HomeMy WebLinkAboutPermit Electrical 2005-8-19
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Owners Name ~~HI(ag rl tC' S1-<< f..<!::.-$'~(,)0)(,).~~~ero\~~1df:rpermit $ 3.00
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
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Inspection Request: 726-3769
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3.
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manu fact' d Home or
Modular Dwelling Service or
Feeder
$ 19.00
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. $50.00 50,CO
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200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
-If
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
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$ .50.00
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
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Shared Dlive(T:)/Building Fonns/Electrical Pennit Application I-03.doc
_ CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01133
ISSUED: 08/19/2005
APPLIED: 08/19/2005
EXPIRES: 02/19/2006
VALUE:
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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:>' SITE ADDRESS: 5335 Daisy St 105
ASSESSOR'S PARCEL NO.: 1702330001300
Springfield TYPE OF
Manufactured Home in Park
PROJECT DESCRIPTION: Manufactured Home Placement.
TYPE OF USE: New
Residential
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Owner: SANTIAGO ESTATES ASSOCIATES LLC
Address: 11211 GOLD COUNTRY DR STE 100
GOLD RIVER CA 95670
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
,\ Plumbing
Contractor
FATHER & SONS OF OREGON INC
FATHER & SONS OF OREGON INC
License
100726
100726
.:: # of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
I BUILDING INFORMATION_\.
X. 'N \)P \
# ofS~<<lf\i)e~t. W \~\ \S ~O\
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[\\.)\\-\0 ~c,t.'0 R~n&~u'f~pe:
CO~\~~t: '0\\'1~irergy Path:
~~'1 \ CO(,) Sprinkled nla
I DEVELOPMENT INFORMATION I
, Front yard Setback:
Side 1 Setback:
. Side 2 Setback:
Rearyard Setback:
. Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
,
;; Street
Storm Sewer Available:
Special Instruction:
Notes:
1 of 3
Expiration Date
06/29/2007
06/29/2007
Phone
541-689-5090
541-689-5090
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage(Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
.
.
_ CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01133
ISSUED: 08/19/2005
APPLIED: 08/19/2005
EXPIRES: 02/19/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
. 541-726-3753 Phone
541-726-3676 Fax
, 541-726-3769 Inspection Line
l ValuatioIi 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
+ 7% State Surcharge
ManufHome State Issuance
~ Manufactured Home Conn - Plmb
- Manufactured Home Placement.
,
Manufactured Home Service
Amount Paid Date Paid Receipt Number
$25.50 8/19/05 2200500000000001128
$17.85 8/19/05 2200500000000001128,
$30.00 8/19/05 2200500000000001128
$45.00 8/19/05 2200500000000001128
$160.00 8/19/05 2200500000000001128
$50.00 8/19/05 2200500000000001128 ' .
Total Amount Paid
$328.35
I Plan Reviews I
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.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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_ CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2005-01133
ISSUED: 08/19/2005
APPLIED: 08/19/2005
EXPIRES: 02/19/2006
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 wiD 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 wiD 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
I ; 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.
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Owner or Contractors Signature
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Pae:e 3 of 3
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Date
Partition Number
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,.,; ~} Property OWller,
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'J \r~~ Contractor 's" Name CCB #
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r--~ vilectrical t=e.t. T 4.. ~ r- "'(- 50^, - I 00 7 ~ (.,
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. CITY' OF SPRINGlFIEIJjtOREGON,: " , ',.'
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SPRINGFIELD,
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225 fIfrH STREET. SPRINGfiELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
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CIty Job Number ~~ \.;;;;-
Placement LocationJ" 33 ~ DC<. (Ii v
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Tax Lot Number II 0'- '5 ~ c::a
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Assessors Map Number
Lot
Bloc\.-
Subdivision
Parcel Number
Has Partition Been Approved?
JNamp SQ~ frtRj 0- f3' 6 fqf~ ~
Mailing Address ~ l j s 1M (;r ~ .51-. City
Phone Number 7117 - L{ if I if
SfJr)r~~ -t;'a..(J State 01(
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Contractor Information
Expiration Date
Phone #
to /J.J( /:1..007
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Lending Institute
Business Name
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Phone Number
Mailing Addres~
City .
Attention
State
Zip
Permit Illformation
Sq Footage of Home la2..'1
Sq Footage of Garage / Carport
, /f'
Value of Home ,2 .s; eJ() 4 Type of Heating
6 (e..c, Heat Pump Y /@(circleOne)
x
Value of Footing / Foundation =
Total Value =
Plan Check Fee
Receipt #
Received By
Date
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Shared Drive(T:)/Building FomlslManufactured Home Placemenll.02.doc
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Granada Estates
5335 Daisy St.
Space #105
. 225 Fifth Street
. Springfield, Oregon 97477
541-726-3759 Phone
.
City of Springfield Official Receipt
evelopment Services Department
Public Works Department
RECEIPT #: , 2200500000000001128
Date: 08/19/2005
12:10:41PM
Job/Journal Number
COM2005-01133
COM2005-01133
COM2005-01133
COM2005-01l33
COM2005-01133
COM2005-01l33
Description
Manufactured Home Placement
Manufactured Home Conn - Plmb
Manufactured Home Service
Manuf Home State Issuance
+ 7% State Surcharge
+ 10% Administrative Fee
"' Payments:
Type of Payment Paid By
CreditCard GERALD W ALTERS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Jmp 614111 In Person
Payment Total:
Amount Due
160.00
45.00
50.00
30.00
17.85
25.50
$328.35
Amount Paid
$328.35
$328.35
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8/19/2005
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