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Home My WebLink AboutPermit Electrical 2009-10-14 City of Springpeld Electrical Authorizatio'n To Begin Work E-mailcd To: bhalada@quixnet.nct Check on status of I)crmit By Phone: 541-726-3753 or Email: permitcenter@ci.springficld.or.us I 0 New Construction ~~~:~mm~:~~~ii o Addition/alteration/replacement ,t:ATEG'6Ryj6F"C6NStR(jCJI6N?lI:!1:~*"lii@;Jt'j~~1 OM"lti-'''';;'y 'Dcomm"c;'l 0 Ace""", I IYl " Q 1 or 2 family dwelling ~6!j:SITE IN~OF1M;;;Ti6rE"NDLOCATfoN~~-i,'3;?j"J~1 ~ Job Address: 4475 DAISY.ST I I I I I I City/State/ZIP: SPRINGFIELD, OR 97478 Suite1bldg./apt.no.: 75 Project Name: COVT'ITRY MANOR MOBILE PARK Cross Street/directions to job site: J Taxmap/parcel REPLACE MOBILE HOME ELECTRIC SERVICE Name: DAVID MINTON Phone: 541-953-1452 Fax: Email: I Elee lie. no.: 2G-87C CCD lie. DO.: 8699 I Business Name: LR ~RABHAM INC I Contact: I Add""'6f\,~TICE: I C;lylS"'''~I~I~'\l'lf''!lffitHPS'A'Al'~2EXPIRE IF THE WORK I Phoo"'4ltiH,\'t','nRI7Fn 1I.flI[)FR 1'1>1'15 PERMIT IS fiO.T Ema", LR~'fmJ11l:'Il"I\j'liF.f) OR IS ABANDONED FOR J\.tetrolic.ne'hlV 1 An nay pl=RlnnCity lie. no.: Supervising Electrician's lie. no.: Supervising Electrician's Name: 49445 LARRY BRABHAM]R Number of inspections included in paid services: Residential Service: " 4 Reconnect Only: I All Other Services: 2 Upon review and app~oval by your local jurisdiction, your permit will be a-mailed or faxed withili one business day, with Instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a pennlt Is not obtained. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances 69600-BEL-09,OOI90 10/14/2009 4:34 pm Approval Code: 814192 Please check all that apply DAscf'liceorfcedcrbeginningat400 Amps where Ihe available fauh currentcxceeds 10.000 Amps at 150 Vohs or less 10 ground exceeds 14.000 Amps for all other installations o Fire pumps o Emergencysyslems DAdditionofaneWmOIOrloadof 100 HPormore DSixormorercsidenlialunitsinone structure DHeahhcarefacililies DHazardous-loca,ions DAscf'liceorfeederraledal600 amps or more DBUildings more than Ihrce storics DMarinasandboatyards DF10alingbuildings DCommercial-useagricuhural buildings DlnstallalionofaISOKVAorlarger sepemlclyderiwdsys D"A","E",or"I-Z"or"I-J" DRecrcalionalVehideParks DSupplyvoltageformorethan600 supplyvollSnominal -,I Description '~~sj_~!~tl~j;E~r:J'ii~ii)~~-~eilidg IEal;hnillnufai:tun:d or modular dwellinl"service and/or feeder l~j~{ti'i_c~lrt>~d@'~"eesf' I Subtotal I State surcharge (12% of penn it total) ITechnology fee (5% of penn it total) I TOTAL PERMIT FEE CCI - \ COl'l $63.00 $7.56 $3.15 $73.71 ~ [0\ 15~cq. ATTENTION: Oregon law requires you to foll,~W 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 copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). ~\9'0\ \\)'~ ~ ~~, ~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit . \V -"-~lJI.8!!il~,"I~,,~ , ".I . , ~.. , '.I' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01517 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 Inspection Line SITE ADDRESS: 4475 DAISY ST SPACE 75 ASSESSOR'S PARCEL NO;: 1702323406500 \ PROJECT DESCRIPTION: Replace mobile home electric service, Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential Owner: GARCIA JAVIER HERNANDEZ Address: 4475 DAISY ST. SPACE 075 SPRINGFIELD. OR 97478 I CONTRACT~R INFORMA TION , Contractor Type Electrical Contractor LR BRABHAM License 8699 BUILDING INFORMATION' Expiration Date 12/18/2010 Phone 541-747-6638 # of Units: Primary Occupancy 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 1st 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 Setback: # Street Trees Rqd: Handicapped: Side 2 Setback; Paved Drive Rqd: Compact: Rearyard ~~~rreE' ,,% of Lot Coverage: ATTENTION: Oregon law requires you to Solar Setbd~~: . follow rules adopted by the Oregon Utility HlI" PFRMIT SMAll EXPIRE IF THE WORK N{)tifi"~ti{).n t;Llrt,"f P\M" ''11".1' ~[" Jl."1 fQrth AU1HORIZEO UNDER THIS PEliipllB!~djjfJpROVEMENTS ~ OAR 952-001-001 0 through OAR 952-001- H,QMMg~CED OR IS ABANoml...J 'u,\ . 1090. You may obtain copies of the rufes by Street Imp ANY 1S0S:0AY PERIOO, . call~ig<l1Y!lIIl8fltIl~: (Note:, ~he tel~l?ho~e ' Storm Sewer Available: . numB'Bc.th'l,Jb\nsQi;!gR,~. Utll~ty Notification Speciallnstruction:Cemer IS'1' 800332 2344). I DEVELOPMENT INFORMATION I Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calcutated Paee I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0I517 ISSUED: 10/15/2009. APPLIED: 10/14/2009 EXPIRES: 04/15/2010 VALUE: 225 Fifth Street, Springfield, 9R 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pair! I Fee Descrintion + 12% State Surcharge + 5% Technology Fee MannfacturedHome Service Amount Paid Date Paid Receipt Number $7.56 $3,15 $63,00 10/15/09 10/15/09 10/1~/09 1200900000000001149 1200900000000001149 1200900000000001149 Total Amount Paid $73,71 Plan Reviews I To Request l\n 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 ~e made the following work day, RI,tJ~ir~~ In~q,ectio!1S I MH Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefnlly 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 OCCl!.P ANCY 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 nsed 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 ihe site at all times during co'nstruction. I Owner or Contractors Signature Date Page 2 of 2 225 Fifth Street Springfield, Oregon 97477' 5:11-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200900000000001149 Date: 10/15/2009 8:38:08AM ONLINE CHGS Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 63.00 3.15 7.56 $73.71 Job/Journal Number COM2009-0 I 517 COM2009-0 I 5 17 COM2009-015I7 Description Manufactured Home Service + 5% Technology Fee + 12% Slale Surcharge Payments: Type of Payment Amount Paid KR ONLINE LR Online BRABHAM Payment Total: $73.71 $73,71 cReceinll Page 1 of 1 10/15/2009