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Home My WebLink AboutPermit Electrical 2005-11-3 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Owners Name G("~ V A(r~ ~ID4.,> Service or Feeder Permit S 3.00 Address :J 7"7 t" . Fr,4.., ~(~_ ~ /" J E. [~1~:~f,[~Ii~~~t~~At~!!;~~!F!~~3E~~JE~t~@1~{;;1 S?FD Phone bK7-<i?3U ELECTRICAL PERMIT APPliCATION City Job Number ~ "Z-c::oo S- - C> C> $' '3 C> 1. ~Zlq~1ifff1?j!~it~:~~~~f~~~fM '3 r:; ., K' h-~ \. W..:... c;" :r LEGAL DESCRIPTION t 7 (;> 'J "S41.( z... c::.21.{ 0 0 JOB DESCRIPTION HI H- s: b(I...V l ~ . Permits are non-transferable and expire if work is ,f<, not started within 180 days of issuance or if work is Suspended for 180 days. 2. [wjf~g&!ti~g~Emgie~i Electrical Contractor &ar fI'{J Elect LL C Address tb &X' q tl II ./ fht 953-67((7 citylrt'<t, Jf'.l Y r~rzft.one~ Supervisor License Number q-tVO)' Expiration Date 1(~O/-o7 Constr. Contr. Number /Jt' Z 91{ Expiration Date q;. 4S-07 t~'lJ'7" City 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 Date 3. ~<j&iiiill~1?ll~Il~g~,~~iJli;fl5WE;;l;j??if? to" \::"'''ii't''';':-~,~-~<:::::7-~:;:-:::::;:-:_::.0'''':;:1-,:~ ..,_,;..,.;:~~-o.o:,:"":-,,;:,~,-;.!!,,,::;t:. .......'...~.'".-:;7.:::--~<'r'..;:~.'1\1,'""'!<:'":'~ A. ~;Ne~j>R~ide.:nt!ak:SiIigl(oi~jiJti"F,amily:p.er~d)yCl!.ing ,:ulliti*":~;: "1f.......>'O.-".._-.'-._~~..:~,>_~,~:..I'., ._' .'.-Q~.,..,._..._. .......:"-'...._C'. .....'.....'>/':.....--. .:-o.~t'o......___"., ~l..r._:"':."'..... Service Included I 000 sq. ft. or less Each additional 500 sq. ft. or portion thereof S106.00 S 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder / $50.00 s-o ~~;.'t.;.~~~.:.~i~~~::-..-;:;.:~:;.;::,"'r~;;.~~~.::~b?::: -.::~~!:'.:.:.:.;:-:.{'.!'.:':>~f'i~:.:.:7 :~o::::_~.:-~~~' ..j..~~,~.';.. ~ ::;....'l'( B. !i;Seiyices: of F'eeders"4Ji1~tallatioit; :Alter.a tions'o(Relocation~. ;" ~'6.~~;:.-;.;..:;:-~k::'.:--4:"..&..",,~:.."',:"""':":!.1.'I::";:l~;:';c.:.:;:::;;.lt~,>;,;3.:~~~,'1:::.~."".r,:i::'\:~' ,:o:.\~,~':!:':"':':"!:':;"';;': ,~,:~~'..,.,:.;:::". 200 Amps or lOss S 63.00 20 I Amps to 400 Amps S 75.00 401 AJtlpiilQl~psregon law requires '$l!is~.'Oo 601 A1ilpSllli qOOol~ppted by the uregorS~J6~i.too OvetJr~61l11er. Those IUlt:~ ~:..t: J3j5~~IP R~M~2-001-001 0 thrOl,\,j" ~n" 'S"SO~OO" 0090. You may obtain copit:~ U1 "'<; rUles bY '.'T""''''..~z;'~,";:<;<E;:;''R,'C?1k!:'i''''' t1'fe,"'dltFi""""\-:';5;$;';<;~,..'" 'ko';']' C. ~~em~_~.JJ~A'JCi5'.o['.;F~(Jers~ ;'!;) '~~Z-Jt:\.~~jt.t:'(~:.~,s;..~~-~;,~,~'3~Y'~~.~4 ""-'''''''riurrlbetf6hne'O{eg6ft1i'iJffiy''NlJ'.l+itiiitlliW''',;'<'b~"~"j. I t II ti. . . '" -.".,~ '0 'R~f'I'" "'22.- ?344). os a a on,. ~AUUn;or' e OC8uuO' 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps S 50.00 S 69.00 S 100.00 Over 600 Amps or 1000 Volts see "B" above. D. t~~~!e~~~9!!E4~~~~i7f~:~~~~~~~l~~#~.[~&~~~~t~i~,?~~ S 43.00 Pump or irrigation S 50,00 Sign/Outline Lighting S 50.00 Limited EnergylResidential S 25.00 Limited Energy/Commercial S 4S.UU iWi~~RMj!,W!.t)JfRE:~f:T'Hi,>>tQB'K~:,;~urChargeS AUJ~~~~M1trlS\Nillf~::l' . S-O ~~~~~~NDoNEtnoR"'-'~~- . :3 ~b 10% Administrative Fee S"OO ~8~ TOTAL .J Shared Drive(T:)lBuilding FonnslEJeclrical Permil Application I-oJ.doc . . CITY OF SPRI1~\Jl'lJj,LD Building/Combination Permit PERMIT NO: cOM2005-00530 ISSUED: 08/05/2005 APPLIED: 05/05/2005 EXPIRES: 05/03/2006 VALUE: $ 15,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax , 541-726-3769 Inspection Line SITE ADDRESS: 3998 FRANKLIN BLVD SPACE 3 Eugene ASSESSOR'S PARCEL NO,: 1703344202400 TYPE OF WORK: Manufactured Home in Park , . PROJECT DESCRIPTION: Replace manufactured home in park TYPE OF USE: New Residential ", Owner: GREEN VALLEY ENDEAVORS LLC Address: 3998 FRANKLIN BLVD EUGENE OR 97403 Phone Number: 541-687-8322 I CONTRACTOR INFORMATION I # of Units: , Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type .- Secondary Construction Type: , # of Bedrooms: Contractor' License\O Expiration Date BEAR MOUNTAIN ELECTRIC LL~\ \3'# !eC\c~iJit98)\i~i\'i \\'1 08/0612007 SUNBURST CONTE.!'1,~QIM.t&rqq ~So\'le ?.,~ilZ?9se\ \O~\ _ 03/09/2007 SUNBURST CO~P9~i\I\HO ~.~'INC-~~I~~9'S2-0 ,,,1 03/0912007 \OlfBUIJJIjING:iNFORMATioN1i e !~;;e ~o\\. P- 9'fit--v~ 'o\3In v~, . \\'Ie w1e? lion in 01>' ,/~corSi~r~,s,e!. \~o\eo\i\I\'i ~0\1\\C3 Lot Size: R-3 0090i\i\"teiJllit~~~t5\'S!Jfre 032_2344)0 Sq Ft 1st Floor: 03 ,Type:Of'Heat:\ _\\00-3 Sq Ft 2nd Floor: urn \.... .,.,,(\~ (\ Wa~r,I'Fype: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Phone 541-953-6747 541-461-6541 541-461-6541 Contractor Type Electrical Manuf Home Inst .. Plumbing VN I DEVELOPMEN. m~uNdATlON I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: _ Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I ~~ Sidewalk Type: c. \f ,,~~ ~~Q" AtJiK?~y..~ ~\A\\~" \\Q'\\C~~~1~~~t~~~~~\) ~Q~ \\-\\<21 ~Q?>\t't.Q \) ()~ \<21 ~~~ f>.\}i ~'t.~,,'t.Q ?l.~\OQ. "O\f. Yl\) \)~, f>."' \ -. Notes: Paeelof3 Status Issued , 225 Fifth Street, Springfield, OR : 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Description ManufHome Tvpe of Construction Manufactured Home 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 Service Total Amount Paid . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2005-00530 ISSUED: 08/05/2005 APPLIED: 05/05/2005 EXPIRES: 05/03/2006 VALUE: $ 15,000.00 I Valuation Descriotion J $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 15,000.00 Value Date Calculated Total Value of Project $15,000.00 $15,000.00 08/08/2005 Fpp<, P..itl I Amount Paid Date Paid Receipt Number $20.50 $14.35 $30.00 $45.00 $160.00 $5.00 $3.50 $50.00 8/5/05 8/5/05 8/5/05 8/5/05 8/5/05 1113/05 1113/05 11/3/05 1200500000000001144 1200500000000001144 1200500000000001144 1200500000000001144 1200500000000001144 2200500000000001534 2200500000000001534 2200500000000001534 $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. I ~lrr..i~n~ne~tions 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. PalZe 2 of3 . . CITY OF I)rKll'1\.Jl'lJ!..LD. Building/Combination Permit- PERMIT NO: cOM2005-00530 ISSUED: 08/05/2005 APPLIED: 05/05/2005 EXPIRES: 05/03/2006 VALUE: $ 15,000.00 Status Issued 225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application aDd 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 SpriDgfield 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 sUe at all times during cODstructioD. " Owner or Contractors Signature Date .. . Paee 3 of3 225 Fifth Street SpJ'irigl1eld, Oregon 97477 541-726-3759 Phone '~ Job/Journal Number COM2005-00530 COM2005-00530 COM2005-00530 Payments: Type of Payment Check ~ .' . III , :1 1 . . o , ,\l. ;1 ) ., ~ .. lV I 11/3/2005 . RECEIPT #: Descrlptlon + 7% State Surcharge + 10% Administrative Fee Manufactured Home Service Paid By GREEN V ALLEY ENDEAVORS Wir";~.~~'~~-..-'---- 1.' .~ : - ~-' City of Springfield Official Receipt evelopment Services Department Public Works Department 2200500000000001534 Date: 11/03/2005 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1912 In Person Payment Total: Page 1 of 1 10:47:46AM Amount Due 3.50 5.00 50.00 $58.50 Amouut Paid $58.50 $58.50