HomeMy WebLinkAboutPermit Electrical 2010-3-2
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@cLspringfield.or.us
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.- TYPE OF WORK , ""'" '" 1
o New Construction lRl Addition/alteration/replacement
,., . CATEGORY OF CONSTRUCTION .
[R] 1 or 2 family dwelling 0 Multi-family D Commercial D Accessory
JOB SITE INFORMATION AND LOCATION
Job Address: 2150 LAURA 5T
City/StatelZlP: SPRINGFIELD, OR 97477
Suite/bldg./apt.no.: 54
Project Name: MONTA lOMA MOBllE'HOME PARK
Cross Street/directions to job site:
Tax map/parcel no.: 1703271102100
;. ..;'" , 'l,.DESgRIPTI6NOF'WORK: '," , , . ,..'
"
REPLACE METER MAIN
, ',.- . SITE'CONTACT ,.
I ,'_ -
Name: JOHN SUTTON
Phone: 541-747-8931 Fax:
Email:
. . CONTRACTOR
.
Elee lie. no.: 20-87C eee lie. no.: 8699
Business Name: LR BRABHAM tNe --
Contact: NIIIII.E:~ ,"" ';~'f,c?-],t';;.).~ '.
Add<ess6'11'1JSSPERMIT SHAll EXPIRE IFTHE~
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Phone: 541~\, ~J~ ,^ ".. ""1 . Fax:
Email: lRB@8JtX~ET~NET' , .
Metro lie. no.: City lic. no.:
Supervising Electrician's lic. no.: 4944S
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-malled or faxed
within one business day, with Instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires 'Nlthin 180 dayall a permit Is not obtained.
The local building department may determine that an Authorization To Begin Work Is null and
void If II does nol meet applicable land use laws and local ordinances.
GI~- '2-1;1
Residential Electrical Authorization To Begin Work
69600-BEL-10-00096
Approval Code: 712004 3/2/2010 3:40 pm
E-mailedTo:bhalada@quixnet.net
,-,. ,. ' . 'i" ,. PLAN.REVIEW- ,.
~_..,
Please check all that apply: o Hazardous locations
o A service or feeder beginning o A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds o Buildings more than three stor
, 10,000 Amps at 150 Volts or
less 10 ground exceeds o Marinas and boat yards
14,000 Amps for all other o Floating buildings
o Fire pumps o Commercial~use agricultural
buildings
o Emergency systems o Installation of a 150 KVA or
o Addition of a new motor load larger seperately derived sys
of 100 HP or more o ~A" "E" or "1.2" or wl.3"
o Six or more residential units in ' .
o Recreational Vehicle Parks
one structure
o Health care facilities o Supply voltage for more than
600 supply volts nominal
. ;',' , ,,:" FEE~CHEDULE , ",''; '"
Description Qty, I Ee, I Total
ResidentiaLmulti-family .... .
Each manufactured or modular 1 $63,00 $63.00
dwelllna, seNice andlor feeder
Electrical.Permit Fees , ~:. , .'
Subtotal $63.00
State surcharge (12% of permit $7.56
total}
Technology fee (5% of permit total) $3.15
TOTAL PERMIT FEE $73.71
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
, '
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00267
ISSUED: 03/03/2010
APPLIED: 03/03/2010
EXPIRES: 09/03/2010
VALUE:
SITE ADDRESS: 2150 LAURA ST SPACE 54
ASSESSOR'S PARCEL NO.: 1703271004400
Springfield TYPE OF WORK: Electrical Work Only
PROJECT DESCRIPTION: Replace meter main for residence.
Owner: MONTA LOMA MHP
. Address: 2150 LAURA STREET
SPRINGFIELD OR 97477
Contractor Type
Electrical
Contractor
LR BRABHAM
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
TYPE OF USE: New
Residential
Phone Number: Unlisted
I CONTRACTOR INFORMATION ~
License
8699
BUILDING INFORMATION I
Expiration Date
12118/2010
Phone
541-747-6638
# of Stories:
Height of Structure
Type of Heat:
Water Type:
.. Rauge Type:
Energy Path:
Sprinkled Building:
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
AlTEtmON: Oregon JtImlp.c!ulroo you ~
fonow vults adopted bM3~lI'Er o. UtI~
Notification Center. Th~g,f,\lJ~ AR' =.001.
In OAR 952-001-0010 throUQIf
0090 You may obtain copies of the rules ~
. center. ole: the telephOflQ
I PUBLIC IMPROVEMENTS ~81umber ci:n:: 18 ~:-332-2344).
Sidewalk Type:
Front yard S~f~nCE: ""';'''Ov'erlay Dist:
Side I Setba~~lIS PERMIT SHALL EXPIRE IFTH~R(frees Rqd:
Side 2 SctbaS~THORIZED UNDER THIS PERMIT ~lllf!lrrive Rqd:
Rearyard Set~rch~ENCED OR IS ABANDONED FO'!\of'tot Coverage:
Solar Setbacks:IV
'IV 1$1
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
I Valua~i'on 'D~scriPtion ~
$ Per 5q Ft
or multiplier
DownspoutslDrains:
Square Footage
or Bid Amount
Date Calculated
Page I of2
Value
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00267
ISSUED: 03/03/2010
APPLIED: 03/03/2010
EXPIRES: 09/03/20 I 0
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'..Iotal..v~lue of Project
,.' , ',.
L: Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Manufactured Home Service
Amount Paid
Date Paid
$7.56
$3.15
$63.00
3/3/10
3/3/10
3/3/10
Receipt Number
1201000000000000197
1201000000000000197
1201000000000000197
Total Amount Paid
$73.71
I Plan Reviews ~
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 Reouired InsDections ~
.~~,V. H:' "".
MH Service: Approval required prior to utiliiy"company energizing service.
By signature, 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 be used on this project.
I further agree to ensure that all required inspections are requested nl the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, alld the approved set of plans will remain on the site at all
times during construction. .
Owner or Contractors Signature
Date
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Paee 2 of 2
215 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
GJ:q,,;4'IJ
lliiiLe
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000197
Date: 03/03/2010
1:09:46PM
Paid By
ONLINE PERMIT CHGS
Item Total;
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
63eOO
7e56
3.15
$73.71
Job/Journal Number
COM20 I 0-00267
COM20 I 0-00267
COM20 I 0-00267
Description
Manufactured Home Service
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
KR
ONLINE LR Online
BRABHAM
Payment Total:
$73.71
$73.71
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3/3/20 I 0