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Home My WebLink AboutPermit Electrical 2005-12-2 lowmc project as SUb~~t'OWin~ , onrl'rloes not requ~/i~~n <ae) " T' f SPRINGF'Alb~'~"'" r: .' / -, ''':-It 09 ,: ,.u2/:0~1"'<:rfffCJ.,P"jc.., 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54I)726,36RQ ;:'.::"~~i:'~~~:~~"'"'' / ELECTRIC#- PERMIT APPLICATION ''''~1J.~'r~i5lJ~'t!l;;t~':.. ~I '--J City Job Numb~/?'J ;;JIT>> 5 - 0/64/ Dale I d/ II~ / ~ OV~ , .,1 I..~"-'-"'-J",..""_,-' .,' ':'r~"'" .....:....-'r".....".,.'.:'. '-1 I. ,- L(iCATlOf,::OF INSTALiATION-~, j : ;; i .. ...,il. :~.-: :....,..~,tr;..:_:1.... _' ..c't-_ ;......_ .' ".~.,l-'.\.\l. "'....~..r:,/" ...: J.: 1.)- /r1:>.c__JJ/f// 5..c1~4~ , , LEGAL DESCRIPTION /y 03 O'd 530 3?(J{) JOB DESCRIPTION jYJH nhOd ~~...,_ ,- "':;-" -'_,' -- 't ',:- "", ~r."" _~~t"'I .,'- ,.,,'................ .' ~'"''t' ....-~"::'~.-r.1':~.. ::,--;"'''- .. 3, ~ COJlfPLETE-FEE SCHEDULE BELOW "r:";' ~ "'>C"""~' ;.,( ......:.:.:.....iL "...ztc... ,.... .::..^.:.-._;."...~._W.....'......,L.... ,_,.'._.~.:~J~.:.i-~ f..,'Y'c,,.~:" {."~'! ~. ,.,:~t;...-~.~rl~!""",':-:"''n ~'.w """f"'T ':'l,)p:-;::..':"'.....'":-_~ A. ~ Nel\:: Residential.~;Single'or~l\lulti-Fainil':"perdwellirib It. 0:..1,. .~,Jl,c....C""~.'i+...,~'..~~~~..,r.J.o.:':"':"'::"':..l;,.'':''...'''~ ,.~., "., '... '_.;;:0....:.1. ~..~~..~ Service Included 1000 sq, ft. or less Each additional 500 sq. ft. or portion lhereof $106.00 $ 19.00 Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular-Dwelling Service or I $5000 Suspended for 180 days. Feeder' "VIV. oregon law req' - . fr",Io"~"" ;'-..:.......;n~~.;....: ~ ~~ ~~m":, ~.--.'".:-~.i;:~^':-' i~M.:-:.1~..rt.,.7 i, l.-~rl}~; :~~!.~ ~~ ~~~lfi.d~bYilt~lEr{O.;;~~I~~)!~.~t::,:;'.,..1;1).2~ ::'-::-1 1: ~~'" 2 '-:CON1KACI'OR INSTALLATION ONLY~ B. "Services or:Feederst.,lnstallationj!il.lterations'or Relocation:" 'f . U.. ,f~,1.'!dt!j.,',:~.tt::.. ,..::.:i...:.;!l.....;:.~~:!..:!:......;,.';- 4"i:-':!!'~-':".~t;.:i.l'..:d _ H I ~fJ.g52~ot)'r.rfcrf~ !::"Tr'C1Ll u!-t:.s:.al'e~set-'foftn~ -:.::... .......:..:. :"L~L...:J /' _. on"" V~, 10 through OAR 952 Electrical Contractor L NE/f PI" /L/~ ,.G~~OO Amps'OrJ[essbtain copie _ -C$163.00 "'2~01'lIA"'''' '[:,t- r400tA S 0, '"" rUles$"'~ 00 mps 0 l!'~S"ote' th ',". . n"~t: I \'V e. , Address 53..?..?!?' /-10,,t. tW /.<..P RAfl 401' A"'n\pSlto'600~Amp.~n U',. ',"'t:l-'nOn(SI25.00 C" t . '~ tlllty r....""l:auo 601 Amps90(l'ooolA"niiiS-332_23A " ~163,00 CityC'~<'-"..e~ Phone ff.J""-J6'6d Over 1000 AmpsNolts ',. $375.00 Reconnect Only $ 50.00 Supervisor License Number 52 L !F' .5 Expiration Dale, / tJ <:::l/ :2 CJ6 7 Constr. Contr. Number 6 2. f 77 'ExpirationDate /2-//2/ '2t5C)6 Signature of Supervising Electrician r,~<:}\~~t'jf::"""",~::?;:r~,~-~,':'::i:f,?- --:-::-:,'l.17~~rM'~~~f,\).~;t,"'''''',"''7.'C;~l'''''';1 C. l-"~Tcmporary.Ser.\'lces'or:,Feeders';:', .' ''"'-h' ,';"1'1"'iiT:t""'.:.,, ,.. '~~~';.i'~;' 'J;;~ C;'_.;.a.."'"--..'_____'"'..,L.,;;.,...,:~t; '."-- ,.- ... .~'- .....,",," -- ~-_'.- N 0 1'1t~~ation, Alteration or Relocation TH/$19lt:' or less $ 50.00 AUTAei It.s.\MfIi.~XPJRE IF $ 69.00 COM~YE tU~&fiWr11S PER '~JflOO,OO ANY ~or ._ sJ~ ~Pfq.'QN/!oFb~~I"...I/'.t~.,5,';i;:rr .~. "FI D. ;~,0.~~~...;~--....~.-.!l~~~:t~-f:~:t~11~;;:t~~iJ,1i.}!.. ~~2:~~; 1'~,.: :.": . .J ~ New Alteration or Extension Per Panel C~.--/ !/~ One Circuit " ..' .. Each Additional Circuit or with /) /) _ L Service or Feeder Pennit $ 3.00 Owners Name V ~.177 or .J2,.. vQrA7o.pj) :~d:'~::~~ Dq~ 'f~~~:~~'I.~~~~rrf:~i~~~~ Limited Energy/Commercial $ 45.00 The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 $ 43.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~:i:i';::"/~;,'-~-li;C:',.....~.:. ',:;-,,-,":f-)f'Jr':.'"';.r::':~" .,.:: ,~':i-)""~; ;;~;:'0'_lo~t'" _\ 4, fSUBTOTALOF-ABOVE::,"".'i",,;';'\(!,,;: f:{) CJ (,J t:l::L4;..):~\.",'tJ. .;:::.)...\,,~ ~J:. ",:':;'~.'.. .:.....\-ju...~ ;~.:.:~~:.,~.;..:'::~ ;;1.~0 <. . 7% State Surcharge . ,3. -::s<:J 10% Adminislralive Fee 5.50 11. 6(".s~ Ii, Shared Drive(T:)/Building,Forms/Electrical Pennit Application I-03.doc TOTAL CITY OF SPRINGFIELD C Building/Combination Permit . . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-01041 ISSUED: 12/12/2005 APPLIED: 08/02/2005 EXPIRES: 06/12/2006 VALUE: $ 43,300.00 SITE ADDRESS: 65 KREMONT AVE ASSESSOR'S PARCEL NO.: 1803023303800 Springfield TYPE OF WORK: Manufactured Home on Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured home placement. Owner: .. Address: , REMIOR RICHARD 65 KREMONT AVE SPRINGFIELD OR 97477 . I CONTRACTOR INFORMATION I Contractor License HARDACKER & OLEARY DEVELOPMENT 79496 CHRIS MILLERS ELECTRIC INC 62377 HARDACKER & OLEARY 79496 BUILDING INFORMATION I Contractor Type General Electrical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I # of Stories: I Height of Structure Type of Heat: orced Air Electric Water Type: Electric Range Type: Electric Energy Path: Sprinkled Building: nla 2 , DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 42.00 6.00 32.00 14.00 5.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Urban Fringe I I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Pbone Number: 541-744-0498 Expiration Date 02/19/2007 1212112006 02/1912007 Phone 541-895-4307 541-895-3660 541-895-4307 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,188 REQUIRED PARKING Total: 2 Handicapped: Compact: 28.30 Partiallv Improved No Sidewalk Type: Downspoutsmrains: Drywell - Provide Drywell Engineering Notes: UGB Called contractor to notify of drywell requirement and easement( no overhang)also Flood Plane Overlay advised to call planner; Credits given for exIsting home to be removed. Forward to planning i, " Paee I of4 . 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 Foundation Permit Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Placement Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet + 10% Administrative Fee + 7% State Surcharge Manufactured Home Feeder Total Amount Paid Initial Review 08/03/2005 Plannine Review 08/03/2005 , . CITY OF SPRINut<u'LlJ_c Building/Combination Permit PERMIT NO: COM2005-01041 ISSUED: 12/12/2005 APPLIED: 08/02/2005 EXPIRES: 06/1212006 VALUE: $ 43,300.00 I Valuation Descrintion I $ PerSq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 2,300.00 41,000.00 Value Date Calculated $2,300.00 $41,000.00 $43,300.00 08/02n005 08/0212005 " Total Value of Project )?pp< tIii.I Amount Paid $34.32 $30.28 $21.20 $52.80 $30.00 $45.00 $160.00 $85.00 $3.73 $74.61 $45.00 $5.00 $3.50 $50.00 $640.44 Date Paid Receipt Number 2200500000000001030 3200500000000000658 3200500000000000658 3200500000000000658 3200500000000000658 3200500000000000658 3200500000000000658 3200500000000000658 3200500000000000658 3200500000000000658 3200500000000000658 2200500000000001686 2200500000000001686 2200500000000001686 " 8/2105 11/23/05 11/23105 11/23/05 11/23/05 11123/05 11/23/05 11/23/05 11/23/05 11/23/05 11/23/05 12/12105 12/12105 12/12105 I Plan Reviews I 08/03/2005 08/26/2005 APP LLH All required plan review Information was not collected at the counter by John Pearson. I will pas! this on to plan review and they will contact applicant for required Information. Applicant needs Floodplain approval permit before permit can be issued. Called Ralph Hardacker and left a message on 8/26. lara WE TAJ Paee 2 of4 . . CITY OF SPRIr"'uNIi.LJJ ' Building/Combination Permi( Status Issued PERMIT NO: COM2005-01041 225 Fifth Street, Springfield, OR ISSUED: 12/12/2005 , 541-726-3753 Phone APPLIED: 08/02/2005 541-726-3676 Fax EXPIRES: 06/12/2006 541-726-37691nspection Line VALUE: $ 43,300.00 PIannine Review 11122/2005 11/22/2005 APP TAJ Floodplain Overlay SHR2005-00009 approved as of 11/22/05. Provide a FEME Elevation Certificate completed by a ccrtified engineer, surveyor or architect after placement of manufactured home and before occupancy. The finished floor elevation must bc a minimum of 18 inches above the .. base flood elevation (447.6). Build according to the foundation plan provided by GEOMAX dated 10/31/05. This plan ensures that the manufactured home does not restrict flood flows in the Ooodway. The dimensions on the plot plan are wrong. Correct dimensions are noted In red. Public Works Review 08/03/2005 11118/2005 APP CAS Received approval from Lane Co. 1l/18/2005Contractor proposes to pipe to curb face requires facility permit from Lane County 11/10/05 DryweU Cales from Eng rcqulred, called Contractor waiting to hear back 8/412005 CAS Forward plan to . Planning for revlew8/1712005 Structural Review 08/0312005 08/1 012005 APP DLM Waiting for Base Flood Elevation determination from P.W.8/9/05 dim Received BFE from CAS 8/10/05. Completed review - OK, pending septic approval by Lane County 8/10/05 dim Received County Septic authorization from contractor 8/23/05 dim 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 Rpnnirprllnsnectinns I Foundation: After forms are erected but prior to concrete placement. Manuf Home Set Up: When installation of all piers or stands Is complete. . Paee 3 of 4 . . CITY OF SPRINul'lELIJ ' Building/Combination Permit Status Issued PERMIT NO: COM2005-01041 ISSUED: 12/12/2005 APPLIED: 08/02/2005 EXPIRES: 06/12/2006 VALUE: $ 43,300.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line 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. Final Building: After all required inspections bave been requested and approved and tbe building is complete. Storm Sewer Line: Prior to filling trench. Manuf Home Plumbing: After home has been connected to water and sewer. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. MH Electric: When blocking, setup and plumbing Inspections have been approved and the home Is connected to the panel. 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, tbat tbe 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 Date Pal!e 4 of 4 ,225 ,Fifth Street Sllringfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2005-0 I 041 COM2005-01041 COM2005-01041 Payments: Type of Payment C reditCard 'i : ,. 12/12/2005 RECEIPT #: Description Manufactured Home Feeder + 7% State Surcharge + 10% Administrative Fee PaId By CHRISTOPHER MILLER J:GI"~~ Ilk. ' aity of Springfield Official Receipt - ~evelopment Services Department Public Works Department 2200500000000001686 Date: 12/12/2005 Item Total: Cbeck Number Autborlzation Received By Batch Number Number How Received njm 063826 In Person Payment Total: Page I of I 2:26:03PM Amount Due 50.00 3.50 5.00 $58.50 Amount Paid $58,50 $58.50