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Home My WebLink AboutPermit Electrical 2009-4-10 Electrical Authorization To Begin Work. E-mailedTo:bhalada@quixnet.net Receipt # EC549912 4/10/200910:24:00 AM 1-; r{b rA/ C City of Springfield Checkon status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I [K] \ Of 2 family dwelling D Multi-family D Commercial I Industrial I Description QI)'. En. Total Ih~,~sWii!..~_~.I,~.,!.~:?~E_<g~:.f...C~fU??~~Y~~W~~1~,-lici~.,J.~_':-0~~~esr, :~_~t~~dgafagc"~"":''';0_<''__ ~"","~~;~{~~'c . >s, I, ,000 sq: ft. or less [4] Ell. add I 500 sq. n. or portion I D N~w construction Ii] Addition/alteration/replacement IJobno.: 7495 jJobaddress: 4475 DAISYST I City/StatcJZIP: . SPRINGFIELD, OR 97478-6644 ISuitc/bldg.lapt.no.: SPC 128 I Pruject name: GNP INVESTMENTS LLC Cross street/directions to job site: ISubdivision: ITax map/parcel no.: 1702323406500 11.01 no.: I-Limited energy, residential (with above Sq, ft,) I-Limited energy, multifamily residential (with above Sq, fU I-Limited energy, commercia] not olTered online at this jurisdiction (with above sq. ft.) I - Stand-alone. limited energy, residential I - Sllirid-alone limited energy, multi-familv 1 - Stand-alone'limited energy, commerci111 1~~eir~c.~~9W:1e'~~~~~~iij]_i1iiio~;a~iei~'.U.?J!j< ~\p~qRJ~I~~atlli~:i~iY;f; J 200 amps or less [2] I I I 12qllllnpst0400amps[2J 1 1401 amps to 599 ilmps [2J MOBILE HOME ELECTRIC SERVICE CONNECTION IName: GAY LEN PROVOST IPhonl': (541)461-_]719 IEmail: IF." 1200 amps or less [2] 120] amps to 400 amps [2] 140] amps to 599 amps [2] li~r~~,'ci,rc-~tti1~J~y,'~(t.et~tI?Jr~'('i~\~~~~OJl}jp~s~an~'~~-C~;::;!! lA, Fee for bml\lJ, Ilfli\l4l. Wi'/) e 'on law ~eqUires. ~OU to servIce oA'Jclier.l'd~ HaCh~' r:::J , urn braoch "'",Uinw rules adop ,ed by th Orego II y. IB,FCCI.Q~-rffi'E!'di.6~tvente I. Thosef' lesare ."lIU'UI w,thou.~ il},o,r e''Z:61J1-0C10throu hOAR9 2-001- fir~tbrIDl Mt _.' -r.tl-- :.:11....... h.. 1 eachad(U~l>h~fiYjtmay 00 ,~II~ liU~I,_:",,~I+ I,... ".':'- -J- i'~;~~~R~~1;:"li~i 1 Pump or irrigation circle [2] I 1 Sign or outlinelig]lting [2] 1 Signal cirCUi.t(S) or limited- I I energy panel, alteration; or extension 121 ~~t~;~t\ ~ :~;-1hi)EiiECtRIC'AliYpERMlrFEES'4"'R35,',,;~':.~;;:;.: ~~ ,c''''~'1:!li,-"-..,,,,~'''' '...,..d . -. "",."..,,~~,~" _.._,....~,_~.~""'".-" ~.._:<.,. I Subtotal I $63 00 I State Surcharge (12% o1'permit tee) I $7.56 I City Of Springfkld fees" , $3.15 I \ NQ.J I TOTAL PERMIT n:.: $73.71 I ~~t ri';~~~!~~~;;,:'~r L\ \ 10109 ~ lEI, He. no,' 20.~T1CE: I Bn,ine" N.m'T~Il~Rf\!lfl!'MlIflSHAII FXPIRE IF THE WORK IContac" LARijUnNOIRWm lJNn~R TI-lIS P~RMIT IS r:ill.T IAddre'" 68WR~MM~Nr.Fn OR IS ARANnON~n FOR ICily/Stale/ZIP'~rJVN1il\\lllflN\l ~mll 1 Phollt': (541 )747663!l 1 Fax: None I Emllll: bhalada@qllixnet.net I ,'\-'letro lie. no.: I Supervising dectrician's lie. no.: 49445 Supervising deetricilln's Imme: LARRY R BRABHAM, JR IceD lie, no.: !l699 ICity lie. no.: 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 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. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00378 ISSUED: 03/25/2009 APPLIED: 03/23/2009 EXPIRES: 03/24/2009 VALUE: $ 25,000.00 225 Fifth Slreet, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4475 DAISY ST SPACE 128 ASSESSOR'S PARCEL NO.: 1702323406500 Springfield TYPE OF WORK: Manufactured Home in Park TYPE OF USE: New PROJECT DESCRIPTION: Manufactured home set GNP Investments, Site 128 Residential Owner: GNP INVESTMENTS LLC Address: PO BOX 42177 EUGENE OR 97404 I CONTRACTOR INFORMA TION I Contractor Type General Electrical Contractor : JERRY OTT LR BRABHAM License 69455 8699 BUILDING INFORMATION I Expiration Date 09/26/20 I 0 12118/2010 Phone 541-935-2696 541-747-6638 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # or Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: .;r-C'l-......" "\ ,., .t:!~".....'.. ........OCBUlllallV 1~4uHesyouto NOTICE: I DEVELOPMENT .INFORMATlONII1w rules adopled py the Oreaon VliI't THIS PERMIT SHALL EXPIRE IF THe VVUKI'\ !'ULlllcatlon Center. "R-M<!/;J/81!;!>&~!Mf~~1li, Front yard SetbafflJTHORIZED UNDER THIS PER~~JIS~1i: ~0~t\;~2-001-0~tl ~I{tHR~gh OAR 952-001- Side I Sethack: COMMENCED OR IS ABANDONIDfi@RTreesRqd:caliingthmeacy Ot a~imWa~. R~d?e rules by S'd 2 S b k P d D' R d en er. Ole 1)13 telephone Ie. et ac ~ ANY 180 DAY PERIOD. , 0 ~ve nve q : . number for the Ore 8R'B1l~1 'y Notification Rea, ya, d SetbaCK, Yo. of Lot Coverage. Center is 1-800-332-2344) Solar Setbacks: . R-3 960 2 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type:, Downspouts/Drains: Notes: Page I of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00378 ISSUED: 03/25/2009 APPLIED: 03/23/2009 EXPIRES: 03/24/2009 VALUE: $ 25,000.00 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation DescriDtion ~ Manuf Home Type of Construction Manufactured Home $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 25,000.00 Value Date Calculated Description Total Value of Project $25,000.00 $25,000.00 03/24/2009 Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Manufactured Home Placement + 12% State Surcharge + 5% Technology Fee Manuf Home State Issuance Manufactured Home Service Amount Paid Date Paid Receipt Number $47.64 $19.85 $397.00 $7.56 $3.15 $30.00 $63.00 3/23/09 3/23/09 3/23/09 4/1 0/09 4/10/09 4/10/09 4/10/09 2200900000000000288 2200900000000000288 2200900000000000288 3200900000000000234 3200900000000000234 '3200900000000000234 3200900000000000234 Total Amount Paid $568.20 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 Reouired r nsneetions I Manuf Home Set Up: When inslallation of all piers or stands is complete. Final Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. Manuf Home Plumbing: After home has been connected to water and sewer. MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected 10 the panel. Pa2e 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00378 ISSUED: 03/25/2009 APPLIED: 03/23/2009 EXPIRES: 03/24/2009 VALUE: $ 25,000.00 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify lhat all information hereon is true and correct, and I further certify that any and aU work performed shall he 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 reqnired 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 aU times during construction. Owner or Contractors Signature Pa2e 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00378 COM2009-00378 COM2009-00378 Payments: Type of Payment ONLINE CHGS cReccintl RECEIPT #: Description Manufactured Home Service + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000236 Date: 04/10/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE LR Brabham Online Payment Total: Page I of J II :00:23AM ' Amount Due 63,00 3, IS 7,56. $73,71 Amount Paid $73.71 $73.71 4/1 012009