HomeMy WebLinkAboutPermit Electrical 2006-12-12
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CITY OF SPRINt:.t<lJ<.LD -
Status:
Issued
Building/Combination Permit
PERMIT NO: COM2006-01592
ISSUED: 12/12/2006
APPLIED: 12/12/2006
EXPIRES: 06/12/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: ,483 RIVERVIEW BLVD
ASSESSOR'S PARCEL NO,: 1703341403200
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace sub-panel
Owner: GERLACH CLAUDE T TE
Address: 483 RIVERVIEW BLVD
SPRINGFIELD OR 97477
r CONTRACTOR INFORMATION'
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:
nla
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Front yard Setback:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% or Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Special ll\s1I:Uctior:
AIII::N IOI\l:Ultl!)OllldW 1\;14"'''''''' yvu lU
Notes: follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE
Notification Center. Those rule.s a~e set fortt AUTHOR/ZEn "~1n1:D TUI,.. ,..~I: .:~E WORK
IIlv"n~OG..VUI-VVIV""UUt:tIIV"'.~- ...-..... ..n_'ME -.~. ....'.lflll It,) IVUI
0090. }'ou may obtain copies of tI1l\T"al\1atlon DescriDti~~~180NCED OR IS ABANDONED FOR
calhngthecenter. (Note: thete,,,,,,,,u,,,, DAY PERIOD.
D . tiollmberfnrthAr()reo&n It'li1ity NO$lP.er,SqrFt Square Footage
eSCrIp 10n C,TVl!e'O "Co~ ruc wn ., I' I' B'd Am Value
emer IS l-tll O-;j;;S~-234<"f. mu tIp ler or I ount
Downspouts/Drains:
NOTICE:
Date Calculated
Pa!!e 1 of2
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. CITY V'" ~rRINGFIELD .
Building/Combination Permit
PERMIT NO: COM2006-01592
ISSUED: 12/12/2006
APPLIED: 12/12/2006
EXPIRES: 06/12/2007
VALUE:
Status:
Issued
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
$8.10
$4.05
$6.48
$18.00
$63.00
12/12/06
12/12/06
12/12/06
12/12/06
12/12/06
Receipt Numher
1200600000000001747'
1200600000000001747
1200600000000001747
1200600000000001747
1200600000000001747
Fee Description
+ 100/0 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
$99,63
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 Reollired Insnectionsl
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, that 1 have carefully examined the 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 structure without permission,ofthe 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 -ai' ihe 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
Page 2 of2
City of Springfield
~Iectrical Authorization To Begin wo.
E-mailedTo:bhalada@quixnet.net
Receipt # EC506976
12/12/2006 12:06:30 PM
.
Check on status of permit:
Contact: http://www.ci.springfield.or.us/dsd/Buildinglindex.htm
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I D New construction [K] Additionlalterntionlreplacement
I ,", ,", '4'-"'-'~ ". _~.:;.~A:rEG~~)'l~.~.CO~~TR~Ci1.0NC. ,~~,_<;,:?\~":~~~~~';l~f':1
10 I or 2 family dwelling D Multi~family 0 Commercial/Industrial I
:~0::,;:.;-6205 " J~~~:I::dl::~~:T:;:~~:~O:L:~Q~' .', ~:;f5'c~f::' 'J
ICily/State/ZIP: SPRINGFIELD. OR 97477-3869 I
ISuitelhldgJapLno.: 1
I Project name: Dorothy Gerlach
Cross street/directions to job site:
I Lot no.:
LSubdivision:
ITax map/parcel no.: 1703341403200
I""' ,- "'.' "'"i:,DESCRIPTIQN C?t.VYO~K;f::\~\
J(-3" r.:,.~'~~T\:
Replace kitchen sub-panel
I',,'
~am~:
'-<SITE CONTACt;
".., -'.'
.... {;!;,.,f.
". .~ ~-
Dorothy Gerlach
I Phone: (541) 747-9823
I Email:
I Fax:
I' .,
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t.~
J,~ONTRACl'P'.R."
I CCB Iie.no.:
,^,'
,.
r..'
I EL Ht::. no.: 20-87C
Business Name: LR BRABHAM INC
l Con tad: Rob Bellman
. fAddrt'SS: 68 W Q ST
ICity/State/ZIP: SPRINGFIELD OR 97477.2142
IPhoa., 5417476638 IFax: 5417477157
I Email: bhalada@quixnetnet
I Metro lit:: no.:
I Supervising electrician's lit::. no.: 4944S
I Supervising electrician's name: LARRY R BRABHAM, JR
8699
I City lie 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.
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1
I~ ",..; '::Il(':'FE~ SC~EDU~!,'" ',0" 'I
I Description l Qry. Ea..1 Total I
1;~,',ej.~~en,}i~!:~II'lp,' ~E-, 9.I!-ni~~i.,~,~~ir)J~.t~C~~,i~g -~iji},~:!~_~lu~es . I
Jltb'ch~garage\-... .:r<^~",,"""~~,;':.c '1'.:. ,"-.:J .
I,,()()()sq. ft. or less I
Ea. addl 500 sq. It or portion I
I-Limited energy. residential I
(with above SQ. ft.)
I-Limited energy, multifamily I
residential (with above SQ. f\')
i~;:~;:~I:::r.s i;:,taUaJion; alt~~ti~n; ~NDhd~~;iatj?a~;.~1
I ~O I ampsto 400 amps I
I 40 I amps to 599 amps I
I: lftMPQRf\R\' ~cn'lC:cS'O!t l~ery;i~~~ilatio'n,"~~t_e~t_ion, ; 'I
,AND/ORrelocation,' ,. ,;:;,:;;e,,:_: . .
,. ,. ~--:. .. , "''-.-'~'" . '. "'.. ...-'.' '.'-'
I 200 amps or less I
I 20 I amps to 400 amps I
140 I amps to 599 amps I
I~~'r~pch cirt,ui~~:~~'Y"alt{~tio~rC}~ i~~~nsjon. per'p~nel.__ .'~ ..
A. Fee for branch circuits with 6 S3.00 $18.00
above service or feeder fee,
each branch circuit.
S. hoe for branch circuits
without service or feeder fee.
ftrst branch circuit:
I each addl branch circuit
r,r\~i~ce!lan~'~~.: :,~;";' .' .~':.:' ~~,
I Service reconnect only
I Each manulactured or modular
dwellimz.. service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
I Signal circuit(s) or Iimiled~
energy panel, alteration, or
extension.
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Subtotal $81.00 f
Minimum Fee $45.00 I
State Surcharge (8~.ofpermit feel $6.48 I
CityOfS~rin~eld fees'" S12.IS1
TOTAL PERMIT n:E S99.63 I
10% Local Admin Fee; 5% Local Technology Fee
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..~Ei.ECTRICALPERMIT FEES
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I I", City OfSpringlield
I
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
If /:<0 ()Cv - 17 ~7
(71)""",//Thl.., _n/Sc/)
225 fiftb Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-0 1592
COM2006-0 1592
COM2006-0 1592
COM2006-0 1592
COM2006-0 1592
Payments:
Type of Payment
ONLINE CHGS
cReceint I
RECEIPT #:
.
~i~"""''''''''' "
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0",". ~ -'
,-".. ,-
~ of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200600000000001747
Date: 12/12/2006
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 Ir brabham Online
Payment Total:
Page 1 of 1
1:45:0IPM
Amount Due
63.00
18,00
4.05
6.48
8.10
$99.63
Amount Paid
$99.63
$99.63
12/12/2006