owner or Contractors Signature
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Pa!!c 2 of 2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000382
Date: 04/27/2010
II :33:24AM
Job/Journal Number
COM2010-00519
COM2010-00519
COM20 I 0-00519
COM2010-00519
Payments:
Type of Payment
ONLINE CHGS
cReceintJ
. Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge .)c.".
;" 'Y I
+ 5% Technology Fee .
Paid By
ONLINE PERMIT CHGS
.:'1.'"''
Amount Due
55.00
6.00
7.32
3.05
$71.37
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
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Page I of I
Amount Paid
ONLINE LR Online
BRABHAM
Payment Total:
$71.37
$71.37
4/27/2010