HomeMy WebLinkAboutPermit Electrical 2007-6-27
Status
Iss u ed
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-00962
ISSUED: 06/27/2007
APPLIED: 06/27/2007
EXPIRES: 12/27/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 333 58TH ST
ASSESSOR'S PARCEL NO.: 1702343200100
. Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Install light fixtures on bleachers with uninterruptable power supply.
Public
Owner: SPRINGFIELD SCHOOL DISTRICT 19
Address: 525 MILL ST
SPRINGFIELD OR 97477
1 CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
LRBRABHAM
License
8699
BUILDING INFORMATION I
Expiration Date
12/1812010
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:
n/a
I DEVELOPMENT INFORMATION.
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
~~nTu'F.
THIS PERMIT SHALL EXPIRE IF TH
^UTHORIZED UNDER THIS PERMI
.GOMMENC~D OR JS~~RANnONED fOftr Sq Ft
Descnr,~~Qf180 DAVP~R)Q'O~(rucfion or multiplier
Sidewalk Type:
ATTENT?<3~n~~.fequlres you.to
,I . d b the Oregon UtIlity
follow rules adopte Y e set forth
Notifice.tion Center. Th~se ~~e~:~ 952-001-
1~2~~R ;,,~~~~~-~gt~~~ ~~~es ofthe r~'~~eby
ailing the center. (Note:.l"'tr ~l:I4utlL""on
ion Descri tion umber for the Oregon UtI'ill~~)ijficati
Center Is 1-800-332.~ ·
Square Footage
or Bid Amount
Value
Date Calculated
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-00962
ISSUED: 06/27/2007
APPLIED: 06/27/2007
EXPIRES: 12/27/2007
VALUE:
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
$7.50
$3.75
$6.00
$12.00
$63.00
6/27/07
6/27/07
6/27/07
6/27/07
6/27/07
Receipt Number
3200700000000000432
3200700000000000432
3200700000000000432
3200700000000000432
3200700000000000432
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Total Amount Paid
$92.25
I Plan Reviews I
To Request an inspection call the 24 hour recording 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.
Reouired Insoections .
Underground Electric: Prior to cover
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 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 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
Date
Pa2e 2 of2
CitY of' Springfield
'"
Electrical Authorization To Begin Work
E-mailedTo:bhalada@quixnet.net
Receipt # EC513199
6/27/20078:27:07 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
[K] New construction
D Addition/alteration/replacement
Description
Qty.
Total
COM' .~ rrrrl- 00 Ot0 ~
RCPT#~ .3 ~ 00" -- -<f.5~
.~ . /, ,.,-0(
DATE PROCESSED:.?r .- l{)'- 0<
PROCESSED Bye 2alt ~ !"t\J
This Authorization To Begin Work must be posted at the job site until kpla~ a Permit.
D I or 2 family dwelling
D Multi-family
[K] Commercial/Industrial
I Job no.: 6476 I Job address: 333. 58TH ST
I City/State/ZIP: SPRINGFIELD, OR 97478-6959
I Suitelbldg.lapt.no.:
[Project name: THURSTON H.S.BLEACHER LTG
Cross street/directions to job site:
I Subdivision: I Lot no.:
I Tax map/parcel no.: 1702343200100
k
FURNISH AND INSTALL LIGHT FIXTURES ON BLEACHERS WITH
UNINTERRUPTABLE POWER SUPPLYWE WILL NEED UNDERGROUND AS WELL
AS ROUGH AND FINAL ELECTRICAL lNSPECT10NS.
I Name: CHAD BILLIE W/McKENZIE COMMERCIAL
I Phone: (541) 510-1286 I Fax:
I Email:
I EI. lie. no.: 20-87C I CCB lie. no.: 8699
I Business Name: LR BRABHAM INC
I Contact: LARRY BRABHAM, JR
IAddress: 68 W Q ST
I City/State/ZIP: SPRINGFIELD OR 97477-2142
[Phone: (541)7476638 [Fax: (541)7477157
I Email: bhalada@quixnetnet
I Metro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 4944S
I Supervising electrician's name: LARRY R BRABHAM, JR
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
Ea.
11,000 sq. ft. or less
1 Ea. addl 500 sq. ft. or portion
I-Limited energy, residential
(with above sq. ft.)
I-Limited energy, multifamily
residential.(with above s9. ft.)
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps I
IBnhich"circu,~ .7~~>>,;al~~ratio~i 0 Rce~,t~n~,~n,per:panel> ,;.
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit
B. Fee for branch circuits
without service or feeder fee,
first branch circuit;
each addl branch circuit
4
$300
$12.00
I
I
I
Service reconnect only
I Each manufactured or modular
dwelling. service and/or feeder
1 Pump or irrigation circle
1 Sign or outline lighting
Signal circuit(s) or Iimited-
energy panel, alteration, or
extension.
not offered online at this jurisdiction
I
Subtotal $75.00 I
State Surcharge (8% of permit fee) $6.00 I
City Of Springfield fees · $11.25 I
TOTAL PERMIT FEE I $92.25 I
10% Local Admin Fee; 5% Local Technology Fee
I
I
I
I
· City Of Springfield
225 Fifth Street
Springfieid, Oregon 97477
,
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00962
CO M2007 -00962
COM2007-00962
COM2007-00962
COM2007 -00962
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
3200700000000000432
Date: 06/27/2007
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm ONLINE LR Online
BRABHAM
Payment Total:
Page 1 of 1
9:07:37AM
Amount Due
63.00
12.00
3.75
6.00
7.50
$92.25
Amount Paid
$92.25
$92.25
6/27/2007