HomeMy WebLinkAboutPermit Electrical 2007-8-23
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 498 Harlow Rd
ASSESSOR'S PARCEL NO.: 1703220002701
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01258
ISSUED: 08/23/2007
APPLIED: 08/23/2007
EXPIRES: 02/23/2008
VALUE:
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Install circuit to street light. Reference permit #COM2004-01292
Owner: SKYHA WK PROPERTIES
Address: 32671 SKYHA WK WAY
EUGENE OR 97405
Contractor Type
Electrical
Contractor
LR BRABHAM
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Commercial
Phone Number: 541-
I CONTRACTOR INFORMATION.
License
8699
BUILDING INFORMATION I
Expiration Date
12/18/2010
Phone
541-747-6638
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMA '{ION I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:.
Paved Drive Rqd.:- . CO~1!act:
% of Lot coveA11!=NTION: Oregon law requires you..o
TOliOW rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
I PUBLIC IMPROV~~W'~f"-UU1-UU1~tnrO~gn UAH, 8b2-UU1-
. IiiiL.- _ may obtarn copies of the rules by
calling the ceSMrew4t~pYle telephone
number for the Oregon Utility Notification
CenterYi'f~Jg!~2~W4;.
Street Improvements:
Storm ~t01J &&i1able:
Specia~qi3r~~mIT SHAll EXPIRE IF THE WORK
Notes' AUTHORIZED UNDER THIS PERMIT IS NOT
'COMMENCED OR IS ABANDONED FOR
:\ ~ 1\# '* 0 ''1 - . \. - - ,
!,,,.. , \J 1Jf'\1 rcnlUU.
Description
Type of Construction
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2007-01258
ISSUED: 08/23/2007
APPLIED: 08/23/2007
EXPIRES: 02/23/2008
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
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Amount Paid
Date Paid
Receipt Number
$5.00
$2.50
$4.00
$48.00
$2.00
8/23/07
8/23/07
8/23/07
8/23/07
8/23/07
2200700000000001344
220070000000000]344
2200700000000001344
220070000000000]344
220070000000000]344
Total Amount Paid
$61.50
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.
L Reouired Insoections I
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 # EC515907
8/23/20072:02:37 PM
Check on status of permit
By Phone: (54])726-3753 or Email: permitcenter@ci.springfield.or.us
D New construction
lliJ Addition/alterationlreplacement
1,000 sq. ft or less
I Ea. addl 500 sq. ft or portion
I-Limited energy, residential
(with above sq. ft)
I-Limited energy, multifamily
residential ,(with above sq. f1.)
I,.~t)rvlc~s :qR:t~g~rs,jnsta!la~!gi11~!J~JitM)~~\.A;~I?/g~;~~',~~~t!~~./"",111' '
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
D I or 2 family dwelling
D Multi-family
lliJ Commercial/Industrial
Job no.: 6553 I Job address: 498 HARLOW RD
1 City/State/ZIP: SPRINGFIELD, OR 97477-1336
1 Suite/bldg./apt.no.:
I Project name: ROGER BULLOCK
Cross street/directions to job site:
I Subdivision:
I Tax map/parcel no.: 1703220002800
I Lot no.:
CIRCUIT TO STREET - OUR
REFERENCE AN EXISTING PERMIT HE HAS COM2004-0 1292
1200 amps or less
1 20 I amps to 400 amps
401 amps to 599 amps
TO
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;
I each add I branch circuit
$48.00
$48.00
1 Name: ROGER BULLCOK
1 Phone: (541) 345-5363
I Email:
I Fax:
I EI. lie. no.: 20-87C I CCB lie. no.: 8699
I Business Name: LR BRABHAM INC
I Contact: LARRY BRABHAM, JR.
I Address: 68 W Q ST
ICity/State/ZIP: SPRINGFIELD OR 97477-2142
1 Phoue: (541 )7476638 I Fax: None
1 Email: bhalada@quixnetnet
I Metro lie. uo.: I City lie. no.:
I Supervising electrician's lie. no.: 4944S
!Supervising electrician's name: LARRY R BRABHAM, JR
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 limited-
energy panel, alteration, or
extension.
I
I
I
I
· City Of Springfield
I
Subtotal $48,00 I
Minimum fee used instead of Subtotal $50.00 I
State Surcharge (8% of permit fee) $4.00 I
City Of Springfield fees' $7.50 I
TOTAL PERMIT FEE I $61.50 I
10% Local Admin Fee; 5% Local Technology Fee
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.
COM. d..<5V7 - 0 I~S r
RCPT#: .~:1 UO 7 l3 '-f L{
DATEPROC~ 6 ' 23 - Or
PROCESSED~~mUJ~ ~
This Authorization To Begin Work must be posted at the job site unti) rePlaW by a Permit.
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.
225 Fifth ~treet
Sprin'gfleld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01258
COM2007-01258
COM2007-01258
COM2007-01258
COM2007-01258
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200700000000001344
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/23/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
NJM
Page I of I
ONLINE LR Online
BRABHAM
Payment Total:
2:40:51PM
Amount Due
48.00
2.00
2.50
4.00
5.00
$61.50
Amount Paid
$61.50
$61.50
8/23/2007