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HomeMy WebLinkAboutPermit Electrical 2009-6-4 . ,~ity of Springfield Electrical Authorization To Begin Work E-maiiedTo:bhalada@quixnel.net R~ceipt # EC553010 I' 6/4/200910:05:02 AM Y\~~ GO{ ~ ~I, 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 applicable land use Jaws and local ordinances. (\.\~ ~~\$) ~'W 'tV~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 10 New construction [) Addition/alteration/replacement :\'SAT~(l6!y~qFi&()NST.!i~.cjf6NH, , IlliJ I or 2 family dwelling 0 Multi-family D Commercial/Industrial IJob no.: 7562 IJob address: 4475 DAISY ST ICity/State/ZIP: SPRINGFIELD, OR 97478-6656 I Suitclbldg.lapt.no.: SPC 94 I Project name:-eOMMONWEALTH,REAL ESTATE Crossstreetldirections to job site: I Subdivision: ITax map/parcel no.: 1702323406500 ILot no,: MH ELECTRIC SERVICE REPLACEMENT ~ .~'.$' I I I EmoiJo NOTICE' I 1~:I.;i:5~0~~'~;~O~~'~~~=~~1~!~R,!:Jl~!~!,~~I~~~'".~.i)f~-I I Bosiness Nom" LRffi1\1\,~~IlW,f~'ED nQ 1<: 4.BAND0~1~!} ~~ I ICon'o,'. LARRY BM-l'f1"nlO DAY PERla!}. I IAddmso 68 W Q 5T I I City/State/ZIP: ~PR[NGFIELD OR 97477-2]42 I I Phone: (541 )7476638 I Fax: (541 )7477157 I I Email: bhalada@quixnet.net I I Metro lie. no.: J City lie. no.: I Supenoising electrician's lie, no.: 49445 Supenoising electrician's name: LARRY R BRABHAM, JR IName: DAVID, SITE MANAGER I Phone: (541) 953-1452 ,1"'IlX: 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 permitis not obtained. ~~ \9lj~ ~~ ,igF.~~~s:c'8jD~~'~tt;~.-::tt!;~;~~'f:t;' I Description ) , Qf}'. ! Ea, ) Total 1::I,~,estlJ"l',"'n(ia!:,~iN,:~,~E,,~~I9,~I~u,l~t/iniiI,y'~,W~, g",lt~,JPlncLuu, :~,:sr,','.~'L~ ;3; I 'at~~~~~~-d)_ar..ag~~?~+"":14 ~~~ii';..",,:;:~ ,~,: .~/ }i t~, '''':~:''''''''"L:' ,?" --;:, (" 1 I,OOOsq,ft,ocless[4] I lEa, addl 500 sq, ft, or portion 1 I .Limited energy, residential (wIth above SQ, ft,) , I-Limited energy, multifamily re~idential (with above Sq, ft,) - Limited energy, commercia'l Ili d J' h'" d' , n" 01 0 ere on me at t IS JUriS ,CllOn (with above sa, ft,) , - Stand-alone limited energy, residential I . Stalld-a,lone limited energy, multi~faml]Y - Stand-alone limited energy, commercial , rSen:~ic~s'ORrreeders'instaifation~lHicrution~ifANjjjORfreloc'I'tjo'n:,~~r:.;:~' 1:!-W:>="='!:. ..,..,.""=<,,,. ;~.",^,<~.,~~A:...."'."""~-=--. ....,.,./.-:y,=... ""''''++''''. ;'."_.,,1'~',. ,.::.- 1200 amps or less [2] I 1201 amps to 400 amps {2] I j 40 r amps to 599 amps [2J I 200 amps or less [2] J 20 I amps to 400 amps [2] I 1401ampst0599^~M" . __1,_,. J I(Bralich~circuit.:-: 'NE.wlal\eraiio~ii R ten,' (ib1i:jPcrCp.~nei,~;:'.,..IU.u;.~O ~ '""","-' ~.."~.. 'llilll..\ALf' . t!'1'::'" !.l..'Jnr C'.-.l.'y4A.....,n,..........~n"8tH ty A Fee for brotsl>,~i\'iei!1tl1i'l1 C,' t 'T'h - -, -"-,, service or feed",!.'!' qa,1H :n er. )se rules are set Ie rth bron,h,ircuitJn .l::AH 952,OC1-0010tl rou,ah 0 \R q<;"n 11- I B" Fee lor bro(;J$@@:.uiIjOU m; obtain, :opies 01 the rules by w"hoot servrce oF-elf! ielh t (^ , , first branch circuli . Y ,e en er. I' ate. the elephonl! leo'~d:;,~~~:~hIHf~__~~~:,lt';~1~95'r, _~lII~ry r lot~lIcauqn I'MiSl'eJlilneous7~Ji:*kf:?:;;;ii1*,->t'"H:S:i",.~~:t,.",9~~,,~6~q.t+)~. ,..,,~. ".;:1 ",-"""",,, "'..... r,"~.'.-"!.,,---"'"'-~~0,':t'dtLrr:: -'^q-,",,'~, '''-'''='.''Lp...:. ".:,,-, "'_~"', ,.: _ -::-.., .~_ 1 ServiceJeconnect only [2) I I Each manufactured or modular $63,00 $63.00 I dwelling, service'and/or feeder 121 1 Pump or irrigation circle [2f 1 I Sign or outline lighting [2] I I Signal Circuit(s) or Iimited- I energy panel, alteration, or extension [21 ",',;g<1[~TECTRI'CAi:PERMIT'FEES'-iF'{f"i ,.[ ~ Z" -?4 "",...", ..,,><, 6 -,",'_"" . ,.... '..C "......;.J; r. .,,,Y}~ . Subtotal I ' .$63,00 ! State Surcharge (12% of penn it fee) $7,56 I Citl' Of SpringJield fee~ .. I $3.15 I I TOTALI'EI~MITFEE $73,71 I '" City Of Springfield fees: 5% Technology Fee [Default !lumber oJinspeclivns allo;'i'ed} '0 t,Dt-'l~~ y-, LoILfloCJ \, ......::~~~,':~~~I~:Q) 1il11,"~,,~J !;.IiIlll' . . . , " ""L' -' ", Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CIT~, OF SPRINGFIELD Building/Cqmbination Permit PERMIT NO: C.OM2009-00788 ISSUED: 06/04/2009 APPLIED: 06/0412009 EXPIRES: ]2/0412009 VALUE: I - SITE ADDRESS: 4475 DAISY ST SPACE 94 ASSESSOR'S PARCEL NO.: 1702323406500 Springtield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: MH Electric service replacement TYPE OF USE: New, Residential Owner: Address: DAVIS BETTY J 4475 DAISY ST #94 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 I,NFORMATION . License 8699 BUILDING INFORMATION I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building; n/a I DEVELOPMENT INFORMATION I . \ Expiration Date 12/18/20 I 0 Phone 541-747-6638 I Lot Size: Sq Ft I~t Floor: Sq Ft 2hd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft (lther: Occupant Load: I REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side 1 Setback: # Street Trees Rqd: " Handicapped: Side 2 Setback: Paved Drive Rqd: I: Compact: Rearyard Setback: % of Lot Coverage: ATTENTION' oregbn law requires you to Solar Setbacks: f I' d t~d by the Oregon Utility ~lnTI"~' 011 ow ru es a op , ,L ,.~ r -.--. _::. ' Notification LienU:H. ~'IIIU<::lC": I Ulv";> .......... ...~. . _. ~., TH IS PERMIT SHALL EXPI~E 1~",JffiLWU~'ROVEMENTS I in OAR 952-001-001 0 through OAR 952~001- Street Imp~Iie1Mfil\l;IZED UNDER THIS PERIV(I r lb I~U I OOESUllf-'>WIR11lYPlRt~incopies of the rules by rnWAf:1\IrED OR IS ABANDONED FOR ' C~~~g the center: (Note:the telephone Storm Sewt!t'1f'llJlrbJe': ERIOD nu'i?f&J!SJlllUl\~lPrntnJ<Jn Utility Notllicatlon Special Inst{l.MidJlO DAY P . Center is 1:-800-332-2344). Notes: Description Type of Construction I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Page 1 012 Value Date Calculated , Status Issued CITY<, OF SPRINGFIELD Building/Combination Permit . PERMIT NO: COM2009-00788 ISSUED: . 06/0412009 APPLIED: 06/04/2009 EXPIRES: 12/0412009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fees Paid' Fee Description + 12% StateSnrcharge +5% Technology Fee Manufactured Home Service Amount Paid Date Paid Receipt Number $7.56 $3.15 $63.00 ,6/4/09 6/4/09 6/4/09 1200900000000000617 1200900000000000617 1200900000000000617 Total Amount Paid $73.71 --, . Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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 R~,,"iredl~,~ne.ction,s I MH 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 accordilUce 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 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 ofthe 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 22~. Fifth Street Springfield, Oregon 97477 541':726-3759 Phone ! G!~IN'~J!I,~.jJ.,'.' ,...,..' 1k!4 .. ,1}1 U'.' . ". . .."",,..' ",'. City of Springfield Official Receipt Developme'1t Services Department Pub.Iic Works Department ,;, RECEIPT #: 1200900000000000617 Date: 06/04/2009 11:01 :23AM Paid By ONLINE PERMIT CHGS Item Tota': <":heck Number Authorization Received By B:ltch Number Number How Received Amount Due' 63.00 3, I 5 7,56 $73,71 Job/Journal Number COM2009-00788 COM2009-00788 COM2009-00788 Description Manufactured Home Service + 5% Technology Fee + 12% State Surcharge Payments: Type of Payment ONLINE CHGS Amount Paid KR ONLINE LR Online BRABHAM Payme~t Total: $73.71 $73.71 cRcceintl Page 1 of 1 6/4/2009