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Home My WebLink AboutPermit Electrical 2009-12-18 City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us to/, 1~/7 Residential Electrical Authorization To Begin Work 69600-BEL-09-00296 Approval Code: 818131 12/18/2009 4:13 pm E.mailed To: bhalada@quixnet.net l'I~::~_,~~.:_str~:::;~~~_e'A' . ,T'E G"'~O"R'y'c"O--"F- reO- N'_~SXT'R'~~idei~Ti~I~O~_~Nlt::a~o::;~~:m":~, 'T, '.,;,,' "'~"!Y;';"~ '.l ,,,;,,,,,;,, "5U",,',",,r""'h,,:._,, ; I [Z] 1 or 2 family dwelling D Mullicfamily 0 Commercial D Accessory . ":,i">~"oB:slTE'rNFoRMA;TI0N.AND:it6'eA:TlbNi~:;}",,,,~;;t~~""~I Job Address: 4475 DAISY ST CityfState/ZIP: SPRINGFIELD, OR 97478 I Suitelbldg.lapt.no.: 72 I Project Name: country manor mobile home park Cross Street/directions to job site: Tax map/parcel no.: \ 1702324309300 r~ ,\ ~'5\~~'l:~.~~~~""tit~;i:;.I5~~~'gj~tR:t^l_q.~J9~o(YVQRK:~~~~-,~i~;~ m.h. service replacement Name: david minion I Phone: 541-953-1452 I Email: Fax: ').' Elec Iic. no.: 20.87C 8699 cce lie; no.: Business Name: LR BRABHAM INC Contact: Address: 68 W Q ST City/State/ZIP: SPRINGFIELD, OR 974772142 Phone: 5<417476638 Fax: Email: LRB@QUIXNET.NET I Metro IiC.no.: City lie, no.: Supervising Electrician's lic. no.: 49445 Supervising Electrician's Name: LARRY R BRABHAM, JR Number of inspections 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 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 Work is null and void if it does not meet applicable land use laws and local ordinances, Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at150 Volts or ,less to ground exceeds 14,000 Amps for all other D Fire pumps D Emergency systems D Addition of a new molar load of100 HP or more D Six or more, residential units in one structure D Health,care facilities I Description I Each manufactured or modular service and/or feeder I Subtotal I State surc~arge (12% of pe,rmit tolal) I Technology fee (5% of permit total) I TOTAL PERMIT FEE ~ ~~tJl~/fJ . ~fi\ '\ V DC\. ~~~~ ~v?- o Hazardous locations o A service or feeder rated at 600 amps or more D Buildings'more than three star D Marinas and boat yards o Floaling buildings D Commercial-use agricultural buildings D Installation of a 150 KVA or larger seperately derived sys D "A", "E", or "1.2" or "1.3" D Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal Qty, Ea, $63.00 J $63.00 ""jl $63 00 $756 $3,15 $73.71 Wn7Jj(l1 --O)~ f S. n n'l 8{2J I O~ Inspections Phone: 541,726,3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit _~~~IJ~OFJI!tLt!, , I /.. Status Issued CITY OF SPRINGFIELD ,Building/Combination Permit PERMIT NO: COM2009-01813 ISSUED: 12/21/2009 APPLIED: 12/21/2009 EXPIRES: 06/21/2010 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 72 ASSESSOR'S PARCEL NO.: 1702323406500 Springtield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured home service replacemenl Owner: COUNTRY MANOR LTD PARTNERSHIP Address: 7007 SW CANRDlNAL SUITE 185 PORTLAND OR I C?NT~UOR..~NFORMATIO~ I Contractor Type Electrical Contractor LR BRABHAM License 8699 BUILDING INFORMATION I 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 Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % nf Lnt Coverage: REQUIRED PARKING Tntal: Handicapped: Compact: ATTENTION: OregonlawlreqllllIl:ll:)IQIIItIlOVEMENTS I S I ~1l"0W rules adopted by t1,., "'.."\I"'.....~".~ ~m~ n I et~ . olIflcation Center. Those ru es are 8 lUlU' Storm Sewer A vllillOltlR 952-001-0010 through OAR,1l52'()()1,- Special Instructi01l90. You may obtain capias of the rulea bY calling the center. (Note: lhe telephone Notes: number for the Oregon Utility Notillcallon Center 18 1-800-332-2344). Sidewalk Type: Downspouts/Drains: Type of Construction ~lOTlCE: I I 111/0 t"tKIVII r SHALL EXPiRE IF THE WORK VaIuation Descrintion ~g~10R/ZED UNDER THIS PERMIT IS NOT' Square Fon,a!:e MENCED OR IS ABANDONED FOR or Bid Am~~n; 180 DAY P!!I\1KlD, ' Date Calculated Description $ Per Sq Ft or multiplier Paee I of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01813 ISSUED: 12/21/2009 APPLIED: 12/21/2009 EXPIRES: 06/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phnne 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I I , Fee Description + 12% State Surcharge + 5% Technology Fee Manufactured Home Service Amount Paid Date Paid Receipt Number $7.56 $3.15 $63.00 12/21/09 12/21/09 12/21/09 3200900000000000820 3200900000000000820 3200900000000000820 Total Amount Paid $73.71 I 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. "R~(III i,r~d ~ ~sr.ection~ I MH Service: Approval required prior to utility company energizing service. By signature, 1 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 tbe permit card is located at the front of the property, and the approved sei of plans will remain on the site at all times during construction. Owner or Contractors Signature Date ,:":' ,:" t Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-0 1813 COM2009-0 1813 COM2009-0 1813 Payments: Type of Payment ONLINE CHGS cRcceintl RECEIPT #: ,Date: 12/2lf2009 3200900000000000820 Description Manufactured Home Service + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received I1Jm ONLINE LR Brabham Online Payment Total: :' c , ," Page I of I 8:52:37AM Amount Due 63,00 3,15 7,56 $73,71 Amount Paid $73,71 $73.7] 12/21/2009