HomeMy WebLinkAboutPermit Electrical 2010-1-21
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00093
ISSUED: 0112112010
APPLIED: 01/21/2010
EXPIRES: 07/21/2010
VALUE:
225 Fifth Street,.springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54] -726-3769 Inspection Line
SITE ADDRESS: 4475 DAISY ST SPACE 2
ASSESSOR'S PARCEL NO.: 1702323406500
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install service for M,H.
Owner:
Address:
,
COUNTRY MANOR L TD PTRSHP
7007 SW CARDINAL STE 185
PORTLAND OR 97224
I CONTRACTOR 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:
R~nge Type:
'Eii'ergy 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
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
UrJ1C' n~n~~:: :-:~.^.~~ ~~~;'~~: !r TI:e: 1A'~~r::..:~
I PUBLIC IMPROVEM,El'HS.
, , ,~_., 8regon law requires you to
follow rules adopteo'ibl,e1'i1l!I()fI!IlOO Utility
Notification Center, TRB(VMHblifl*UllttPrth
in OAR 952,001,001 OrlirougtrOAI1I15~.001.
0090, You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
r'."....1.".. jt' 1 QrH"L':(~l)_')-:);.1i1\
Street Improvements:
Storm Sewer Available:
Special Instruction: '
Notes:1T! C' t:.
.,.... ....Il:.
. !i il:ORIZEDUNOER THIS PERMIT 1$ ~fuation DescriDtion I
"liV1iviENCED OR IS ABANDONED rUt. ,.. ,"
D MYt,180 DAY D,ERlnn t' t' $ Per Sq,'Ft Square Footage
escnp IOn T,pe ol'Cons I uc IOn I' I' B'd A
or fiU tip lef or I mount
Value
Date Calculated
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2010-00093
ISSUED: 01/21/2010
APPLIED: 01/21/2010
EXPIRES: 07/21/2010
VALUE:,
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~es Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Manufactured Home Feeder
Amount Paid
Date Paid
$7.56
$3.15
$63.00
I/2I/10
1/21/10
I/2I/IO
Receipt Numher
3201000000000000025
3201000000000000025
3201000000000000025
Total Amount Paid
$73.71
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-~769. 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 R~ouired Insneelions I
MH Electric:
the panel.
When blocking, setup and plumbing inspections have been approved and the home is connected to
, ,',~~~ .,;'!';I,
By signatnre, I 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 he used on this project. .
I further agree to ensure that all required inspections are requested at the proper time, that each address 'is readahle 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.
Owner or Contractors Signature
Date
,',j':,"
J,'~
';f/.'
"Paee 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
Co'M20 I 0-00093
COM20 I 0-00093
COM20 I 0-00093
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #:
3201000000000000025
Description
Manufactured Home Feeder
+ 12% State Surcharge
+ 5% Technology Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 01/21/2010
Item Total:
Check Number Authoriziltion
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
NJM
"':'i'
..'
;. .~
Page J of I
ONLINE LR Online
BRABHAM
Payment Total:
2:36:48PM
Amount DlIe
63,00
7,56
3, J 5
$73,71
Amount Paid
$73,71
$73,71
1/21/20 I 0
City Of Springfield
225 Fifth 51
Springfield,OR97477
Phone: 541-726.3753
Email: permilcenter@ci.springfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-10-00036
Approval Code: 511221 1/21/2010 1:13 pm
E-mailedTo:bhalada@quixnet.net
o New Construction
IKl Addition/alteration/replacement
101 or 2 family dwelling 0 Multi-family D Commercial 0 Accessory
I'::" '::,.'Ii, c-'?'i'> ::J:'Oc:SfS"/"T'E""N' F'O:nR"M::,A'''.T''O' N, ;'A'N'O'" "O"C. .A:T:,.'O:'N..'.,.C;,;,".,'~-i:;~'?~'1
'..~';<. . ,,_:jf':iJ'''''''-<;;; ..0....'.' i '.....~. .... ...... ...._...'....:.._.. .'.' , , ..'..... ,', .' ..'.' _... .". -+;;.,.> r-~-';I;l., -'td
Job Address: 4475 DAISY 8T
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg.lapt.no.: 2
Project Name: COUNTRY MANOR MOBilE PARK
Cross Street/directions to job site:
Tax mapJparcel no.:
170232340650,0
INSTALL SERVICE,FOR M,H,
Name: DAVID MINTON
I Phone:
Fax:
Emall:
Elec lie. no.: 20-87C
8699
cce lie. no.:
Business Name: lR BRABHAMINC
Contact:
Address: 68 W Q ST
CitylState/ZIP: SPRINGFIELD, OR 974772142
Phone: 5417476638
Fax:
Email: lRB@QUIXNET.NET
Metro IIc. no.:
City lic. no.:
Supervising Electrician's lie. no.:
49445
Supervising Electrician's Name:
LARRY R BRABHAM, JR
Number of inspections included in paid services:
Residential Service: 4
Re-::;onnect Only: 1
All Other Services: 2
Upon review and approval by your local jurisdiction, your permit will be e-mailed or faKed
within one business day, with,instructions on how to schedule your inspection.
NOTE: This Authorl,ation To Begin Worl<; eKpires within 180 days if II permit is not obtained.
The local building department may determine that an Authorl,ation To Begin Work is null and
void if It does nol meet applicable land use laws and local ordinances.
';~~4j;~~~I~;~~:l~*~1iimRCA'Nn~-EYi'Ew~~~;5:.:t~~
I Each manufactured or modular I
dwellin~t service and/or feeder
Igl.e~tri_~aP~~rm~trE~Ei~i:~1~t-4~"'::~- ,
I Sllbtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
l TOTAL PERMIT FEE
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for atlother
o Fire pumps
D Emergency systems
o Addition of a new molor Joad
of 100 HP or more
o Six or more re.sidential units in
one structure
o Health care facilities
I Descrip.tion
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three stor
o Marinas and boat yards
D Floating buildings
o Commercial-use agricultural
buildings.
o Installation afa 150 KVAor
Jarger seperately derived sys
D "A" "E" or "1-2" or "1~3"
, ,
D Recreational Vehicle Parks
o Supply voltage for more than
600 supply valls nominal
QIy,
Ea,
Total
I $63,00 J $63,00
,~~~~{::-~~~i;[<j#~'Ji:::\,'~f~;' ~:,~
$63 00
$7,56
$3,15
$73~71
Wn2-0/0 -COO 93
j-d/ _/0 ;?//^--"
Inspections Phone: 541,726,3769
This Authorization To Begin Work ";ust be posted at the job site until replaced by a Permit