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Home My WebLink AboutPermit Electrical 2004-11-30 '. s~~ ~ '? . 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 .~: (54I1'T2ll!~" ~- A!.. ELECTRl~~~~'UCATION -1" "I" <O'?l ""''':''''''''~ ~ . "~""'" -"/~ '''6. City Job Number . 0 Date. 0'>';>90"n, "-, '()"""" "9"1r"::~"0"1>. ,I. ~6.~k'tJ;.t~~ 3, rI.€9Ng~~~~'~rt~;. ~~"""~ HV1r>' ~~" ,- -... ./ '\ ID.J):j. D~~ ( .R ) (.A..A Service Included JOB DESCR~ION C .tJ rr 1000 sq. ft. or less \\'{\ \\Q t\omt JjJ U~ ce Each additional 500 sq. ft. or Permits are no -;r~nsferable and expire IfWO:k Is :::O:::a::'d Home or $ 19.00 nol slarted within 180 days of Issuance or If work Is Modular Dwelling Service or \ $50.00 ~7"I ex:) Suspended for 180 days. Peeder ~ 2. g~~~~~~~~ Elecnical Contractor ~ ~ E) f!r fr/r!...,,,1jy. Address p() fJAx2f32 I Phone b<gb.SJ./4f./ City ~.QJlQ_ f\ \(( \0.... . D~~~ City J ,In. ~ Phone 14-~1 '""' \ . \f/ OWNER INSTALLATION Address B. $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 43.00 $ 3.00 Pump or irrigation ' Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 The install'1!\oJl:V be!r'g made on Y' "Y'''J I own which is not intendeillfol fa1e: lease or rent. Minimum Eleclrlc PermllInspection Fee Is 545.00 + Surcharges . THIS PERMIT SHALL EXPIRE IF THE WO[1Kii~""""',{,,~;3'~~'~.,'<1IIR~~~~!lI Owners S'lPieN'i9DRIZED UNDER THIS PERMIT IS NOT~~~~ . COMMENCED OR IS ABANDONFO'FOR 7% State Surcharge I1IH IOU UI\Y Pl:RIOD. 10% AdiriiriislIiltive Pee 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only Supervisor License Number t41l.\\.jrt~O'f~iit~~~~~oltd'.. "".. "VOtlf;. 'U1es ~.: ':'WIt Expiration Date \ D I a \ \ D, In o.A~~O" Ce~rtofJtWJ'tllil.'hfll}qf;Jleratlon or Relocation . lJu9()'rros"<-OOl~ef. ~8!~&'W~JIolJto $50.00 Constr. Contr. Number \ S l,..., ~!fii111 "'all Ob 'OlO1ljj':!llpllJs 4rfl'AhJllity $ 69.00 <Y I I lI"'be, ~he Cef/~ tal" tl€lh~~~m {//M11O/fh . $100.00 Expiration Date c::" \'-l,DS ;;eO'fh~O~f. (No~:e (J" ~9~<111lJoiVo1tssee"B"above. me, kl 9grrn '.'" . ~ ,,>. . .'C , Signature of Supervising Elecnician 1"800'1J.' , . i2.:it;;:9'i~' II ~ _ _.-- ,.. /' ____ _ "~ltl~IJOHxtenslon Per Panel /...........-- . One Circllil Each Additional Circuit or with Service or Feeder Permit .~~i;.~1 TOTAL 50 rx> ~."60 <., .00 ~.59 Shared Drivc(T:)lBuilding FormslElcctrical Pcnnit Application 1-03.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01169 ISSUED: , 10/28/2004 APPLIED: 09/21/2004 EXPIRES: 05/09/2005 VALUE: $ 50,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line SITE ADDRESS: 1141 LAUREL AVE ASSESSOR'S PARCEL NO,: 1802064200201 Springfield TYPE OF WORK: Manufactured Home on Private Lot New Residential PROJECT DESCRIPTION: TYPE OF USE: New double-wide Manufactured Home - on septic system (Intends to use well water from parcel to the south as potable water supply) Owner: KILE STEVEN D Address: PO BOX 7684 EUGENE OR 97401 Phone Number: 541-747-9636 'CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor HARRISON JACOBSON INC ROBS ELECTRIC INC HARJUSONJACOBSONINC License 66447 . 156678 66447 Expiration Date 05/07/2005 08/14/2005 05/07/2005 Phone 541-689-7762 541-686-5444 541-689-7762 BUILDING INFORMA nON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport, Sq Ft Other: Occupant Load: 14,811 1,404 I R-3 VN Electric Electric Electric Path I nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 47.00 85.00 45.00 15.00 5.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Urban Fringe o REQUIRED PARKING Total: 2 Handicapped: Compact: 19.70 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Yes Special InsRPf!!~ION: Ci,..u"dMl\lliWlIf~MItO follow rules adopted by the Oregon Utility Notes: Notification Center. Those rules are set fortl'l in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center, (Note: the telepho~e number for the Oregon Utility NotificatIon Center is 1-800-332-2344). Sidewalk Type: DownspoutslDrains: Drywell - Provide Drywell Engineering N,OTICE: EXPIRE IF THE WORK lHlS, PERMIT ~~~~~ THIS PERMIT IS NOT AU1HORIZED OR IS ABANDONED FOR COMMENCED ANY 180 DAY PERIOD. Pal!e 1 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 . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-01169 ISSUED: 10/2812004 APPLIED: 09/21/2004 EXPIRES: 05/09/2005 VALUE: $ 50,000.00 I Valuation DeseriDtion I $ Per Sq Ft or multiplier $1.00 $1.00 Foundation On Iv Use Bid Amount Manuf Home Manufactured Home Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Addressing Assignment Fixture Foundation Permit Manuf Home State Issuance Manufactured Home Conn - Plmh Manufactured Home Feeder Manufactured Home Placement Sanitary Sewer - 1st 50 Feet SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Storm Sewer Each Addtll00' UGB Plan Rev MjlMln - Planning Water Line - 1st 50 Feet Willamalane ManufHome Private + 10% Administrative Fee + 7% State Surcharge Manufactured Home Service Total Amount Paid Initial Review Planoin!! Review 09/24/2004 09/2412004 Amount Paid $44.46 $48.64 $34.05 $31.00 $14.00 $68.40 $30.00 $45.00 $50.00 $160.00 $45.00 $11.28 $47,39 $772,49 $175.13 $225,68 $45.00 $14,00 $156.00 $45.00 $ I ,000.00 $5,00 $3.50 $50,00 $3,121.02 Square Footage or Bid Amount 5,000,00 45,000.00 09121/2004 09121/2004 Value Date Calculated Total Value of Project $5,000,00 $45,000,00 $50,000.00 Fpp< P1ilU Date Paid Receipt Numher 9/21/04 10/28/04 10/28/04 10/28/04 10/28/04 10/28/04 10/28/04 10/28/04 10/28/04 10/28/04 10/28/04 10/28/04 10/28/04 10/28/04 10/28/04 10/28/04 10/28/04 10/28/04 10/28/04 10/28/04 10/28/04 11129104 11129/04 11129/04 1200400000000001375 1200400000000001529 1200400000000001529 1200400000000001529 1200400000000001529 1200400000000001529 1200400000000001529 1200400000000001529 1200400000000001529 1200400000000001529 1200400000000001529 1200400000000001529 1200400000000001529 1200400000000001529 1200400000000001529 1200400000000001529 1200400000000001529 1200400000000001529 1200400000000001529 1200400000000001529 1200400000000001529 2200400000000001451 2200400000000001451 2200400000000001451 I Plan Reviews I 09/23/2004 APP 10/14/2004 WE TAJ Needs access maintenance easement and easement for access to well. Spoke with Randy at Gooden-Harrison and told him that on 10115. Pa!!e 2 of 4 Building/Combination Permit PERMIT NO: COM2004-01I69 ISSUED: 10/28/2004 APPLIED: 09/21/2004 EXPIRES: 05/09/2005 VALUE: $ 50,000.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan nine Review Public Works Review 10/2012004 09/24/2004 10/20/2004 10/0412004 APP TAJ APP MS Structural Review 09/2412004 09/30/2004 OK DLM . CITY OF ~rKl1~t.,NJ!,LU easements received and OK 10/04/2004 - No portion of the building or storm drai!ls shall be . place in the 45 foot private easement. Contacted the applicant, and he said the building and drain lines will be located out of the easement as per telephone conversation on 10/0412004. - MS 10/0412004 - Including drywell information packet with plans, Drywell shall be located a minimum of 10 feet from foundation. - MS Verify w/ Public Works & Planning whether a access agreement & maintenance Agreement is required for access to the well water on the adjoining southerly property. Standard MH plan review comments were used for the permit. 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. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. 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. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Drain: Prior to cover or placement of concrete. Water Line: Prior to filling trench and including required testing. Line to Septic Tank: Prior to filling trench and required testing. Storm Sewer Line: Prior to filling trench. MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. Paee 3 of 4 . . CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: COM2004-01l69 ISSUED: 10/28/2004 APPLIED: 09/21/2004 EXPIRES: 05/09/2005 VALUE: $ 50,000.00 225 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 oIany 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 ofthe property, and the approved set of plans will remain on the site al all times during construction. Owner or Contractors Signature Date Paee 4 of 4 . 225 Fifth, Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004-01169 COM2004-01169 COM2004-01169 Payments: Type of Payment CreditCard 11/29/2004 RECEIPT #: ~~ Wit. ' 2200400000000001451 Description Manufactured Home Service + 7% State Surcharge + 10% Administrative Fee Paid By ROBS ELECTRIC Received By LLH Check Number Batch Number Page I of 1 _ty of Springfield Official Receipt .evelopment Services Department Public Works Department Date: 11129/2004 Item Total: Autborlzatlon Number How Received 025384 Phone Payment Total: 3:08:31PM Amount Due 50.00 3.50 5.00 $58.50 Amount Paid $58.50 $58.50