HomeMy WebLinkAboutPermit Electrical 2005-6-24
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. CITY OF SPRINGFIELD, OREGON
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JOB DESCRIPTION
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PermltJ are non-tr.nsrerabie and expire If work Is
not started whbln 180 daY' ,.f ...uance or If work Is
Suspended for 180 day..
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Elccttical Contractor ~U1. ~ /to/rz :v
Address 'Y>N I>r
City Bill-Ctztf.,L
Phone _,)..~-'7~C;s"
Supervisor License Number . .2 ~ s '1::$
Expiration Date IQ,/{} ,/ ()L-
Coostr. Contr. Number 10'- 1> H.
Expiration Date 10/ '" I 0 -r
. .
Si~f Supervising Electrician
owners~t+/..( ~ A ~'S\T
Address "2 'is'f b '\ '2:>IE:-f> M W
City ~(:::' Phone 7Z' -21(<6'3
OWNER INSTALLATION
The installation is being made on r'"r"', I own which
is not intended for sale. lease or rent.
Owners Signature:
Inspection Request: 126-3169
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3.
Service lacluded
1000 sq. ft, or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
5106.00
519.00
2-
$50,00
100
B.
200 Amps or less 5 63.00
20IrtowtO'.(~ 575.00
401 M&s!lf?b,(lrIr/f'J uo~~f ~fJ9IUa~ $125.00
6lU:t~~ tJ'\lQOOlJ/rilpION) 1~ "41 JO} J9~fal9O
0rl3'iJlrM.R~oo UI l;"", 841 tll4.1l1~oo
&e~.Ci'~ 46nOJ4I O' ~IQO '1ew no" '0888
,",Viles aJl? sa .00-100-
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JI" J Ml?/ UOfl" . salnJ MO/io}
Install.don, Alteration or miQafll@11N3l.LV '
200 Amps or Ie.. $ 50.00
20 I Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100,00
Over 600 A s or 1000 Volts see "8" above,
D. ! ,; I '. ," -~
"
New Alter.don or Extension Per Panel
One CircuilYC7!r.f.
Each Additional Cifcitit or with
'nl:-'."DA" $300
Service or Feeaer Permit T SHAl' - '
AUTHnr:lI7m ""_..~ LN"'Ht IF Hue: 1.\""...
E. '
.I-\NY180 DAY PER' 1'0 "UI'1IWUI'It:O Fall
Pump or Imgatlon D. $ 50,00
Sign/Outline Lighting $ 50,00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45,00
MinImum Electric Permit Inspection Fee Is $45.00 + Sarcb.l'lles
$ 43.00
4.
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10-0
7
10
117
7% State S\lfCharge
10% Adml"istrative Fee
TOTAL
SIw'cd Orh ~T:)lBuildinK formslElccuical Permit Application 1-'l3.doc:
.
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. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00384
ISSUED: 04/2712005
APPLIED: 04/04/2005
EXPIRES: 1210812005
VALUE: $ 33,120.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2716 Garson Ln Springfield TYPE OF WORK: Mannf Home w
ASSESSOR'S PARCEL NO.: 1703361109902 Garage/Carport Private Lot
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Manufactured Home with Carport, Lynnetes Happy Homes lot 2
Owner: CHRIS ADSIT
Address: 28465 SIESTA LN
EUGENE OR 97402
Phone Number: 541-345-4535
Contractor Type
General
Electrical
Manuf Home Inst
Plumbing
I CONTRA€{f,OR>INRORMAlllIONlI~~
\.. '{
UOI1B:l!l!ION Al!l!ln UOOaJO a41 J I Jaqumu
Contractor eU04da\al a41 :elON)~a41 EEit'Pfration Date
CHARLES COLUMBU~-1 salnJ e41lo Sa!dO:lI~51!\0 fi.BW nOA .009/ll3/200S
L YNNS ELECTRIC ~OO'G96l:fv"O 45noJ41 WW(j.OO-G961:NtlJ~tI4/2007
CHARLES COLUMB lJO les am sa\nJ eS04!51M1ue~ UO!IB:l!I!ION
PACWEST BUILDERS ..~n uoBaJr aUl AQ !l5?ilOJlB SalnJ MOn0l17/z00S
I BUIIl.DING'lll~'Ufu',,"'ddN"f :NOI1N3llV
Phone
541-935-1880
541-726-7895
541-543-1904
# of Units: 1 # of Stories: I Lot Size: 5,522
Primary Occupancy Group: R-3 Height of Structure Sq Ft 1st Floor: 1,188
Secondary Occupancy Group: U Type of Heat: Electric Sq Ft 2nd Floor:
Primary Construction Type VN Water Type: Electric Sq Ft Basement:
Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport 240
# of Bedrooms: 3 Energy Path: Sq Ft Other:
Sprinkled Building: nJa Occnpant Load:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
24.00
5.00
5.00
10.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
1
Yes
25.80
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type:
Setback S'
Curb and Gutter
DownspoutslDrains:
Notes:
Encroachment permit'fo~ sewer hook-up in ROW, Storm I!i11Jt to curb face 417/2005
~His 'PERMIT SHAll EXPIRE IF THE OKK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 160 DAY PERIOD.
Pal!e 1 of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspec(ion Line
Description
Tvpe of Construction
Carport
Fonndation Onlv
Manuf Home
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$18.00
$1.00
$1.00
Carport
Use Bid Amount'
Manufactured Home
Fee Description
Pian Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Addressing Assignment
Curbcut Permit
Encroachment Permit
Foundation PermIt
Garage/Carport
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Placement
Plan Review Major - Planning
PW Disc - 3rd Permit (Street)
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervions Area
Storm Sewer - 1st 50 Feet
WlIter Line - 1st 50 Feet
Willamalane Manuf Home Private
+ 10% Administrative Fee
+ 7% State Surcharge
Manufactured Home Feeder
Manufactured Home Service
Total Amount Paid
Square Footage
or Bid Amount
240.00
3,300.00
25,500.00
Total Value of Project
]?pp< PlIilIJ
Amount Paid
$59.67
$46.90
$32.83
$31.00
$80.00
$130.00
$60.60
$68.40
$30.00
$45.00
$160.00
$103.00
$-60.00
$45.00
$365.60
$480.80
$10.00
$865.31
$82.03
$101.48
$66.30
$772.49
$175.13
$80.00
$604.19
$45.00
$45.00
$1,000.00
$10.00
$7.00
$50.00
$50.00
$5,642.73
Date Paid
4/4/05
4/27/05
41Z7/05
4127/05
4127/05
4127/05
4/27/05
4127/05
4/27/05
4127/05
4/27/05
4/27/05
4/27/05
4/27/05
4/27/05
4127/05
4/27/05
4/27/05
4/27/05
4/27/05
4/27/05
4/27/05
4/27/05
4/27/05
4/27/05
4/27/05
4/27/05
4/27/05
6/24/05
6/24/05
6/24/05
6/24/05
Pal!e 2 of4
. CITY OF SPRIN",nJi.Lu
Building/Combination Permit
PERMIT NO: COM2005-00384
ISSUED: 04/27/2005
APPLIED: 04/04/2005
EXPIRES: 1210812005
VALUE: $ 33,120.00
Valne
Date Calculated
$4,320.00
$3,300.00
$25,500.00
$33,120.00
04/04/2005
04/04/2005
04/28/2005
Receipt Number
2200500000000000378
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
1200500000000000523
2200500000000000823
2200500000000000823
2200500000000000823
2200500000000000823
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00384
ISSUED: 04/27/2005
APPLIED: 04/04/2005
EXPIRES: 1210812005
VALUE: $ 33,120.00
Status
Issued
225 Fifth Street, Springfield, OR
5411-726-3753 Phone
5411-726-3676 Fax
54.1-726-3769 Inspection Line
Initial Review
Planning Review
Public Works Review
04/0712005
04/07/2005
04/07/2005
I Plan Reviews ,
04/0712005 APP
04/22/2005 APP
04/07/2005 APP
SKG
TAJ
CAS
Storm drainage piped to cnrb face
4/7/2005 CAS
Structural Review
04/07/2005
04/26/2005
APP RJB
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.
~rptlln.nwions I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Encroachment: After item(s) have been removed to inspect condition of public right of way.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Foundation: After forms are erected but prior to concrete placement.
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Manuf Home Set Up: When installation of all piers or stands is complete.
Final Mannf 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.
Final Building: After aU required inspections have been requested and approved and the building is complete.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Manuf Home Plumbing: After home has been connected to water and sewer.
MH Electric: When blocking, setup and plnmbing inspections have been approved and the home is connected to
the panel.
MH Service: Approval required prior to utility company energizing service.
Page 3 of4
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. CITY OJ< ~rKlI'\juN"'LU
Building/Combination Permit
PERMIT NO: COM2005-00384
ISSUED: 04/27/2005
APPLIED: 04/04/2005
EXPIRES: 12/08/2005
VALUE: $ 33,120.00
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
MH Pedestal: Approval required prior to ntllity 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 strnctnre without permission of the Community Services Division, Building Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensnre 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 tbe site at all
times dnring constrnction.
Owner or Contractors Signature
Date
Paee 4 of 4
225 Fifth Street
Springfit!ld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00384
COM2005-00384
COM2005-00384
COM2005-00384
Payments:
Type of Payment
CreditCard
.,
,
.,
6/24/2005
.
RECEIPT #:
Description
Manufactured Home Feeder
Manufactured Home Service
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
L YNNS ELECTRIC
~
2200500000000000823
Received By
djb
Check Number
Batch Number
,
Page 1 of I
JIlty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 06/24/2005
Item Total:
Autborlzatlon
Number How Received
001664 In Person
Payment Total:
9:14:18AM
Amount Due
50,00
50.00
7,00
10.00
$117.00
Amount Paid
$117.00
$117.00