HomeMy WebLinkAboutPermit Electrical 2009-10-27
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225 Fifth Str'et+Springfi~ld, OR 97477+PH(541)726,3753+FAX(541)726-3689
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I Pernritno.:~q.. \~I~
I Date: /0 .t:1. q
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started witbin 180
days of issuance or if work is suspended for 180 days.
~~[[0:e~l!!f[G:GlMERNMENit"~aaRlllXfA1!l.~
I Zoning approval verified? 0 Yes 0 No
11!i~~C:41iE<>:(jR1I'jGlFA(:,'c:lN$mR(!Jl!:mlc:ljij~
_1~Sidential .l D Government I D Commercial : ~~:::ti:I,:.~:s:~~ service ioc1uded: $134.00 $
1~;::~::=~~~5Mb~;iY~;:~QNaIR: I ~~~~:fditionaJ 500 sq. ft. or portion $ 25.00 $
I Clty3JJ/(/N6rJeL1> I State:a? I m/17t/77 I I Lmtited energy (2) $ 32.00 $
I Refer~ce: ::)jJ/'J--e& lrs, I Taxlot.: I I Each mannfactured home or modular /1 $ ..c2
1~~lilESCRlRiliIONjOEiWORJ{!};~ dwellmg service or feeder (2) 63.00 ~.I. -'
I /~~~VIl:!B If qt'A-c6/71M TT I Services or feeders: ""taliation. a/teratzon,re/ocatlOn
_ ?-"":"')~ a ~ I I 200 amps or less (2) ~--- I . $ 81.00 $
~' .aROaE&iliN.a~NERIIl!lIlfI~l I 201 to 400 amps (2) I $ 95.00 $
I Name/JtJLltJmV mAAlcJ~ LLC- I 1401 to 600 amps (2) 'I $158.00 $
I Addre~s: L/ilJ 51 jj/lI5'V5'f"; #1/ I 1601 to l,ooJ.r'~W~gtl: Qr~(Jnn Ibw..r.+~!Yl\'llJto
I CityS~'A/6/'/dD J Slate: O~."J'.zIJ:>:.q7~1J1 I Over 1,00~~rtil'~~opted bV th~ Q~IllJ1IJ~llIty
I i.t7 '7 .g17o/'1 Fax:' " " I Reconn<<NdficationCenter. Tnqsen It I ~ ."."U.
I :~::i;l I~trll'.%( ;)n~E IF -;Iic WOnK ,I Temporal'H~~~~~mWXb~l~~.~'l'if'iPie'iWe<!li~
This iIf"l~!AJcll,~h fJndU;Gl1!~lf.t I 200 amps~~Jil{li;'~hA t;Anter. INoie: ltal~liclp~csne
owne<U{ilMMfIIJ{:9~al<lt1S~lOhis,,:" I 201 to 400 ~lir for the Ore go 1 Ut~ltlr' W~HlIf,\uulI
properl\)i.1Y'~tofll'l'\<WI &l::mlJ1T.change,lease;orrent. OAR I r' nter ISI-oV '-;;;;i-2;;,~.
479.540(1) anll'll'7o/.~('1r.' : 401 to 600 amps (2) ve $126.00 I $
Signature: lOver 600 amps or 1,000 volts, see services or feeders section above
1=:=:~~C~P1jJ:~'~,.~;~1 i :r;::~o~:=:~-::~i~t:;:rc:Z:fn:.~~::e~rfeeder fee:
Address: t?.J a). 4J.s.'f,'1 I I Each branch circuit I I $ 6.00 I $
Citr~A'/#6;'-I4i" j ~tate:t?t< I ZrP:Cl71/?}1 I b.Feeforbranchcircuits.witbotitpilrcliaseofaserViceorfeederfee:
Phone:S~/"7~7,~p3JIFax51.J/-,7.,47'715'A 1 First branch circuit (2) 'I I $55.001$ I
E-mail: hf1.,+M-",4{ft).rtlf/V1t f:11?tt I I Each additional branch circuit $ 6.00 I $ I
I CCB license no.: f~11 I BCD license f\~.~'; .i7c...1 I MiscellaneousJe.es: servICe or feeder no/.included I
I Signing supervisor's license no.: ~t;I'/'-S' .1 Each pump onmgabon crrcle (2) I 1$63.00 I $ I
PrintnameOfsigningsuPervisor:~/ .6}~~Aii1.~.. Each sign or outline lighting (2) , I $ 63.00 $ I
Signature of signing supervisor./ .-.0'./ ./) SIgnal CIfCUlt or a 111m, tcd-energy panel, I I $ 63.00 $ I
'a~ Lj_____ ~. ~. alteratIon, or~xtenslOn (2)
. " I - I Each additional inspection: (1) I I $58.00 $ I
1~~A1i'rn'~~jlil1f'.".~.,." ,. .
~%'~6\ '1<! \\~ ~~;E~;er::~~~I~;~::~:" "r',SE~'; '~~, ,"""='
\ \\. ~O ('\. (Minimum Permit Fee S58.00) . cp:;,
\V ct\)~ . CD.j CO\\)I (B) Enter 12%surcharge(.12x [A]) $ 7. *
~V\ W \\);\ I (C) Technology. Fee (5% of[A]) $3./51
~ TOTAL fees'and surcharges (A throngh C): $73,7) I
440-2584-J (9/08/COM)
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone,.",:.
541-726-3676 F~x. .:
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01573
ISSUED: 10/27/2009
APPLIED: 10/27/2009
EXPIRES: 04/27/2010
VALUE:
Springfield TYPE OF WORK: Electrical Worl<. Only
SITE ADDRESS: . 4475 DAISY ST SPACE 85
ASSESSOR'S PARCEL NO.: 1702323406500
TYPE OF USE: New
Residential
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PROJECT DESCRIPTION: . Electrical Service Replacement
. , , '~:-. ~... .~~ ~;:~::. .
Owner:
Address:.
COUNTRY MANOR LTD PTRSHP
',700.78W CARDINAL STE 185
'PORTL\\ND OR 97224
REQUIRED PARKING
~;:eni~;~b~~~~~rl;E~MIT SHA~l EXP;;~'~;~3~m~::~ Rqd: ATTENTION: Oregon ~_yoU to
Side 2 SetbackAUTHORIZED UNDER THIS PERMlfal&~TveRqd: follow rules adopted by~mP~gon Utility
Rearyard Setb~MMENCED OR IS ABANDONEl1',f~RLo\~<iverage: Notification Center. Those rules are set forth
Solar SetbacksA'Nv 180- DAY PERiOD. .' .' in OAR 952-001-0010 through OAR 952-001-
. . . . - ..tu...._ ,..1_-; "'1
I PUBLIC IMPROVEMENTS r;~iin'~th~'~;t~~~"iN;[e:~~h~t~I~Ph~~e
, r\um~!lfJoL,\tlft.Qr!lgon Utility Notification
eanier li/f:eoO-332-2344).
Downspouts/Drains:
Contractor Type
Electrical
Contractor
.t LR BRABHAM
. >
# of Units: .' ::
Primary Occupancy Group:
Seeondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: . . . . .. ,-,.~
r !,
Street Improvements:
Storm Sewer Available:
Special Instruction:
. "
Notes:
;1 ',',:1 j!
Description
:rype of Construction
I CONT~CTOR INFORMATION'
License
8699
BUILDING INFORMATION I
Expiration Date
12/18/2010
Phone
541-747-6638
# of Stories:
Height of Structnre
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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
, DEVELOPMENT INFORMATION I
I V aluati~n DescriDtion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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Paee I of 2
. Is~p.ed;
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01573
ISSUED: 10/27/2009
APPLIED: 10/27/2009
EXPIRES: 04/27/2010
VALUE:
225 Fifth Street;,Springfield, OR
541-726-3753 Phone,. ';-.
541-726-3676 Fax' , '.
541-726-37691nsp~ction Line.'
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'T~tal Value of Project
: J,
Fees PaidJ
,
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_ . t',-
.t.-,.';
Amount Paid
Date Paid
Receipt Number
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Manufactured Home Service
,-':
$7.56
$3.15
, , $63.00
10/27/09
10/27/09
10127/09
3200900000000000736
3200900000000000736
3200900000000000736
. . .~. . ..-:
Total Amount Paid
$73.71
Ii' '.
~f' ~ r' ~;
Plan Reviews I
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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. ' ',i' .; ,
I ReolJired I nsnectinns I
MH Service: Approval required prior to utility compauyenergizing service.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
iuformatiou 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 L;ws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify1that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
.1 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.
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Owner or Contractors Signature
Date
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Paee 2 of 2
225 Fifth Street
Springfield, Oregon.?7~77:': "
5.11-726-3759 Ph.omF ,~ " "..
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Job/Journal Number
COM2009-0 1573
COM2009-0 1573
COM2009-0] 573
Payments:
Type of Payment.
Check
cReceintl
: RECEIPT#:
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000736
Date: 10/27/2009
. Description
Manufactured Home Service
+ 5% Technology Fee :';
::,.+, 12% State:~~8harge
';' ,: ;~'~:'::;:'.;:" "
. ~r~id'By~\ ,,.
LR BRABHAM ,,'
Received By
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Page I of I
I Item Total:
Check Number Authorization
Batch Number Number How Received
38287 By Mail
Payment Total:
1l:24:43AM
Amount Due
63.00
3. ]5
7.56
$73.71
Amount Paid
$73.71
$73.7]
10/27/2009