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Home My WebLink AboutPermit Electrical 2009-6-4 !l City of Springfield ~q EC553013 f\ ~/ V '. Electrical Authorization To Begin Work E-mailedTo:bhaJada@quixnet.net Receipt # 6141200910:11 :07 AM , ia Check on status of permit By Phone: (541)726_3753 or Email: permiteenter@ei.springfieJd,or.ns ~~.\Q ~ \\1;'\1 This Authorization'To Begin Work must be posted at the job site until replaced by a Permit. 12 I 0 New construction I",,;,",;. W lor 2 family dwelling [K] Addition/ulteration/replacement DMulti.family o Commercial/Industrial Job no.: 756\ \ ,lob address: 4475 DAISY ST I City/State/ZIP: SPRINGFIELD, OR 97478-6655 I Suite/b~dg.Japt.no.: SPC 90 I.'mjcet name: COMMONWEALTH REAL ESTATE Cross street/directions to job site: \ j I Subdivision: Tax map/parcel no,: 1702323406500 ILot 110.: MH ELECTRIC SERVICE REPLACEMENT I Name: DAVID, SITE MANAGER Il'hone: (541)953-1452 IFax: 1~:~i,I":,::_h0"~"'i:?~t"^:"ij;;~l!:j:};~;:~t~;t:ONTRACTORT'~ ~~::l::0t~~,,;.~,~..; . <0'" ,,"'c- '.., .i~n~I'uL..:'~' '...h~''''''''' . ',fficl. """~""',"''-'"'''':'~''''",,"'--''%'-''^~''' .;", lEI. k 00.. J'!8jl: _"" ~.... I\L' I:v~>-I1l6~~tnRK 1 Bo,;ocss Nl.li, J2L~ Bi0.1J,JIAki\~r~ ;:HI>' m:ranIT 1<; 1I\0T 1 P' 'U.,' ,I:\,.((:J U,wd I, -.-' , Coo,,,,. ~ARKY BI0,~I:!1-'rQ ".., I~ '11 ^"~r)~IJ::n ~nR 1 . I '1''l'',''CI\lli!:U Ul\ 0 l-'U, ,,\' .... ,-- Address: 68'WQST__ _ '," ......-....It''IO . I C;lyIS'a'cIZli~'. YSP'RrNGFitLb 5ir'9J'\77,2142 Phone: (541)7476638 IFax: None I (mail: bhaJada@quixnet.net J l\iletro lie. no.: ICity lie. no.: I Supervising electrician's lie, no,: 4944S I Supervising electrician's name: LARRY R BRABI-IAM,JR Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instr~ctions 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 Ian Authorization To Begin Work is null and void if it does not meet applicable land ~se I~ws and ,local ordinances. ~ Vi..j I Description l Qty. I Ea. I Total 1~~C~~~~'~'t~~~.,~.IN;~E,',~;'2R",m, .'iH~t'r~ntll(tJ~,~~'e,;Lli~l:~U.,~,~,~i~~n,~lu(Jcs,"" at!~ched'gatll~t';''40;J::!;:t..!-%5..-t::~~F~'i~ ~ :;;" , 11,000 sq, ft, or less [4] I; lEa, addl 500 sq, ft, or portion i 1~~(Ojlt~;E~e~ ' I-Limited energy, residential (with above sq, ft.) I-Limited energy, multifamily residential (with above Sq, fl.) I-Limited energy, commercia-I (with above sq. ft,) I - Stand-alone limited energy, resIdential I . Stand-alone limited energy, multi-family I - Stand-alone limited energy, commercial 1?~rrV~~~~Sl~t~K~,~tS}~sta#al~~~?:~i~~~@~~Zi\~!?[9-~j?~'io-ca~i~n- ~:': '. ,':1 1200 amps or less [2] \201 amps to 400 amps [2] 140 I amps to 599 amps [2] l' 1~~~!~~~I~~~~~,i~~F%~l~~~i~:;~1~r~:~j';:~~~~~1~~:"~/~"il I 200 amp' or Ic" [2 J I,', I 120] amps to 400 amps [2] I 1401 amp"o 599 amp' [2J 1 :. 1[~r~~1i~~!i~~~g)Y'1~lt~~a~il)~[gR"!X(~i1()$\;~ip3~ft{%0 i~' 4~- ':1 I A, F,eefor branch circuits with I l service or feeder fee each braoch ,;rcAliITENTION: Or, ,oon law reouires Oil to I B, Fee fof!l>:!t'!'.h!cjreJlJ:s ado! Ited by U e Oregol1 Utility ~;~~~:;!~'OJII{~ttij11\ eente'J Those ,ules are ;et forth I each addlb~iJ#i;il'tlif'uu I-~' '.1 ~ mrou~n UA,H, b~-UU1- i'~;~~~~~~1:~i!t?;7h~~~~~~~t:~~r,~~~~~f~~g~:Y ~\, I Each maoofaclUrcd qr,m9~ul.ar, 1-S-00-3"F,2' ~<hj60 "'163,001 dwellmg, service andt6ytJea'lr IS " -.) , ,s..f'"i;J. 121 , 1 Pump or irrigation circle [2] 1 1 I Sign or outline lighting [2] 1 ' I I Signal,Circuit(S) or li,mited- I 1 energy pane!, alteratIon, or extenslOn.f2J I;~l: );~;~!i~J~~qr,r{lq"AU:1~~E~tf~fEES,:ki~f(.':" ,'- I Subtotal I I State Sllrcha rge (l2CXoofperrnit fee) I' I City or Springfield fees" I TOTAL PERMIT FEE .. City Of Springfield fees: 5% TechnCllogy Fee {Defiiult number ofinspecriom ulloll'~dl I~ot offer~d online at this jurisdiction I' I I ""I , $~;,~;;i $756 I $3,151 $73,71 1 ~C1-1~9 ul4\ift 1L12- . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line CITX OF SPRINGFIELD Building/Combination Permit I PERMIT NO: COM2009-00789 ISSUED: 06/04/2009 APPLIED: 06/04/2009 EXPIRES: 12/04/2009 VALUE: SITE ADDRESS: 4475 DAISY ST SPACE 90 ASSESSOR'S PARCEL NO.: 1702323406500 Springfield TYPE OF WORK: Electrical Work Only I PROJECT DESCRIPTION: MH Electric service replacement Owner: ACHEN JOHNATHAN M Address: 4475 DAISY ST SPACE 090 SPRINGFIELD OR 97478 Contractor Type Electrical Contractor LR BRABHAM # of Units: Primary Occupancy Group: Secondary Occnpancy Group: Primary Coustruction Type Secondary Construction Type: # of Bedrooms: TYPE OF USE: New, Residential I CONTRACTOR INFO~MATJON I I Valuation Description J $ Per Sq Ft or multiplier License 8699 BUILDING INFORMATION' , Expiration Date , 12/1812010 Phone 541-747-6638 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size': Sq Ft 1St Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupapt Load: I DEVELOPMENT INFOR~ATION I Front yard Setback: Overlay Dist: , Side 1 Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar SetbacK<DTlCE: '--'..- -Jill L ~lm'~.r IrTUr:' ,^,,,oV I nl0 rCrllVll1 v ru.. ...".......' ..- AUTHORIZED UNDER THIS pnIlIJBLt!> IMIlROVEMENTS I Street Impros\'m~:~I[::-JCED OR IS ABANDONED FOR Storm Sewer.~~~'ilJ'b~ePAY PERIOD. Special Instruction: ':REQUIRED PARKING 'Total: ATTENTION: Orc!ta_l]jlll\'!'PP~~uires you to follow rules adoi~9!J1P.,qIJ,e Oregon Utility ~otification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- nnon Vr\ll......~.,..~...,...:_ --_:_- .~" I' . --'~'--~""""''''''''''''''''1 calling the center. (Note: the telephone n.umber for the Oregon Utility Notification S,dewal\st!':y.PJF is 1-800-332,2344). DownspoutslDrai~s: Notes: Description , Type of Construction . Square Footage or Bid Amount Value :: Date Calculated Page 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00789 ISSUED: 06/04/2009 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 ,I Fee Description + 12% State Surcharge + 5% Technology Fee Manufactured Home Service 'Amount Paid . Date Paid Receipt Number $7.56 $3.15 $63.00 614109 614109 6/4109 1200900000000000618 1200900000000000618 1200900000000000618 Total Amount Paid $73.71. 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. Rennired Insoedion~ 1 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 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 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 0\"2 225'{Fifth Street Springfield, Oregon 97477 541-;'26-3759 Phone Job/Journal Number COM2009-00789 COM2009-00789 COM2009-00789 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description Manufactured Home Service + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS 1200900000000000618 City of Springfield Official Receipt Development Services Department Public Works Department Date: 06/04/2009 Item Total: Check Number Authorization Received By Batch Number Number How:Rcceived KR Page I of I ONLINE LR Online BRABHAM Payment Total: 1I:18:28AM Amount Due 63,00 3.15 7,56 $73.71 Amount Paid $73,71 $73.71 6/4/2009