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Home My WebLink AboutPermit Electrical 2005-6-23 -- 91114.....-.- --' e';'20 ~b,$Jr'( SPR1NQ~~J'tf'. ,~II\\;' a{lOUS , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)~~:~~~', \. ,.v. ELECTRICAL PERMIT APPliCATION. llU\/AO\\OI City Job Number CoWl z,oo ~ - OOb'J7 Date 4IZ'3~C JOB DESCRIPTION ;1(/.J s~v'i;:ee't\E't\. I TE"",(J Permits are non-transferabie and expire if work is not started within 180 days of issuance or if work Is Suspended for 180 days, 2 ~e@~ciicrR~IiVsi:MillAheMdNi:YM . ..1., " l....1 , 1..1 ~J,.II ."J" 11 Electrical Contractor jG'rld Eledl-~. ~ 1. ~C?A,,!IONl~".I..:,.;~;1.?'rir'~if.iC[l1V_ Z'I$'3 yt,t,4tA Lo~ LEGAL DESCRIPTION 1703 Z~/f..( O'i 300 -...:,...;.,~ - " '"' ..." .-., .'" '," I' ''', ~. .... ~. " ~ 3. ~eJI!P~'l'~I'1.eE~lH':':'t!I~l~>;"'':?~ Service Included 1000 sq.. ft.. or less Each additional 500 sq. ft.. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106..00 $ 19.00 Z-- $50.00 /00 Address 3St;., z:; '7 City re~"t 200 Amps or less 201 Amps to 400 Amps ,'")' #r::Jr"'~'pl.AJ T.>e.. 401 Amps to 600 Amps 601 Amps to 1000 Amps Phone 5'~/-9"1.2 -/352. Over 1000 Amps/Vo1ts Reconnect Only $ 63.00 $ 75.00 $125.00 $163..00 $375..00 $ 50.00 -f75C,S Expiration Date /0 / e ~ Constr. Contr.. Number /..e:Lj t"X"9 9 Supervisor License Number Expiration Datc:tb /0 7 Signature of Supervising Electrician Cif")O,Jlo~I'''I,~lh :IS" -,,~ .11~.llJ''''''F.'''III)'d'''o:Jlll . 'enmorar-y,-f, ,,~~tC~_..~r. ee ers (. ~ ',,: "'_! '..;-. '. ~"}(::;" ,I~:;; InstaUation, Alteration or Relocatipn ATTENT2OlN\Qpr-2r'Wslaw requires yo~,,~?. I follow rul!Ol w'''-''~c401YAth'' Oregon U"m, :mp8 iftPI . ._ 4~ NotilicatiC4lJ~l\ffips,toT6005lnlw~es are Sca '''~: in OAR 95?-001- 101 0 throuqn OAR 952-X . O Y, Over 60 AI);IRS,~'IIP.ol>( ol1SoSC!ljtiji'la ove.. 009.Bu'B Ii....' ,",~,~ I!' 't \:\Inc ""CUlts'. , "a ~I~ ,. . numberNewti\1te?atioJilol'\EHt;ti1,7tj;fr'l~&>~1 One €frdiiia -800-332-2344). Each Additional Circuit or with Service or Feeder Permit t5hJ /:#_L/ J1rt I rCC CI,.pf Address 1./ \" , "A~,4-{c City S?"'Nt:;{;~(dphone 7l/b- J'''' Owners Name . OWNER' INSTALLATION The installation is being made on ,._,..;, I own which is not intended for sale, lease or rent. Owners Signature: NOTICE: , -- -, 'r WORK THIS PERMIT ~H!\LL t"nnc ,r ",..: , bllTHORIZEO UNDER THIS PERMIT IS NOT Inspectlon,~equest:-i72~3769 ABANDONED FOR GUIVIIVI1:.I\l\.JCU vii IV ANY 160 DAY PERIOD.. $ 50.00 SO $ 69.00 $100..00 ,. $ 43.00 $ 3..00 E ~Mi' ~!'.I:I'I"II".I!III~(S~'J:L~!/i,.'l'''d I ~11.1"I,J'I'.1 'il'11d' dUllltlE~III"'i.:~'IIiI LI llli'1111I;',1 ~'i . lsee aneous er.vJ.ce Jee erIDOt.IOC u eu .:::. 'a ell nsta atlon ... ., I.." .-'. J. ...~ .11;.. ~ ... I ., I ! d. . I 110.. ",..1 '" . Pump or irrigation Sign/Outline Lighting Limited EnergyIResidentia1 Limited Energy/Commercia1 Minimum Electric Permit Inspection Fee Is $45.00 + . 4. ~ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00637 ISSUED: 06/23/2005 APPLIED: OS/27/2005 EXPIRES: 12/23/2005 VALUE: $ 82,900.00 Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 2453 MAlA LP ASSESSOR'S PARCEL NO.: 1703251408300 Springfield TYPE OF ManufHome w Garage/Carport Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured home and garage Owner: MIKE CLIFT Address: 451 OAKDALE A V SPRINGFIELD OR 97477 Phone Number: 541-746-1999 I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor R NEUHARTH CONSTRUCTION INC KlDD ELECTRIC INC License 66019 154009 Expiration Date 06/1912006 0112712007 Phone 541-747-3846 541-942-1352 I BUILDING INFORMATION. Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Height of Type of Heat: Water Type: Range Type: 3 Energy Patb: S . kled. nI ^ TT!:~ITlnN' OrAlIon law rB~re1l yOU to a follow rules adoPlfDE-VELt)~1viEN'r1NFOaMATI0N I Notification Center, '" ,,-~- " ,,\ - - . in OAR 952-001-0010 through OAR 952-001- 0090. You m~~o>blain copiW'!JiIt\l!~ms by calling the?Oo'lter.. (No~e;~~'f~: number fqro!uli' Oregon U!~r~ fi toverage: Celii\lliis 1-800-33'2-2~ . 1 R-3 U VN 1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,372 # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: 'orced Air Electric Electric Electric 576 o' Yes 35.40 REQUIRED PARKING 1rotal: 2 Handicapped: Compact: IPUBLIC IMPROVEMENTS I Street Storm Sewer Available: Special Instruction: Fullv Improved Yes Sidewalk Type: DownspoutslDrains Curbside 5' Curb and Gutter Notes: Storm drainage piped to curb face 6/1/2005 CAS NOT!Ct:: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER T'HIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD... 1 of 4 Status: Issued 225 Flfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Type of Construction Foundation Onlv Gara!!e ManufHome . . CITYOFSPRINGFll,LIJ Building/Combination Permit PERMIT NO: cOM2005-00637 ISSUED: 06/23/2005 APPLIED: OS/27/2005 EXPIRES: 12/23/2005 VALUE: $ 82,900.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 $25.00 $1.00 Use Bid Amount Gara!!e Manufactured Home Fee Description Plan Review Residential -Mechanical Issuance Fe.... + 10% Administrative Fee + 7% State Surcharge Addressing Assignment Garage/Carport Heat Pump Manuf Home State Issuance Manufactured Home Conn - Plmb . Manufactured Home Placement Minimum/Adjustment Mechanical Plan Review Major - Planning Sanitary Sewer - 1st SO Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - 1st SO Feet Water Line - 1st SO Feet Willamalane Manuf Home Private + 10% Administrative Fee , + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Temp Power 200 amps or less + 10% Administrative Fee + 7% State Surcharge Minimum/Adjustment Electrical Square Footage or Bid Amount 2,500.00 576.00 66,000.00 Value $2,500..00 $14,400.00 $66,000.00 $82,900.00 Date Calculated 05/2712005 05/2712005 05/2712005 Total Value of Project Ff'f'~,PIIW Amount Paid $105.30 $10.00 $54.70 $38.29 $31.00 $162.00 $12.00 $30.00 $45.00 $160.00 $33.00 $103.00 $45.00 $365.60 $480.80 $10.00 $865.31 $82.03 $117.60 $64.30 $772.49 $175.13 $886.60 $45.00 $45.00 $1,000.00 $13.10 $9.17 $18.00 $63.00 $50.00 $1.90 $1.33 $19.00 Date Paid Receipt Number 1200500000000000676 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 3200500000000000294 3200500000000000294 3200500000000000294 3200500000000000294 3200500000000000294 1200500000000000897 1200500000000000897 1200500000000000897 5/27105 6nt05 6nt05 6nt05 6nt05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 617/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6nt05 6/8/05 6/8/05 6/8/05 6/8/05 6/8/05 6/23/05 6/23/05 6/23/05 2 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00637 ISSUED: 06/23/2005 APPLIED: OS/27/2005 EXPIRES: 12/23/2005 VALUE: $ 82,900.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount $5,914.65 I Plan Reviews I Initial Review OS/2712005 05127/2005 APP LLH Planninl! Review 05/2712005 06/06/2005 APP TAJ Needs survey because of minimum setbacks. Public Works Review 05/2712005 06/01/2005 APP CAS Storm drainage piped to curb face 6/1/2005 CAS Structural Review 05127/2005 06/03/2005 APP TCM 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections bave been requested and approved and the building Is complete. Storm Sewer Line: Prior to filling trench. 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. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing.. Manuf Home Plumbing: After home has been connected to water and sewer. Final Electric: When all electrical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. 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. 3 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00637 ISSUED: 06/23/2005 APPLIED: OS/27/2005 EXPIRES: 12/23/2005 VALUE: $ 82,900.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line By signature, I state and agree, that 1 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 m accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaming to the work described herem, and that NO OCCUPANCY wiD be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contracton and employees who are In compliance with ORS 701.005 will be used on this project. 1 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 wiD remain on the site at all times during construction. ., Owner or Contractors Signature Date 4 of 4 225 Fifth Street Springfi~hl, Oregon 97477 541~726-3759 Phone Job/Journai Number COM2005-00637 COM2005-00637 COM2005-00637 "_Payments: Type of Pa)1llent Check :. _.> . , 6/23/2005 . RECEIPT #: 8irji Wit, .Ii!ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000000897 DescrlptIou + 7% State Surcharge + 10% Administrative Fee Minimum/Adjustment Electrical Paid By KlDD ELECTRIC Received By djb I of I Date: 06/23/2005 Item Total: Lbeck Number AuUlorizatiOD Batch Number Number How Received 3243 In Person Payment Total: 1:18:31PM Amount Due L33 1..90 19.00 $22.23 Amount Paid $22..23 $22.23 \ L-Uk ~/2-'$/05 ;J r.--- r/(dnj " 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job NumberCQ.ni12ooc,-mC,'2,,_ Date (0 /<;, 105 1. rE~(MpIOM@R:,livS!~'Ti~'~a:i@N"'" ;l~j~3 1i111:14 1-00/1. , LEGAL DESCRIPTION , !f1(H1V.~",.J Urh-<!-- Jnsf.t,./I JOB DESCRIPTION fI'-:::r-~7~p, 'su";u.- : ') ~ ~~:..~~' I "r ~\ :.; ;~' 3.. Iq6~~-~:i'''1;~S~!iE1?&EF;/~~O:~ Service Included 1000 sq. fl or less $106..00 Each additional 500 sq. ft. or portion thereof $ 19..00 Each Manufact'd Home or Modular Dwelling Service or Feeder... ..,,. . h'tlf ,LL'" ,~,,,,,,,~ "',_"" JJO, "~'" "I". "_,"'~,,, l~f'll '!II ~ 'I. ,II. I( ',1111 ~1~11'11J.1 "jl.ljlo'......'"'' ~~I. IIW 2. 1€?~::j'~~.;~.,~~I~:~~~.~O~/O~~Y1_1 B. 1~..~r.:t~~~i~e~,~~~uInstallatioD, ~Iteradons~j~.e~~c~~~o.~.:. . // d.'.J C I /, A\1;Pili!}ji;:r:~ED UNDER THI~ PERMIT IS NOJ I. Electnca1 Contractor L'-I 0 L:::::-:t~d47'/l!.b~OO'~sorr.I~~s\1-r '<;lJCJ.I.~'i lllf/.f.,1f-L$63.00, ,iK rv3 . """H.,LTWCU crrn:rtl H WHI"~H Ill" 201t!\mpst040,OIAmriN1A;5 HI:"> t'~R[\11 $'75..00)T . r'"/ ,.. -/1 ,,''>-1 "00'1'''''1" ,'t:ttltl '. Address ~~ r,,"" 7 ,<;" crO~"'-1//}qu..J l)z.. 401 M)PM,qi?,ql1;~~p$R IS ABANflnNFf) $lJ~,OO , , 601 ^:lIJp.s 10JLO<!.~'A.II)p~RIOD. $163..00 City /h"'-~.Na Phone,?q/--9o/'..e-~OverlOOOAmpsIVolts $375..00 Reconnect Only $ 50.00 Permits are non-transferabie and expire If work Is not started within 180 days ofissuance or if work is Suspended for 180 days.. Supervisor License Number ~756S Expiration Date /0 / /.J 7 I Constr. Contr. Number /LJ"L/ c9 0 ? Expiration Date /'l'" 7 Signature of Supervising Electrician ~//~ Owners Name , M /' ~ C-l ('{:.t-- Address 4.::; I n~tUL. City ~n,.fiGcJ_ Phone 7% ~ )1"/1 OWNER INSTALLATION , The installation is being' made on ..v....J I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 $50.00 c. "T:ernp~i:~r-YJSer.Yicl~'m:lfte~d.ei:s / $50.00 W $ 69..00 on law ,,,,-\u;,,:,,:, ~b~t~O D:i ' .""-" _ ~f"-Ij:~..Hn~ti!~ ~;~ew,'Alferniiiin..r.CExl'nG~W-P1l',;~M1: fljliWJ b irOiiClO!ffiiiVOO ~((itltaiOuylpB~:CJ~tto y CEach ~'4!Ii1;iI!!lllteitCiiiltor..wilh'Jste1t1 H i1JY18 <'1 Serviffip,rlEt'1'if!!HPl11;1!liOtegnr1I\M~~.lllllli$33JOOn / ~ ~--t~:;i~JP.:U_~~tj!1~ 'II'"-'.'il"'~n!~~~ -, ~,!il '. ,.P-I- lll'll.I~"'II~ E. rr;~!~~ell~e'ffe~~~r>tDotli~~~~~~~~)' .1!Eac~'I~s~tal!~!~~~lI Pump or irtigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergyIResidentia1 $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges TOTAL 4. SlJBTf)TcA'lJ eE~eYE 7% State Surcharge 10% Administrative Fee Shan:d . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 2453 MAlA LP ASSESSOR'S PARCEL NO.: 1703251408300 . i CIry OF ~t'K1r\ltJl'IELD Building/Combination Permit I PERMIT NO: cOM2005-00637 ISSUED: ~ 06/07/2005 APPLIED: i OS/27/2005 EXPIRES: 12/08/2005 VALUE: $ 82,900.00 Springfield TYPE OF WORK: Manuf Home w Garage/Carport Private Lot TYPE OF USE: New Residential I PROJECT DESCRIPTION: Manufactured home and garage Owner: MIKE CLIFT Address: 451 OAKDALE A V SPRINGFIELD OR 97477 Phone Number: 541-746-1999 I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor R NEUHARTH CONSTRUCTION INC KIDD ELECTRIC INC License 66019 154009. I Expiration Date I 06/19/2006 0112712007 Phone 541-747-3846 541-942-1352 I BUILDING INFORMATION I # of Units: 1 # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: U Type of Heat: orced Air Electric Primary Construction Type VN Water Type: Electric Secondary Construction Type: Range Type: Electric # of Bedrooms: ATTENTION: Oregon law re~~ll\~ . follow rules adopted by the ~_~.~!~IRg: nla Notification \"em"'. ~'I: riJ;\jh'J,:,iii,;"";;\'.>\J>lJ,.-DRMATION I in OAR 952-001-001 ~"' "1.'~' 0090. You may obtain copies of t~e fU es y Frontyard Setback: calling the centef, (Note: .t..~~tt5l~ Side 1 Setback: number for thM!lregon UtlhVf~allIi~{IRqd: Side 2 Setback: Cente?jgOj -BOO-332-W4&).Drive Rqd: Rearyard Setback: 10,00 % of Lot Coverage: Solar Setbacks: 0,00 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Speciallnstruction: Fully Improved Yes Notes: Storm drainage piped to curb face 6/112005 CAS Pa!!e 1 of4 1 Lot!Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Oc~upant Load: 576 1,372 REQUIRED PARKING o Yes 35.40 Total: Handicapped: Compact: 2 ! Sidewalk Type: Downspoutsffirains: Curbside 5' Curb and Gutter NOTICE: . THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERI~D.. .1 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction Foundation Onlv Gara!!e Manuf Home . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00637 ISSUED: 06/07/2005 APPLIED: '05/2712005 EXPIRES: 12/08/2005 VALUE: $ 82,900.00 I Valuation Descriotinn I $ Per Sq Ft or multiplier $1.00 $25.00 $1.00 Use Bid Amount Gara!!e Mauufactured Home Fee Description Plan Review Residential -Mechanical Issuance Fee-- + 100/0 Administrative Fee + 7% State Surcharge Addressing Assignment GaragelCarport Heat Pump Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Placement Minimum/Adjustment Mechanical Plan Review Major - Planning Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - 1st SO Feet Water Line - 1st 50 Feet Willamalane Manuf Home Private + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Temp Power 200 amps or less Total Amount Paid Square Footage or Bid Amount 2,500.00 576.00 66,000.00 Total Value of Project FpP~ tIiILI Amount Paid $105.30 $10.00 $54~ 70 $38..29 $31.00 $162..00 $12.00 $30.00 $45.00 $160.00 $33.00 $103.00 $45.00 $365.60 $480.80 $10.00 $865.31 $82.03 $117.60 $64.30 $772..49 $175.13 $886..60 $45..00 $45.00 $1,000..00 $13.10 $9.17 $18.00 $63.00 $50..00 $5,892,42 Date Paid 5/27105 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6nt05 6/7/05 6/7/05 6nt05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/7/05 6/8/05 6/8/05 6/8/05 6/8/05 6/8/05 Paee 2 of 4 Value , Date Calculated $2,500.00 $14,400.00 $66,000.00 $82,900.00 05/2712005 05/2712005 05/2712005 Receipt Number , 1200500000000000676 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 ~200500000000000725 ~200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 2200500000000000725 ~200500000000000725 3200500000000000294 3200500000000000294 3200500000000000294 3200500000000000294 3200500000000000294 . . CI'ifY OF ~rKlf'<ltJ1<1t<.,L1J I , Building/Combination Permit I Status Issued PERMIT NO: cOM2005-00637 'ISSUED: . 06/07/2005 APPLIED: OS/27/2005 EXPIRES: 12/08/2005 VALUE: I $ 82,900.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Plan Reviews I Initial Review 05/2712005 05/2712005 APP LLH I Planninl! Review 05/2712005 06/06/2005 APP TAJ Need~ survey because of minimum setbacks. Pnblic Works Review 05/2712005 06/0112005 APP CAS Storm drainage piped to curb face 6/112005 CAS Strnctural Review 05/2712005 06/03/2005 APP TCM I 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 Erosion/Grading Inspection: Prior to ground disturbance and after erosion 'measures are installed. , Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Framing Inspection: Prior to cover and after all rough in inspections have been approved. , Final Building: After all required inspections have been requested and approved and tile building is complete. I Storm Sewer Line: Prior to filling trench. 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. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Manuf Home Plumbing: After home has been connected to water and sewer. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. Temporary Electric: Approval required prior to Utility Company energizing pole. Pal!e30f4 , ' . . Crry OF ~t'K1I\jtJl'lt<.,L1J Building/Combination Permit PERMIT NO: cOM2005-00637 ISSUED: ' 06/07/2005 APPLIED: OS/27/2005 EXPIRES: 12/08/2005 VALUE: $ 82,900.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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. 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, 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 , , Pa!!e 4 of 4 225 Fifth Street ~pringfield, Oregon 97477 5,41-726-3759 Phone . ~., J;J.ty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 3200500000000000294 Date: 06/08/2005 8:53:37AM Job/Journal Number COM2005-00637 COM2005-00637 COM2005-00637 COM2005-00637 COM2005-00637 Description Temp Power 200 amps or less Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard JOSHUA DEHAVEN Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 001357 In Person Payment Total: Amount Due 50..00 63.00 18..00 9..17 13..10 $153.27 Amount Paid $153.27 $153.27 :. " " ,- ;. " :~ ,- " , ~i 6/8/2005 Page lof1