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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