The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2008-4-8 LoL INITIALS N l"'--.I\. DATE \..t- D - a<::' SOURCE 'f'(')-J':6,.. 0____'' , , 225 J'1~ ul STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job NumberL8YY' 7 r:uY: - CCX=J11 ~ ""'''t~W4'%,'~~ r ' ..... .w".~ '" ~ ~~i''('' 1. ~I:LLOCATION OF INSTALLATION:""? , \J M~ ~' vf.<<!n /,1.. !Y*~' ~ <Z~, "'->'i;r:V:>\~ {"' <<<=" ~" <~" ~4 S-fMr' ~$1 LEGAL DESCRIPTION. \, G~ ~-s 4\0 lLO06 JOB DESCRIPTION m* 'SK .~--1-'tU 1; \.--!M-(tc V- Permits are non-transferable and~' ire if work is not started within 180 days of iss an e or if work is Suspended for 180 days. ~jWnhW' , , , ~ > / '>'''l' ,jV '''\4qf ' v < , 7'; ~ \ <"f'~' ...... ""l' 0{i:.:'W 2 ~uCONTRACTOR INSTALLATION ONLY 4; . :~'iw~ > > >,~,> > ,i,,), i,$>> " ~ -.. ,Ii, f """';;:iif,,> ... ~ v ' -...""..:,,~ 1t"",'\~ ... Electrical Contractor f?/ph 'S /::.Iufr I l. I:nc. Address t c) jJ..:J )(. 2 <? 2- / City EVl'7 en!- Phone (i~II) r:, iG J-7']"7 Supervisor License Number '/7tf tj S ExprratIon Date / 0 - CJ / - 2 0 I D Constr. Contr Number is-(,t.. 78 Expiration Date <j -It-f - 1-0/ / Signature of SupervIsing Electrician ~ r ~---- Owners Name V ~ -N ~lJ1sL)Y"\ Address ct L\O zr\~ I ~"< O{)\, Cl~(Kt\~ C ~p:) ~one (0 C [ - 6li'ti1 ~ I' OWNER INSTpLLA TION The installation is bemg made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ZON Date ~~ -()(( 3. +~COMPU1~'Fi1i'SCHi:DiJiE,BEUiw;,~~, =-A~~A...y A V ~-.<.< ~"-'--'d&iili"~<<~k'1l:t,W~l,, ~ ~ "r'-.::;-'-~~ v "d.""",;HY~ Ai'> ~> ,>-:/'-~'> >},.;."i"'v /'m*"" v v -=^":>>/:"":" >l':[>W&<"-:::<:~<::'~'-WJ-;' (-""(P"',<,,'!." '>~h~%1i'" > "'~'''* 1" ,"'">'- ""y~<\ A. "C New Residenlial - Single or~Multi- Family per, dWelling unit., "t' &ikd"~~",,,~~~,~,',~~%<<,,\,,,,.' A":'~":A,<~ ~ " v-:'At",::~'~ ,'-, " "ubd-k,!'-~'-.l"&-"<~N..:wM<""'---":" ~< Service Included 1000 sq. ft. orless Each additional 500 sq ft or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117 00 $ 21.00 $55.00 /ID.cnJ ~ :;$; :: WW..iW\~{j';:- V(yllf:4t--w < > ~ > Wf);><~ i:~ - / ,,~-.. <-.\0 <"'" < =: ~-,. ....'w ^"JPAA:~;'1li X:S'G ~~f B. "'Services or:~eeders '-,.I9stanation~ Alterations 'or Relocation:' 1,: +:." ~;;li,*,:<&:: t.%h:!~L",~ ,,( ~ ~~d4W:.h\ >~" ' ~:.k.)'~> ,) 'k, dtA<-Jiw",'/4L-,' < 0 > ~ 200 Amps or less $ 70.00 201 Amps to 400 Amps $ 83 00 401 Amps to 600 Amps $138.00 601 Amps to 1000 Amps $180.00 Over 1000 AmpsNolts $413 00 Reconnect <talYENTION: Oregon law reqlli$~~ to follow rules adopted bY me UI egon Uti'IIY C. ';'Te~: Cel'! er oaevrl1tEl:s~~"set,1~~t?;':r(" l' ' "T' ~ c::f.jcg1' l<Ilh\,OA~5~4'l1}11",,'tr," ,,,,,,0" 0090. You mav OL\tctl:l C ~ ,J'l :; :/ :~le rules by Installation,~U~r~t~m~ tlt~~Jpcat~o>>, ,-' t'?:en;- c;r'e 200 Amps on~1liber for tile t)rl~' )! ""'~/ ~$ 55 oo"on 201 Amps to 400 ~LG: IS l-bJJ-v0_,';"J-S'16 00 401 Amps to 600 Amps $110.00 Over 600 Amps or 1000 Volts see "B" above. w~>" t< ~h ->', < ,/ -t~"W> > ,> >: ~-:..:; X=/0I< ,~(:,;; ,~, > D. ,Bl1'neh ClreUlts;:,$i;lillFl?f:~llliltl:' 't > '=.W,.,,, v A"'.... N>.-~ ~_>m,,-'>>0 New Alteration or Extension Per Panel One Circuit Each A~~~~cuit or with Service 6i-F~eHerPermit $ 4.00 :=r:MIT HALL EXPIRE IF THE WORK 0'," "~~-,"" - N5Ifi~i&Ji\Gf~;ll~;i~~ ~ , 1-\ IUU J+Eb Fb"R~_2h.V0'\<4km~"~,,,,'~&,~~ Pump or:injf?;ation 1--' >.'D $ 55 00 Sign/Outline Lighting $ 55.00 LimIted EnergylResidential $ 28.00 LimIted Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges tr'~'~'''''''-"'''''f'"'W' / '/ "^' AA -c...-Z<xV"~ ~A?~'K~1<'>"i 4. ,--SUBTOTAL'OFABOvF;",\, "I', kJV/A!:::: ~"P~~ -*k4kb~>>)W"~ ~ d ~ <' d..", ..:,,~.dl:Jt'd--4SL/,)1"~ $ 48.00 l\ D ,CO ~~ c. - ~ .:-_ ,LJ l....-::,~aO I I f5\;J TOTAL .tl 130 ' -, U Shared Dnve(T )/BuIldmg FonnslElectncal Permit Applicatlon 7-07 doc 8% State Surcharge 10% Administrative Fee 5% Technology Fee 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0009l COM2008-0009l COM2008-0009l COM2008-0009l COM2008-00091 Payments: Type of Payment CreditCard cRecemtl RECEIPT #: DescriptIOn Manufactured Home Feeder Manufactured Home Service + 5% Technology Fee + 12% State Surcharge + 10% AdminIstratIve Fee Paid By DAVID LA WLER/ROBS ELECT City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000000421 Date: 04/08/2008 Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received nJm 066926 Phone Payment Total: Page I of 1 2:12:01PM Amount Due 5500 5500 550 1320 II 00 $139.70 Amount Paid $13970 $139.70 4/8/2008 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-00091 ISSUED: 02/13/2008 APPLIED: 01/22/2008 EXPIRES: 09/14/2008 VALUE: $ 26,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 204 57TH ST SPRINGFIETYPE OF WORK: Manufactured Home on ASSESSOR'S PARCEL NO.: 1702334101603 Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: New manufactured home - previous structure demolished under C7-01739 . . - )'.-.'J ... ....... ,..r-" ~ , \\-J. l.r~(l11IJ :avv 1t;il..1UU.......... . --.....-. I PUBLIC IMPROV~ME~TS I., '1.;1 ;pt-ed by the Oregon Utility C . Th ~S~~AS are set forth ;';,'l1'J'I,[I,\ eIISI8ewaH<-1 lrbAR952-o01- III (JAR 902-001-0010 ttlrO 0090. You may YI9~M~(i)ofi~ rules by call,ng the center. (Note:.t,he tel~~ho~e number for the Oregon Utility Notlftcation Center is 1-800-332-2344). Owner: BENSON VERN W Address: 940 HWY 99 N EUGENE OR 97402 I CONTRACTOR INFORMATION I Contractor Tvpe General Electrical Manuf Home Inst Plumbing Contractor BENSON DEVELOPMENT ROBS ELECTRIC INC JERRY PAUL OTT BENSON DEVELOPMENT CO LLC License 143021 156678 69455 143021 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 # of Stories: 1 Height of Structure Type of Heat: orced Air Electric Water Type: Electric Range Type: Electric Energy Path: Sprinkled Building: nla VB 3 I DEVELOPMENT INFORMATION. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.60 12.00 5.00 40.00 3.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instfuction>:.... '\0\.41 ~vt: 'jnS PERMIT SHAL ,1-r/WRllED UNDE L EXPIRE IF THE WORK i,.1!v1[NCED OR IS ~~~/S PERMIT IS NOT ,,'J"r j' 80 DAY PERIOD. NDONED FOR Notes: Pa2e 1 of 4 Phone Number: 541-688-8897 Expiration Date 05/15/2008 08/1412008 0912612008 05/15/2008 Phone 541-688-8897 541-686-5444 541-935-2696 541-688-8897 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,512 REQUIRED PARKING 4 Total: Handicapped: Compact: 2 34.50 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2008-00091 ISSUED: 02/13/2008 APPLIED: 01/22/2008 EXPIRES: 09/14/2008 VALUE: $ 26,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 6,000.00 20,000.00 Value Date Calculated Foundation Only Use Bid Amount Manuf Home Manufactured Home Total Value of Project $6,000.00 $20,000.00 $26,000.00 01/22/2008 01/22/2008 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $54.81 1/22/08 1200800000000000062 + 10% Administrative Fee $34.43 2/13/08 1200800000000000131 + 12% State Surcharge $41.32 2/13/08 1200800000000000131 + 5% Technology Fee $23.02 2/13/08 1200800000000000131 Addressing Assignment $35.00 2/13/08 1200800000000000131 Foundation Permit $84.32 2/13/08 1200800000000000131 Manuf Home State Issuance $30.00 2/13/08 1200800000000000131 Manufactured Home Conn - Plmb $50.00 2/13/08 1200800000000000131 Manufactured Home Placement $160.00 2/13/08 1200800000000000131 Plan Review Minor - Planning $116.00 2/13/08 1200800000000000131 Sanitary Sewer - Improvement $204.04 2/13/08 1200800000000000131 Sanitary Sewer - Reimbursement $268.33 2/13/08 1200800000000000131 SDC Sanitary/Storm Admin $31.65 2/13/08 1200800000000000131 Storm Drainage Impervious Area $160.55 2/13/08 1200800000000000131 Storm Sewer - 1st SO Feet $50.00 2/13/08 1200800000000000131 + 10% Administrative Fee $11.00 4/8/08 2200800000000000421 + 12% State Surcharge $13.20 4/8/08 2200800000000000421 + 5% Technology Fee $5.50 4/8/08 2200800000000000421 Manufactured Home Feeder $55.00 4/8/08 2200800000000000421 Manufactured Home Service $55.00 4/8/08 2200800000000000421 Total Amount Paid $1,483.17 Initial Review I Plan Reviews I 01/2312008 01/28/2008 APP LLH Don Moore accepted plans. Floor plan was not included. 01/28/2008 01/28/2008 WE LKW Requesting information from Vern Benson on fixture count for previous demolished home for credits. Will be faxing over information 01/2812008 01/31/2008 APP DLM Pa2e 2 of 4 Public Works Review Structural Review CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: cOM2008-00091 ISSUED: 02/13/2008 APPLIED: 01/22/2008 EXPIRES: 09/14/2008 VALUE: $ 26,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 02/01/2008 02/01/2008 APP LKW Plannin2 Review 01/28/2008 02/0712008 APP T AJ Place orange construction fencing outside the driplines of the 3 trees marked on the plot plan. Keep all construction activity out of this area. Street trres were required as a condition of platting, but if they have not been put in, 4 are required: 2 on 57th and 2 on "A". Existing trees may count toward these. For purposes of setback review the orientation of the front door was used (facing S "A "). To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Foundation: After forms are erected but prior to concrete placement. Manuf Home Set Up: When installation of all piers or stands is complete. Final ManufHome 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 Buildmg: After all required inspections have been requested and approved and the building is complete. Manuf Home Plumbing: After home has 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. Storm Sewer Line: Prior to filling trench. Pa2e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00091 ISSUED: 02/13/2008 APPLIED: 01/22/2008 EXPIRES: 09/14/2008 VALUE: $ 26,000.00 225 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 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 Date Pa2e 4 of 4