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Home My WebLink AboutPermit Electrical 2006-9-19 " 09/1 :V06 WED 09:01 PAX 5417263689 CITY OF SPRINGFIELD U'~ ~002 ZON ../'L ;INiTIALS N~ DA TE _~~... 0 <e.- SOURCE~' I,J:J _0-/<7- ~~__ 22S FIFTH STREET' SPRINGFIELD, OR 974'i7 . PH:(541)726.37S3 · FAX: (.541)726-3689 ELECIIUCAL PER1lflT APPLIC4.TJOl\T CitYJobNumbeto~ ... Oo.f:fK< )(p;~g~j~o?t~~p:;~1.V;~~::i::;!...:!:;;::,,; - . , :,?PRJ:&D. r"''''',,".'''''i;!/'-l! ~...A ~~l'1lb'l ~ ' . '....z~ "'" _ .-'E. "''4.'''541 "~ ~,,:S~j t'~~..rA'~_.'l'~ "'c::~y.:":" $.,?!~~t."'!: -.,. ..... -- ~ Date 3"c(j.fl.ipiJ:.;~'bFEEsaiED(}I.,EBEi()iv.:: :.,,;: ,,1; ',::,;,;>\'/,':, ,,'!,:;.~;, , .::",,;::':.: .'.:....:.:~'~.:.~.:.;, ,- ; ,: ',' ';", ::.':'.:. ':"":: ':,'. .-:.:.... . .._.. _:' :~".:; ':,: ._. .," ',., 'I"~ . ."..:.....1 :-,".-:.: ':~.":-:'~:: I EO 6,.I DESCRIPT10l-~' I 7- 0-2. .3jilt u .72.. QjJ.l A.\~t4v;}ie~ii!~~tial,.;:,siJlgl;,:Qi'~IUlt~.Fami.l\'V'~'d,)\,~),li~grini!':::',:":,,, .... ..J ... ._. ,. TY5~-':" .::....:.-"";" ,.,..~.:..;..,". .'......',....u. ;.,'..... !.";'\...::.:'I.....:-....' :".:.:..,.:/'..L::.', "0' N It-~ 2:06 flm.o :s q 1::., JI ;-(' tfJ..t"'tf Service Included , JOBDESCRlPTION: ' 1000sq.ft.orlesri $106.00 Each addilional 500 3'1. ft. or portion thereof $ 19.00 ! Each Me. ' W1~ or i Modulllli:D,iWe! ihll b)-('~e\,l{egun law r~qulf.I:;\.Qo.\rll\U t~ ,-,=>0 F d ' rOil lOW (u ~ ado t -' b' ; . JQi.)JV\1~' ~ ee eN . P SlY Y the IUr~gon Utilit ' :' ,.:,;<Qti,t'~tton..Centeri Those dA:' '" ':', : : ,Y, " ';..'; : B. '.: $etlVl~~~ttPr'u,,":"f ~taJ1at.Qn""~~I\:ilft%&\t~~(t~'H6'If8t1,o,n:,,(,;,,., . :: ':(j09'O,",~::""':'VU:f'I'ualu:lnI'UY~~'OAR 'e52~d'f"':"':""i ::: ,;, 200 Am~'t111'lt~~~~ay obi~in copi~s 09$~~'lmUlss h, c;:c rnl;glil... csmsv: (N " -~ - 201 Anj1mM~g(1 ftW~hs Or~ Ol6: ~~~ ~~I15~OUl9 401 Amps to 60<n\.m"'t,ji. gOn U1mDt~ U\t~~$aQG!~;on - van ~r IS 1-80~332 2~ \.. , . 60 1 Amps to ] 000 Amps __"-=-r~~'Ul3 ,00 Phone.S LJI. ~ 'j rJ NbC' OVtlr 1000 AmpslV(l!rs i tn5.00 I Recotmect Only $ 50,00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. ':;;;gg~i~~rp~'!~S,T:'~l{9~~~~d; Electrical 'Contractor Id../ ~/ / t? d '\;LS Address ~ Cl 450' Y ~. ') '23- CityLe ,~ ve:!''/V Supervisor License Number -1f 0 ~3_.~ ____. Expiration Date -1- c> - d 7 I. Con,". Coo". Num~ <. 2 -/ .'z~(Y~~_ \ Expiration Date 'g., ~ CJ 7 . Signature of Supervising Electrician *Lr J, 0 ~ (),,-v< ',...' ~~ ~~, '~ Owners Namefl) /J? &.I / I ~ A.- L Y . /Y1 q df~e r::n::f C{ J.- tls'J ,\ I L/ Address S-h h r .:), q , ~' 'J s:T. g - r 'city~~)IJ Phone O\\'NER lNSTALLATJO~ The installation is being made on property I own which is not intended fot' sale,lease or rent. Owners Signature: rnspection Request: 726-3769 I 550 ~OC~ III ~ ,;;2/ /0!2ffD7 I , , c. E~;e~~~~f~:~1;i:$;~iS:!c~::~f;;~~~~;~f~};;':;;:~;:;i.Ih::;::;:i;~:;!,;i~ii!;~;iil,~::;,,:::ii:;(j;;';:;}/;:::j!~: , Installation, Alteration or Relocation I I 200 Amps or less S 50.00 201 Amps to 400 Am?s $ 69.00 40 I Amps to 600 Amps ' I $100.00 Over 600 AlIip~: or 1000 Volts see ;'B" abote. D.' 'Jj~i-~~~~ltf~;:::,~.];";:i,i::il;Wi:!';..:,i':~i:'j;:~;;;~~;:;\\!!!,,;;;t;!~::::;:~';,~:~;\:i;s:;r~;';~':;;;:fi!:;;;Ui::::,:,' New ~nW~<PE~itlif1r.~M'Rt!f~ML IF ~HE WORK ~:;h~lJJjJr\g~~RJ)twfR TIIIO LfR~AWOI<g NOT Service@~ilt~ OR IS ABANDb.N~\J.P0R E. i;:~~~'~~~~~~~g~(~~~~~~~~P~~t:~c~ i~!~,d);Aii.~~:ji1si~'11ilfi~:;i", :.':.;~..:..,,~.: .;: .,: .."~ .':.~' ~ .....: I' :,,'::..;.,.;'.'..,..: .:: . .:".: ..~.. '. '..;, ;~:',,,,,.', . .r-,.......;::. .;~;::..:' ,'l"r' .J.'..1 ." .,' ..... ; (. f' : "".. '. Pump or irrigation $ 50.00 Sign/Outline Lighring I $ 50.00 Lilnit.:d Energy/Residential r $ 25.00 Limited Energy/Commercial I S 45,00 l\linl~~um:El,e~t,ri~~erl~lt.I.nspectlon F~e is ~~5.00 +Surcha;ges -- '::is';' ,,;,,,, :,..,',:,',..:r.",::;"'; ""'0:""":"'" ":".' "rp":": ;i"::!~;:,' ':: '.' \1' ".',':'.' ",,::" '.6(' 0 C}'V 4, :", "",'liTO, ,:AI.', ' E,ABOV......,,., ','..,,,:,:.;,',,,',..', 'l:' '.." ,'. ~i::'.;i.; ::.::.~.,:~;:,:,.;~.':).: ::l~ .~;: ',:.! ):,":;.;.~ ~:.~:::..,.:,:.;,,,. ~;.~ :.':';::: ',:; .;,;:: '~:i<.\::ii_:):\~: . _~::;'::;'-:~~:"[ : ~~:...::".;: ~.::/' . - 8% State Surcharge, ___.._ ~ - S U 10% Administrative FetJ __.---'=/. a-O 5% Technology Fee I ~ c:;:"" cJ'l.L TOTAL i Ji_0 /. j; () Shared Drivc(T:)/Building F,'rl1lsiEkcll'icbl Pen11ll Applicaton 8-06,doc I i _~l?.'Nq~I~, . . . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00483 ISSUED: 07/07/2006 APPLIED: 04/24/2006 EXPIRES: 03/19/2007 VALUE: $ 75,862.00 Status Issued 225 Fifth Street, Springfield, OR 541 - 726-3 753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5660 DAISY ST 84 ASSESSOR'S PARCEL NO.: 1702334401445 TYPE OF USE: PROJECT DESCRIPTION: Manufactured Home Replacement on a lot. Springfield TYPE OF WORK: Manufactured Home on Private Lot New Residential Owner: RANDOLPH ALLEN Address: PO BOX 70491 EUGENE OR 97401 NOTICE: THIS PERl\Mifo~~A~1n6~I~lf48kii4\iVPRK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I CONTRACTOR INFORMATION I Contractor Type Electrical Manuf Home Inst Plumbing Contractor License Expiration Date Phone RALPH W BROWN 63137 02/15/2008 541-729-1500 MICHAEL A WHEELERS MOBILE HOME S 91504 05/14/2007 541-928-0995 HARRISON JACOBSON INC 66447' 05/07/2007 541-689-7762 fl\11EN IIUI\l:Uregon I(iW Itl~U"t;il;) yvu L':" r BUILDING INFORMA TI~ rul~ adopted by the Oregon Utility # of Stories: Notification1Ceni~tf Si~gse rules 81'S set iort~ Height of Structure in OAR g52-001'SlPFPt~up)ldfm OAR eS2-o01 Type of Heat: orce600aE)~'CttiO\~Y sij~iG2rr~Ft[tJi.pg t~s V'ul<ss b\ Water Type: csEh~'@ltice ~S'qWt B')I~ffie~~~ tlSlsphO~(S Range Type: nurfiW9hior tl'l~fi)Rt~hirdg~/~ll~cWif!catlo", Energy Path: CentsrSll 'f:cE<l){b&32-2344). Sprinkled Building: n/a Occupant Load: 1 R-3 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB I DEVELOPMENT INFORMATION' Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 16.00 8.00 10.00 11.00 0.00 Overlay Dist: # Street Trees Rqd: I Paved Drive Rqd: % of Lot Coverage: 35.80 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special I nstruction: Fully Improved Yes Sidewalk Type: Downspouts/Drains: Curb and Gutter Notes: Storm drainage ipiped to curb face on Daisy St Paee 1 of 3 $l!AUIl~l;laLwQ. '.' _..,..... '..~".,.'.',.,_,.... ..".c_.....,..>>".. . . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00483 ISSUED: 07/07/2006 APPLIED: 04/24/2006 EXPIRES: 03/19/2007 VALUE: $ 75,862.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 I nspection Line I Valuation Description' Description Tvpe of Construction $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 2,000.00 73,862.00 Value Date Calculated Foundation Onlv Use Bid Amount Manuf Home Manufactured Home Total Value of Project $2,000.00 $73,862.00 $75,862.00 04/24/2006 05/17/2006 ~ Fee Description 'Amount Paid Date Paid Receipt Number Plan Review Residential $29.25 4/24/06 1200600000000000537 + 10% Administrative Fee $30.00 7/7/06 3200600000000000363 + 8% State Surcharge $24.00 7/7/06 3200600000000000363 Encroachment Permit $130.00 7/7/06 3200600000000000363 Foundation Permit $45.00 7/7/06 3200600000000000363 Manuf Home State Issuance $30.00 7/7/06 3200600000000000363 Manufactured Home Conn - Plmb $45.00 7/7/06 3200600000000000363 Manufactured Home Feeder $50.00 7/7/06 3200600000000000363 Manufactured Home Placement $160.00 7/7/06 3200600000000000363 Plan Review Minor - Planning $112.00 7/7/06 3200600000000000363 SDC Sanitary/Storm Admin $1.03 7/7/06 3200600000000000363 Storm Drainage Impervious Area $20.67 7/7/06 3200600000000000363 + 10% Administrative Fee $5.00 9/19/96 2200600000000001315 + 5% Technology Fee $2.50 9/19/06 2200600000000001315 + 8% State Surcharge $4.00 9/19/06 2200600000000001315 Manufactured Home Service $50.00 9/19/06 2200600000000001315 Total Amount Paid $738.45 I Plan Reviews I Initial Review Plannin2 Review 04/25/2006 04/25/2006 04/25/2006 05/16/2006 APP LLH APP TAJ one street tree is required on Daisy Street, unless there already is one there. Public Works Review 04/25/2006 05/04/2006 APP CAS Randy Allen agreed to shift the MH 2' to east in order to maintain 10' street side setback. tara 5/17/06 Storm drainage piped to curb face 5/4/06 CAS Need floor plan to do review-old and new Submitted revised Site Plan 5/4/06 dim. Standard Plan review comments for M.H. only Structural Review 04/25/2006 05/17/2006 APP DLM Pa2e 2 of 3 _~eAl:"'A~~\ . ! . .ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00483 ISSUED: 07/07/2006 APPLIED: 04/24/2006 EXPIRES: 03/19/2007 VALUE: $ 75,862.00 Status Issued 225 Fifth Street, Springfield, OR 541- 726-3 753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 ReQuired I~ions I Encroachment: After item(s) have been removed to inspect condition of public right of way. Electric Service: Approval required prior to utility 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 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. !~ '\ Owner or Contractors Signature Date Paee 3 of 3 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone . .1'" '..,~...~. fjl!L.~. La.. ~ Ci.r Springfield Official Receipt D opment Services Department Public Works Department RECEIPT #: 2200600000000001315 Date: 09/19/2006 1 :50:22PM Job/Journal Number COM2006-00483 COM2006-00483 COM2006-00483 COM2006-00483 Description Manufactured Home Service + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Payments: Type of Payment Check Paid By THE HOUSE DOCTOR' Item Total: Check Number Authorization Received By Batch Number 'Number How Received Amount Due 50.00 2,50 4.00 5,00 $61.50 Amount Paid nJm 4563 In Person Payment Total: $61.50 $61.50 cReceint 1 Page I of I 9/19/2006