HomeMy WebLinkAboutPermit Electrical 2008-7-2
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO. COM2008-00968
ISSUED' 07/02/2008
APPLIED: 07/02/2008
EXPIRES: 0110212009
VALUE:
Status
Iss u ed
225 FJith Street, SprlDgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
SITE ADDRESS 4475 DAISY ST SPACE 128
ASSESSOR'S PARCEL NO 1702323406500
SprlDgfield TYPE OF WORK ElectrICal Work Only
TYPE OF USE
New
ReSIdential
PROJECT DESCRIPTION IlIstan electric servIce
Owner COUNTRY MANOR LTD PTRSHP
Address 7007 SW CARDINAL STE 185
PORTLAND OR 97224
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
LR BRABHAM
LIcense
8699
BUILDING INFORMATION'
ExpiratIOn Date
12/18/2010
Phone
541-747-6638
# of VOlts
Primary Occupancy Group
Secondary Occupancy Group
Primary ConstructIOn Type
Secolldary ConstructIOn Type
# of Bedrooms
# of Stories
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Sprinkled Bulldmg
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENTINFORMATION I
Front yard Setback
SIde 1 Setbdck
S,de 2 Setback
Rearyard Setback
Solar Setbacks
Overlay DlSt
# Street Trees Rqd
Paved Drive Rqd
% of Lot Coverage
REQUIRED PARKING
Total
Handicapped
Compact
I PUBLIC IMPROVEMENTS I
AT'Tr'""'dT -'.,..l ,...
f S,dewalk'"ype 9""" 1'1'" requl
Ol10W Il,lt., a""Ol-'~ res you to
NOIDo)!:n~PPI!I~i1?JJlIDS r,~ Ihe Oregon Utility
In OAR 952-00-1-001 ~ ~,e rules are set forth
0090 You ma Db rough OAR 952-001-
calling the c~nte~a/(~of'es of the rules by
number for th.. nr"'(1Mo,~.}~e/elephone
l;enter IS 1 a'oo 332. .., 'V''''~''''un
- - -2344)
Street I'PJ'mvfll\cnts
I.e.
StOl m S~HII51'>r-'Mlu~te
SpeclaIAnstt:\I.c\i~lI~ SHALL EXPIRE IF TH
v, nVKILcD UNDER T E WORK
Notes COMMENCED OR IS AB HIS PERMIT IS NOT
ANY 180 DAY Pi=R/nl'\ ANDONED FOR
I V al~ation Descriotio,n I
DeSCriptIOn
Type of Construction
$ Per Sq Ft
or multlpher
Square Footage
or BId Amoullt
Value
Date Calculated
Page I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00968
ISSUED: 07/02/2008
APPLIED: 07/02/2008
EXPIRES: 0110212009
VALUE'
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fees P3,d I
Fee Descrlphon
+ 10% AdmmlStratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Manufactured Home ServIce
Amount PaId
Date Paid
Receipt Number
$550
$660
$275
$55 00
7/2/08
7/2/08
7/2/08
7/2/08
2200800000000001007
2200800000000001007
2200800000000001007
2200800000000001007
Total Amount PaId
$69 85
I Plan Reviews I
To Request an mspection 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 Re(l",!,red T nsnectlOns .
MH Service Approval requIred prior to uhhty compdny energlzmg service
By SIgnature, I state and agree, tbat I have carefully exammed the completed apphcatlOn and do hereby cerhfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance with
the Ordmances of the CIty of Springfield and the Laws of the Stdte of Oregon pertammg to tbe work described herem, and
that NO OCCUPANCY will be made of any structure without permIssIOn of the Commulllty ServIces DIVIsIOn, BUlldmg Safety
I further certlly tbat only COli tractors and employees who dre 10 comphance wIth ORS 701 005 WIll be used on thIS project
I further agree to ensure that all reqUIred inspections are requested .It the proper time, that each address IS readable from the
street, that thc permIt card IS located at the front 01 the property, and the approved set of plans Will remam on the SIte at all
times dunng constructIOn
Owner or COli tractors Signature
Date
Paee 2 of2
CIty of Sprmgfield
Electncal Authonzalton To Begm Work
E-malled To bhalada@qulXnet net
Receipt # EC533199
7/2/20088 36 14 AM
ia
By Phone
Check on status of permIt
(541)726-3753 or Emall permltcenter@clsprmgfield orus
I,
I D New constmctlon
TYPE 6f~Q~K
QU AddItIon/alteratIOn/replacement
CATEGORY",OE ~6NSJ~UCTION
I [iI ] or 2 famIly dwellmg D MultI famIly 0 CommercIal! Industnal
~ ';JOB SITE
IJobno 7080 IJobaddress 4475 DAISYST
IClty/State/ZIP SPRINGFIELD OR 974786644
I SUllelbldg lapt no SPC] 28
I Project name COUNTRY MANOR
eros'!' street/dll-ectlOns to Job site
I SubdivIsion I Lot no
ITax map/parcel no 1702323406500
I PESCRIPTION OF WORK
INSTALL ELECTRIC SERVICE
In
I Name MEL LANGFIELD
IPhone (541) 747-8595
I Emall
I
bSITE CONTACTz~~J" r '
~,
IFax 7478595
n n'CONTRACTOR
I EI he no 20-87C
I Busme!o,!, Name LR BRABHAM INC
I Conl.lct 8699
IAddress 68 W Q ST
ICIty/Stdle/LIP SPRrNGFIELDOR 97477 2[42
I Phone (541 )7476638 I Fax None
I Emall bhalada@qUlxnet net
I Metro IIc no
SupervISIng electrician's hc no 4944S
1 Supervlsmg electrician's name LARRY R BRABHAM JR
ICCD hc no
8699
I Oty hc no
Upon review and approval by your local jurisdiction, your
permit Will be e-malled or faxed within one business day,
wlth instructions on how to schedule your inspection
NOTE ThiS AuthOrization To Begm Work expires wlthm 180
days If a permit IS not obtained
The local bUlldmg department may determine that an
AuthOrization To Begin Work IS null and VOid If It does not
meet applicable land use laws and local ordmances
SCHEDULE
I DescnptlOn l Qty Fa
I'Resldentlal SINGLE{OR'iitultJ-faI11lJ)dwcllll]g~unlt
;I~'"'~ ~ - ,,'^"~~~*' ~JYIt,k~ itf7:;,,~
lJttJLhcd g8mgL "<::'+fdfE-'CL~~~~"2";;:ff;' ,~ "
.~. -"'^~ _ __~ %.'4 '" ~ -
IlOOOsqftorless I I
1 Ea addl 500 sq ft or portion
-Lt'iJ~:Eley.gy'thr~ '"
LImIted energy, reSIdential
(WIth above sa ft)
I Llmlled energy multIfamily
reSIdentIal (with above sa ft)
I-LImIted energy, commercla-1
(WIth above SQ n)
I - Stand-alone lumted energy
reSidential
I Stand*alone lImIted energy
multI famllv
I Stand-alone limited energy,
commerCIal
1 ~i;Y@!O~ f~d~r:.s _m~'t!illatt2:<E~~tt2:l!;'~ND/OR-r~locat~oil~:h~~3i1
I 200 amps or less
120 I amps to 400 amps
140 I amps to 599 amps
;TEl\IPORAR~servlce~~OR feect.~rs 111513.lIatI00, .dteratlOn, - ?:'
~-MD~IO~Rn~l%20t-"".,::-,:-'r-2:':f'l~]';;-~']L,~' y -"1:< \t ,),
",,~!~,,~!,eo~oll _ it::i~_$C __ ~y~" ";I.,'
200 amps or less I
1 20 I amps to 400 amps 1
1401 amps to 599 amps 1
I Branch ClrcUlts2_ ~~~~~lt~~~~I~~pR_~~tenslOn, p~er panel
I A Fee for brdnch CirCUits WIth I
servIce or feeder fee each
branch cIrculI
I B Fee for branch CIrCUits I
Without servIce or feeder fee
first branch CirCUIt
I eath add! branch circuit I
Total
"
I~C!~d~~< ;[~.::~?I
t: ~%.,
I :
.;->...,~""
'-,1:
"
Service reconnect only
l::ach manultlctured or modular
dwellmg service and/or feeder
$5500
$5500
Pump or IrrigatIOn CIrcle
1 Sign or outline llghtmg
I Slgndl LlrcUlt(s) or Iimlted-
energy panel alteratIOn or
extensIOn
,
I
I
ELffcTRiCAL PERMII,!EE~~~ , I
Subtotal $5500 I
State Surcharge (12% of permIt fee) $660 I
elfY OfSpnngfield fees. $825 I
TOTAL PERMIT J.EE $69851
] 0% Local Admm fee, 5% LOLal Technology tee
not offered online at thiS JUrisdictIOn
I
I
I
I
. City Of Springfield
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00968
COM2008-00968
COM2008-00968
COM2008-00968
Payments
Tvpe of Payment
ONLINE CHGS
cReLemtl
RECEIPT #.
DescriptIOn
Manufactured Home ServIce
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
ONLINE PERMIT CHGS
~jf
2200800000000001007
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
Date' 07/02/2008
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
NJM
Page 1 of 1
ONLINE LR Onlme
BRABHAM
Payment Total
93937AM
Amount Due
5500
275
660
550
$69 85
Amount Paid
$69 85
$69 85
7/2/2008