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Home My WebLink AboutPermit Electrical 2004-5-20 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 ,; FMill~f)726-368 ELECTRICAL PERMIT APPLICATION .' Zoning City Job Number (pj.Io\'Z...OOlt-OOL/'3>J Date Sho';;;'1 Dal. , , 1__ .' auth~iz.d Sipnalu,.. . 1. 1~.Q'0TION;oifiFsyrfrF:iT1Ow.Y~W." 3. lWlfii.Uflb'FEE,~cHEDtmEiiim;OJWjJ~~ _. .. .~~4..N.. i.l-::t~~~.~ '~~JI~<<.'.":'-:--"'\it:=nu~~::taIIIr-':":~ Z I '50 L~V\..[4J- S' r .pL (J 3 LEGAL DESCRIPTION 1703 Z-7fO o Lf 1.{C50 JOB DESCRIPTION CI (L0...... ~ r ~. ~rf''^~t Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. , ,,~!J"'(\'J!lt.~.1\'iJ>1'i;ii!.l'",~''':Il~~~~1~;j:~~''\l'!gj'. .. A. l1]'(ew,;Kesideiiti:il~l~j!!, 'g1' e:o'r,Multi"FamilYi,p' erJdw.elling"':unit., ,j iJ~~~i;t..i~..J:..i/~~~~-!:.~J~n~"~;Q:.r..'lt~~l;;Il~. _ Service Included . I 000 sq. ft. or less Each additional 500 sq. ft. or , portion thereof Each Manufacl'd Home or Modular Dwelling Service or Feeder $106.00 $19.00 $50.00 ltt.C="~'--"m"'-"-'~'r:::~"""~"-'1t1 'E~;.'IL"""".~""'~"''''-''''''''''''~''''''_\\\~t\i'ol.~. ",. 2. CONT~~~~A:f.J0!!Of'jjR!2ir!Jij ~. ~,$,r,~~~il!,r"c:J:riStall",!!i?t!?~J,l,fti'!!!J.!t,~r,Relo~tion: Electrical Contractor M . LJ/b",).";;--J;ve 200 Amps or less $ 63.00 " 201 Amps to 400 Amps $75.00 Address, i'5?57' 5&-~ v/b.u..J'lJ/,/e..... 401 Amps to 600 Amps $125.00 60 I Amps 10 1000 Amps $163,00 Over 1000 AmpsIVolts $375.00 Reconnect Only S 50.00 Installation, Alteration or Reloc,ation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D.Ir~~i1~€ir~i~~~~~~::~~~~ --_..~..-.......... " /./' /. .#.d. ./. A fiewAlteratio~or.Ext".nsionPerPanel I' '. ") 'JlC/./~ ./'7. ~.....__~ One Circuit $ 43.00. '1 . Each Additional Circuit or with Service or Feeder Pennit $ 3.00 ~.~__~~iifr~ru1tio'n ~o'j Ica Ion te~ter. Those rules are set for1h . ... . In ebInP~~."lJl)10 through OAn 8S2'.M1:0,00 OCSi~ltIl3yiOOQa81 copies of the rule;if 30.00 OWNER INST ALLA nON . "lll\i!lla m~aid/lllti4h: the telepllSRO '25.00 The installa\!~I\~ !jei!'g made on property I own which "t!fJJ.~ fg[e~~~Lllillty Nolifit'.AtJl'\rtS 45.00' is not intende\l..Fd~Mr~AAffe~~l EXPIRE IF 1HE WOM:~imum EI~~~~~~lkNqR~~i~i~ Surcharges 1HIS P NDER 1HIS PERMI1IS N01 'Y'-''''-'"'''';J;I;'''~ . 'if~ Owners SignAtyi'it.lORIZED U ANDONED FOR 4. 'sUBmT~;qPiAB.oVE "J!I~~ /',.' I..f). , COMMENCED OR IS AB , .... , "s- \W 11\0 flAY PERIOD. 7% State Surcharge '51 . 10% Administrative Fee I.{ yo (\ ~\h ~,.r-M TOT." d, ' r'J b5"'" Inspection Request: 726-3769 \JJto...!. \ \)--' ~ 1 :::>.... _ to, 'llt\\1 \,,}J"'( Sh=d Drivc(T:YBuilding FormslElcctrical Pcomit Application 1~3.doc City .."JJ?;'~1L2 q Phone '2-2.. a' . 0"-35' .f'1'i9-. -/35'~ -7' Z"5h :=;; , Supervisor License Number . Expiration Date I F-.J ~ ,;:zOO L( Constr. Contr. Number 54 C)O 9' Expiration Date ;tz:r ,.. .....P~L) Signature of Supervising Electrician' Address '20 ~O 'S ?f=i) fL."" c, L. .J- L,A--,A1Z.fl s+ Owners Name ,He-It::-N City Phone c. ~f(~P:~ViSl~1t!&F:.~~~~ $ 50.00 .$ 69.00 $100.00 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00433 ISSUED: 04/16/2004 APPLIED: 04/16/2004 EXPIRES: 11/20/2004 VALUE: $ 25,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2150 LAURA ST SPACE 113 ASSESSOR'S PARCEL NO.: 1703271004400 Springfield TYPE OF WORK: Manufactured Home in Park TYPE OF USE: New Residential PROJECT DESCRIPTION: MH in park Owner: HELEN KNIGHT Address: 2080 LAURA ST SPRINGFIELD OR 97477 Phone Number: 541-726-4943 I CONTRACTOR INFORMATION I Contractor Type General ,Electrical Manuf Home Inst Plumbing Contractor License HARDACKER & OLEARY DEVELOPMENT 79496 KIDD ELECTRIC INC 154009 HARDACKER & OLEARY DEVELOPMENT 79496 HARDACKER & OLEARY 79496 BUILDING INFORMATION I Expiration Date 02/19/2005 01/27/2005 02/19/2005 02/19/2005 Phone 541-895-4307 541-942-1352 541-895-4307 541-895-4307 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATIOis"i uregon law requIres you to . . . . dopted by the ~i9I1YARKING Notification Center. Those ruresare'iei forth Overlay Dist: in OAR 952-001-0010 througf'iI'etAR 952-001. # Street ~rees R(jlJ;)O. You may obtain copies'Otwl~~by ~aved Drive Rqd: calling the center. (Note: tt1&omlUlffibne Yo of Lot Coverall'iumber for the Oregon Utility Notification Center is 1-800-332-23441, I PUBLIC IMPROVEMENTS I . q Sidewalk Type: Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Downspouts/Drains: Notes: Page I 00 . . CITY OF SrKJ1~uFIELD Building/Combination Permit PERMIT NO: COM2004-00433 ISSUED: 04/16/2004 APPLIED: 04/16/2004 EXPIRES: 1112012004 VALUE: $ 25,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $25.50 4/16/04 2200400000000000371 + 7% State Surcharge $17.85 4/16/04 2200400000000000371 Manuf Home State Issuance $30.00 4/16/04 2200400000000000371 Manufactured Home Connection $45.00 4/16/04 2200400000000000371 Manufactured Home Placement $160.00 4/16/04 2200400000000000371 Manufactured Home Service $50.00 4/16/04 2200400000000000371 + 10% Administrative Fee $4.50 5/20/04 1200400000000000767 + 7% State Surcharge $3.15 5/20/04 1200400000000000767 Add, Alter, Extend Circ $43.00 5/20/04 1200400000000000767 Minimum/Adjustment Electrical $2.00 5/20/04 1200400000000000767 Total Amount Paid $381.00 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. 3 Manuf Home Set Up: When installation of all piers or stands is complete. I 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. 2 Manuf Home Plumbing: After home has been connected to water and sewer. 4 MH Service: Approval required prior to utility company energizing service. 5 Rough Electric: Prior to Cover 6 Final Electric: When all electrical work is complete. Paee 2 00 . . L11:r' 01' ~r1Ul~lJl'l~LD Status Issued Building/Combination Permit PERMIT NO: COM2004-00433 ISSUED: 04/16/2004 APPLIED: 04/16/2004 EXPIRES: 11/20/2004 VALUE: $ 25,000.00 225 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 Commuuity 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 Pal1e 3 of3 225 Fifth' Street Sprin'gfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number ',:\ COM2004-00433 COM2004-00433 COM2004-00433 COM2004-00433 Payments: Type of Payment CreditCard '\ It \- t 5120/2004 RECEIPT #: 8.P,~_RI~!3,'~'~,~_ '-_.,..__... .. IIiL ' , , - '1)- " . . - , ~--- , Jij}y of Springfield Official Receipt .velopment Services Department Public Works Department 1200400000000000767 Description + 7% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Minimum! Adjustment Electrical Paid By APRIL KIDD Received By djb Page I of I Date: OS/20/2004 Item Total: Check Number Authorization Batch Number Number How Received 000389 020810 In Person Payment Total: 9:47:05AM Amount Due 3.15 4.50 43.00 2.00 $52.65 Amount Paid $52.65 $52.65