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Home My WebLink AboutPermit Electrical 2009-10-15 Electrical Authorization To Begin Work E-mailedTo:bhalada@quixnet.net Check on status of permit By Phone: 541-726.;.3753 or Email: pennitccnter@ci.springfield.or.us 10 o Addition/alteration/replacement ?Ieasecheck all lhatapply: " New Construction DAsefVice~rfecderbegjnnjllgat400 Amps whcrc the available faull current exceeds 10,000 Amps al 150 Volis or.less to llfound exceeds 14,000 Amps for all olher installations 01 or 2 family dwelling OMultJ.fiuniJy OcorrimerCillJ o Accessol)' Job Address: 4475 I?AISY ST City/StatelZIP;.$PRINGFIELD, OR 97478 Suite/bldg.lapt.no.: 76 Project Name: COUNTRY MANOR MOBILE: 'PARK Cross Streetldirectio~s 10 job site: I Taxmap/parcelno.:"\ REPLACE MOBILE HOME ELECTR1C SERVICE Name: DA VlD MINTON Phone: 541.953-1452 Fax: Email: o Fire pump, o Emerllency,y,lems o Addilion of anew mOlor load of 100 HP or more DSixormoreresidenliaJunilSinone structure DHealthcarefacililies 69600-BEL-09-00191 10/1412009 4:42 pm Approval Code: 814173 DHuardouslocalions DAserviceorfeederraledal600 amps or mOre DBuildings more than three stories DMarinas and boalyards DFfoalingbuildings []Com~l.rcial-use agricultural buildmgs Dlnstallalion?falSOKVAurlarller seperalelyderivedsys D"A",'E",or"I-2" or "I-J" DRecrealionalVehicleParks DSUpplyvoltageformore~lan600 supply volts nominal Description Each manufactured or modular dwellinl.'.. serviceandlor feeder Subtotal Slate surcharge (12% of penn it total) Technology fee (5% ofperniit total) TOTAL PERMIT FEE $63.00 I $63.001 $7.561 $3.151 s73,711 Elec Iic, no.: 20-87C, Business Name: LR BRABHAM INC CCBlic.no.: 8699 ~q-\Sl8 kJL [0\ lSlog Contact: Address: 68 W Q ST, C''Y/S''''/Z,p:N'ijNcUb~ OR 97477214~ . './"1:1'" If TPt: \~'nRK Pho.<:541,747i$lllS PtK\VIII ;:,n/'\~,P~I .: :::'"r.r.'ITIC MnT 'Em.iHRB@Qylf~@lilILt:U UNUl::n flllv , ~ .~~ "n-~' , ,- '~.:.r.k'mSl'J<." :- _ M I M''''oli~.o,: COMMtNLtU un l-eitfllt..~,: I S.pm'.'., EI"JtI~:+',l.gIY>,DAY 4b'4ll;liIUU. ' I Supervising Electrician's Name: LARRY BRABHAM ]R Number of ins pecti ODS included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one buslnes's 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 Au~horization To Begin Work Is null and void if it does not m,eet applicable land use laws and local ordinances ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center, Those rules are set forth In OAR 952-001-0010 through OAR 952-001. 0090, You may obtain caples of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). &h~ ~'QO\ ~ <b \.\)' /D~ ~ ~~" W This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01518 ISSUED: 10/15/2009 APPLIED: 10/14/2009 EXPIRES: 04/15/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541'726-37691nspection Line SITE ADDRESS: 4475 DAISY ST SPACE 76 ASSESSOR'S PARCEL NO;: 1702323406500 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace mobile home electric service Owner: FLORES GUSTA VO TORRES Address: 4475 DAISY ST$PACE 076 SPRINGFIELD OR 97478 I CONTRACTo.R INFORMATION I Contractor Type Electrical Contractor LR BRABHAM' License 8699 BUILDING INFORMATION I Expiration Date 12/18/2010 Phone 541-747-6638 # of Units: Primary Occnpancy Group:,' Secondary Occupancy Group: Primary Construction Type' Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla REQUIRED PARKING Frontyard Setback: . Overlay Dist: . Total: Side I Setbac/'<;OTICE' # Street Trees Rqd: ATTENTION' 0 ~ndic~med: Side 2 Setbac~' i'.~ml..n~ive R d' ' regD !m'Y.!:l1 pIres you to Rea ard SetbMJ.s. PERMIT:SHAll EXPIRE IF TH~'VVVrmCove;a 'e: fo".~ r~les adopted ,'yl1'ie regon Utility Sola; SetbacWSUTHORIZED'UNDER THIS PERMIT rS'Wel't g NotifIcatIon Center. Those rules are set forth ~~"J'nl"r-n no 'c ^OMtnmll::n FOR In OAR 952-D01-0010through OAR 952-001. ';v..,..r_. ---, ' "v"v.,uulI,,,yuu,,,UICUpI6soTmerUlesoy ANY 180 DAY PERIOD., I ~UBLIC IMPROVEMENTS I calling the center. (Note: the telephone Street Improvements: nU*JIlM~A';egon Utility Notification Center is 1-800-332-2344), Storm Sewer Available: Downspoutsillrains: Special Instruction: I DEVELOPMENT INFORMATION I Notes: I Valuation Descrip,tion I Description Tvoe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of2 Status Issued U 1 l' OF ~rKINGFIELD . Building/Combination Permit PERMIT NO: COM2009-01518 ISSUED: 10/15/2009 APPLIED: 10/14/2009 EXPIRES: 04/15/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 phone 541-726-3676 Fax 541-726-3769 Iilspection Line Total Value of Project Fee~ P~!d I Fee Description + 12% State Surcharge + 5% Technology Fee Manufactured Home Service Amount Paid Date Paid Receipt Number $7.56 $3,15 $63.00 10/15/09 10/15/09 10/15109 1200900000000001150 1200900000000001150 1200900000000001150 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 sl!me working day, inspections requested after 7;00 a,m, will be made the following work day, I Reouired In~nections I MH Service: Approval required prior to utility company energizing service. By signature, I{state and agf~e, 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 wilLbe 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.!o 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.c~nstruction. I' Owner or Contractors Signature Date ,', Page 2 of 2 225 Fifth Street" Sp,ringfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RE€EIPT #: 1200900000000001150 Date: 10/15/2009 8:38:34AM Job/Jon-roal Number COM2009-0 1518 COM2009-01518 COM2009'01518 Description Manufactured Home Service I' + 5% Technology Fee + 12% State Surcharge. .t Item Total: r Amount Due 63,00 3.15 7,56 $73,71 Payments: Type of Payment Paid By Check Number Authorization Received By Batch Number Number How Received Amount Paid ONLINE CHGS 'ONLINE PERMIT CHGS KR ONLINE LR Online BRABHAM Payment Total: $73. 71 $73,71 cReceintl Page 1 of I 10/15/2009