HomeMy WebLinkAboutPermit Electrical 2007-5-23
Status
Issued
CITY OF SPRINGFIELD
, Building/Combination Permit
PERMIT NO: COM2006-01460
ISSUED: OS/23/2007
APPLIED: 11/14/2006
EXPIRES: 11/23/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3282 OREGON AVE
ASSESSOR'S PARCEL NO.: 1702313106300
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Service Change and install heaters.
Owner: PRICE SHIRLEY A
Address: 3282 OREGON AVE
SPRINGFIELD OR 97478
Phone Number: 541-746-4758
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
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
.t!,TT!=~iTI()I\I'()rAn()n 1~1AI rAni UrAl:: \f{)11 tr.
I DEVELOPMENT INFORMATION I
iJ5. ~~[. REQUIRED PARKING
OverlaW~f:ERMIT SHALL EXPIRE IF THE W&t~~
# StreJ\LtH~liUrd:D UNDER THIS PERMIT Ifhitl.llilcapped:
Paved~t~Hf~~~~ED OR IS ABANDONED FORompact:
% ofI;ffir~v~ft~eAY PERIOD.
- -
follow rules adopted by the Oregon ~~LIC IMPROVEMENTS I
si.9tifif~tion C~nt~r. Those rules are s. on
Ii1 tj)t..~'~~~r-~n1 0 through OAR 952-00
SJ0OO)~~~ll'iI~~ain copies of the rules I
Spe~a\lffltlJtl11f:!i~~=nter. (Note: the telephone
number for the Oregon Utility Notification
Notes: ' . ""I'\,~r:?-?~44).
Sidewalk Type:
Downspouts/Drains:
~
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
~~~~
.~\~.
"... '"
Pal!:e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01460
ISSUED: OS/23/2007
APPLIED: 11/14/2006
EXPIRES: 11/23/2007
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
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
Receipt Number
$6.90
$3.45
$5.52
$6.00
$63.00
5/23/07
5/23/07
5/23/07
5/23/07
5/23/07
1200700000000000622
1200700000000000622
1200700000000000622
1200700000000000622
1200700000000000622
Total Amount Paid
$84.87
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 InsDections I
Electric Service: Approval required prior to utility company energizing service.
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
Pal!e 2 of 2
225 Fifth Street
Springfield;Oregon 97477
541-726-3759 Phone
~;r of Springfield Official Receipt
'''Il\i'elopment Services Department
Public Works Department
Job/Journal Number
COM2006-0 1460
COM2006-0 1460
COM2006-0 1460
COM2006-0 1460
COM2006-01460
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
1200700000000000622
Date: OS/23/2007
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
LR BRABHAM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh
34992
By Mail
Payment Total:
Page 1 of 1
2:59:14PM
Amount Due
63,00
6,00
3.45
5,52
6,90
$84.87
Amount Paid
$84,87
$84.87
5/23/2007
~ .JObN'mb&:n~Jo~02/46{)
ELECTRICAL PERMIT - CONTRACTOR
INSPECTION LINE: 726-3769
City of Springfield Fax Line 541-726-3676
225 Fifth Street Electrical Inspector 541-726-3663
Springfield, OR 97477. -~- -' '. ,,-, - 'General information 541-726-3759
OJ Job Addrw:', J j!le;i,_()Il/i#)/V/fllL;) /,. :
~:snc:;:t~anm:'~~rfg!J{ffr&~;.}ffI!JIliE/l~
COMMERCIAL 0 RESIDENTIAL):' INDUSTFlIAL D' PUBUC;\', ('
III Electrical Contractor:~A' . 1!:)~~hAh1, J 41/'.. 'If{""-'
Supervising Electrician Si!l~ture: ....-:-~ " /' .--z?..- ./ /. , ,;<a
Supervisors License #: /f 1W ~ Expires: -&;;~ (J J
Construction Contractors Board #: }! 691f Expires: / q// ~/t7h
THIS PERMIT IS NOT VALID UNTIL SECTIONS 1 & 2 ABOVE HAVE
BEEN COMPLETED AND SIGNED BY THE SUPERVISING
ELECTRICIAN PRIOR TO AN INSPECTION BEING REQUESTED
I INSPECTION TYPE ApPROVAL DATE INSPECTOR
I TEMPORARY
I UNDERGROUND
I UNDERSLAB
I ROUGH
I SERVICE
I LOW VOLTAGE '
I MANUF HOME SERVICE
I MANUF HOME CONNECTION
I SIGN
I
I
I FINAL
,t.! - !b-tY {a
I
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