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HomeMy WebLinkAboutPermit Electrical 2007-6-21 '1/ .1 L1? ~?-:ff(l/ lo.r ('6' '6' 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 I 1 * City Of Springfield I I C~~":~6u7- ooq 13 RCPT#: '3260/ -- L.j 1'/ DAlE PROCESSED: 1.c --1 ) --0 'f PROCESSED By.rJrrl cf)\ ~ / This Authorization To Begin Work must be posted at the job site until replaced by a Permit.