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Home My WebLink AboutPermit Electrical 2008-1-28 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00124 ISSUED: 01/28/2008 APPLIED: 01/28/2008 EXPIRES: 07/28/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4475 DAISY ST SPACE 33 ASSESSOR'S PARCEL NO.: 1702323406500 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Reattach panel to structure Owner: Address: ROLPH ROBERT 4475 DAISY ST SPACE 014 SPRINGFIELD OR 97478 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 I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Frontyard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Strcet Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm ~~jl3bl<:.i Special ~f": uregon law requires you to ow ru es adopted by the Oregon Utility Notes.Notification Center. Those rules are set forth 'In OAR 952-001-001 0 through OAR 952-001. 'XlQ" V~" __,. _~._._ ___'u _m _ ,.... , AUTHORIZED IINnf:R THI~ Pr:R~J1IT Ie: ~inT calling the center: (Noi~, :- tf]~ t~i~dh;;e-' .' ~uiyiivitlJCED OR IS ABANDONED FOR number for the Oregon Utility Notii'il'7~,a~atIon Descr~uijorull DAY PERIOD. Center is 1-800-332-2344). Type of Construction $ Per Sq Ft or multiplier DowuspoutslDrains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK Description Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00124 ISSUED: 01/2812008 APPLIED: 01/2812008 EXPIRES: '07/2812008 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 $5.50 $6.60 $2.75 $55.00 1/28/08 1/28/08 1/28/08 1/28/08 Receipt Numher 3200800000000000065 3200800000000000065 3200800000000000065 3200800000000000065 Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Service Reconnect Amount Paid Date Paid Total Amount Paid $69.85 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 Retluired Tn~nections I MH Service: Approval required prior to utility company energizing service. By signature, 1 state and agree, that 1 have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and] 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 he 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 Page 2 of2 City of Springfield Electrical Authorization To Begin Work E-mailedTo:bhaiada@quixnet.net Receipt # ,RC524617 1/28/20083:01:18 PM .,!~,',','~", !1ii7A .., Check on status of permit By Phone: (541)726-3753 or Email: pcrmitcenter@cispringfield.or.us CONSTRj.lCTION 11,000 sq, ft. or Jess I Ea. add! 500 sq. ft. or portion Qty. I ..1 I 1 ~,' ~ 1 I I I I I I .':'1 1 1 1 ;~:'i:j 1 1 10 New construction [K] Addition/alteration/replacement D Multi-family o Commercial/Industrial IJob no.: 6830 l.Job addrL'Ss: 4475 DAISY ST ICity/State/ZIP: SPRINGFIELD, OR 97478.6652 I Suifelbldg./apt.no.: SPC 33 I Project name: COUNTRY MANOR MOBILE PARK .,,' 1 I - Limited energy, residential I (with above sa, ft) I-Limited energy, multifamily I residenlinJ (wilh above SQ. fU 1 I-Limited energy, commercii"] (wIth above sa. ft.) I - Stand-alone limited energy, residential. . I - Stand-alone limited energy, multi-family I - Stand-alone limited energy, commercial 1~!'~lc~'S~9,,"i!:f~rd~~rs'in~!~,I~.~tlo~;';u~ie~lltionf;'~:W9~'^r~!oca,tio~~ I 200 amps or less 1 I 201 amps to 400 amps I [401 amps to 599 amps I 1.J:J1:M~ORARy,:~tZlf.~fi~~,feeders'ilis-t~ll~ion,.alte-r,at~,?~.t -AND/QR'rel~~~t'o.!l<,~~~",,;:<I:>'};';2i~ _ . _,'; ..'~..' ."';-- ;, ::--..""J, 1200 amps or!;"s - I 1201 amps to 400 amps I 140 I amps to 599 amps Branc~tcTrc'uTis2NE\\i,;\diej:ution\~OR extcn~ion, per piUH~j-, ;"~."'>.'.L:.,.-""'" .,,'.:'~':";,.,'-Ah'-;;.^,~- A, Fee for branch circuits with I service or feeder fee, each branch circuit. I B, Fee for branch circuits without service or feeder fee, first branch circuit; 1 each addl branch circuit Cross street/directions to job site: (Subdivision: ITax map/parcel no.: 1702323406500 I': .' /Lot no.: REATTACH PANEL TO STRUCTURE 1 Name: DAVID jPhone: (541)953-]452 I Email: IFaxc c. 1 EI. lie. no.: 20-87C 1 CCO lie. no.: 8699 I Business Name: LR BRABHAM INC JContaet: LARRY BRABHAM, JR. IAddress: 68 W Q ST ICUylStatelZIP, SPRINGFIELD OR 97477-2142 I Phonee (541 )7476638 1 Faxc None I Email: bha]ada@quixncLnel I Metro lie, 110,: J City lie. 110.:. I Supervising electrician's lie. no.: 4944S I Supervising electrician's name: LA"RRY R BRABHAM, JR 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. I I NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. I Service reconnect only I Each manufactured or modular d\'iellmg. service and/or feeder I Pump or irrigation circle J Sign or outline lighting I-?igna] circuit(s) or ]i.mikd- Inot offered online at this jurisdiction energy panel, alteratIOn, or extension. It%'!~?,:,":3k~':7~;f;;lG)}~,g~Eg,f.BJ~~tp~~iiAff:~:F~EeS ;'~~"j I Subtotal I $55.00 I State Surcharge (12% of penn it fee) $6.60- I City Of Springfield fees * I $8.251 L TOTAL PERMIT FEE I $69,85 I * City Of Springfield ]0% Loca~ Admin Fce; 5% Local Technology Fee $55.00 $55,001 I 1 I I The local building department may determine that an Authorization To Begin Work is null and void if it does not COM:C' n rv-,7 "', <( _ "''' \ " rf, meet applicable land use laws and local ordinances. ~~ L!.J A H 1 (, (- }() eX ""'t::. " . RCPU .::>2..OVi?""'- ipS DATE PROCESSED: \ .-;). r ,0 r This Authorization To Begin Work must re posted laftiie~~t7itil replaced b'y a Permit. , PROCESSED BY; , --------- , \ \\ ,- 225 Fifth.Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00 124 COM2008-00 124 COM2008-00 124 COM2008-00 J 24 Payments: Type of Payment ONLINE CHGS cReccintl RECEIPT #: Description Service Reconnect + 5% Technology Fee + 12% State Surcharge + 10%Administrative Fee Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department 3200800000000000065 Date: 01128/2008 Item Total: t.:heck Number Authorization Received By Batch Number Number How Received njm ONLINE lr brabham Online Payment Total: Page I of I 3:27:43PM Amount Due 55,00 2,75 6,60 5,50 $69.85 Amount Paid $69.85 $69.85 1/28/2008