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
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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.
(\.\~ ~~\$)
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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.
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,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}
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LoILfloCJ
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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
!
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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