HomeMy WebLinkAboutPermit Electrical 2009-10-14
City of Springfield
.,
Electrical Authorization To Begin Work
E-mailedTo:bhalada@quixnet.net
69600-BEL-09-00189
10/14/2009 4:15 pm
Approval Code: 814190
Check on status of permit
By Phone: 541-726.3753 or Email: pennitcenter@ci.springfield.or.us
I D NewConstruction
o AdditionlalteratiolllreplacclTIent
I [~} ,,2f=ily dw;II'og
DMlJlti"f~milY
DCo~ercia]
DACCeSSOry
Job Address: 2150 LAURAST
City/State/ZIP: SPRINGFIELD, OR 97477
Suitc/bldg.lapt.no.: 65
Proj<<t Name: MONTA LOMA MOBILE PARK
Cross Street/directions to job site:
Taxmapfparcel
INSTALL FEEDER TO MOBILE HOME:
Name: JOHN surrqN
Phone: 541-870-7202
Fax:
Email:
lie. no.: 20-87C
I Business Name: LR BRABHAM INC
I Contad:
I Address: 68 W Q ST I'
I City/S"ldZIP.~trrr~~~' OR 974772142 . .
I Phon" 541'741~~ r~m.m ~~,~DIOI: II: T~I: WnRI(
I Em."' LRB@, ~M.c;rcli"1~=!:, '-'"'!:,,,,C T\.lIC: DI'CMIT Ie:. NflT
I ",..o""n."nf'l..I.n);;'I',,;,n nn I"Ci!;tj'~Ill'OgNEO F(10
I ~V'I~IIV_1 I,J.........:J Ie. .. -.
Superv.ising EIt;C!r.i.fl.an':~:~:AY .4'f1~13 B
Supenising E~l~Ji~nl . \bt~y BRABHAM JR
Number of inspections included in paid servites:
Residential Service: 4
Reconnect Only: I
AlIOlherServices: 2
CCBlic.no.: 8699
Upon review and approval by your local jurisdiction, your permit will be
a-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.
The local building department may determine that an Authorization To Begin
We", is null and void if it does not m~et applicable land ~se laws and local
ordinances
Please check all thaI apply
DHazllfdouslocations
DA service or feeder rated at 600
amps or more
o A service Or feeder beginning at 400
Amps where the available fauh
currenle"ceeds 10,000 Amps at
ISOVollsorle:ssto ground exceeds
14,000 Amps for nil other
installations
DBuildingsmorethanthreeslO,ies
DMarinas and boat ya,ds
Dfloatingbuildings
DCommercinl-useagricuhural
buildings
Dlnstallationofa.ISOKVAorlarger
seperately derived sys
D"A"."E",or"I-2"or"I-3"
DRecreationalVehicleParks
DSUpp,yvolt~geformorethan600
supply volts nominal
o Fire pumps
o Enlergencysystems
o Addition ofa new motOl load of
100 HP or more
o Si" or more re.sidentinI units in one
structure
DHenlthclIIefacilities
I Description
E.,
I Total
manufactur~dQrmodular
serviceandJorleeder
ISubtollll
IStale surcharge (12% of penn it IOta 1)
ITedlllologyfec(5%ofpcl'mi,",olal)
ITOTAL PERMIT FEt:
tg - 1450
~
\0\ j5lo~
ATTENTION: Oregon law requIres you to
follow rules adopted by the Oregon Utility
NotificatiDn Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
~
~ \.4,",0
\'\; ~'o/ \f)'&'
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~tff.
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
CITY OF SPRINGFIELD
Building/Combination Permit
I,
Status
Issued
PERMIT NO: COM2009-01450
ISSUED: 09/29/2009
APPLIED: 09/29/2009
EXPIRES: 04/15/2010
VALUE: $ 20,000,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2150 LAURA ST SPACE 65 '
ASSESSOR'S PARCEL NO,: 1703271004400
Springfield TYPE OF WORK: Ma,,!nfactured Home in Park
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Manufactured home in park
Owner: MONTA LOMA MHP
Address: 2150 LAURA STREET
SPRINGFIELD OR 97477
Phone Number: Unlisted
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
'ManufHome Inst
Contractor License
. U~ BRABHAM 8699
MEDFORD HEATING & AIR CONDlTIONIN164549
CMH HOMES INC 166990
BUILDING INFORMA TIO~'
Expiration Date
12/18/2010
OS/25/20 II
10/25/20 II
Phone
541-747-6638
541-779-3401
865-380-3000
VB
# of Stories:
Height of Structnre
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:
Occup.mt Load:
# of Units:
Primary Occupancy Group:'
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
nla
I DEVELOPMEN: INFORMA TION I
. REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side 1 Setback: t, # Street Trees Rqd: Handicapped:
Side 2 Setbac~WTICE: Paved Drive Rqd: AlTENTlON: OregonW~tJlres yoU to
Rearyard Setli~~ PERMIT SHALL EXPIRE IF THE'o~Coverage: follow rules adopted by the Oregon Utility
Solar Setbac~UTHORIZED' UNDER THIS PERMIT IS NOT Notification Center, Those rules are set forth
"I~" _l.._/l,..",.et'll~n4
IJUIVIIVltl~lJtU Ut1 '" Al:lANU~~qf III v,m Qv~'vv, ~~ o. '-"Q -
ANY 180 DAY. PERIOD .' rpUHL; C MPROVEMENTS 1>090. You may obtain copies ofthe rules by
. 'calijl)n 1I1II~t.ll!, (Note: the telephone
Street Improvements: ' ., 'num"6':r '15i't1ie' l:i(egon Utility Notification
Storm Sewer Available: DO\(llaptettsIVh8GQ-332-2344l.
Spedallnstruction:
Notes:
Paee 1 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01450
ISSUED: 09/29/2009
APPLIED: 09/29/2009
EXPIRES: 04/15/2010
VALUE: $',20,000,00
225 Fifth Street, Springfield;' OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
l.v aluation De~criotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fee. Pa~rl I
Fee Descriptio~
+ 12% State Surcharge
+ 5% Techuology Fee
1st Appliauce
ManuI' Home State Issuauc~
Manufactured"Home Placement
+ 12% State Surcharge
+ 5% Techuology Fee
Mauufactured:Home Feeder
Amouut Paid
Date Paid
Receipt Number
$57.12
$23,80
$79.00
$30.00
$397,00
$7,56
$3.15
$63,00
9/29/09
9/29/09
9/29109
9/29/09
9/29109
10115/09
10115109 '
10/15109
2200900000000001112
2200900000000001112
2200900000000001112
2200900000000001112
2200900000000001112
1200900000000001148
1200900000000001148
1200900000000001148
Total Amount raid
$660.63
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. wilf be made the following
workday. " .
I Rl>l" "'NI Insneetinns .
11..i1\.. I .lli. r ....
ManuI' 1;1ome Set Up: When installation of all piers or stands is complete,
Final ManuI' Home Set Up: After all required inspections are requested and approved and porches, skirting,
decks; venting, street.:add,ress numbers, trees, driveway, etc. have been installed.
ManuI' Home Plumbirg: After home has been connected to water and sewer,
Rough l\:'Iechanical: Prior to Cover,
Final Mechanical: ':"hen all mechanical work is complete,
MH Electric: When' blocking, setup and plumbiug inspections have been approved and the'home is connected to
the panel,
Page 2 of 3
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: COM2009-01450
ISSUED: 09/29/2009
APPLIED: 09/29/2009
EXPIRES: 04/15/2010
VALUE: $20,000,00
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 1 further certify that any and all work performed shall be done in accordance with
the Ordinances'of the City o,f Springtield 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.
1 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 th~ front of the property, and the approved set of plans will remaiu on the site at all
times during construction.
Owner or Contractors Sign~,ture
Page 3 of 3
Date
225 Fifth Street
Springfield, Oregon 9747T
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200900000000001148
Date: 10/15/2009
8:37:34AM '
Job/Journal Number
COM2009,Ol450
COM2009-01450
COM2009,Ol450
Description
Manufactured Home Feeder
+ 5% Technology Fee
+ 12%.:Stale Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number. Authl?rization
Received By Batch Number Number How Received
Amount Due
63,00
3,15
7.56
$73,71
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
KR
ONLINE LR Online
BRABHAM
Payment Total:
$73.71.
$73,71
cReceint I
Page 1 of 1
10/15/2009