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Home My WebLink AboutPermit Electrical 2004-4-16 .' ':"":'';' ...., " . 'GmT'OF''-' .nT1l.TG'TIn::'rr~" . 'G'O' .'. '. . .. i""">'~ ~-:'" ~.' ~. ",-,'t.' .LL':J.S ~. 3r:I\..ll"l .C.1..E.:.U:Ll ' N~ ~ ''-. ,/. A,. .1, ~ ~,.{.,l,~ '".:-l .,,...~~"',,,.,.~.. ..ct... ,') .' .,;;'. .... ._' -,..-;.a"'" . .,~, '" '1 ,. ~ ~!- '.: ..~ "yo ...; ":/.~,~..,.".v";_)",,,,,,"'-"<'j.,,.'''''.~. '" :',I,"-;'\""'.J.'~ --.,.... ~'..."'-'-"'....~ 225 FIITH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA:i'''l1tMt,l~~~3jilI9as submitted has the following ELECTRICAL PERMIT APPLICATION ~. zoning. and does not require, specific land use '/ ;,; , approval. R- City Job Number CDWllll 04 - 00 L( 3]' Date ~ '/ r (l '1 Zoning 1..-1> . 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 Owelling Service or Suspended for 180 days. Feeder 2. ~;'99~>:RA.'~::C:r,:~_,-.','Q".i!, :fN.,._- ,,~'~j:,','#~,~rl9.~..fi..,,~j.:.-,'O,~NE..,~;y.~.' B. ~'S~~:~~'~;~:~}1Fe~, 'a~;~:~In;t,'il,,'li~tiofii:~i~t~~ii6~~'~, ;.jRJlo'c~tiori:~~:,,1 t..... . ;......--:_.:Mi.......-~c:l1M ~~~~. :!!:...- ,"" ..1. .' .::J Hl~"~~.<;.-:',:.,..v '.<l.>-.':"~'i!1'~J,,:~':- '":;j~ (...~:..;;~ '"":-"'\i~"&I:l'--i"",,,-,,m~;"~', -. ,.1':,;.~,'",~ '- Electrical Contractor ~'{IrI ~/t!'f' fril:'. 7J..e. 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00, Addres;$h&)7 !S/frye~~"" ,z;JK. 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AI]lpsNolts $375.00 Reconnect Only $ 50.00 1. IfrOCATION::0F.,1NSTXi'j;41j'OMy'7:IJlIt~ ~~~~'''';;'__.''- ''''~_'.,'''''''' v.....~...::;,.'. -J ...'00 ""h ", 2/')0 Lh-<a...4-..-r- #//7 LEGAL DESCRIPTION /703. 27tO JOB DESCRiPTION o Lfc( 0-0 mil- ~~c City .~'rl"'",,'q Phone..21(/ - 9'&1- SS':2.. (?e#. -;U~ - c.(.,$ ~7.:~L: <) Supervisor License Number Expiration Date ...b. / t!) 'SI ) Constr. Contr. Number X ~ c5 0 0/ Expiration Dale / / 05 I' Signature of Supervising Electrician r ~/aJ /I ft~ Owners Name ;!,rlc..-.,( t:v\ l c. ~ r Address z-cr80 U.", t7-~~ City S\JJ.q;:) Phone 3. ~;cOM1"LETE:;:'l~l!"'""""" ~='" ~""';;:'l..'~~~'~~~'I,ol:;_r.'_.~t':'J.'~"-~-~;o.r ,Authorized Signature A.. ~'N~~'.~ra'fin~J~sn:~W8f~1ir"ili~~1i{1Ir}~~~cm:~tg-.~". ~fi,-1~'{1" !t:r...."-'~O!l.....~~l.......,.."'...-~" ,-~ ..-.P:l?.i,..."....... ".......;.' ~'''M7":l'..~~__...-~-.r.t.~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 I $50.00 sv c. r~[!~r~f~try;~~~_~~~is'~9Hr~~~~~~:~:rr~:~~.+.'~g~~:.:tj-i'<'%\3~j Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps' . . .~,' \~OO.OO . "~~w reqlJ"o~ 1-" DAfj)II~~gli:~~~~~g. ~W.~~,r~~~~.s...e.tifliClt~;. ., ~, ,"""..,..'1 . ,:~~i~i~~~:~~~~:I:~:~~~[f~~~~~~~ -'.~~;' '.~,- I ' In Qfr;e Ciw,Uit,ay obtain cOpies of t~e r~ ~e!l3.00 OOQIl_h'fjJ d' ". -~. C' . '("-'-"lhthl:l ,,'"o,....alT' 1:3. ,.. Itl,Q,,"O,.,lrcq, ur,Wl . r '" E~;TI~r.g:~~~g~~f~:~~~;;::::~~@i[~~ Pump or irrigation $ 50.00 , ,. Sign/Outline Lighting $ 50.00 OWNER INSTALLATWl1T1CE: " / XPIRE IF TI.\I!:,WOOiVergylResidential $ 25.00 The in.slallation is being cll\l.':b~m~~~~~~~~S PERM~iqgt~ergY/Commercial $ 45.00 IS nol lOtended for sale, le,lSd'tHr1i?t\ CEO OR IS ABANDMWlhlililiEledric Permit Inspection Fee is $45.00 + Surcharges WCOMMEN "peRIOD ~.."'."""",.,~. - ..<.' ...,,~, ,<.,-.' A ~ " . . - ) Owners Signature: ANY 180 0/\1 .. .' 4.~;S~J;g[:4hq~~QJ;;E~,.:''I.;,;1t.1'\'';!;'~ ~o . ~ 7% Slate Surcharge, "",m,..",.""" n~"" ~~.cP ~::."~''''~ 5:~: \ . V \ Shared Drive(T:)fBuilding Forms/Electric:!.1 Permit Application t ..o3.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa. 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00433 ISSUED: 04/16/2004 APPLIED: 04/16/2004 EXPIRES: 10/16/2004 VALUE: 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 I CONTRACTOR INFORMATION' Contractor License HARDACKER & OLEARY DEVELOPMENT 79496 KIDD ELECTRIC INC 154009 HARDACKER & OLEARY DEVELOPMENT 79496 HARDACKER & OLEARY 79496 BUILDING INFORMATION I Contractor Type General Electrical Manuf Home Inst Plumhing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Sethack: Side 1 Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-726-4943 Expiration Date 02119/2005 01/27/2005 0211912005 0211912005 Phone 541-895-4307 541-942-1352 541-895-4307 541-895-4307 # of Stories: Lot Size: R-3 Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: .Oregon \a\~qEf.!j!i)therVOU to .~~~~~~~~rlODted by ~reP9i"j4YljlS~~'~~~rea: , DEVELOPMENiinlRORMNFlON'11 n~s::;~~"OAR- 95-i-oo In OAH ~:l"'-UV' -w 1 q,t. hr.'f"s '01 M.~~MQ PARKING .. Y may obtain cople " - Overlay DinpO. . ou nter (Note: the t(l"otiiI';lone # Street TreeS:RWd1g the ~e Or~gon Utility NldiliIitltbp&l: Paved Drive:R\fdper !or ~ _~,_ . -!"nn_~~?_23.Cl>'))Ipaet: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk Type: NOTICE: T SHALL EXPIRE if THE WOPl>ownspoutslDrains: THIS PERM! UNDER THIS PERMIT IS NOT ~~~~~~~~D OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paee 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 'Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description + 10% Administrative Fee + 7% State Surcharge Manuf Home State Issuance Manufactured Home Connection Manufactured Home Placement Manufactured Home Service Total Amount Paid . . CITY OF ~rKJ1~uNJ!,LD Building/Combination Permit PERMIT NO: COM2004-00433 ISSUED: 04/16/2004 APPLIED: 04/16/2004 EXPIRES: 10/16/2004 VALUE: I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fpp< P~W Amount Paid Date Paid Receipt Number 2200400000000000371 2200400000000000371 2200400000000000371 2200400000000000371 2200400000000000371 2200400000000000371 $25.50 $17.85 $30.00 $45.00 $160.00 $50.00 4/16/04 4/16/04 4/16/04 4/16/04 4116/04 4/16/04 $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 Rpnllirpt! T~ 1 Manuf Home Set Up: When installation of all piers or stands is complete. 2 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. 3 Manuf Home Plumbing: After home has been connected to water and sewer. 4 MH Service: Approval required prior to utility company energizing service. Pa~e 2 of3 . . CITY OF SPRINt....~LD Building/Combination Permit PERMIT NO: COM2004-00433 ISSUED: 04/16/2004 APPLIED: 04/16/2004 EXPIRES: 10/16/2004 VALUE: 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 and do hereby certify that all informalion 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 al the front of Ihe property, and the approved set of plans will remain on the site al all ~"'~~,L. J/ ~O --0 lj- 0"" ~""'" "".",,, 0".' Paee 3 of3 . ~jr~~ Wit, Jiii.ty of Springfield Official Receipt .velopment Services Department Public Works Department 225 Pifth Street . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00433 COM2004-00433 COM2004-00433 COM2004-00433 COM2004-00433 COM2004-00433 Payments: Type of Payment Check 4/16/2004 RECEIPT #: 2200400000000000371 Date: 04/16/2004 Description Manufactured Home Placement Manuf Home State Issuance Manufactured Home Connection Manufactured Home Service + 7% State Surcharge + 10% Administrative Fee Paid By HARDACKERANDOLEARY Item Total: Check Number Authorization Received By Batch Number Number How Received djb 7943 In Person Payment Total: Page 1 of I 9:23:58AM Amount Due 160.00 30.00 45.00 50.00 17.85 25.50 $328.35 Amount Paid $328.35 $328.35 . c '\ -~ ..... , "~-:o:-' - '. He..L~_ ~ I.A~IJI K;JIC9HI a 1/3 f'{\(rt.rtA LaMA P~t2.jL :;Ah~ i-Au. f24 "'5 f-_ fJ E 'Ir 0 en: 1l. Gw PetflT / -J '" ~ '" '3 i 5"2. /l1 IN , ~ \ . ~",'p ill - Gf./51/fJ G 5lJ E. J) CJ:.. R. po Q r .' . i ~ " ... ~ I.l,\ --:::) V) '-.) ~ , --~ ~ ~ l.L1 . ~. III G\ ~ ~ ~~ ~~ ~ . ........ - \,:)~ ""'-.... 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