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Home My WebLink AboutPermit Electrical 2004-4-12 ~11,~;...I,'~J,j...~'l.'f"'''''' ,'I" '" , j ,_ \', 'I ... ~ :",..,', - - I -"t '.' ,,-"-, ' ; r \.: .~~;:-.'.. :.. CITY OFBi.-..JNGFIELD .OREGON . i' , '. .' i. .. ..... ~ I. .~~ ' " , " \ l' t t~ ,'" .. ',,' J .. . . . . . ; . .:: ...; ; s submitted has the following . F AiKDi(~fh)\l26~t require specific land use approval. l \' (L Zonin~ \.> L\.,tZ-04 _ ~-116-0~ ui:lte 3. lffJ€~JMJ.Ri1E, "WE;~E~IBW~;~lE"mEt,;(fi,tf.1;.~f..(",:~~~~,~,., ,': :,?;~1 ~?k~t~rnlNl,.~4iiU*l'l~i\').kJt$lfu~mll~";;-11f.HJ.~1ii;{Q1,ik~~~~~~'''''''Ji''};'''''h'''~':r,.''''.''''' ";,. ':,: .,:"~l;' 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 ELECTRICAL PERMIT APPLICATION City Job Number c..o.wr WOlf,...oO:3 7 b Date Signature of Supervising Electrician . ) t n ~ 3 \!/IN..J~ \;d Owners Name 5/J/VT/A-G-O t::-S TfJTC-rs Address -11Z I \ Go I J Co....'^- ~ J:/vd City Co (J ~\ vl><2., c)+. Phone Pump or irrigation $ 50.00 . to Sign/Outline Lighting, $ 50.00 OWNER INST ALLA TJ%regon laW reqUires y~~i\ity Limited EnergylResidential $ 25,00 ATTEN1IU\ . hV the Oregon r . . . The installaI~ l~rrn~g1l!d~ce'jitp&1h"ettx T mm~ll\olJ. set fort Limited Energy/Commercial $ 45,00 is not intendHl.~r S{\\5\'te~er!j))Erenr. Ose h OAR 952~irtimum Electric Permit Inspection Fee is $45.00 + Surcharges .~o~~c: 952-001-001? t~~O~g s of the rules \j,'t,"l\r~.lll ~.'" .: Owners SllfBM{ffi!:'y may obtalO cOple t lephori\3 t~f!JiB:'EC>J{JJ.. \ ~ (~ 0090. ou 'Note: the e . ~'l>>.. ~ \\-'-"'"'r: ' . the center. \ .' NotificatIon " :-0 calling I. ~hO ()reaOn UtIlity 7% State Surcharge 31? \ umoel ,Vf'u - " QQ?-z344). ;> n ,..__~M;C' 1.9.('1, '-. . 10% Administrative Fee ~c "~ k CSQ SO It \. .~ ~~G-:I ,"._~ ~;}'A~~"':'iT'l7',iTl\fi..r/(f)~':~,M\:Y;~TS",.th.~lt,\j)r,...'n. !'ii'!l:(j)' /ti, "T~l.'.';,"..lJ1,'~~~"',t!':zY,.iil,' 1 LJ~"L\:.f\!J'1"!L~:L~V..L\~4~ ,. L",JB1"~ ,~-:f:Ll!,~~.a',1 " .L.,,~t~~.~ 'It':j~ . . ~~ . i~~r.~~~'>(.;<:;'j-;lkli"{U~~n.':r'~:{I~{Pj"Y\;;";"HWA\;;bll.t,,~!:fiW~;:~~li i ':.' ... .!'~ ~~3S n~ic:,,! LEGAL DESCRIPTION P,70Z 3300 JOB DESCRIPTION "# IOlJ O/3dO ~/\l~~-uu Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. (\.W, "<~~w.~{JTt~"~",,~~,,..I~:q{,:tt~-tffl.rru,,., ~;;,..:;'{'!, ~~,,,ti~:y-"-&%'u'".tio, '<"'i.,.."..\.tW:'J""~$.T.:~"~'ffiAA''W'-tik'm'''~~,;<;w''>'-''''S'h~;-"g,,~lo ,il."f.:1;;.,){,H"DL,"4' ",..., ,~I,H.~".,., ,"', m'''.' l",:f1W.'im, "':'ixw, "~"~1"" \,' "~CVH'f.L"'L~ .'. 'w.R.'~' SJ'~~?LI{).L'Yi'~ ""11'\ 2 b-~~~r.ol:.:iiA"{"~"",,, .,.... '.';h""~.i:,,,-4,,~',. ii ;~~.-..'., '.' --". ';;,~.., ,~~.<"t~.~-,'f: 'l~"<~, ,~;: . uft...~mb:t.;,i" ~l ""' ~ ~. U!..' ~~.' ;..- .". h:m-.. Electrical Contractor ~ \ Address Burrell Bros. Electric 40159 Booth Kelly Road Springfield, Oregon 97478 ~~~l-~71-~ Supervisor License Number ~~~\. ~ City Expiration Date ,~\~ " Constr. Contr. Number ~~~~'-.P \.'='\c:>~ Expiration Date Inspection Request: 726-3769 A. .~~:e~m~rG~'l~yw~~~~'t~t:~-\>'~";~.{;~~~;:V~'.' ...:~'~'':::;i.:~.lIf: 'I Il,\1( ,,!U~~;9.ff.M~~J!jf.!.~~il~::p~JJ,'~~xt;J}}mt~I~L~' .~., .'::1 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 $.1,9.00 'i' to; \ - \ ~ $50.00 \ ~(l ~:> ~~ ~ B. "~"I'.'- .. _ ~~T,,\~Wlf\~~1r~tl~\~1{l-r:e/~dNlo;P,:q;;:,.1.~~ :.~..t...~l;~~ .~} ?~-\1 " tei+atiolt"(obRe\'ocati&i6~;;{~ "''' ., " ".." "~.'.. ,.\. ~"'i'W"""'^'4..,...~)f.j ;.'" - . .'" ~I.o.~ .-.t:':"'4~~ID i / 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75,00 $125.00 $163.00 $375.00 $ 50.00 c. Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volt h' D. ~ "' $ 43.00 $ 3.00 TOTAL Shared Drive(T:)/Building Fonns/Electrical Permit Application 1-03.doc . . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00376 ISSUED: 04/05/2004 APPLIED: 04/05/2004 EXPIRES: 10/13/2004 VALUE: $ 25,000.00 _~~'!!lt1;~f.I~~: '-' Status ' Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5335 Main 104 ASSESSOR'S PARCEL NO.: 1702330001300, Springfield TYPE OF WORK: Manufactured Home in Park TYPE OF USE: New Residential PROJECT DESCRIPTION: M.H. setup in park (replacement) Owner: SANTIAGO ESTATES ASSOC LLC Address: 11211 GOLD COUNTRY BLVD STE 10 GOLD RIVER CA 95670 I CONTRACTOR INFORMATION I Contractor Type Electrical Manuf Home Inst Plumbing Contractor BURRELL BROS ENTERPRISES INC RON CLOEHN RON CLOEHN License 136446 Expiration Date 08/20/2005 Ph9ne 541-747-2724 343-1966 343,-1966 BUILDING INFORMA nON I # of Stories: Height of Structure Type of Heat: Forced Air Elect Water Type: Ra:~~~: . ,~ '\~ f;> ~ _\Q,~ ;-~t.\\ _0. ~\,\, ~~9WiG~NT INFORMATION I SETBACK~\~~. ~\ S~\'\\)~~ ~fQ~ . Frontyard Setba~~ S \>'t.~~1...'t.\) ~ (J~ 'CO ~. Overlay Dist: ' . Side 1 Setback: \~\ ~~(J~ \'\CV~\) \>~~,\:j # Street Trees Rqd: Side 2 Setback: ~~ ~~~ \)~ Paved Drive Rqd: CV~ \~~ \0 Rearyard Setback:' h...\'\" % of Lot CQ~~~~;\'~'I S S b k. f' \}\{~ ~\\\\''', olar et ac s. ~ teOl t\Ot' 6Q'{\ _ \~ ^..S'tJ _0\ , -JU..I" ...'.C''''''1 - - to"'I - t";, O....\.L \}ll'l'n 1G f ,U~V . ".Ii'.Ntfs-' \ ~~~ '\""0 't:'M '" -' '~ ~",,€ u.\eS a: ~~et. ~~ ~{0u.9J"(\ 0\ \"(\a t "'-ot'e Sidewalk Type: ~\o'!ll t ee\.... 0\ 0 ~ "as ~09\" t' \0 . . ce.\\ot' 00\,0 \" cO'\) . \"a \9 ~\\\ce.\\O Downspouts/Drains: ~o\\\'\ ~ 9f';)'l.' :\j'o'O\a: \..~0\9. 'X\\'l ~o "o~ --(ou. ~a: 9'(\\at. 0" u\\ ??/)/),".. \ 0090.. \"e c e otaC} ('\('\,,?-'?-'?--' ~ ca.\\\t'C) \ot \" ;e"',9. .d\'Oet .,.''''~ t'u.~" ("',.. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction. Type: # of Bedrooms: 1 R-3 1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 1,344 VN REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pal!e 1 of 3 ,. . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00376 ISSUED: 04/05/2004 APPLIED: 04/05/2004 EXPIRES: 10/13/2004 VALUE: $ 25,000.00 _~~~".N~.~llI;~,J. . ' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Manuf Home Tvpe of Construction Manufactured Home $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 25,000.00 Value Date Calculated Description Total Value of Project $25,000.00 $25,000.00 04/06/2004 ~ Fee Description + 10% Administrative Fee + 7% State Surcharge Manuf Home State Issuance Manufactured Home Connection Manufactured Home Placement + 10% Administrative Fee + 7% State Surcharge Manufactured Home Service Amount Paid Date Paid Receipt Number $20.50 4/5/04 2200400000000000319 $14.35 4/5/04 2200400000000000319 $30.00 4/5/04 2200400000000000319 $45.00 4/5/04 2200400000000000319 $160.00 4/5/04 2200400000000000319 $5.00 4/13/04 1200400000000000469 $3.50 4/13/04 1200400000000000469 $50.00 4/13/04 1200400000000000469 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 7:00a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. 3 Manuf Home Set Up: When installation of all piers or stands is complete. 1 Final Manuf Home Set Up: After a'lI required inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. 2 Manuf Home Plumbing: After home has been connected to water and sewer. 4 MH Service: Approval required prior to utility company energizing service. Patze 2 of 3 _~~@J:f~9,"~miq~I' . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00376 ISSUED: 04/05/2004 APPLIED: 04/05/2004 EXPIRES: 10/13/2004 VALUE: $ 25,000.00 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 Pae:e 3 of3 Date 225 Fifth Street Springfield, Oregon 97477 . 541-726-3759 Phone . JiIiY of Springfield Official Receipt "elopment Services Department Public Works Department RECEIPT #: 1200400000000000469 Date: 04/13/2004 8:57:32AM Job/Journal Number COM2004-00376 COM2004-00376 COM2004-00376 Description + 7% State Surcharge + 10% Administrative Fee Manufactured Home Service Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 3.50 5.00 50.00 $58.50 Amount Paid Check BURRELL BROS djb 3464 In Person Payment Total: $58.50 $58.50 4/13/2004 Page 1 of 1