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Home My WebLink AboutPermit Electrical 2007-6-7 ZON Let t2. , INITIALS n f"h DATE (n -'i ,Dr SOURCE lYt) 225 FIfTH STREET' SPRINGFIELO. OR 97477 . PH:(541)726-3753 . FAX: (541)726.3689 ELECTRICAL PERMIT APPliCATION City Job Number CCvV\ 'z.,c::rc 7 - 00 <t?' J { Date (~ -I - en LEGAL DESCRIPTION: pOS 27(0 A. ~~~~~~,1i?~d~~~ii~i~~~sT~~I~r~'~;i';]f~~'il~);~r-;d~;il~L . ~i~. . . ~~~"....~ ~"__'_ ..t;..~_.~.. --............_ ok-.......1._ ._ .... .~....-" ,~"...."~'r<:;"i- ";') .-","'" t::-...~ " .,....(."\'.. :~..'-.-~.-_:l;'. ; ',r''''-~ ""~'.....-Y"~-- L r::L'o0T.I01Y.,P.flIfS'[A'f,J.4.'fI.P1Y.:, :>~ "'::"! .--- ~- -,_._~,.,._- --~~I?'''''''- / 7-ISO LA-v,d-A-~.,. Sr /10 rr:~,-:~,.....,.._~-.~.,,,;:.....,~~.t...,......:'>...trs -- .~. '~".'.f......:\"'" -.-.- '.~.~~".""""'- 3,Ii,C9~!~LE1'., .;~~EJ:E'S.CHJ~D..r]LE. IJELqW..{/;3:~' ;i., ......... - .....-' - ..., . '\.... .--.....-.... . -"'...........:--. OCfl.{oO Service Included 1000 sq, ft. or less Each additional 500 sq, ft. or portion thereof $106,00 JOB DESCRIPTION: MIl- he-C:lfL t c.A-L $ 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 Suspended for 180 days. Feeder . . "':-;."'~~''''C':t?r:~--::-~~~';:~':-:-:;'~,O,~, ..' ", 0" 'j i~'-__"':."'<,t_.~:Y~.rr~~.~._'",?.,.".._ ~~._..... .'~ .,."---'.~,~"""7"-~i\.'f'lo':'"' G, LfP_~~gr~~,5L#-MTI9/'f-,<Ol!.i~l B. i'~S~ty~~~1?-XE~Be~~;,-:I'!~ta~:!}~~;'Nt~Wi':~!.g,::~~cati2'~:,:j:J Electrical Contractor U/.///)/JJ1 t?/J}l,Y Cf'Y1T.- 200 Amps or less $ 63,00 . eS 'ioP A9n 400 Am $ 75,00 IL''''"''90l\ \J:\w/eC\Ulr j\\IIIWPs to ps Address '} J{' -<? 2. r:naJMfl!i'/f-r I Kal,p. Ore90'401 fmffi to 600 Amps $125,00 ~ .l~\lDW rules aOOPr~".i.h~se rules areWj~';~to 1000 Amps ., $'163,0'0- " ,- . City ~4/1(}.n ctq-"\i\1lhl>irel\g>'t.'~;'.1)~.s7~n 0!\\\JVCf3WQQ AmpsNollS $375,00. . . io 01'.1'\ 95'l-Yv ,-Vbtaio copies 01 InR~~Rl"'Sci Only no:oo ' ,,- !1!!)~ 0090. 'l'DU [l1ay e~ler, ,NOle', ,Ihe ~~~\\~g~g,l\:-''1'''"'''''T-;:;V'''''''i''.... .." ' '. '"'7~;-'7'f.,~-"",,~ O'~_l -=.:.~,..,,' Jr License Number ~~~~\'1'~~Z~~~lh44).;!!TR?-~,ary,~m.\5~t?-~F!,~-,!.eJI,':::'::.:i ,":' ';.,li-;~' ::,::.:'.3 Expiration Date 0/- 0/ _ 0 )roter IS " Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps ./" $50.00 ):"u Constr, Contr, Number /? g .yt 72. Expiration Date Lj - / 7 - 0 R $ 50,00 $ 69.00 $100,60 Over 600 Amps or 1000 VollS see "B" above, - D r:nf1iiaiEit~J'irrt({;;~~~.:r;;;J"R~::~.~'z~fF{!~'::!.:-~i~: ";?,~ ~':" ,:,r: -,-:;-~~.~.~ Signature of Supervising Electrician . 7.:.!L,,,......,;,,o~.;...,~- ,.tf.'b",' h"O:,." )': ::r'n,;":' "I';, "o''!-''::':'~~~~:~...L.",::.!:L'~'~''..' '. X. <? < ,/f -~. New Alteration or Extension Per Panel (~~ ff~ One Circuit $ 43.00 . - - v ./ Each Additional Circuit or with Owners Name ~tZ.~ e-c= S /~'( k s:~~~e ::~~~~e:',,:=i~<.~~~.;, ~~_:'~:~, _,,___._ "__", Address 21 ')0 ljv-. t'L..4-~/t(,:, E,lJ1iS'i.\'}t~'i~~~ (S.!'f.v~ce/!i~~~~~~hide!l) -E!"ch'Ihstallation., City ~f & Phone 7l-(~~}t:?"~T sHnI;te'E;'1pim~yo\lHE WORK $ 50,00 AUTHORIZED uNdil~pJH~I~rtlf!JH~gIS NOT $50,00 COMMENCED OR Limiteq.Enerpv,Residential $ 25,00 Iv MOn.I'lUU'i'iEu run The installation is being made on "'V"_"', I own,whichOAY PERLimited Energy/Commercial $ 45,00 . . " -'''I 't'\,t IUU lS not mtended for sale. lease or rent. . Minimum Electric Permit Inspection Fee is $45.00 + Surcharges E~....,-""~" .:ti'-~,'--'~""'-'-"~- -...-:--".... 4 'S"[mtOiAi'OFABOVE;'.2,/..:' '",~:i" '7 SO Owners Signature: . ';...~~'.. .......~....::".:;.~',~,-' ....,.!.-,~.;t ,'-'" ~ t ..~'.h~ \ 8% State Surcharge 'f 10% Administrative Fee :> 5% Technology Fee 1/ Z'-o .. <1 bl Fo TOTAL Shared Drive(T:YBuilding FonnsJElectrical perml:.PPlication ~oc OWNER INST ALLA nON Inspection Request: 726-3769 . ~ll f OF ~rKIN,-,1' u,LD . Building/Combination Permit PERMIT NO: COM2007-00831 ISSUED: 06/07/2007 APPLIED: 06/07/2007 EXPIRES: 12107/2007 VALUE: 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 116 ASSESSOR'S PARCEL NO.:. 1703271004400 Springfield TYPE OF WORK: Manufactured Home in Park TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured home in park Owner: BRUCE SLAYTER Address: 2150 LAURA ST SP 116 SPRINGFIEL6T(l)RN97'ilN: Oregon law requires you to #"""....... .. .1........ -....~_l_..J t..... ll- _ ,.-..__ __ _ I h.:.:.... Phone Number: 541-744-1899 Contractor Type General Electrical Manuf Home Inst Plumbing , -" . - . -.;J -.. - "--', ~otification Center. "CONTliltCTOR'INFORMATlON I In OAR 952-001-001, . --,1,. _,.. ___ __. rc'WRt1~Ct8jl.ay obtain copies of the rules by License willL~~~f(;~iYBY jh!ote: the telephone 128472 ~mS1WJW{;I~\fl5'Rn Utility Notification 128472 CMH H~~rl~C.800-332 2344). 166990 WILLIAM G RUBY JR 128472 BUILDING INFORMATION I Expiration Date 04/17/2008 04/17/2008 10/25/2007 04/17/2008 Phone 541.367-7956 541-367-7956 865-380-3000 541.367.7956 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # 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 GaragelCarport Sq Ft Other: Occupant Load: R-3 nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: NOTICE' # Street T.'ees Rqd: . Paved Drive Rqd: THIS PER~OA-lof'LotIGoveral(e:_ IF TH lr 0, '/'ILL CAt'Trit E WORK AUTHORIZED UNDFR HUe:: DCO"'T ". '~3f ~uri:puii~iwIMPR5'NEMI':Nl]SI') FOR" AN\ 'uu UfI r t'tHIUU. Sidewalk Type: DownspoutslDrains: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pal(e I of 3 . 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 Total Value of Project Vpp~ pq~ Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Manuf Home State Issuance Manufactured Home Conn. Plmb Manufactured Home Placement Manufactured Home Service Amount Paid Date Paid $25.50 $12.75 $20.40 $30.00 $45.00 $160.00 $50.00 6/7/07 6/7/07 6/7/07 6/7/07 6/7/07 6/7/07 6/7/07 Total Amount Paid $343.65 I Plan Reviews I .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00831 ISSUED: 06/07/2007 APPLIED: 06/07/2007 EXPIRES: 12/07/2007 VALUE: Value Date Calculated Receipt Number' 2200700000000000931 2200700000000000931 2200700000000000931 2200700000000000931 2200700000000000931 2200700000000000931 2200700000000000931 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. UenllireCUn~nections I Manuf Home Set Up: When installation of all piers or stands is complete. 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. Manuf Home Plumbing: After home has been connected to water and sewer. MH Service: Approval requir~d prior to utility company energizing service. Paee 2 of3 . .ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00831 ISSUED: 06/07/2007 APPLIED: 06/07/2007 EXPIRES: 12/07/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify tbat all information bereon is true and correct, and 1 further certify tbat any and all w~rk 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. 1 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, Ihallhe permit card is located at the front oflhe property, and the approved set of plans will remain on the site at all times during construction. a~/ Q- 6-7-07 , Owner or Contractors Signature Date Paee 3 of 3 225 Fifth ~treet Springfield, Oregon 97477 541:726-3759 Phone . J7~~ ~.... ~ Caof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2007-0083I COM2007-00831 COM2007-0083I COM2007-0083I COM2007-0083I COM2007-0083I COM2007-00831 Payments: Type of Payment Cred itCard cReceinl1 RECEIPT #: 2200700000000000931 Date: 06/07/2007 Description . Manufactured Home Placement Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Service + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By WILLIAM RUBY Item Total: l:heck Number Authorization Received By Batch Number Number How Received djb o 1554B In Person Payment Total: Page I of I 2:16:14PM Amount Due 160,00 30,00 45,00 50,00 12,75 20.40 25,50 $343.65 Amount Paid $343,65 $343.65 61712007 \ .5 ri<eM . )0 I Jl . 1\ ~, /^lXStP f /ee-T /Afl5DJ \1 ~ --------- \ ( ) I f 70 "\ \ I . I 2/~ ./..qf/tf/t 5/ ~tI!f II~ /\ 1 {\.. \ go {~ - 25 9J -- l /1; - I \ \ -- \.1, l "l 17 \I -' - L3-