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Home My WebLink AboutPermit Electrical 2004-1-13 at" ct as submitted has the tollowing not require specific land use 225 FIFfH STREET' SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX:"t!ll!'tY126-3689L n(2... ELECTRICAL J:ERMIT APPLICATION Zoning " CityJobNumber ~2aJJ-~//36 Date _///3~1- ' Date ,'- I~-O~J ~""('~"'I~,,,~-(";.';:".'l~~~~::.o<!.~,~:,~,~~r:,~,~~~~~~.;!.~~~';f<.";:~9t:$1~1r~~~.o/.'~~;;~'F:JS.o. 3. 'ii;COMPLJ:.'lr.'EE&SCHEI)YLE:BELOw.::)':"M1"c~.i3i",,"!"~r ;;\f.i..~~~~~;ii,~.':'Z~J.;o'1lic;;.,...'i;':-.~"d",...,"",-,...,."t'J.lt;.!;o'ii:'~~;t:;.~~ill.~....::~~-" ~<..lJ<~ NOTlCE:R . ,AIt,:ttioD ~Inurli THIS ~~ WI"St1iU..'l: l:^Y1~'t-1T" 1 TK'WORK AUTKtlM~E6'eNeER THIS PERMIT I~ NOl. $ 50.00 COMf~f~ 161\~NDONED E(lR $ 69.00 . . ANY ~~ tpB<lIOtP.'Ps $ 1 00..00 ExpiratIon Date 10/01/04 Over 600 Amps or 1000 Volts see "B" above.. ~ ~i!\m:"!!i!!;iW"":~"- ~~~,_-" "''''~'lit''t'L''''~&.''~~ Sign~e ofSu JrviSing Electrician .. D. :liBr.aI).CIi,Q11rcu!.~ . ~i~~rj.~~~w~~;~,~ '- ))~/j () . New Alteration or Extension Per Panel ) j '- _ '-""'t _ T "-V O}aanan One Circuit $ 43..00 , Each Additional Circuit or with /' .I- d ~ //~~.. Service or Feeder Permit I $ 3.00 "J OwnersName ~/~A; ~ .".' , ~':.,!f:::: ~~q~~f"~~~ ~r.', ,_ OAR_wMeOOgJ1!if1'grough OAti ~~,,-w $ 50..00 OWNER INSTALLATION .' ~090. ~cRt\hi.\;sillanJ~s of the fUlfill l$ 25..00 .. "';""~"~~r INnte:mt;t e tel"!,,,,,,,,, The installation is being made on property I own which call1m\jitelFene Co'liill1~", ty No""ra'!en $ 45.00 l!nh r tQr thfl regon ut 1 \...- .. is not intended for sale, lease or rent. Nlliliilti1'Mr!".!~'i!t~~l'lJWkf~~t!l9IIl!~~ is $45.00 + Surcharges ,~,~,~.W~~',.~~i@~I~""if'''.~~\:::I;:.t:.:'''~,'~''''';<:'';';:;If~~''~'''.''''lf"'.!i',';W.as~,; Owners Signature: 4.' '-1SUBT,OTALliOF.i2U30VE"'1>'" '*=,\,-",~'~,\'N"'" ~':o.'o;f'~~~t,,~~~~~.f };~it~;?."'r~~i~~ 1F~l'f..r.t~l:1a_<;~""3'r.., ~:~s;.":-~)~:r.>>:o:u:~~...;':I:'ll'..".i':CI1...,... cf""'i"'~,~~,-' , 1. I!'LOCATIONLOF!IjVSTAEIfA/1TO~~\"i,;",;:qy;;iff,. ~~"'~~"';:~~fi'~~:~....~l.l;'~I:l<6:~~~~ 2..4W :PIA7A I/l LEGAL DESCRlPTION 4- _/70.32,'; Of7~ JOB DESCRlPTION' ADJ ,.4~ 9' ClA.C<<~T PermitS are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days..' \7e~~6li~iNs,''$fil'tmt.1j-oN;oNEm 2. ~~:;?"'~O~"~""1'W5;"-,,,,,':("..;'A!b":'.i3.~~ Electrical Contractor 9rris tenson ElectriC: Address 1298 Bethel [)>-;"" City Eugene Phone 541-688-6121 Supervisor License Number 3759 S Expiration Date 10/01/04 Constr. Contr, Number 26-34C Inspection Request: 726-3769 ~~ Service Included 1000 sq. ft. orless Each additional 500 sq.. ft. or . portion thereof . Each Manufact'd Home or Modular Dwelling Service or Feeder ~\.f...".. ":. _""~T-,_-:-""~"~_",:~~i;-"'~~~~~M;"W,,F~~~"'_- . -~ A "'N.l>.h"R,-,..,,~.:,g:"""'I"':S-'~""gJ~vr''''''I''IO'''F'-=~'~7'="~'d 'Illii" -. .. 1.00:. em' eSIw:Dlla ~-::-. ma e!OTJ1l' u ti- ,auwy, per,.'. we fTi ~::!di.iR~~~~....... ,...,.--....._~~-.I\.-.;.:;e"""~~...., ~.;l;_...~~~.:i~.~..k $106.00 $ 19..00 $50..00 ~.-'4.i,;A":f.!;.~~:;ci.':n:...t~~~;t"-l..,:~~".:~~.:'~",,"=1.~.)&.~1i.t;';i.,~I~~~i' B. "'Seti;c'e"'o'i'lF,eeders..,i~Stallatiol!,~Altefationsllf'ReIOc", tio, ~~~, .,' ~~","...e'W-~-...tri1.:..':l-.""'~~l:;;:~~..."Zi'!.!.~~:;J; ";;;:.,'"M!.~~.l~'c~" . 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 ArnpsIV olts Reconnect Only / $ 63.00 ~J.60 $ 75.00 $125..00, $163.00 $375.00 $ 50..00 c. g.T-rri1J.p.~'f~S~~~~Th!;E~d~~~~~~..'~ t',,,..."" 'JIC'~:':~-- ,,-' ~~~. ..:&.;~;..:'~~~ ~;-.1' ~~~ 7% State Surcharge 10% Administrative Fee ~:; Y-.. ,",0 7"1.2.2.. TOTAL . . Shared Drive(T:)IBuilding FonnslElectricnl Permit Application l-03.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2003-01136 ISSUED: 12/04/2003 APPLIED: ' 11/12/2003 EXPIRES: 07/14/2004 VALUE: $ 67,324.80 SITE ADDRESS: 2480 MAlA LP ASSESSOR'S PARCEL NO.: 1703251404500 Springfield TYPE OF WORK: Manuf Home w Garage/Carport Private TYPE OF USE: lIIe'" Residential PROJECT DESCRIPTION: MH wlgarage Owner: GARY PIERCE Address: 87776 OAK ISLAND DR VENETA OR 97487 Phone Number: 541-935-6846 Contractor Type Electrical ManufHome Inst I CONTRACTOR INFORMATION' Contractor CHRISTENSON ELECTRIC INC RAY SHARP CONSTRUCTION INC Phone 541-688-6121 541-345-2279 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setb~cks: 1 R-3 ,U-l VN 15.00 5.00 23.00 10.00 5.00 License 458 60926 Expiration Date 05/01/2007 0711212005 BUILDING INFORMATION I 2 # of Stories: 1 Height of Structure Type of Heat: Forced Air Elect Water Type: Electric Range Type: Electric Energy Path: 5,240 1,404 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Impervious Surface Area: , DEVELOPMENTlNFORMATION , N01\CE: l EXp~~~~~RJPNG Overlay Dist: 1HIS PERM\1 SH,t"~R 1Hli{'1t~MI1IS N01 2 # Street Trees Rqd: AU1HORIZEO UNl) "eroY~R Paved Drive Rqd: COMMENCEOf1R IS /l.6~omp~ct: ~_p"esliR\OO, % of Lot Coverage: /l.N'< 180 Or:rJ.'Z I PUBLIC IMPROVEMENTS I Sidewal\'i~))!,e~qUlreS you to ATTENTION:uregu ~,Qrftgon Utility follOW rules a&lln~~~e rul~s'are set 19rt 'Iotification Ge~:lO through OAR 952-00 ,OAR 952-001, I .. I' p' ',es of the rums l , 'obtain co 0090.. YOl:!: may Note' the telephone calling the centef. (on Utility Notification number ;~~~~~;~~~nn_332-2344). Street Improvements: Storm Sewer A vaUable: Special Instruction: Private Infrastructure. . Notes: Pal!e 1 of3 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 Garaee Manuf Home . . CITY OF SPRI1~uJ:'1J!,LJJ Building/Combination Permit PERMIT NO: COM2003-01136 ISSUED: 12/04/2003 APPLIED: 11/12/2003 EXPIRES: 07/14/2004 VALUE: $ 67,324.80 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 $23.80 $1.00 Use Bid Amount Garaee Manufactured Home Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Addressing Assignment Annexed 1979 or Before Building Permit Manuf Home State lss.uance Manufactured Home Connection Manufactured Home Feeder Manufactured Home Placement Manufactured Home Service Plan Review - Planning Sanitary Sewer - Ist 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - Ist 50 Feet Water Line - Ist 50 Feet WilIamalane Manuf Home Private + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend eirc Ea Add Perm ServlFdr 200 amps or less Total Amount Paid Square Footage or Bid Amount 2,800.00 336.00 56,528.00 Value Date Calculated. 11112/2003 11112/2003 11113/2003 $2,800.00 $7,996.80 $56,528.00 $67,324.80 Total Value of Project Fpp<. PlilIJ Amount Paid $74.88 $55.82 $39.D7 $3.00 $8.00 $-154.78 $115.20 $30.00 $45.00 $50.00 $160.00 $50.00 $59.00 $45.00 $344.20 $452.80 $10.00 $214.23 $314.63 $99.21 $51.15 $727.42 $164.89 $933.80 $45.00 $45.00 $1,000.00 $6.60 $4.62 $3.00 $63.00 $5,059.74 Date Paid Receipt Number 11/12/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 12/4/03 1115/04 1115/04 1115/04 1115/04 1200200000000002453 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200200000000002550 1200400000000000061 1200400000000000061 1200400000000000061 1200400000000000061 Paee 2 013 . . CITY OF ~rKll~GFIELD Building/Combination Permit PERMIT NO: COM2003-01136 ISSUED: 12/04/2003 APPLIED: 11112/2003 EXPIRES: 07/14/2004 VALUE: $ 67,324.80 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plan nine Review Public Works Review Structural Review 11/12/2003 11/14/2003 11/14/2003 11/14/2003 I Plan Reviews I 11/14/2003 APP 11/26/2003 APP 11/17/2003 APP 11/19/2003 APP LLH TAJ VRJ TCM Private Infrastructure. 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. Reou~ 1 Ufer Electrical Ground: Instail ground rod at footing and cali for inspection in conjunction Witb footing and/or foundation inspection. 2 Footing: After trenches are excavated. 3 Foundation: After forms are erected but prior to concrete placement. 4 Shear Wail Nailing: Before covering sheathing with finish materials. 5 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 6 Manuf Home Set Up: When instailation of all piers or stands is complete. 7 Final Manuf Home Set Up: After ail required inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. 8 Final Building: After all required inspections have been requested and approved and the building Is complete. 9 Undernoor Drain: Prior to cover or placement of concrete. . 10 Water Line: Prior to filling trench and including required testing. 11 Sanitary Sewer Line: Prior to f1Iling trench and including required testing, 12 Storm Sewer Line: Prior to filling trench. 13 Final Plumbing: When ail plumbing work is complete. 14 ManufHome Plumbing: After home has been connected to water and sewer. 15 Rough Electric: Prior to Cover. 16 Final Electric: When ail electrical work is complete. 17 Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefuily examined the completed application and do hereby certify that ail information hereon Is true and correct, and I further certify that any and ail 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 ail 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 ail times during construction. Owner or Contractors Signature Date Paee 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .JI 'J;~;;" Wi.'"......'...-..i .;...,.....". ,'~ . . . .' . ~"''''.'' ..... -n ......,.. ',_/ City of Springfield Official Receipt Development Services Department Public Works Department Date: 01115/2004 1:05:02PM Amount Paid Receipt #: 1200400000000000061 COM2003-01135 COM2003-0l135 eOM2003-01135 COM2003-0 1135 COM2003-01136 eOM2003-01136 eOM2003-01136 COM2003-01136 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Perm ServlFdr 200 amps or less Add, Alter, Extend eirc Ea Add + 7% State Surcharge + 10% Administrative Fee Job/Journal Number Item Total: 63.00 3.00 4.62 6.60 63.00 3.00 4.62 6.60 $154.44 . Payments: Type of Payment Check Paid By RAY SHARP eONSTR lNe Received By djb Check Number Batch Number Authorization Number How Received In Person Payment Total: Amount Paid $154.44 $154.44 .