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Home My WebLink AboutPermit Electrical 2005-5-12 CITY OF SPRINGFIELD, OREGON I ~' SPRINGFIELD 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ ELECTRICALP~APPLlCATION <\~$ ._ 2..--0'$ ':-) '" "Z. '). /7v1.A': --t' A -9 ,. ~ .~ '<'/ . . e;7<~ JV /r~ ...w "0 '" O~,l ?o~.r " U n~ ,,~ :t' J'J-oS'("o ~ (:) S l{O 0 A'L~;~e ~:::::':~O}~~I~e ~Ulti!F~:.:~ dwelling unit.. rl ....0 . ,.~c ~ 1000 sq. ft. or less ~.... Sl'l~1! A Il Each additional 500 sq. ft. or .' 0' "/""-? ~. portion thereof 4 $ 19.0tl ;9 Permits are nOD-transferable and expire if work is .Each Manufact'd Home or """ "'" " not started within 180 days of issuance or if work is Modular Dwellin~ or - "?<:. 'hO.oo Suspended for 180 days. ~ , 2. I CONTRACTOR INSTALlATION ONLY J B.I Services or Feeders - Installation, Alterations or Relocation: ~9-~ , !oVe.. ~~ City ~.......-- Phone 7l. '1 -/500 tf 1. LEGAL DESCRIPTION /703 ZSl 'J JOB DESCRIPTION JuU l~ Electrical Contractor Address ftf5-s /lJ1&7 Constr. Contr. Number {, 3; /5 7 Expiration Date A/tJ6 Signature of superviSjn~ ~ctrician Supendsor License Number Expiration Date ~. #(J CL':.J.. "- (( Address ~= Oc.,y 701.. CityiM"A.-tt~Cret:(( Phone bl(]- '5722- , fie.,.1'-//~ t Owners Name ~ €A...,. , cs.. OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726.3769. , .' 3. 10D 200 Amps or less. $ 63.00 201 Amps to 400 Amps $ 75.00 401 Am~~~?f'\'\.'P:P6regon law ,,,yu;,,:}15ij~g 601 'YO'!l&W"l8e~~Pted by the oregohY~iiHt>v ~v'Nl:Hll\b~!lEt'{ CIlrller. Thoss rulss 8e~Jftf-R\ltr. ecrrt''(j1(R'~\32.001.001 0 throu,:j., 0:,:-\ >J::>l!/lb1 C 7K1~':" "U~"Cl.V uUlc.in L,uuil:;;;;:! u; l; 1t::'.IU;Y;:! uy .1 Tempora_~ ervlcesorN;eoers'-"'I~~"'~I~~' _ loro.lttng-t c; \.lei uer.,Nete. ~ ,.:, ~'" "'t-',"teO,:;. I nstall1ltaW,EXIIWa\'i\ft, QFPR1'i'orl:!iW~Y N oti fication 200 A I Center is 1.800.332.2344)'$ mps or ess 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "8" above. D. I Branch Circuits New Alteration or Extension Per Panel One Cireui t Each Additional Circuit or with Serviee or Feeder Permit $ 43.00 $ 3.00 ~ 2. E.I Mts~tllpK~~.s (Service/feeder not included) -Each Installation I pump~tN~ri~~t~~IT SHALL EX~~R~_I~ .T~F5d':6gR_~ SignfO~tliRelt;~htiRgUNDIER TH,,,~ .'-,,~vll$ 5~o"dO 1 L. - GdIJElYIiVltlfR'" ;t!i:I' OR I S ABAI<UU1~cll$f:2(5'Hoo 'mIte nergy eS! entIa 100 . . ./\I~ y IoU 11/\ Y r'tli . LImited Energy/CommercIal $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.1 SUBTOTAL OF ABOVE lOb 742 lObO , zl( ~ 7% State Surcharge . 10% Administrative Fee TOTAL Shared Drive(T:)lBuilding ForrnslElectrical Permit Application I-03.doc: . . Lilt' UJ:< ~rKll~lJJ:<1~LU . Building/Combination Permit PERMIT NO: COM2005-00301 ISSUED: 05/09/2005 APPLIED: 03/16/2005 EXPIRES: 11/09/2005 VALUE: $ 65,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line TYPE OF USE: PROJECT DESCRIPTION: Manufactured Home with garage Maia Park lot 74- Springfield TYPE OF WORK: ManufHome w Garage/Carport Private Lot New Residential SITE ADDRESS: 2233 MAlA LP ASSESSOR'S PARCEL NO.: 1703251303400 Owner: Address: DENNIS MARSHALL PO BOX 702 MYRTLE CREEK OR 97457 Phone Number: 541-643-5722 Contractor Type General Electrical Manuf Home Inst Plumbing ATTENTION: Oregon law requIres you to ,_" _. ." _ .1__ ~.l""torl hv thA Oreaon Utilit'{ ~~u:tl', Th.....~E' rulf'~ "Ire set forth I . R.I~FOO~R952-001- IO,JO!s.o.. y~~ may obtain cmies of the rules by Contractor' en~e. _Rxniration Date 11 g the center. (N .,rnnele~v,,""" HARRISON JACOBsolfn:ll:: f th Orego ltl~7tty Notificatidl~/07/2007 RALPH W BROWN number or e. 3})2 02115/2006 HARRISON JACOBSON INC Center IS 1-80 6~4.ji2344). 05/0712007 HARRISON JACOBSON INC 66447 05/07/2007 Phone 541-689-7762 541-729-1500 541-689-7762 541-689-7762 BUILDING INFORMATION I # of Units: 1 # of Stories: 1 Lot Size: 7,845 Primary Occupancy Group: R-3 Height of Structure Sq Ft 1st Floor: 1,566 Secondary Occupancy Group: U Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Primary Construction Type VN Water Type: Gas Sq Ft Basement: Secondary Construction Type: Range Type: Gas Sq Ft Garage/Carport 440 # of Bedrooms: 3 Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: I DEVELOPMENTINFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 19.00 6.00 6.00 41.00 5.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: o Yes 25.40 REQUIRED PARKING Total: 2 Handicapped: Compact: . I nJDLl": IMPROVEMENTS I WOR\<. S I ~'01 \\It.. \.. C"s~l)do:le~wa\~lklTH\: e' 0" treet mprovements: Fully Improved ,~ S p\:RMll S\-IJ\\.. U \S P\:\'\W\\Y,P,v N \ Storm Sewer Available: Yes 1\-1\ \-IORII\:D UND\:R llijowntPl't'!SID,'ilins: Special Instruction: J\Ul \:NC\:D OR IS i\Bi>.l'lu ' COMM :-< p\:R\OD. Notes: Storm drainage to system at rear orIot 3/21/20~~'(>AS)O DIX To Storm Sewer Paee 1 of4 . . CITY OF ~rKll~GFIELD Building/Combination Permit PERMIT NO: COM2005-00301 ISSUED: 05/09/2005 APPLIED: 03/16/2005 EXPIRES: 11/09/2005 VALUE: $ 65,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Foundation Onlv Garaee ManufHome Use Bid Amount Garaee Manufactured Home $ Per Sq Ft or multiplier $1.00 $25.00 $1.00 Square Footage or Bid Amount 6,000.00 440.00 48,000.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $6,000.00 $11,000.00 $48,000.00 $65,000.00 03/16/2005 03/16/2005 03/16/2005 L.Fpp< P"\W Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $105.30 3/16/05 1200500000000000334 -Mechanical Issuance Fee- $10.00 5/9/05 2200500000000000552 + 10% Administrative Fee $54.70 5/9/05 2200500000000000552 + 7% State Surcharge $38.29 5/9/05 2200500000000000552 Addressing Assignment $31.00 5/9/05 2200500000000000552 Garage/Carport $162.00 5/9/05 2200500000000000552 Gas Outlets 1-4 $4.00 5/9/05 2200500000000000552 Manuf Home State Issuance $30.00 5/9/05 2200500000000000552 Manufactured Home Conn - Plmb $45.00 5/9/05 2200500000000000552 Manufactured Home Placement $160.00 5/9/05 2200500000000000552 Minimum/Adjustment Mecbanical $41.00 5/9/05 2200500000000000552 Plan Review Major - Planning $103.00 5/9/05 2200500000000000552 Sanitary Sewer - 1st 50 Feet $45.00 5/9/05 2200500000000000552 Sanitary Sewer - Improvement $420.44 5/9/05 2200500000000000552 Sanitary Sewer - Reimbursement $552.92 5/9/05 2200500000000000552 SDC MWMC Administration $10.00 5/9/05 2200500000000000552 SDC MWMC Improvement $865.31 5/9/05 2200500000000000552 SDC MWMC Reimbursement $82.03 5/9/05 2200500000000000552 SDC Sanitary/Storm Admin $119.86 5/9/05 2200500000000000552 SDC Transpo Admin $64.05 5/9/05 2200500000000000552 SDC Transpo Improvement $772.49 5/9/05 2200500000000000552 SDC Transpo Reimbursement $175.13 5/9/05 2200500000000000552 Storm Drainage Impervious Area $799.80 5/9/05 2200500000000000552 Storm Sewer - 1st 50 Feet $45.00 5/9/05 2200500000000000552 Water Line - 1st 50 Feet $45,00 5/9/05 2200500000000000552 Willamalane ManufHome Private $1,000.00 5/9/05 2200500000000000552 + 10% Administrative Fee $10.60 5/11105 3200500000000000195 + 7% State Surcharge $7.42 5/11105 3200500000000000195 Add, Alter, Extend Circ Ea Add $6.00 5/11105 3200500000000000195 Manufactured Home Feeder $50.00 5/11105 3200500000000000195 Manufactured Home Service $50.00 5/11105 3200500000000000195 Total Amount Paid $5,905.34 Paee 2 of4 . . Building/Combination Permit CITY OF ~rK11'1tJt<11i,LU. Status Issued PERMIT NO: COM2005-00301 ISSUED: 05/09/2005 APPLIED: 03/16/2005 EXPIRES: 11/09/2005 VALUE: $ 65,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plannin!! Review Public Works Review 03/1712005 03/17/2005 03/17/2005 I Plan Reviews I 03/17/2005 APP 04/08/2005 APP 03/2112005 APP LLH TAJ CAS Storm drainage to system; possible Encroachment permit if stubs are in PUE 3/21/2005 CAS Electrical permit is not included. No signed electrical permit forms on file. They have been requested. Structural Review 03/17/2005 03/28/2005 APP RJB 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. ~Ii Tn~,nections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. 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. Foundation: After forms are erected but prior to concrete placement. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 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 Building: After all required inspections have been requested and approved and the building is complete. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Manuf Home Plumbing: After home has been connected to water and sewer. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped ifnot attached to an appliance. Pa!!e 3 of 4 . . CITY OF SPRh"luN~LJJ Building/Combination Permit PERMIT NO: COM2005-00301 ISSUED: 05/09/2005 APPLIED: 03/16/2005 EXPIRES: 11/09/2005 VALUE: $ 65,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Gas Service: After line Is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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. MH Pedestal: Approval required prior to utility company energizing service. 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 Paee40f4 225 Fift~ Street Springfield, Oregon 97477 541-726-3759 Phone . 8:-~.."""'~ _.._., ~. .: ". .-.._._.. ~ ~ty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 3200500000000000195 Date: 05/11/2005 9:39:IOAM Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 50.00 50.00 6.00 7.42 10.60 $124.02 Job/Journal Number COM2005-0030 1 COM2005-0030 1 COM2005-0030 1 COM2005-0030 1 COM2005-0030 I Description Manufactured Home Feeder Manufactured Home Service Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Amount Paid Check HERITAGE ELECTRIC djb 1678 In Person Payment Total: $124.02 $124.02 5/1112005 Page 1 of 1