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HomeMy WebLinkAboutPermit Electrical 2003-10-28 ,.. .~;': ,',. ,:>>; ;: CITY OF s( __,'NOFtEtD, OREGON. ,:'~ . . _~\:.r....~~_'~. .:~_~__~~....,_~.~..~_._.. ~"'" ^'.~~ J~",,, ..' "., .. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PII:(541)726-3753 . FAX: (541)726.3689 ELECTRICAL PERMIT APPLICATION City Job Number Col'./\:ZCO?:"O\O'-t Date \0 -1..6-03 l. fil!KOCA.. -'iioNI6itiNsfA.EifATioN~F1,'tJ ~~~)a:.w;~'1')itIl.CJUi.ttU.:U~:Wiliiio~m:~r~ . 4-5::'\ f~"Kl<-U.1-\ -e,L\l~, 5't" ll~ LEGAL DESCRIPTION n03 34- 4A- 00 "$0 \ JOB DESCRIPTION ~e,\L ~OM~ f'eE.:);:E_\L Permits are non.transferable and ..pIre If work Is not started withIn 180 days of Issuance or if work Is Suspended for 180 days. 2. coNf~~.~~;~'~~R'1iNST~ilf7Z2~~if.4 Electrical Contractor . C ~ s ~AfC-+Y'C I TtI',C, . Address r. D. BD'l \ L) ~ )_ City Sf.>{\ \~f tel Phone I Y 1- 2,<t~ I -. ~~ ~'" I I. . ...%' -# [::)Q:- Supervisor License Number ,<g q^~~ (f:> <<. ~""",,1,.C;) r;r- Expiration Date \ D - Oh,,, Q~ .P ~..--,,~;~~< ~. Constr. Contr. Numberr...G :..:tYI ~'I_<i::-C;) '"'~. ~'AO 17' .J~, Expiration Date "\;' .~O:f .-tf.;ifj'LjQ .Y ('..' ~. <:1' . fS" E'~I j,;j-~ n.<:: 1 nature 0 upervlsmg ec:-:-v.an," ~~ Owners Name ~~'t2OCI~ \l.Cl..LA.6E- ~ . Address 4-S~ I f'~tJ,.\.<.Uf..\ ~L\l~, 'ttll~ City E u G.e:.t-l.E-- Phone -, ~ 1-"1 <\13 OWNER INSTALLATION The installation is being made on Y' ~y-..J I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. fl;'C.O.' MPi1Ei1tl1tirSCHBD'-,- fij.@Q~ ['i:lil'~~!~I:Ql::..l.~t;OJl~!l?""'."~~~' .. . A. i~N~~RliS1li~iitilii,!si1lgnil1l'?M~fti1EiMii~1p's~~t\1~~mljg"1lilii. ' . lf4'l...lXr;~J..~L::~.:i'!l":.e "'['<ll~~p~ ..-~~It.:........ "'''''''\.;0... .". Service Included I 000 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 \ $50.00 $0.00 200 Amps or less ,0, $ 63.00 ;;:;. .~.~ 201 Amps to 400 Amps f' ....~ of' ~ $ 75.00 401 Amps to 600 Amps ,,;0'" ~v .~. s:J" -$1'25.00 ~ ..$;> ., 'V h 601 Amps to 1000 Amps ~ ~IO'" c...1O ~ :~IO !f6kOO bO o~"r:;,,9 Over 1000 Amps/VoIts ,-<" 0 ~1Oc,."" ._10 if$~$"'OO Reconnect Only . J ,~ ..v ""v)>....... ;:,.10 .~\SO.OO S "","", '0 ~ - .....- 0'" 0'1 """...... _Cd 3$ ....~ 0". ~ ="', c. nfelii....~lI'""lsi!iMl!l.t\~~~~\k._!l~_~ 1!r.,...~...m~lIi(:j"'~i~~~ '.:F ~?$ {!I ,,'-' .~ _,-0 ",,-<11 <~..v " "v '" ,,, c-. "''' Instanatio'!i'A1'eratlon or .Relo~ation "," ~ -...~v u ~' 0"" '0' 00) ~ . 200 Al1)pS<<6~e.s.)~ <.);r::5 ~ 0~ ("1<; ~r::5 . $ 50.00 201 AmP'&.w400 imn.~ 00 ~0 .,c,' $ 69.00 ,,-0 ..W 0-.' ;:.,;, 1<:' '" ... 401 Amps te:ti9R>Ari1ps~ ....0.. 1$:'9 $100.00 ~ 0 ~'.<S' ~ 0 Over 600 Amps'?f).9.\lO~\f<;I~.ee "B" above. D. ~l!ii,.li[.liJ.Ig"'~J!~ .. '., . \'f'. '-" New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 43.00 $ 3.00 E. !iMili\Hliill~ijlm'ls~~c>Wfliil~i!1ld~1:-!"iWlli~rlill'inW~ m:t~~:':/'}'j"'1"itUi:Ul.~1U~~ . . ~t~~IJ!!tlt:t1U~..",;;....~, -, ~ Pump or irrigation Sign/Outline Lighting Limited EnergylResidentiaI Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 . MInimum Electric Permit Inspection Fee Is $45.00 + Sur~harges 4. J.f!SUBrof...mO~ABOVE_ riW.:~~~~g::::i}ii~~l~tff ,,~: ' , ' ,~ , 7% State Surcharge 10% Administrative Fee 50,00 3,SO ,C;,QO 58,So TOTAL Shared Drivc(T:YBuilding formslElecbical Permit Application (.(IJ.doc .".'.". ".'>"~":'ctt"'tffi""'s'f-''N.''1E.'tfj. o'-1ill' '.'0'0 "', ........, '.. ,~ ,.,l. , "., .... y, OF N. , .' , . ,. _....~l .,F. " I . j \:J,~;a'li'\..:"'i:,::' '... ,,~,,~j.-' 'l~>t.....~ ..l;:~! ,~~._\..-..l., ~ ~ .. ',' .~... . .'" 225 FIFTII STltEET . SI'IUNGFIELIl, OIt 91411 . PII:(541)126-3153 . FAX: (541)126-3.689 ELEC11UCAL PERMIT APPLICA110N City Job Number CON\. 'La::::>:,O; OlO-z.. \ Date \0- 'Le.-c~ Permit. are non.tran.ferable and expire If work I. not .tarted within 180 day. of Issuance or If work I. Suspended for 180 days. 2 lifeONTRAGTORIlNSTAL'Di'fioN:(jNi"i!,)j . ~~I.~lIli!IitNJl:'!-~"'!l'Vitb"'~l!~~~ Electrical Contractor G ~ S f/fC,,1YIC ,:JW:, . Address P. D. BOx. \ L) <6 7- City SV{\rd~fiJ.Phone iYt-223b L!"!()L\ S c. hfem'oPa'.'S.;ijjj'eslCir;t'ieliers~~~Im.~ Supervisor License Number \)"-', . ~\I~~~~.,"."'''~'''~''<''l''~~ Expiration Date I D - 01- 04- _ ~\;)$"nstallation, Alteration or Relocation ) -, '\* ~ 200 Amps or less I e . $ 50.00 So ,)~Lj CI !v~ ..,.~ '<..\;)~201 Amps to 400 Amps _-0"..~ ($ 69.00 q LJ <>{f <>~'<::' -~ 40 I Amps to 600 Amps c.. ""- -.'l~'. ,0$100.00 E . t. D t -/ - 0 ~ C-' ",,- 4lU :!\," 0'- C)V ""'- xpua IOn a e v"'; ~'J~" Over 600 Ampsor 1000 Volts ;.'" ?l\b.~~'V ~'?> Signature of Supervising Elecirician ,,=>~~<s:-"'~~ D. [>!ti]l!.i{![<i!W'Wll ' ..N ','.' \ . ~0-~~~' "~~OOS'~'1l' ~.. ." ",<(- ~ New A1terallon or Extellsion'Pei'Panel~ ~0 ~v ,- '" (~ ,..0 'Q~ r:,l()..$$ U ,0 ;.., c:-..~ ~ ~ . i'" One Circuit io..0'O i> 0 ,n". 0."> .0 $~3.QO . ~~~"=> ~<;:s. '~~\,J~~. Each Additio nal ~~ui~r Mfu ~ O~- 0-:-"~~ '~t:A S ~.u~~:'~ ~<:\.... ~ r::: ServiceorFee~~Pe.9Witg."C"I.).,$'v ~ ~~ J1'3.00 Owners Name ~""""l~' ~ q,lO- . . ~ ~"> _t>'I:' ~ ~'1l' ~.~ ,,"J . . f :->d~ -tt. lr"~'l'''ijf''ia''.''. ..1'~"Ei1' ""m~'~1Wl'rnl'm""~~ill1~'A Address 4S~t ~f<;~~'-ISI" OL\J~, llq E. m~~="'il~ ' .e en", . i!)m~L",~",,~J~Y,ut~~ c "1 J\."2 (~,o.r.,'lf O:l~ ~ v 0 Co", City >.-0GS-f..tE- Phone"l~ ~(",,'l~ Pumporim~li~?-4.0-0>S'0io..OS' ~,- $50.00, SignlOutlin'e'1.!gh~g ~~o., io..,O l' $ 50.00 Limited Ener-~siQe~? ( $ 25.00 !;YO''' ,,_ Limited Energy/Comrlil?'rciaI $ 45.00 . MInimum Eleelrlc Permillnspection Fee Is 545.00 + Surcharges 4. ~~suBfoTMrOE~''''r(fVB_.. ..~'''', ~~!l!l' C-o .. "''''''M'''''''''':\i "H."....", ""',~ ...., !l'.~.'..-l:...:~~:.;;..(.,_:c...?i1h'Jror.1=;~ift::.<.u.'i. 'ETI1,' ~ .;.....~ 3.$0 5 5'8. So ~ . :"".1. '"tOcATi6N'6klNSTAVIJAti6N'1 '",~';l;.'i::l M2 ,"'-," ,.,.~... ..~. "'.'~'-~ll!!.o.-"~.l-_ ..fL', .....,.~.....OJJ~i!~~l,~lt'i:i! 4-5:,\ ~I?^~l'-.Ll~ e>L\Jt>. ~~ l\~ LEGAL DESCRIPTION nO~3~4:6,.-~03C\ JOB DESCRIPTION ~~IL tl.o"e.. E'c.~~E.n- Constr. Contr. Number OWNER lNST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 126-3169 3. ~,c6MpiiE'i'E: ':EE:SdfjEjjtl.tE'BEOO~~ ~k;;....t';'-:I~~::..a:.::",g:..,..._~."",,_.~.~....,~~...._..,......;;t: . A ~.'N...'""".'R'r<' :d''''''-'.'I:~'IllS' 'lifll'I''''r.'!JIlM.'i'~I''!'''E'''''''IilP.'''''i'd'''''1iIl''~,,,,'''.,c':tJ. . . J ew eSI ent ....- ng e ,or,. u "" am. ",ne!i; ll.e JOg nm r~.\::.\:.o'-)t1.~..u.:~lo'''''--'~ff I"-'.;.. n^,t:.t.:.~~t:rM,..,..-r:l......~_ ~;I"'...... >r~ 'lc.'~. lil.U'= Service Included 1000 sq. ft. or less Each additional 500 sq. ft, or portion thereof $106.00 $ 19.00 Ench Manufact'd Home or Modular Dwelling Service or. $50.00 ~ Feeder . -1lilllili:rr ,1M1~'ltll~>c:~It~~~r $ 63.00 $ 15.00 $125.00 $163.00 $315.00 $ 50.00 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNollS Reconnect Only 1% Slale Surcharge 10% Administrative Fee TOTAL Shared Drivc(T:)lBuilding FonnslElectrical Permit Application l-03.doc ~001 ...----..., .~cL, 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)72';.3753 . FAX: (541)726-3689 ~J?OvLJ. IN l ~~~o~~~~ PERMIT APPL1CAT1~: 10 Z$1)3 . \ f 'M:aS~'0& rd 3,. ~ 10/28/03 09:50 '8'541 741 2473 C & SELECTRIC ~~~ CITY OF SPRINGFI '< :'. CITY OF Sh<.lNGFtELD, OR LEGAL DESCRlPTION JOB DESCRlPTION nnbl( 1J.,()lY\~ ~()M1 Permits are noJ-tranlferable and expire If work is . not started within 180 days of Illuanre or if work il Suspended for 180 days. . Elertrical Contractor Address City 141-Z23lp . Phooe Supervisor License Nu nber Expiratioo ~ '\; Conlb". C~ ~ umber Expiration Date Signature ofSupervisiog Electrician \.,: OwoenName ~IHV\V1I<< \J i \l(1ae..~ Address ~~VII<lIVl ~i~d..!ltq City ~ Phone 1Yl-7LJ73 .. OWNER INSTALLATION The installatioo is beio8 made DO property I owo which is not intended for ssle, lease or rent. Owoers Signsture: Insperllon Request: 716-3769 . ~:\:!tl;: ~:., :'i'': (';~..I,i I P1_;;....'~~..Vr.'~fJJ.V:' ;h.,.j.." 'i"-";',"FJ~I,;~,~t"I", ~'r"~,,~ ,,,.,,,.....;J Ui~ rl"-T~'o!.~K~jf'l~~"n,.r .::!,,~ '( :,~'\. ~ A.. . '~lIlKA'{P.l!m.Ml!!l . J;~.!t~'rtaJ Servke Iorluded 1000,'1. ft. or less Each uldilionsl 500 sq. It or portion thereof . Each Maoufact'd Home or Modul ar Dwelling Service or Feede. $IQ6,OO $ 19,00 $50.00 I "n,:l:\d~.. ~~l"1'.\1'1!1' 'flr~!".'!: ''''~.'(:f:i ,~': oj;, ~;~ ~-iI',j-{~~v;i';t~h ~l;:..A',~~ ~ ';. '.'i(;f:.;.,hr :~~:ml"; r"if1o~f;A..f/~ B. II .1'11 200 Amps or less 20 I AJaps to 400 Amps 401 AJ~ps 10 600 Amps 601 Amps to 1000 Amps Over WOO AmpsIV olts Reconiccct Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C.mi ,Ii'll.,., 'r;~J..:iq;:r;4 ~'-l 'Filt .1 '1~)' '~~F"l, :', i.,,!~-;~,.." .~f:I~,,"'~"l ),H ,/."{ ".N".t.~ '.~.!llr,f'",..J;~1 ~ InstaU"tion, Alteration or Relorallon 200 Amps or less 201 Amps 10400 Amps 40 I Amps 10 600 Amps D. ;;OAmf,s or ~OOO Vol~ see "B" abo~. New A1!.eratioD or Extension Per Panel Doe Ciro:uit Each Additional Circuit or with Service,,, Feeder Permit I $ 50.00 $ 69,00 $100,00 50 $ 43,00 $ 3,00 .... Pump or irrigation $ 50,00 Sign/Oudioe Lighting $ 50.00 Limited :Energy/Residential $ 25.00 Limited i,nergy/Commercial $ 45,00 Minimum Ele"lrlr Permit Inspection Fee is $45.00 + Surchafl:es 4.l1li "~*~ 1~.;. i:~ :i.~" ~~~{),\:IJ ';'~:~'H~~'\~~~i~:~,.:j;.~r:' '50 "3,5D '5 '5~,50 7% Slale Surcharge 10% Administrative Fee TOTAL 8bi..... Drivc(T:)/BulldlD. PormslEloclrical PcmIl' ApplicatioD '.03.doc .~ . LIlY UY ~:'I<'H'iljl'lELlJ . B_ing/Combination Permit PERMIT NO: COM2003-01021 ISSUED: 10/28/2003 APPLIED: ]0/08/2003 EXP]RES: 04/28/2004 VALUE: S 20,000.00 . .,.:=::=::::::1___. _. .. .._..:t Status: Issued 225 Fifth Street, Springfield, OR 541-726.3753 Phone 541.726-3676 Fax 541.726.3769 Inspection Line SITE ADDRESS: 4531 Franklin Btvd 119 ASSESSOR'S PARCEL NO.: 1703344400301 Eugene TYPE OF Manufactured Home in Park TYPE OF USE: New Residential PROJECT DESCRIPTION: MH in park. set only no utility connections Owner: SHAMROCK PARTNERS LLC Address: 228 SIR FRANCIS DRAKE BLVD SAN ANSELMO CA 94904 Phone Number: 415.721.7734 ICONTRACfOR INFORMATION I Contractor Type Electrical Manuf Home Inst Contractor C & SELECTRIC JERRY OTT License 3849 69455 BUILDING INFORMATION I Expiration Date 09/01/2004 09/26/2004 Phone 541.741.2236 541-935.2696 # of Stories: Lot Size: Height of Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Ran)te Type: Sq Ft Garage/Carport E~~3:. Path: Sq Ft Other: ~ ~~ Impen'ious Surface Area: .,~ r. ..... I ~= ~ ,..... I~Ve.l>flf.MENT INFORMATION I OV .~"". ..f1~' ~'(,.'",~U 0o,~ -0~ ~'~bQUIRED PARKING ~~ ~ ~'" :$ o~ 0,0 >5, Front yard Setback: :0- '\~ ~'S Overlay Dist: ~ 0(;$ 1.0 b'ltotlll: Side I Setback: '$:-~ ~~ ~~ # Street Trees ~ ,0 0<; r:o 'tf <<-OJ ~~,*ped: Side 2 Setback: ~. ~~ c:, ~~'S ~ ~~. Paved Drive Rqd: >:-,q,; ;S0 ,s0 O~ ;S'l'CO'iDp8Ct: ~ ~. ~ <;;)~ :f5 0 'Q"". 0<;!f 0- ~0'(,'S:-v Rearyard Setback: ~ ~<<J ~ {;> q,'<,Q;/. % of Lot Coverage: 1.0(;$00 0<; 0". 00, 0,0.;;;.~ Solar Setbacks: ~ ,.;;,..~ ....<;;)Q;/. "''' ~ .s9 ~~ ,<",'<:';f o~'< ,:s'.~ .f:" ~" ~~'" ~<r':--' <:'\'{- _,~ ,,-0 _'a . C'\ c. ..0 .:-....... _~ ~':.\)~~,"O'V IPUBLlC IMPROVEM~N:;J;S'~0~:C)<;) ~ft.~v >:--..)~,,:;CI:- " ~ ,. ,_ II!:) ~ 0" ~O 0" ~ ~ ~ ~o~ n>5 ,sidewalker~pe: , ~o 'tf f::,v ~ v'" V ,,' ,0 ~v <<- ~OV ~OOW,~QootslDrains ,0 O~ ~ ,0' ,<< ... ~C)' ~'" 0' (rF <;)<::5 Vq,;~ ~" # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: R.3 VN SETBACKS Street Storm Sewer Available: Special Instruction: Notes: 1 _~.., ,~~" '-~:;;.ffr~;fl~ -~~~~/iJ'" ~'A-,--;,~. ..;-<~ ~. . LII Y UI' :-iJ'I<:II'lljl'lt;LlJ B"'illglCombinatiO!l Permit , ... ~: ...~" ,.. ~".. . ...... .. Status: Issued" . 225 Fifth Sir~et, Springfield, OR 541.726'3753 Phone 541.726.3676 Fax 541-726-3769 Inspection Line PERMIT NO: IS~UED: APPLIED: EXPIRES: VALUE: COM2003'(l] 021 10/28/2003 10/08/2003 04/28/2004 $ 20,000.00 I Valuation Descrintion , Desc ription Manuf Home Type of Construction Manufactured Home $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 20,000.00 Value Date Calculated Total Value of Project $20,000.00 $20,000.00 10/08/2003 Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Manuf Home State Issuance Manufactured Home Placement + 100/0 Administrative Fee + 7% State Surcharge Temp Power 200 amps or less Amount Paid Date Paid Receipt Number $16.00 SI1.20 $30.00 S160.00 $5.00 $3.50 S50.00 10/8103 10/8103 10/8/03 10/8/03 I 0/28/03 10/28/03 10/28/03 1200200000000002289 1200200000000002289 1200200000000002289 1200200000000002289 1200200000000002383 1200200000000002383 1200200000000002383 Total Amount S275.70 I Plan Reviews I To Request an inspection caIl the 24 hour recording at 726.3769. AIl inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wiII be made the foIlowing work day. I ~~ii7\-\~lr~d Insnections I I Manuf Home Set Up: When installation of all piers or stands is complete. 2 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. 3 MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. ., -~ ~ " ...c. ',~ ~ __~, ;,.. .,.,..:",,~-,._,-~l '. ; ~Jl..!!!.w-- I ,. ;'~ '':\ . , . - '~" ( ~.i~:j r.t-~a, ~~- ". #.:~":_/_::-_ "~__ ""-~ ~.~..-:;:;%~,-q.;:-;~--- . .... =._--~,-_.- . 1':~(a~u~~: Issued ,.; ti~~j,~ifjh Street, Springfield, OR ~;;5i1ii"'7,26-3753 Phone 541.726.3676 Fax 541.726.3769 Inspection Line ,. L't: y tJI<' ~YK_ll~l-i!<'lItLlJ Ruling/Combination Permit - ,-'-~"~'.~: PERMIT NO: COM2003-0r021 ISSUE!): 10/28/2003 APPLIED: 10/08/2003 EXPIRES: 04/28/2004 VALVE: $ 20,000.00 By signature, I state and agree, that I have carefully examined the completed application and do hereby certii)' that all information hereon is true and correct, and I further certify that any and all work performed shall he 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 certii)' 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 perm it card is located at the front of the property, and the approved set of plans will remllin on the site at all times during construction. Owner or Contractors Signature .., -~ ., Date 225 Fifth Street Springfield, Oregon 97477 541-726.3759 Phone. .Ioll/,Jllurnal1\umhcr COM2003.0 I 021 COM2003-0 I 021 COM2003.0 1021 Payments: Type of Payment CreditCard J~"'~D'~ ~.~l Receipt #: ] 200200000000002383 j)cscription Temp Power 200 amps or less + 7% State Surcharge + 10% Administrative Fee Paid By C & S ELECTRlC Received By jmp Check Number Batch Number Authorization Number 000205 028134 City of Springfield OlfiCilii'Receipt - Development Services Department Public \Vorks Department Date: 10/28/2003 2:33:47PM Amount Paid Item Total: 50.00 3.50 5.00 $58.5U How Received Amount Paid In Person Payment Total: $58.50 $58.5U . .