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Home My WebLink AboutPermit Electrical 2007-12-24 -~ L'~ \"" tll~\~)- -\, (\,1/ \) ~'6'V CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2007-01916 ISSUED: 12/2412007 APPLIED. 12/24/2007 EXPIRES 06/24/2008 VALUE Status Issued 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LIDe SITE ADDRESS 4475 DAISY ST SPACE 68 ASSESSOR'S PARCEL NO 1702323406500 SPRINGFIETYPE OF WORK ElectrlCdl Work Only TYPE OF USE RepaIr PROJECT DESCRIPTION Replace meter maIO Owner COUNTRY MANOR LLC Address 7007 SW CARDINAL STE 185 PORTLAND OR 97224 I CONTRACTOR INFORMATION' Contractor Type ApplIcant Electncal Contractor DA VIDISITE MANAGER LR BRABHAM LIcense Expiration Date Phone 541-747-8974 1211812010 541-747-6638 8699 BUILDING INFORMATION I # of Umts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIon Type Secondary ConstructIon Type # of Bedrooms # of Stones HeIght of Structure Type of Heat Water Type Range Type' Energy Path Spnnkled Bu,ldmg Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupant Load nla I DEVELOPMENT INFORMA TlON , Front yard Setback S,de I Setback SIde 2 Setback Rearyard Setback Solar Setbacks Overlay DlSt # Street Trees Rqd P dved Dnve Rqd % of Lot Coverage REQUIRED PARKING Total HandIcapped Compact I PUBLIC IMPROVEMENTS I Street Improvements Stor i-\I~ l::I~l@?bgon law requIreS you to SpeYOlkMstmellQRtopted by the Oregon UtIlity Notllicatlon Center. Those rules are set forth NOIl't'OAR 952-001-0010 through OAR 952-001. 0090 You may obtam copies of the rules by calling the center. (Note the telephone number lor the Oregon Utility Notification Center IS 1-800-332-2344). S,dewdlk Type DownspoutsfDralns NOTICE: THiS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR i\NY 180 DAY PERIOD. Paee I of2 -~~ CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO. COM2007-0I9I6 ISSUED. 12/24/2007 APPLIED. 12/24/2007 EXPIRES' 06/24/2008 VALUE: 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 InspectIOn Lme I ValuatIOn DescriotlOn I Descnptlon Tvpe of ConstructIOn $ Per Sq Ft or multlpher Squdre Footage or Bid Amount Value Date Cdlculated Total Value of Project Fe~s PaId I Fee DescnptlOn + 10% Admmlstratlve Fee + 5% Technology Fee + 8% State Surchdrge Manufactured Home Service Amount Paid Date Paid Receipt Number $550 $275 $440 $55 00 12/24/07 12/24/07 12/24/07 12/24/07 3200700000000000822 3200700000000000822 3200700000000000822 3200700000000000822 Totdl Amount PaId $67 65 I Plan Reviews I To Request an mspectlOn call the 24 hour recording at 726-3769. All mspectlOns requested before 7:00 a m. wIll be made the same workmg day, inspections requested after 7 00 a.m. wIll be made the followmg work day I. Reolllred Insnpct1/ln,s I MH ServIce Approval reqUired prIOr to utlhty company energIZIng service By signature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certify that all mformatIon hereon IS true and correct, and I further certify that any and all work performed shall be done III accordance With the Ordmances of the City ot Spnngtield and the Laws ot the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY WIll be made of any structure without permISSIon of the Commumty ServIces DIVIsIOn, BUlldmg Safety I further certlty that only contractors and employees who are 10 comphance WIth ORS 701 005 WIll be used on thIS project I further agree to ensure that all reqUired mspectlOns are requested .It 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 pldns WIll remam on the site at all times dunng constructIOn Owner or Contractors Signature Date Paee 2 of 2 CIty of Sprmgfield Receipt # EC522922 12/21/200725931 PM Electrical AuthorizatIOn To Begm Work E-malled To bhalada@qUlxnet net ~~ Ji By Phone Check on status of permit (541)726-3753 or Em.1I permltcenter@clsprmgfieldorus DNewconstrucllOn _~ l)'P!,_ OF WORK- [X] Addition/alteration/replacement I I FEE SCHEOULE II DescnptlOn l Qty F d I Re~ldcntlaJ SINGLI!,. OR mulh-fanuJ) dl'l-clhng un~lt Includes I attacbed ga!",ge 111 OOOsq ft or less I Ea add! 500 sq ft or portion I - Limited energy residential I (with above Sq ft) - Limited energy multifamily I reSidential (wIth above Sq ft) I "en-Ices OR fe-eders mstallatJon, alteraltoll.Al\D/OR rdOLatlon I I 200 amps or le~s 120 I amps to 400 amps I 401 amps to 599 amps TE\'tPORARY ~ervlces OR fLede~ installatIOn, .dteratlOn, AND/OR relocation I Total I I I I I I I I I I I I I I I I I I I I $5) 001 I I I I Subtotal $5500 I State ~urcharge (8% ot pennlt fle) $440 I Cll) OfSprmgfield fees * $825 I TOTAl PFRMIT FfF $6765 I 10% Lonl Admlll f<ee )% LOCdl Tedmo]ogy Fee CATEGORY OF CONSTRUCTION IlliJ I or 2 faml]y dwellmg 0 Multi famIly 0 CommercIa] / Industria] I JQB SITE INFORMATION AND LOCATION IJob no 6783 IJob address 4475 DAISY ST IClt}/State/7IP SPRlNGFILLD OR 97478 6654 I SuJte/bldg /apt no SPC 68 I Project name COUNTRY MANOR Cro~s streetldm~chons to Job Sltt. I SubdivIsIOn IT.IX map/parcel no 1702323406500 !Lot no 200 amps or less 120 I amps to 400 amps 1401 limps to 599 amps I Branch circuit.!> NEWt-iilteratlOlI, OR (,ten.!>lOn, per pand I A rCt for branch ClrCUltS With above servIce or feeder fee each branch ClfCUlt I B f<ee for branch ClfCUlts \\lthout service or feedef fet first branch ClrcUlt I each addl branl.h l.lfl.Ult I MI~ccllllneou~ I Service reconnect only I Each manufactured or modular dwellmg scrV1Cl and/or feeder Pump or lfTlgatlOn cm...le I REPLACE METER MAIN DESCRIPTION OF WORK I INamc !Phone Ilmllll I SITE CONTACT DAVID, SI rE MANAGFR (54]) 747-8974 IFa, $5500 CONTRACTOR ICCBhe no 8699 III hc no 20-87C I BU~lOe~~ Name I R BRABHAM IN( I Contacl LARRY BRABHAM, JR IAddress 68 W Q ST I Clty/Stllte/7lP SPRINGFIELD OR 97477-2142 I Phone (54] )7476638 I'" (541 )7477157 I Emall bha]adJ.@qll1xnet net jMelrohc 110 I SupeJ"VlslOg electrlcllO'S hc no 4944$ I SUplJ"VISlOg electrician's nllme LARRY R BRABHAM, JR SIgn or Ollthne hghtl1lg SIgnal l.lrcult(s) or I united enl.rgy pane] altemtlOn or extensIOn not offered onlllle at thl~ JumdlctlOn I City he no I I I I I '* CIty Of Spnngfield ELECTRICAL PERMIT FEES Upon review and approval by your local jurisdictIon, your permit WIll be e.malled 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 RCPT# Drah r ~ESS () This AuthOrization To Begin Work must be posted at the Job site untll'replaced by a Permit 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 1916 COM2007-0 1916 COM2007-01916 COM2007-01916 Payments Type of Payment ONLINE CHGS cRecelOtl RECEIPT #. DeScriptIOn Manufactured Home Service + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee PaId By ONLINE PERMIT CHGS 3200700000000000822 City of Sprmgfield OffiCIal Receipt Development ServIces Department PublIc Works Department Datc' 12/24/2007 Item Total Check Number Authorization ReceIved By Batch Number Number How Received NJM Page I of I ONLINE LR Onlme BRABHAM Payment Total 9 20 36AM Amount Due 5500 275 440 550 $67 65 Amount Paid $6765 $67 65 12/24/2007