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Home My WebLink AboutPermit Electrical 2006-11-6 L-tiZ- \ \ I aCe I 6 <,e, iPR'NGWtp" , "'""-- ,}- . L~.",(\.,.~_. ~ _",~'Nj ,:,:,( ~I . , .: .~ ~ ~ II-b-6b ",h'; , ""Cl'TV OF ~rRINGFIELD, OREGON" .." !,.,jl' I I, '. ,. .. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number r~ZOOb- CC:Y"?C)U I., r idi;4r~(jJYlp1t~$t~iJ.1[iQ~~!!:~;\;'1~,~(1 $" 6-~o ~\S... #- b( LEGAL DESCRIPTION ( 1-../ I BO 2. 64 ( LJb( 2-0 JOB DESCRIPTION vff It Sell.-" lc..€ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Address City Address Date 3. 1';tf:foMifL1!-l'J')PEEJSCHEDULE,BELO-W '", , lH,-..'.4..\ ~<..,~NLI~ll""""'"",, .,>,-." '.i:>~ '.r.". ....,!:,..,,)..,.., 1~ ...~."..' ",. ',.~," ..~.. ...;..... .,' ..t . , .. , A. ~,~~~~1R~ji,4~!!'iihl~S!~~I~(oi:~1'~ltj"F~riiilyp~r,;~'~.eiljog unit;' ~ Service Included 1000 sq. ft. or less . Each additional 500 sq, ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 I $50.00 s-o B. ~~~'~~W:~~~;;~t;it2~~~'f~~~~]rilt~'I1a!iO;i,'~ Ire,ratiOII S ,of, ~e,I(}c~ii.~;I: ",I $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 ", ;'1 1"coNi-RA(ElORiNSfkM:'LA'ffl0Nt0Ni~~,i 2 '. . ': ',,' ,,', n, ", . I_ -,-; !,' - . ", ' .. ''\ x . ,. ,--; ,,(' .'-,' , ...~:" _":~~:!. _,,4,;:,y:. ^';><":~:, ~',;.-" .!l'" . ".:~. .......,.,.0.- "'''' .,<....~ '. '.~.' ,_ ~.'. kL,.._,_.,.~":..""..,,...,...,..'4~..~,...' Electrical Contractor ~ ~~ 200 Amps or less ~~' /- -. ' iO", ~ 20 I Amps to 400 Amps / '() C; Z. ,....~. ,", lfl)j- 401 Amps to 600 Amps " 0 'I.q, ~1. It. OOe.c~ ('/~ ~ 'v/(:; 601 Amps to 1000 Amps Phone r-q; fS..:> ~? ~61 ~0Y7';; 1 000 AmpsNolts l}l/. ~~i>. Vv ~ vO,. ('61~ h ~j-Corih~~t Only ~~~1s~ 0600'0 7o~.~1t;J~~~t6~"'~"""J"" ,', Supervisor License Number (~3bi-~, ~h~ f'qli) le-o i \~m l!~aE~~~$~~~es.()(FeedeI'S' ':' , , I /....61~"~6<:;O~{/I,COtJl:.~I)OA.q/"61VI')Utli/(; . ExpIration Date I u / I 0 1/"1..~ .. ~~ho' VOt&. Installativ9.? ~tera9-on or RelocatIon /! - '6' 'f} I, . If. VI' fA -Y.S;... (1'0 ' t$tn '/' 5' 00 Vbh' '209:~n:tP.s or.less '1'11- Constr. Contr. NumbeY li^ fJ ::;J 137 '\f,J') 1'(12.01 ~nms16'c.4g<o'~mps , ry; ~ '<:?, . V:o ,::.r;/. .. '" 6 Exp;mtion Dt~~~t4r~OY ~~~~;~;;~:V01~ see "B" .bove. $IOOO~ ..... Signature o1~}1peW(s',ip~~22Ci~< D. k~~r~l!~.clii,~lr~,luts,..:,: ,,',:, ' """. " ,() ~O ~<'E't) J..U'10~ ~~u.. New Alteration or Extension Per Panel I~y ~/,~/~< 'ITt /L~~ '-- One Circuit $ 43.00 , ft ('t9",~- "(/;4. ;~)J' ~. /).-J;x Each Additional Circuit or with 7'JL I. ~ tti::Yi'" /A_ Service or Feeder Permit $ 3.00 Owners Name ~/TT,( '-I It^ ;:q"1}I,~ 'YOb :PO !Z"() ~ I 70 ~Vt (O~(}'tjtO;.t E. '~t\ji;~H!~'ii~'~~~':(S~f;~i~eii~ed~i ~1'ot.,illC.l~d~d)"':,E,~Ch~!lstalJatioll 'J f ' City ..f-:-u. b-I:::N t!" Phone 'i go 4 - l Lt I -, ,,- , '.. $ 50.00 $ 69.00 '. .l ,I Pump or irrigation $ 50.00 ,.Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 4. ts,YBi(j?;JiiOF iBovE;, ,':,' ,,,," .: I ~J\"',,,q' . .~,\ .?";.'t);,t '..... \ . . . .. ,~".n ....' 1; S'D I.{ , 5~lO 8% State Surcharge 10% Administrative Fee TOTAC% ~ b' ~~ Shared Drive(T:)/Building FonnsIElectrical Permit Application 1-06,doc eeAJNGllEl.iDI - . __L..,__Ir-..i"1"','....~;.J""';, - .W_;<......,;:;1 '!'....".~. < c. i ' ' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line y . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00700 ISSUED: 10/10/2006 APPLIED: 06/08/200'6 EXPIRES: 04/26/2007 VALUE: $ 22,000.00 Springfield TYPE OF WORK: Manufactured Home on Private Lot New SITE ADDRESS: 5660 Daisy St 67 ASSESSOR'S PARCEL NO.: 1802041106120 TYPE OF USE: PROJECT DESCRIPTION: Manufactured home relocated on same lot Owner: RANDY ALLEN Address: PO BOX 70491 ,EUGENE OR 97401 Residential , Phone Number: 541-484-1417 I CONTRACTOR INFORMA nON, Contractor Type Electrical Manuf Home Inst Plumbing Contractor RALPH W BROWN MIKE WHEELER MH SET UP HARRISON JACOBSON INC License 63137 91504 66447 Expiration Date 02115/2008 05/14/2007 05/07/2007 Phone 541-729-1500 541-979-8709 541-689-7762 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 VN Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 5.60 13.00 15.00 0.00 Street Improvements: Storm Sewer Available: Special Instruction: BUILDING INFORMA nON I 3 # ofStorie.s:rENTiON:Ure9on IcJcN re'~otiSiz~:uU"L.~ Height it.Structum, adopted by the ~gS~clJstlF1lo'o!i: Type ofH~gW ~Ubrce(l Air~Electrice rulSg tit-~nd3Floot: I\.\..o;.tifi~atlon c...,eme IIIU:'=' "". , . - - ...., Water~l,vpe: O( lectr1lcougl-Sq, RtjJasemegtt: . Kt\R952-001- 'lUll' lI~n""'V-- RangefType: 'bElectricp'leSS8flft\Garage/@arport ,... ,...r.; y ay 0 taln CU "[, IJ ''''' ...... J EnerjW(p.ath: OU m Sq ,F't Other.: II' +h enter O',""ote' tt'il-'. relefJllul le Sprinkled;BuilUing,e C 'o/a '. .Occup,ant Load: _, ,_h":r fM the> ()rP.non Utllltv I~OUII~dlIUn I DEVELOPMENT' INF@~if'IONOIIO-332-2344). REQUIRED PARKING Total: 2 Handicapped: Compact: 3,802 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Cover~fjTICE: 31.30 Tille r~m1IT~II"~~ s:y.rln~ If THE \\,~~W, I PUBLIC IMPROVE~~IZED UNDER THIS PERMIT IS NOT COM MEN C E~h@)Y~$ JI:~~","lJ DON E 0 FOR ' ANY 180 DAt6~Ifd~sfDrains: Curb, and Gutter 1 Fully Improved Yes Notes: No SDC fees Pae;e 1 of3 _~!l.tt.l~~I~~,:~i. . C". ~ . aITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00700 ISSUED: 10/10/2006 APPLIED: 06/08/2006 EXPIRES: 04/26/2007 VALUE: $ 22,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V aluation Descri~tion , Description Tvpe of Construction $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 2,000.00 20,000.00 Value Date Calculated Total Value of Project $2,000.00 $20,000.00 $22,000.00 06/08/2006 06/08/2006 Foundation Onlv Use Bid Amount Manuf Home Manufactured Home ~ Fee Description Amount Paid Date Paid, Receipt Number Plan Review Residential $29.25 6/8/06 1200600000000000828 + 10% Administrative Fee $25.50 10/10/06 1200600000000001506 + 8% State Surcharge $20.40 10/10/06 1200600000000001506 Manuf Home State Issuance $30.00 10/10/06 1200600000000001506 Manufactured Home Conn - Plmb $45.00 10/1 0/06 1200600000000001506 Manufactured Home Feeder $50.00 10/1 0/06 1200600000000001506 Manufactured Home Placement $160.00 10/10/06 1200600000000001506 Plan Review Minor - Planning $112.00 10/1 0/06 1200600000000001506 + 10% Administrative Fee $5.00 11/6/06 1200600000000001614 + 5% Technology Fee $2.50 11/6/06 1200600000000001614 + 8% State Surcharge $4.00 11/6/06 1200600000000001614 Manufactured Home Service $50.00 11/6/06 1200600000000001614 Total Amount Paid $533.65 I Plan Reviews I Initial Review 06/09/2006 06/09/2006 APP SKG Planninl! Review 06/09/2006 06/26/2006 APP TAJ Street tree is not required if there already is one. Public Works Review 06/09/2006 06/13/2006 APP CAS Relocate on same lot same home no SDC Fees apply 6/13/2005 CAS Structural Review 06/09/2006 06/28/2006 APP RWC 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. Manuf Home Set Up: When installation of all piers or stands is complete. Final Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. Pal!e 2 of3 85!AfNQIl',1lUlOv - -f'~"""""~'" ",-,-> -, " ",,~, . aITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2006-00700 ISSUED: 10/10/2006 APPLIED: 06/08/2006 EXPIRES: 04/26/2007 VALUE: $ 22,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. Foundation: After forms are erected but prior to concrete placement. ManufHome Plumbing: After home has been connected to water and sewer. 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 ,( . Ci. Springfield Official Receipt D pment Services Department Public Works Department 225 Fifth Street Springfie.lil, Oregon 97477 541-726..3759 Phone RECEIPT #: 1200600000000001614 , Date: 11/06/2006 J I :29:36AM Paid By HERITAGE ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1898 In Person Payment Total: Amount Due 2.50 4.00 5,00 50.00 $61.50 Job/Journal Number COM2006-00700 CO M2006-00700 COM2006-00700, COM2006-00700 Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Manufactured Home Service Payments: Type of Payment Check Amount Paid $61.50 $61.50 cReceint I Page 1 of 1 11/6/2006