HomeMy WebLinkAboutPermit Electrical 2004-12-21
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225 r1FfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)72 X~61 ~'"
ELECTRICALPERMrr APPLICATION () o~";"";~^
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City Job NumberCO"-,, Z-='--I.- 0 i 3>'-1 B Date / Z - 2.1 ~ 0 '-{ -1,,<?" ~ 0".,.'3'"<,,
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Electrical Contractor E..tU ENe.. ~ IE./I TP)I'. ~elllcE. 200 Amps or less - $ 63.00
201 Amps to 400 Amps $ 75.00
40lCAfi![si!6 600 Amps XPIRc Ie ,.u~ V\S-J2~~00
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60,lr~p:f:tO!1000-AmpsR "uIS pCQMIT Iss:f63100
- fj\?cn 1I~1\lt III -
OY~!j 1000 AriipslV'olts S ^BANCn~lm FQ$.375.00
Reconnectl9iiIy:D DR I" - $ 50.00
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LEGAL DESCRIPTION
16030-:)(
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.
2._
Address /.20 !YI()/\/R..N::. .s:..r.
City CuU:N E
Phone :3 '-I t./ - 3 ~ fc /
Supervisor License Number E 1- 3.s- .S'
1 () I, /J..OtJ '+
9cJ::J. 0 D
Expiration Date
Constr. Conti'. Number
Expiration Date --.3 J I r / (j ;;-
Signature of Supervising Electrician
;;"j~.;q,z;;;~ .
Owners Name ;Il! !3-(L\ A- '?t:i2-e: t
Address 4-7 ')0 ~Ih.\<...(,_ E (~
City S:?Fr(:V~ Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent
Owners Signature:
Inspection Request: 726-3769
Service Ineluded
1000 sq. ft or less
Each additional 500 sq. ft or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
! $50.00
so
Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
40J ~ !91~0~ law requires you 1'$100.00
ATl E" II . ' .. - lh Ore..qon ulIlity
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. OA 0"- ,- '. I by
l\lie~OAl/0Iiafffl.!~~!tl~!tIlnslqliop.ef)l>lImlrU es
'69.ea~iffi'filhe center. (Note: the telephon~ 43.00
Ea2h ASai!' " U\9llr.vltllility l'lUllII",,,,on
sc!Wit~ Ji- ,~~ffii-(~S'V'600-332-?344\. $ 3.00
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Pump or inigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential S 25.00
Limited Energy/CommerciaI $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
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7% State Surcharge
10% Administrative Fee
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TOTAL
Sbated Driw(T:YBuildias PonDIIEIoetricaI Permit Applicatioa 1~3.doc
. CITY OF ~rKll'jGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01348
ISSUED: 12/2112004
APPLIED: 10/29/2004
EXPIRES: 06/2112005
VALUE: $ 15,000.00
e
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4750 FRANKLIN BLVD SPACE EI3 EUGENE TYPE OF WORK: Manufactnred Home in
ASSESSOR'S PARCEL NO.: 1803031103500 Park
TYPE OF USE: New Residential
Overhiy Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage: to
laW requIres you. .
.., ::1;:7"''''' t\re!lon D'" :.:y...llt,Iit'I
I PUBLIC IMPROX.~~..~pteld ~Yse ruleS afe set foM
. d1~UIft.ar. 0 _>J'lA.R952.()()1-
NOg'; 952'()()1"()01~~~~~fie rules by
In 90 vou may obtll\5'oqookQu,\YR!ie~ona
00 ." >'ar n.lote; Ul . . _^>lon
\ling the ceo- . ,.. Utility Notif,\iG"
~~~;e:~-2344)'
PROJECT DESCRIPTION: MH in park
Owner: MARIA PEREZ
Address: 4750 FRANKLIN BLVD SP 13 EUGENE OR 97403
Contractor Type
Electrical
Manuf Home Inst
Plumbing
I, CONTRACTOR INFORMATION I
Contractor License
EUGENE ELECTRIC SERVICE INC 90200
KEN L STINNETT MOBILE HOME SETUP I 104181
KEN L STINNETT MOBILE HOME SETUP I 104181
I BUILDING INFORMATION I
I:I~'N\J""
# of Units: "oIX\'t. Iw bf torie$':)\
.,..c. \.1 t"r -t.I\~ \" .
Primary Occupanc~\9f9D~~'^I\ SI;\Ru.. \\\IS \'tJI,<;! ',o.l:tltructure
Secondary occupJilcy\\V~o.uP: \ \~I)'t.X\ ~I)c.~yp .fffieat:
Primary constructfu\id't~I!\\'\ll't.l) 'V-lhnS ~'O~ Water Type:
~l \ ,v 't.1) \J"-'
Secondary Construcn n'type:,c. \,'C,X\I\JI). Range Type:
# of Bedrooms: C.\J\W'i'~G 1)~'1 Energy Path:
~~'1 Sprinkled Building: nla
, DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pa2e I 00
Phone Number: 541-736-1187
Expiration Date
03/17/2005
0211712006
02117/2006
Phone
541-344-3561
541-746-7003
541-686-4907
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
784
REQUIRED PARKING
~WlLS:-_R~G,I!:n ~,
."
- - ,"
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Placement
+ 10% Administrative Fee
+ 7% State Surcharge
Manufactured Home Feeder
Total Amount Paid
e
. CITY VI< ~rKll~uNI'..LU
Building/Combination Permit
PERMIT NO: COM2004-01348
ISSUED: 12/2112004
APPLIED: 10/29/2004
EXPIRES: 06/2112005
VALUE: $ 15,000.00
I Valuation Descrintion I
$ Per Sq,Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated.
Total Value of Project
Fpp<, PiilLI
Amount Paid
Date Paid
Receipt Number
1200400000000001538
1200400000000001538
1200400000000001538
1200400000000001538
1200400000000001538
2200400000000001538
2200400000000001538
2200400000000001538
$20.50
$14.35
$30.00
$45.00
$160.00
$5.00
$3.50
$50.00
10/29/04
10/29/04
10/29/04
10/29/04
10/29/04
12/21104
12/21104
12121104
$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.
~lIirpil T~snections I
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 Service: Approval required prior to utility company energizing service,
Pa2e 2 00
Status
Issued
225 Fifth Street, Springfield, OR
,541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
e
. LIt Y Vi' ~"'KlNGFIELD '
Building/Combination Permit
PERMIT NO: COM2004-01348
ISSUED: 12/21/2004
APPLIED: 10/29/2004
EXPIRES: 06/21/2005
VALUE: $ 15,000.00
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
Paee30f3
Date
225 Fifth Street
Spri/lgtleld, Oregon 97477
541-726-3759 Phone
e 8!',~'RI"a."',""',"," '..
IIIc .., I
: i
, ,
~. II :
av of Springfield Official Receipt
.elopment Services Department
Public Works Department
RECEIPT #:
2200400000000001538
Date: 12/21/2004
10:42:09AM
Job/Journal Number
COM2004-0 1348
COM2004-0 1348
COM2004-0 1348
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Manufactured Home Feeder
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
JACK PATRlCK
djb
2932
In Person
Payment Total:
$58.50
$58.50
12/21/2004
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