HomeMy WebLinkAboutPermit Electrical 2007-6-21
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00913
ISSUED: 06/21/2007
APPLIED: 06/21/2007
EXPIRES: 12/21/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1385 LA WNRIDGE AVE
ASSESSOR'S PARCEL NO.: 1703252205900
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Electric Service Change
Owner: MURRA Y BEN C
Address: 89354 OLD MOHAWK RD
SPRINGFIELD OR 97478
Phone Number: 541-744-1258
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
LR BRABHAM
License
8699
BUILDING INFORMATION 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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setba<;k:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
P~ved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm iM~J!;.!E-&Jlable:
SpeciaITl"~!f}l~Wrvtl T S HAL
AUT L EXPIRE IF THE WORK
Notes:CO HORIZED UNDER THIS PERMIT IS NOT
fl/IfViENCEO OR I.~ MH "'n~~~rD ~~.~
Al\IY 180 DAY PERIOD .-. L. , . I
. Valuation Description
I PUBLIC IMPROVEME~f$f:N If UN: Oregon law requires you to
N rules adopted by the Oregon un
Notificatio~~e,walk 'J;vue:.. Ilty
. . '-', h,-,1: ~(Jrfu::;e rules are set forth
In OAR g5~QQ,hfp?,lifsti>rrJl!i~':1 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.Bnn-.'i':l?'.)-:)AA\
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!:e 1 of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-00913
ISSUED: 06/21/2007
APPLIED: 06/21/2007
EXPIRES: 12/21/2007
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.
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$6.30
$3.15
$5.04
$63.00
6/21/07
6/21/07
6/21/07
6/21/07
3200700000000000417
3200700000000000417
3200700000000000417
3200700000000000417
Total Amount Paid
$77.49
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.
I Reouired Insoections I
Electric Service: Approval required prior to utility company energizing service.
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
Pa\?:e 2 of 2
225 Fifth Street
Spr:ingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00913
COM2007 -00913
CO M2007 -00913
COM2007-00913
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200700000000000417
Description
Penn Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
r-ty of Springfield Official Receipt
velopment Services Department
Public Works Department
Date: 06/21/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
NJM
Page 1 of 1
ONLINE BHALADA/ Online
LR
BRABHAM
Payment Total:
7:47:51AM
Amount Due
63.00
3.15
5.04
6.30
$77 .49
Amount Paid
$77 .49
$77.49
6/21/2007
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:bhalada@quixnet.net
Receipt # EC512916
6/20/20073:38:09 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
o Addition/alterationlreplacement
Total
TYPE OF WORK
CATEGORY OF ~ONSTRUCTION
lliJ I or 2 family dwelling
o Multi-family
o Commercial/Industrial
I JOB SITE INFORMATION AND LOCATION
!Jobno.: 6469 IJobaddress: 1385 LAWNRIDGEAVE
I City/State/ZIP: SPRINGFIELD, OR 97477-2479
I Suite/bldg.lapt.no.:
I Project name: BEN MURRAY
Cross street/directions to job site:
I Subdivision:
I Tax map/parcel no.:
ILot no.:
1703252205900
: ~,,' 'DESCRIPTION OF .wORK
ELECTRIC SERVICE CHANGE
, SITE CONTACT'
I Name: BEN MURRAY
I Phone: (541)744-1258
I Email:
I
IFax:
CQNTRACTOR
I CCB lic. no.: 8699
IE!. Iic. no.: 20-87C
I Business Name: LR BRABHAM INC
I Contact: LARRY BRABHAM, JR,
Address: 68 W Q ST
City/State/ZIP: SPRINGFIELD OR 97477-2142
I Phone: (541)7476638 I Fax: (541)7477157
I Email: bhalada@quixnet.net
I Metro Iic. no.:
I Supervising electrician's lic. no.: 4944S
I Supervising electrician's name: LARRY R BRABHAM. JR
I City Iic. no.:
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.
I Description
1
Ea.
a,ttached
11,000 sq. ft. or less
lEa, addl 500 sq, ft. or portion
I-Limited energy, residential
(with above sq. ft)
I-Limited energy, multifamily
residential (with above sq, ft.)
Services OR feeders installation, a!te~lion, AND/OR relo,:ation
200 amps or less $63,00 $63.00
20 I amps to 400 amps
401 amps to 599 amps
UMPO rVices OR f<
AND/OR reI
1200 amps or less
120 I amps to 400 amps
40 I amps to 599 amps
,Braneb .circuits. NEW, alteration, OR eXtension,' per pan,eI ,.1
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 circu it;
I each addl branch circuit
I MisCellaneous '
I Service reconnect only
I Each manufactured or modular
dwell ing, service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
Signal circuit(s) or limited- not offered online at this jurisdiction
energy panel, al teration, or
extension,
,ELECTRICAL PERMIT FEES
Subtotal I $63.00
State Surcharge (8% of permit fee) 1 $5,04
City Of Springfield fees *1 $9.45 I
TOTAL PERMIT FEE I $77.49 I
10% Local Admin Fee; 5% Local Technology Fee
I
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* City Of Springfield
I
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DAlE PROCESSED: 1.c --1 ) --0 'f
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit.