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Home My WebLink AboutPermit Electrical 2008-12-22 Status Issued CITY OF SPRINli1<lELD Building/Combination Permit PERMIT NO: cOM2008-01796 ISSUED: 12122/2008 APPLIED: 12/2212008 EXPIRES: 06/2212009 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 93 ASSESSOR'S PARCEL NO.: 1702323406500 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Electric service relocate at space #93 Owner: Address: COUNTRY MANOR LTD PTRSHP 7007 SW CARDINAL STE 185 PORTLAND OR 97224 I CONTRACTOR ~NF?RMATroN I Contractor Type Electrical Contractor LR BRABHAM License 8699 . BUILDING INFOR~AT.roN' '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 REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: .~,.., ' Paved Drive Rqd: % of Lot C"verage: Total: Handicapped: Compact: I PUBLIC IMPROVIPI':t1'lN:fS',- N: Orego~ ,law\hr:'6~~~~~ Utiiity . s adop\eO .JY ." " f th Stre t I ents tOIlOW IUI~ S'd -, Ik,T''''''.S are set or e mprovem : Notification cen,J.,ewa "y~eOAR 952-001- Storm Sewer Available: ' . in OAR 952-001-Bg~~~B~~~~Df.i"~ rules by Y obtauI0Uj-J1V,", Vt . Special Instruction: 0090" You ma Note: the telephone NOTICE: . calling th~ ~:;~;~cion Utility Notification Notes: THIS PERMIT SHALL EXPIRE IF THE WORK number6~nter is 1_800-332-2344}. _ '__'" ".\;~~" TUIC Di=J:lMIT IS NOT I-\U [l'lUnlL.I-U ......,...:'t..I. . "Fi COMMr:NCED OR IS ABANDONEfI\J':;~uation DescriDtion I {,;W H10 DAY PERIOD, ' Description Type of Construction $ Per Sq Ft Square Footage Value Date Calculated _..,..,'_,"_,.,',' -""or multiplier or Bid Amount Pa2e I 01'2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01796 ISSUED: 12/22/2008 APPLIED: 12/22/2008 EXPIRES: 06/22/2009 VALUE: 225 Fifth Street, Springfield, OR 54i-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee,' Pai~ .1 Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $7.30 $8,76 $3,65 $73.00 12/22/08 12/22/08 12/22/08 12/22/08 Receipt Number 3200800000000000801' 3200800000000000801 3200800000000000801 3200800000000000801 Total Amount Paid $92.71 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 re'quested after 7:00 a.m. will be made the following work day. I ..R~ll.u!~~d I n~p.e~!!,?~.~ I Electric Service: Approval required prior to utility company energizing service. 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,fui,ther 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"mailed To: bhalada@quixnet.net. Receipt # RC543987 12/22/20082:23:16 PM Check on status of permit By Phone: (541)726~3753 or Email: permitcenter@ci,springfield,or,l1s J D New construction IJobno.: 7368 IJobaddress: 4475 DAISYST I City/State/ZIP: SPRINGFIELD, OR 97478-6656 I Suite/bldg./apt.no.: SPC 93 I Projec€ mime: COMMONWEALTH REAL ESTATE Cross street/directions to job site:" . I Description Qty. l Ea. Total 15RcsillcniiulTSI. NG[}:..i'fbR"iri'Ulii~'fllin~'I;iI,"'eliii1g:u'iiii~lnc,luJcsf?? ji1f~"'W+'~'1-'=~-:m%;~;:o.~":?:.""frfrgn'T -- - _. . ~ Lllttactied!gal'agci, :.:i;E;!f)Ji~:4f:,-,i;\f:~),:~~'f2~"-'0' ~. ~,_",~.=,<.,_.""",__.~>;b,,- . .-....;rj;;;r..~... '" [ 1 ,000 sq. it. or less I Ea. add] 500sq, ft. or portion [K] Addition/alteration/replacement [X] I or 2 family dwelling D Multi-family o Commercial/Industrial I Subdivision: ITax map/parcel no.: 1702323406500 ILot no.: I ~ Limited energy, residential (with above SQ. fl.) I-Limited energy, multifamily residential (with above SQ. ft,) I -' Limited'energy, commercia-] (with above SQ, ft.) I . Stai1d~,alorie lirriited energy, residential I ~ Stand-alone limited energy, multi~famlly I - Stand-alone limited energy, commercial I I I I I I ELECTRIC SPACE #93 1200 amps or less 120] amps to 400 amps 1401 ampsto 599 amps 1~:g@~ltAl~Y~.i~~S:ORJci~_~rE'~~Jl~laii~HeraijQnr ~~DlOI~I!suti.()~~~'~~~~t'!:~0mm. 1200 amps or less I 1201 amps'"to 400 amps 1 1401 amps to 599 amps I .1 l~mb1f}[f!lLtB:&EIYl~~~~l<I~~j~IIi.~i~"~~1tili1it~~~~~ I A. Fec for branch circuits with I I ' service or feeder fee, each branch circuit. I' B. Fee for branch circuits I . without service or feeder fee, first branch circuit: I each addl b~anch circuit I $73,00 $73.001 I IName: DAVID, SITE MANAGER I Phone: (541) 953~ 1452 IFax: !EmaiJ; I;r:::i Jrr.n.( I EI. lie. no.: 20-87C I CCB lie. no.: 8699 I Busin('ss Name: LR BRABHAM INC I Contact: LA~RY BRABHAM IAddress: 68 W_Q ST I City/StateIZIP: SPRINGFIELD OR 97477-2142 J Phone: (54] )7476638 I Fax: None I Email: bhalada@quixnet.net I Metro lie. no.: I City lie. no.: I Supervising electrician's lie. no.: 4944~ I Supervising electrician's name: LARRY R' BRABHAM, JR Service reconnect only l'EaCh-riianulacturcd or modular dwelling. service and/or feeder I Pump or irrig<llion circle I Sign or outline ]ighti~g I Signal Cire. uit(s) or limited. energy panel, alteratIOn. or extension 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 build'ing 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. Subtotal I $73.00 1 State Surcharge (12% of permit fee) I $8.76 I City Of Springfield fees" I $10.951 I TOTAL I'ERMIT FEE' $92.7 J .. City OfSpringficld fees: 10% Administration Fee; 5%' Technology Fee Oo-n LOU?' - 0 17 q G 1l.~~bd-0 t(. Nrv"- This Authorization To Begin Work must be posted at the job site until replaced by a Permit. . ,,' 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM200S-0 1796 COM200S-0 1796 COM200S-0 1796 COM200S-0 1796 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 3200800000000000801 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS Received By njm <":heckNumber tHatch N~mber ONLINE Page 1 of 1 : City of Springfield Official Receipt Development Services Department Public Works Department Datc: 12/22/2008 Item Total: Authorization Number How Received brabham Online Payment Total: 2:57:56PM Amount Due 73,00 3,65 S,76 7.30 $92,71 Amount Paid $92,71 $92.71 12/22/200S