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Home My WebLink AboutPermit Electrical 2005-5-13 . , , \ CITY OF SPRINGFIELD, OREGON '--,> SPRINGFIELD 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5i~I)726-3689 ~ ELECTRICAL PE~IT APPLICATION . . -' '0, ". City Job Number ~,;)cx) 5 - 0 Os 0 ~ ' '<Qaiec"'iv",:> -/3 -0;;. '(,,;t.~_, .:;./;...... ':.9^ 3. I COMPLETE'EJjE SCf.lED'tTl)PlJELOW -, 'V" -'1oq", 'Vir;, """ I',?, 'I/':. ..s''''6 /(.r_ ,,:9, ~h :on... A, I New,Residenti~j\!..~Sin)Ie,or'~lti-Fa;;-\"&JiI.~ dwelling unit. tll)$' , "/i.;. ""~ Service Included I'<t....& ...." ~ S "'01- NfiTlC'" ~ "9' 70 1000sq,ft'I9IJ~s~__~: ~ $lOO,OO.....,,^ Each addit~o;;aj)500:sqlJ/'::%HALl-1( '''~ portIOn thereofHORIZED UNDE " ~~, ;.~ -If...r", r:[)^"U~"r,~_ Ii I HI::; r, "n ''T'/S . .., Each Manufact'i1'Home:qr OR IS A ,,'. NOT ~~~~~arl'Ucliing~eD;i.'ie,'!tRIOO BA~)O"';::1l8Bo'\ 50,00 2, I CONTRACTOR INSTALLATION ONLY I 8,1 Services or Feeders -Installation, Alleralions or Relocation: ElectncalContractor ~.J2- ~ , I'CJC( 'Z 7Jr.-..- ~ I, I LOCATION OF INSTALLATION 38~~ ~ LEGA\~{)~3 Qf\\D\ JOB DESCRIPTION , (Y701l VI (o.CfUr~..cf HoYJ'1L-XrVlU Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, Address City ?-~ C/ Phone 7z..~-lsoo Supervisor License Number fcr'5-S /0 /07 t "?;/"5>7 Z -0'" Expiration Date Constr, Contr, Number Expiration Date Signature of Supervising Electrician ~W,~ t Owners Nam~ie.. lD'I.eeLu/ _ '[f~~~ ~~jue- . ' hone City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 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 $ I 25,00 $163.00 $375,()j $ 50,00 c. I Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less $ 50,00 201 Amps to 400 Amps $ 69,00 401 illffE\!.l~~egon law reqUIres '$'jl6b~~0 oc::er n.Am~l>$ ~bOp.iOds.q~etbg..c~b~~~,noU,,;I~~ ~h lVa:t-o'Sel'Otes'€II<>"", 0, ,Nltfll~oiGenter, In, \ 0.A,El95?-001- Q<;2_Ulll-UU1U UIlUU"'....... Ne>+rl\~Mltltin or ExtrBfbQP, ~Yp\''''!lelf the rules by One~gitYou ma%enter, ,(NotA: the tele$,\jjl,06' Each AlIiII'tiIilP..Itl:1r"\!.'i '5m~vn Utility Notification Servic~OlfIi'a!ilefqreHh'i't 0 .,,-r ~^ ...)$ 3,00 Center is 1-80 -"o,J~'--' . ' E, I Miscellaneous (Service/feeder not included) -Each Installati~ ~ 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 4,1 SUBTOTAL OF ABOVE 50,,00 .~,SV ~s.D{) $f,!::,-o 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FonnsIElectrical Permit Application.l-03.doc Status Issued 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF ~rKll'iul'l~LJJ . Building/Combination Permit PERMIT NO: COM2005-00303 ISSUED: 05/13/2005 APPLIED: 03/17/2005 EXPIRES: 11/13/2005 VALUE: $ 4,000.00 SITE ADDRESS: 3855 KATHRYN AVE ASSESSOR'S PARCEL NO,: I'Springfield TYPE OF WORK: Manufactured Home on "_Ih.[' . 1702304304101 T ' '~_. PrIVate Lot ,,~~S.;,~.R~~~TYPEOYLlJ~ij:,:IE I~WiE Residential Manufactured Home Placement(Replacementl~.9~~)THIS PERMIT WORK <':lilv.{vlf:NCED OR L~ Ml."rn."..~_ _~S NOT "iH IIJU GAY PERIOD, - -'.~~ 'vn PROJECT DESCRIPTION: Owner: Address: WHEELER JESSIE ISABEL 3855 KATHRYN AVE SPRINGFIELD OR 97478 Contractor Type General Electrical Plumbing I CONTRACTOR INFORMATION I Contractor HARJUSONJACOBSONINC RALPH W BROWN HARJUSONJACOBSONINC Phone 541-689-7762 541-729-1500 541-689-7762 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: , Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 10,00 20,00 12,00 89,00 0,00 License 66447 63137 66447 Expiration Date 05/0712007 0211512006 05/0712007 I BUILDING INFORMATION I 1 R-3 # of Stories: ATTENTION: OrdgonM\tl~i?!llJires you to Height ofStrucYb~Fo ~e~ adlted ~"t~~~hf~~:Ut.ility Type of Heat: N orcl.l r~ef! c Th gJ\t 2!!H':I!!or~t forth otlllca Ion 'tlll .1, l ~~ ru, ,~ Water Type: , OAR 952- e~_ ,510 tll%f,~!l~~I!1~~2-001- Range Type: In EI~ctric, q,Ft Gara~WhJtrpor,t Ener Path: 0090, You may ootaln rSJ'Ff&1{'~~: ' "J:;Y , gy ~II' the "'''nter (~,.!!te: tfltl '~Iephone Sprmkled Buildhfg: '"9 nla' Occupant toad: ' n"r"T1hor fnr thp Orp.oon Utllltv I\lOlllILatlon I DEVELOPMENT INFORMA"FIONt. is 1-800-332-2344), REQUIRED PARKING Total: 2 Handicapped: Compact: 1,782 VN Overlay Dist: # Street Trees Rqd: . Paved Diive Rqd: , % of Lot Coverage: 2 18,60 I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspoutsillrains: Partiallv Improved Yes Curb and Gutter Notes: Storm drainage into existing 3/21/2005 CAS Paee 1 00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Foundation Onlv Use Bid Amount Manuf Home Manufactured Home Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Placement Plan Review Major - Planning Sanitary Sewer - ht 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - ht 50 Feet Water Line - ht 50 Feet + 10% Administrative Fee + 7% State Surcharge Manufactured Home Service Total Amount Paid Initial Review 0311712005 Initial Review 03/18/2005 Plannine Review 03/18/2005 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00303 ISSUED: 05/13/2005 APPLIED: 03/17/2005 EXPIRES: 11/13/2005 VALUE: $ 4,000.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1,00 $1,00 Square Footage or Bid Amount 4,000,00 30,000,00 Value Date Calculated $4,000,00 $30,000,00 $34,000,00 03/17/2005 03/17/2005 Total Value of Project Fppo PiWIJ Amount Paid $180,08 $34,00 $23,80 $30,00 $45,00 $160,00 $103,00 $45,00 $127,96 $168,28 $33,04 $364,56 $45,00 $45,00 $5,00 $3,50 $50,00 $1,463,22 Date Paid Receipt Number 3117/05 4/4/05 4/4/05 4/4/05 4/4/05 4/4/05 4/4/05 4/4/05 4/4/05 4/4/05 4/4/05 4/4/05 4/4/05 4/4/05 5/13/05 5/13/05 5/13/05 1200500000000000339 2200500000000000380 2200500000000000380 2200500000000000380 2200500000000000380 2200500000000000380 2200500000000000380 2200500000000000380 2200500000000000380 2200500000000000380 2200500000000000380 2200500000000000380 2200500000000000380 2200500000000000380 2200500000000000583 2200500000000000583 2200500000000000583 I Plan Reviews I 03/17/2005 03/18/2005 03/31/2005 WE LLH Called Gooden Harrison and asked for a fioor plan, Tbey told me they would get one faxed over, I explained the project could not be reviewed witbout it, I have processed the initial review excluding the number of bedrooms, Please add # of bedrooms during structural review once fioor plan ba! been received, 1. Needs 32 sf ofstorage, 2, Two street trees are required unless there are already street trees, APP LLH APP T AJ Paee 2 of3 . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2005-00303 ISSUED: 05/13/2005 APPLIED: 03/17/2005 EXPIRES: 11/1312005 VALUE: $ 4,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectlon Line Public Works Review 03/18/2005 03121/2005 APP CAS Need 1100r plan - file is on my desk CAS received 3/2112005 SDC credits given for existing unit to be replaced Structural Review 03/18/2005 03/23/2005 APP RJB 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 Renuirl'd TnSfI'"tinnsJ Ufer Electrical Ground: Install ground rod at footing and call for inspection In conjunction with footing andlor foundation Inspection, Footing: After trenches are excavated, Manuf Home Set Up: When Installation of all pien or stands is complete, Final Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting, decks, venting, street address numben, trees, driveway, etc, have been Installed, Final Building: After all required Inspections have been requested and approved and the building Is complete, Manuf Home Plumbing: After home bas been connected to water and sewer, MH Electric: When blocking, setup and plumbing Inspections have been approved and the home is connected to the panel, MH Service: Approval required prior to utility company energizing service, Water Line: Prior to filling trench and Including required testing, Sanitary Sewer Line: Prior to filling trench and Including required testing, Storm Sewer Line: Prior to filling trench, 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 Contracton Signature Date Page 3 of3 . 225 Fifth Street 8jJringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00303 COM2005-00303 COM2005-00303 Payments: Type of Payment Check :1 5/13/2005 ... RECEIPT #: Description Manufactured Home Service + 10% Administrative Fee + 7% State Surcharge Paid By HERITAGE ELECTRIC OF EUGENE J:q~~~~ WiL., .City of Springfield Official Receipt evelopment Services Department Public Works Department 2200500000000000583 Date: 05/13/2005 Item Total: l:beck Number Authorization Received By Batcb Number Number How Received ddk 1679 In Person Payment Total: Page 1 ofI 9:20:32AM Amount Due 50,00 5,00 3,50 $58,50 Amount Paid $58,50 $58,50