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Home My WebLink AboutPermit Electrical 2009-6-4 City of Springfield ~({\ VI,/ C Electrical Authorization To Begin Work E-mailedTo:bhalada@quixnet.net Receipt # EC553009 6/4120099:57:33 AM ~ Check on status of permit By Phone: (541)726-3753 or Emaii: permitcenter@ci.springfield.or.us The local building department may determine that an Authorization To Begin Work is null and void if it does not meet apPli:::;~ ~cal ordinances. , '0"" ~'V This Authorization To Begin Work must be posted at the job site until replaced by a Permit. I ,~4 ;;::;' I 0 New construction '" 'TXPE(j~.wOR~ ~ Addition/<Ilterationlreplacement ';;',.,,' r', . . ,.' SATEG.ORY, OF~CONSTRlJCTf!J,N' [KJ 1 or2 family dwelling 0 Multi-family 0 Commercial Ilndustrinl '),08 SITE INF,6~MATI.oNANO'LOi:ATIONc, I Job no,: 7560 I Job address: 4475 DAISY ST ICily/State/ZIP: SPRINGFIELD, QR 97478.6655 I Suitc/bldg./apt.no.: SPC 85 I Project name: COMMONWEALTH REAL ESTATE Cross street/directions to job site: jsubdi\-'ision: I Lot no.: ITax map/parcel no.: 1702323406500 ["Y'. ,.', .. I)EScCRlPTlc:>~oOF;WORKL:' MfI ELECTR]C SERVICE REPLACEMENT ,.", ,,.,', ':~:l C.oNTAct" I Nllme: DAVID- SITE MANAGER Iphollt.: (54])953-1452 I.'ax: IEmail: I" .,.' ~. . CONTRACTO-k'lPia,:ia:AIJU U~H 'AN'V. lEI. lie. no.: 20.87C . O_t;:lJ ~:;.rJ~,~1. n~\_~UjJI~jV~V\JUJ IBnsinessNam" LRBJ~ijlJjd 5111-: ~::lUI~11 UjLltlUHlfl'V ICon'a": LARRVBRA~~W,\]RL;/I3mc/X':J IIIJH::' .LIVVtljd SIHl IAddress: 68WQST ;3:JIION I City/State/ZIP: SPRINGFIELD OR 97477-2142 I Phone: (54] )7476638 1.'11.\: None I Emllil: .bha]ada@quixnet.nct Metro he. no.: I City lie. no.: I Supen--ising electrician's lie. no.: 4944S 1 Supen-'isill~ electricilln's name: LARRY 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. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. 0\ \Q~Q/' ~~. '''~ " ~'.," ,"~ 'II' ~ - c < ,c '. ',,:, ".--:f')" -. :C'~0":", ;FEE SCHEDULE - , """,,~,' ,,{., . ....,.. ,.,-_.\ .,".,,'..... ........ , I ""1 I :;;1 I I I I I I Description I Qt}'. I Ea. Total I I. R.e~dl':~~al~SI~qgE.J~I{:..!!l~lti:tamilr:d~".~lling~tinil: ,lncludL'S, .-..\'1 a!~~che~,gJ,lrdgc ,~; . .:c"'~ "\. '.....';., ." . .}, , ". J.. ~ I ],OOOsqft,or],ss[4] I I I I I Ea, add] 500 sq, ft, or port;on I I I, I~~i~e~ '~,~ergy <,:~~;; . .",:<"t ,I I-Limited energy, residential I (withabovesq, I'Ll I - Limited energy, multifamily I residential (with above Sq, n,) I-Limited energy. commercia-] n9t olTered online al this jurisdiction I (with above Sq, n.) I - Stand-alone limited energy. I residential I - Stand-alone limited energy, multi-fami]y I - Stand-alone limited energy, commercial 1'~~I1'i{es q~' fec,ders)!Isi!l_lilltioll~,~"lteratfon., A~,p/OR~el~c~ti()I~"':' 1200 amps or less [2] 120] amps to 400 amps [2J 140] amps to 599 amps [2J I:JJ~~Jq~~~il~ru~j~.i,~~s:~~' :l'C~~r,:~~S~li"~ti~?~,~'t.e:,~S:~~:<, .' 1200 amps or less [2J 1201 amps to 400 amps [2] 1401 amps to 599 amps [2J 1}lr!lllcb'c!.j~its~:~EW; ldt~.~lUi?#rOR exiensioD,'PCrpa'.l"e.1 I A. Fee for branch circuits with ~ ~ serv;" or fe'A:flJ'EWqJiON: regon la II requir S you to branch circttf:'l";lA' ..,-,I^r".,rl ,...ton hV thQ ().rer: nn I Jtilit\l B, Fee ror li~ii~b-IClr~~ifs' --C" t Ir Tho~ e rules a~e set fort 1 Without serVilQ\J lfe&tt1AG e e. ..., firS! branchlMiliM!J952-001 0010 thrl]Jugh OA 952-001- each add] bOOO@j"l1Iou may bbtain cqpies of t~e rules 0 f ,~sl~!lmn~~~~?:~2)~;c ~~~f1~r~~~,~j~::;rll; t~~~:I~~~'~{:~:.1 ClVlce reC01lfl'ee1 'OM)"" :r. .'; "- "...." '"'2-1 Each manulaClured or . 1:11'l;Il I.... 1-8X, :........ ~3.00. $63,00 I dwelling. service and/or feeder . [21" 1 Pump or irrigation circle [2] 1 1 I I Sign or outline lightingl2] Signal circuit(s) or Iimited- energy panel, alteration, or ' extension r~l . <,~.~' ~ \,'," - ;UELECTRICA~.PERMIT F~ES --::' ' , <> ' "',. I Subtotal I I State Surcharge (]2% ofpcnnit fee) I City Of Springfield fees *1 l TOUL PERMIT FI:E I . City OfSpringtield fees: 5% Technology Fee [Default number of in spec lions allowed) Qq-'\~1 $63.00 $7,56 $3,]5 I $73.71 I 'vo 12l4lD~ Ii Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY,OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00787 ISSUED: 06/04/2009 APPLIED: 06/04/2009 EXPIRES: 12/0412009 VALUE: SITE ADDRESS: 4475 DAISY ST SPACE 85 ASSESSOR'S PARCEL NO.: 1702323406500 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: MH electric service replacement Owner: KENNEDY MILDRED ANN Address: 4475 DAISY ST SPACE 085 SPRINGFIELD OR 97478 Contractor Type Electrical Contractor LR BRABHAM # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I CONTRACTOR INFORMATION I License 8699 BUILDING INFORMATION' Expiration Date 12/18/20 I 0 Phone 541-747-6638 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla Lot Size: Sq Ft I st Floor: Sq Ft 2nd f'loor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I , REQUIRED PARKING Fronty~rd Setback: 'OOIH3d A'tIO o~v~fW Dist: ATTENTION: Oregon law'f9[f\!I.res you ',0 S~de 1 Setback: HO:! 03NOON'tIalf SI HO 038N3M^~W! Trees Rqd: foHow rules adopted by t~afill.i'iJlP.P~;lity SIde 2 Set barK' , ' PlNed'Drive Rqd: Notification Center. Those lL.:,>-<,",,,.,:set forth Rearyanl srlt\J~~llllt\JH3d SIHl ~J30Nn 03ZIHGWbf1itot Coveragein OAR 952-001-0010 through OAR 952-001- Solar Selba~9M 3Hl.:l1 3HldX3 11'tlHS IIlt\JH3d SIHl 0090. You may obtain copies of the rules by "., "',' . _". ,...allin,., tho. f"onto.r {....I.....+""'. +1-..... +....1.........1.-....__ . "t" .. ..~ - . . I PUBLIC IMPROVEMEN'flSJrber for the Oregon Utility Notification , Center is 1-800-332-2344). Sidewalk Type: ' Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction . Downspouts/Drains: I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00787 ISSUED: 06/04/2009 APPLIED: 06/0412009 EXPIRES: 12/0412009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F(>(>s Pairl I I II. Fee Description + 12% State Surcharge + 5% Technology Fee Manufactured Home Service Amount Paid Date Paid $7.56 $3,15 $63.00 6/4/09 6/4/09 6/4/09 Receipt Number 1200900000000000615 1200900000000000615 1200900000000000615 Total Amount Paid $73.71 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 requested after 7:00 a.m. will be made the following work day. I Reollirerl Insn~ctio'1s I MH Service: Approval required prior to utility company energizing service, By signature, I state and agree, that 1 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 ofany structure without permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who arc 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 Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00787 COM2009-00787 COM2009-00787 Payments: Type of Payment ONLINE CHGS cRcceiotl RECEIPT #: Description Manufactured Home Service + 5% Technology Fee .+ 12% State Surcharge Paid By ONLINE PERMIT CHGS ap",.....""'!'U>~, '" ",', Ii&. . City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000615 Date: 06/04/2009 10:26:43AM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 63.00 3,15 7.56 $73.71 Amount Paid KR $73.71 $73,7] . Page I of I 6/4/2009