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Home My WebLink AboutPermit Electrical 2007-4-4 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (54])726-3689 ZON i...;1Y?__ INITIALS Nrv. DATE ~.,. f)-o7 SOURCE (Y\, VA~7. :'ljr~'" ,..' ," ...,~.~...,..j..,""~, ....:'..:;~..' .'. ..:"r ,,,...(,~.'.. y.' ,'-w ..',..:.).......:,.~,~.tl.' "', \.... "j......,. ~;:C(j1l1PLETE F.F;ES9liEDULE BELOlV.:,"::'.;,::~:'<(:'~';~,:::'.~<:::~:;,'r;:::.::/ ;-,~\ .,. "." ~:'."~, ;". .:: .' . ;:. '.,::N ~\~ :::.J ,,......~~! ':,;..,,,,,:~:.:,,1\ ,:,,:::~., .~, ,.;~, '\.. Z;,. _lL. :" '...., Ai:,,> ....;,,..:,1,. "'~,(,"':..~:;.' .:t. ,\0,';,.. ,:-; .: " t.:.'1':.{!\:-: Je~' , , , , , S, PRo IELD _.. ',:,",'" ~ Ji .4!~ ~ l< .' . t~~ ',', "" "',-,~,. ., ~~' ""," ," ,. ~...",' i!:' , ' , , ~ , ELECTRICAL PERMIT APPUCATION ' City Job Number, (J:> IN'\. t.e 0 -, - C> 0 '-( ,. J "'. ''':. ..:. . .,. .' : ....' " . : ;. . . ." .:'.. :.;,~' . . . '.' . . :':M.'3::~.'~":""':~':"'(''';:';'' 1 "''LOC4.TION OFINSTALL4.TION"'~P,)::;''',:;:,c' 3. 5~'j.f"';",'.'$A\~~~"',:.,~~",,~~.~i;t:;~J}/:. ' Date , , LEGAL DESCRIPTION: , '702. ~~oO , , JOB DESCRIPTION: c 1'100 ~'.~. ,.. ~ ~::: .!:'::.:.t;~..\';.;!.'~:,~..;r~.,:. . ,. ~'.: .. .;;. '::.,.:,~' ;'~,:,:'~'F "';!~~~'~\~ 1"" t:.'~":',:J:';:~"\:!.;:: 't~.j"":' .:'; .:s,~~:',' I ,..t:11r< '-\1~~"":f"":';'.J'~'I~" A.;';N. ewResidel1t~al':;' 'Single or,'Multi-F mil ily"pcrdwcIl iil!(lllliC". ::':: '~:.,.:;,..l ,'..;';.' ,....,.~:.,""'. ..t\1-':"!"1:'.:":">';""~b' . .,> .. '. ".i.[ ).,"" ',~ :,.:.:~.. ".' ,,:;;"~ :".:. ".\ _ .....~'.,.,..:l: ,.. ..,..'........~. _"'\' '!".. ..l :. \'. t,,' , Service Included In J,/. 5 evL - , I " Permits are non-transferable and expire if work is Each Manufact'd Home or 'not started within 180 days of issuance or if work is Modular DweUing Service or Suspended for 180 days. Feeder ',n...;:, ,:.". :!.;'\'\, :..... {, <r~t..,\:~~... .~, < ."..... :. ': ~".~"< '-'{'..... .ho:~ <y',' .;;t...~ ,~, -t1'r'- '>:"~:I' ~,.,~ 1:'" !,: ~\,;. ~~..<:-:."l!r "'. : .,:'~"",' ~ '.:,~~, ,~.P,~,....: '.~I\ IN.~:'~''> H~~' ,.)>.l .. ':'..4 \:, . I J...;'II"it:' ,'tJ' ,.l1\~-'l: 'Ii': I; ft, ~~l~l/:f"~",~' : ,':.lJ \';. .' . "'.' ....,... "." >, ." ,'r, ,:", "'" . " ,,'. '~,....., .' '. '. "'.~ '~:.. ~ ,,' ,. ,'. )~.. I'..:~.. v . ..... . ""', . ......'. T"rJ. \ ~i~. l.\ .1.' l;"~ :::CONTR4.CTOR'INSTALLATION ONLY.;, B. :: Services or.'F.eedel's'''': Inst:illil'tion:'}$terations or:Rel(li:atiori:t\~ Address vJ . /l,f\Wj" ,,,,;1\. . ()Cl'-.J "nil, ~e,. '-h~""" . }f I ' ,\'d" .' ~0'-'\~' \ ~60.r ~nps\toCrooo.Anfps' ,(,,.\\~~f'.J>>"" $163,00 " ...J (",) flU 7 '~~w~~.. ~~~\J- ! :Ot~'>. \o\~... ~ )\. . City 1-1 1 V) Phone ~ \~~:..~~, ~ (({9,v~~~~~Q,X~,~~~QJ~'~ ~:~!:k~~ . $375.00 W....O'I'\ ""'{Q$, \~Reconnect.G>I)ly ",r.t7.;,'3:.:J $ 50.00 Q\).":Jv' W~.~ ..,\."" ......~ V' ~cC~;,J.,) 4-. '7 )} S C'lJ,\\ \ .~' f' ~,O\,:.~ '.,;~ 1;..0. :\:-"". ,'. ';-'> ,.~""."t,.:.,::~ ~", '!.1','."",,""~;l\l',,:""('.' ",..'.... "\,, .t' ".'~ ,.'.','1.';.,,.,,'...,._,," "" ':, t--' .'.. '101:.....~~... . "''''. ,"'w,' ..' .(,'r,~.~':1'o.:!t.'l,..,.".,...,l~.'.....to,. .,"~\....~..).\l.....t"...\ "\\\J. C. ;\....,Femporarv ServIces or Feeders '..,:~:,.;y'f;~'.:\..:;,;;"'rff"(;~"~"~~\\'~,:"-'0\.,;.,\'..,<ij',\r~~\ .t,\,)\ O~..;., ,~~, ";..~.<::; t(.,,<.~><.,'....;.l <,....~"",.t, "\~~"u t.l ":-i...\,'..;<..~:S.,,.:.>~..~.t;.J.,..l ~~"..\ 'j,~..'~l.'lr.;l,:)'..'." ~,,;.~~'.~t~d..~7/J.~.'~, , Expiration Date I 0.- 0-7 /3C,L/Lf& Expiration Date I 0 .- 0 7 '?t:des~' ( 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 z:- $50.00 /00 Supervisor License Number Installation, Alteration or Relocation Q\l 200 Amps or less. '\\'t ,"~~})o ' 201 Amps to 400 Amps 'X\~'Y:, W ~a'o;;. \~~~o 401 M~~~ 600 ~~~\.. ~~ ~~ ~v\\\'4\~\\$oo.oo 'D- ~~t~~~~:~~~~~i~~\\~~~~;,:.,~,,;\,,:,;~;:)~l~)'\~~ :i,~;;;:f;:~ ~"'.'.:;.'; . i:~~~~t~~~,~:;:~~;;"'~1:~:,::~.'fl;~'C;~i""... Each X'tlchtional Circuit or with , Addre~s Ni"~: ,%.0, j V-NA-I~.l) ~;s:~;~;;.:;;;l~;,~lNe;i~;i:~;~~r~il~Ji;i;;.~,;'I~I(~;iilio Ii} c.. .~ ....." "".,...~,.~,.:"'''' ..",of;...1t""):;,,., t, ....,..".~ ....~.. )".~.-,....,.._ .,j,.,.,. l;.~..,. .......".. -'l..J ~ .... ..""l to. hot.." ........li..}'\,.,..;.l ,. '.....'1 Ci~LJ t....;t~, Phone I Pump or irrigation $ 50.00 , cA ' Sign/Outline Lighting $50.00 OWNER INSTALLATION Limited Energy/Residential $ 25.00 The installation is being made on property I own which Limited Energy/Commercial $ 45.00 , is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Owners Sl'gnature.' 4. f;'s(li/roil;}iOFABOVE~f~;:~E,::,fg::~}~f~~;;,~H;:\>,:: 10 C> . ~:". .". :...;. . ...."'. :A,:::',~ <,"'~:... .'. :.:.:'~" .:....<. . ,f ',~:.:. ;;,.~. '~~i:'L~,.~:...~,':''';'-:;'' :'~~1,~',~:~<:, .:.~'.~ .;~-t?:'r",,1''; .~:: t:) ,V S- - IZs Constr. Contr. Number ~oa,nr~~~7 Et)~MijL / 8% State Surcharge 10% Administrative Fee, 5% Technology Fee Inspection Request: 726-3769 TOTAL Shnred Drivt:(T:)/Building Fonus/Electrical Permit Application 8-06,doc , , . .ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00493 ISSUED: 04/04/2007 APPLIED: 04/04/2007 EXPIRES: 10/04/2007 VALUE: -c.:~'-!~R~'!~;"" _ , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5335 Daisy St 101 ASSESSOR'S PARCEL NO.: 1702330001300 Springfield TYPE OF WORK: Manufactured Home in Park TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured home in park Owner: SANTIAGO EST A TES AssociATES LLC Address: 11211 GOLD COUNTRY DR STE 100 GOLD RIVER CA 95670 Contractor Type Electrical Manuf Home Inst Plumbing I CONTRACTOR INFORMATION _ '", Contractor License' "ExPlfatiori\Date Phone BURRELL BROS ENTERPRISES INC 1~~~~1~.\'J."~~;O~e~?~oG909J\ 541-747-2724 FATHER & SONS OF OREGON INC "'" ( ~~;.Uo.!>>~y~~'1 \\. \).\0~06~121J99:7':JO. 541-689-5090 FATHER & SONS OF OREGON...ll~~~ \~~... ~i~lOO~2~nO;;e ~.A,,(06/~9lJQQ7a~ \. 541-689-5090 BUILDING~:H~l-FORMAHON:i\'\~ {{'l\~9;es 0\ ~~~9~~()\;'~';\ ~C!,\WP'. ~2~U'J' 1)'0\:&.\'\\ ~l 0\*;" \~e. ~~nl\~\'P~. # of Stories:).,"" 9 \ ~~~ " ~""t. ~ I \ '11i8t'Size:"" , ,('\,J' ...~t'\I"'" .'ti"'~v (;t' ~". ,,"'6;,.'~. . Helght'of(~~IJl.ctur~:....(,;~ C'" " O~~'~ 1'\ f~8Wt,,'llst Floor: Type of\fieat.:~\\Vi'~' 'P'~\ \~.(I: ~,.oC'\,f'eSq Ft 2nd Floor: \tiC>' ' " ,'l.! \5 ~ Water Type;,~\"b~~c Ge\,$l;~ \. Sq Ft Basement: Range Type:' , Sq Ft Garage/Carport Energy ~ath: Sq Ft Other: Sprinkled Building: n/a Occupant Load: R-3 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: , Solar Setbacks: -v 'N\l'" . I DEVELOPMEN I 1I.....0RMATION I ' \~ \\\'t:. ",,('\\ ~:. \,.\.. 't:.",\,\~R~~~We-})\Pt\RKING Overlay Dist: ~Q,,\t ~\\ S\\t>-: \\ \\\\Si?~tll\t.~ tQ~ # Street Trees Rq~\\\S \''t:.\'\ It.~ 'IJ~~'f. ~~~~\\\licapped: , Paved Drive Rqd: ~\\\O~\ t.~ 0\\ \S Compact: % of Lot Coverage~ ~~t.~C ~ \'l't:.~\O~' CO " CO$ ~~, t~\'l , I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Pae:e 1 of 3 ~~",,rIJ!I!,gig ", . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-00493 ISSUED: 04/04/2007 APPLIED: ' 04/04/2007 EXPIRES: 10/04/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier ' Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement Manufactured Home Service Amount Paid Date Paid Receipt Number . $30.50 4/4/07 1200700000000000362 $15.25 4/4/07 1200700000000000362 $24.40 4/4/07 1200700000000000362 $30.00 4/4/07 1200700000000000362 $45.00 4/4/07 1200700000000000362 $50.00 4/4/07 1200700000000000362 $160.00 4/4/07 1200700000000000362 $50.00 4/4/07 1200700000000000362 Total Amount Paid $405.15 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. 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. Manuf Home Plumbing: After home has been connected to water and sewer. MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. MH Pedestal: Approval required prior to utility company energizing service. Paee 2 of3 _4!",r~_@,I1~U?Ji' '; I- j ~ , ~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-00493 ISSUED: 04/04/2007 APPLIED: 04/04/2007 EXPIRES: 10/04/2007 VALUE: 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 ofany 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 Pae:e 3 of 3 'f/rJ'flcJ7 Date 225 F,iftJl,Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00493 COM2007-00493 COM2007 -00493 COM2007-00493 COM2007-00493 COM2007-00493 COM2007-00493 COM2007-00493 Payments: Type of Payment CreditCard cReceint I . Cilf Springfield Official Receipt D opment Services Department Public Works Department RECEIPT #: 1200700000000000362 Date: 04/04/2007 2:02:58PM Description Manufactured Home Placement Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Service + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Amount Due 160.00 30.00 45.00 50.00 50.00 15.25 24.40 30.50 $405.15 Paid By SANTIAGO ESTATES Item Total: Check Number Authorization Received By Batch Number Number How Received djb 004620 In Person Payment Total: $405.15 $405.15 Amount Paid Page I of I ,. 4/4/2007 . . \, . . . . . ~ 51' ~ iD ... ." lit. ~ 28' ~ 15' ~ .~ Electric, Water & Sewer Service J Rear Porch 1/'X4' ,/ ~ 6' ----. - ..... Front Porch 5' X 10' " ~ Co V 2' > X 11!- ~ 0 SOUTH Co v N X Q) . E 0 -' 0 ~ J: >. as Q) ~ - .- ..Q 0 > .- ~ \", C in Granada Estates 5335 Daisy S1. Space #101 ." t ." ! / Street