The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2005-11-22 .'. " .- '~':4'_.~_m)~~1 ,~'!...~..." ,,,,"'''' , ,'.,' .'Ji'o,f'"k,l".3O'N:..'.....,. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH;(541)726.3753 . FAX: (541)72~. ELECTRICAL PERMIT APPLICATION City Job Number r ~ ;) 005 - I) } () q ::? Ea<;l\~'>fill't'd Home or Mof!\Ml ij,;,tiling Service or ? . Jt)n q;l. Feelll:tlS PERMIT SHALL EXPI11L 1~111E Wtl~R . 2 :"coNfIrAcrORINsiAiJATioN'CJ'NLy,1 B. ~"s~W1~~~J~JJJ~~~~illi~ill;fa~.~~1i~~9NfJ~g~'t'~;tf~ . ,.. "I,,,,_,,..,.,,.,,,",'="C""="'~' ".w'.<d"..:""'=~ '\,;,.l5BMMI;'NttlHJR,j~A~ANtJBNtt:J't\Jt\"<~""""''',,,'''''$J Electrical ContractoC-VP5 /.17 /~ &.ec"r- 200 'AiXpJ~qJ,M\Y PERIOD. $ 63.00 20 I Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 , . .. ,- ~ .,...,... '. ~ . .' -. ' ....,.... . 1. r Loc'A.:no'N 'OF iNSTALfAilbN';;;~;:<fj..~.~ :. '.;;;'- _...._,.~-. ._".-r_....L..:..~. ".,- '.' .'~-'-.--...:;':...: ., - - ,...-,~..-.~~,~;,y~"",.~ .':\,,~"" ;?6~b /U.#/# AM'// LEGAL DESCRIPTION VI Ob:J.5 I~ OS<{()Q JOB DESCRIPTION VV1 rt .-SebI1e€ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Address'.'?77?Y /21~"'-/.u/~ ~ CitrA"~4'/..i Pf?5 Jt5't5'CI Phone Supervisor License Number S 22,9.5 Expiration Date /"~.( / /? "">.,,. Constr. Contr. Number ,( 2 ;> --Y"7 Expiration Date 12./ 2//200.6 Signature of Supervising Electrician ~ h:-~L-J Owners Name ll\J\~. .' Address \A Q~ ~_~. I ~'uu. City ~~ Phone . CJ OWNER INSTALLATION The installation i's being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726.3769 ~ Dele ,Date>rlZ"c/'J.i.Jr~";lo ll'~ 3. ~:t'COifPL'~iiE'FEESCHEjjrJLE-BiLc),i:\;Sr~[t~1~]f~TI~~~ ~~;,., ,',~;':,,',,_T,...,~_ ,,,:., .. ..'_.~'.;._~.......", .o>J......";- . >::";...-:.- ....:_"r......:..:;.."t:-.:.Jdf:t.:21;.::;~.~,,'~~,1.;:~ . "f..,~' ~ '. :'_'.._"'?,--, !.~.., ;v:,;". :,:.'~.~;'-'i\~~:,~:;,.:,.~"~/~ '. '.,,;,. .,~lrf?'J-"',:..~ti;ti"'':'';:>' ~:':":'; ;';', .~.t.'''i'...'t.;-;;:;, A. ;,', N ew Residentiat~Singl~ 'or)\1ulti-F am il\:~'pei;,(h\.~eUing.'t riit;,\::J)'~~ ...:1'" "....j. , ,..... 'I.' _','_" '-";" ....., ,.: .::.V... -:;..,.. .. "......';-:~.', __~' ..;.}: '_':.1";')'''''''' ,.,..~,:.......':"'vV:-;-~,-&~,~,", ,,,"",,, 1,.',:, li ~"l{~~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or . portion thereof $106.00 $ 19.00 '1"..'1<,;:;.t-:-'::.";c:".....,....'.~.""'.<tJ.1l'.....:!':r..tIJ"'.".~:!'A;.::~t:~.I'~'y,~~I.,,~.l;;i1i.'t.'!o'f'~~t'O. ......~~ C "'T....'.......' "'5"" "'o.~., F "d""".",.'-'l' . ~ '~"",""" "'"f~ ~"'j';il::~ ' . g\..,~~~R.O!ert_",~rt-\~~~2Xllie~ er:s~ot.~.v"~~~~"'" .._.s:.,.~~ -,",_4 4:mL~ I II" A-I~lTInN' nrR-rI"~ '..... re . nsta atlOn, . teratlOn or e ocatlOn . qUIres you to . "'J rUle' adopted b tI . . 200 Amps or less C Y 1e Ore$150.00:ilitv . '~"ul1 enter Th . 20 I Amps.toAOO,Amps . Ose rUles <$"09100 forth ... .f, ~"""vul.0010 lh ~ 401 Al11P~~o ~lI-OAmp's bt' . .uugn uA$100!OO:)01- '. u, ""y 0 arn Cuules 01 the rule b Over 600~AITip~oilIOQOJl{plts see "B".above. S y 'i' "'. o. ,,""'''-; . . ..;'~....., "I' ~",,\j;~ii'dl.felielegftone'~""''''-'';'''~ D. ;.~r~nchQirc~its,,,!f:jii;; .?h\!i~,-.~1;i'~it\"lj1i';i;"'""'j' .,~.,"1;ff,iiii!"'1I:"!1~', ";",,,"..,. .,.,_.~....~.,r,~..r'.f~~...,..... f.;.~~r~t1UI1 ''Y.d'iUf):.tl rt':5at-lon~~,:"1iI:~~. - . Centpr 1c::::.1 S!!V1 "'~.... )3 New AlteratIOn or E,tenslon.Per'Panel. 44). One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Permit 7_ $ 3.00 (p,(f[) , ':. ~"'- '. ':;';;<~: -<:..:f: ~~...{ ~-.; >~~J':':';''':-:'6,. .~~-..-' .:":;'i"t;,\;'.~:-5f~':i:;-I~",:","~:':";:~o':7.-;,.""~;~ ~_~;:?' ~~.: ...":'j.:$'~4 E. :~_l\-[iscella'neous (~e6'ice/f.eeder,rlOt-incl~ded)~":'Each lristallao"tion'!, .':ilo":: ^,,"'_'h_ .~_~_.,.,.:..;. -:...O).,~ \~,~.,.~.:,-;.;.;-,;..\;,.~.:::<J.'-.'0*~..'t7J:r.':,:,~;~",;'~"'.:~,,\I:':'''~'-',-,'IIlJ';:,:~ Pump or irrigation Sign/Outline Lighting Limited EnergyfResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is 545000 + Surcharges 4. ~:~"~B.if;.1tfi,f.1\?:@0::1;i:~t~~;{l~;>;fi2~ 7% State Surcharge 10% Administrative Fee IOla.DO . t. 4-:2 IOJ/JO Qt/ .rYL. TOTAL Shared Drive(T:)/Building Forms/Electrical Pennit Application l-OJ.doc . Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-01093 ISSUED: 09/0112005 APPLIED: 08/12/2005 EXPIRES: 04/27/2006 VALUE: $ 66,300.00 SITE ADDRESS: 2646 MAlA LP Springfield TYPE OF Manuf Home w ASSESSOR'S PARCEL NO.: 1703251405800 Garage/Carport Private Lot . NOTICE: TYPE OF USE: New Residentiai PROJECT DESCRIPTION: Manufactured home and GaragfHIS PERMIT SHALL EXPIRE IF THE WORK ')JTllnn'7~n "-''''-- -1113 f[- - ..- .- .." -.......... ..JlofL,,~I' I .llWIII .\) '''VI COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. . Owner: Address: JULIAN WARREN 1498 LORRANE HWY EUGENE OR 97405 Contractor Type General Electrical Plumbing I CONTRACTOR INFORMATION I Contractor License HARDACKER & OLEARY DEVELOPMENT 79496 CHRIS MILLERS ELECTRIC INC 62377 HARDACKER & OLEARY 79496 I BUILDING INFORMATIONI Phone 541-895-4307 541-895-3660 541-895-4307 # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type ,- Secondary Construction # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Sethack: Solar Sethacks: 20.00 5.00 5.00 10.00 0.00 Expiration Date 02/1912007 1212112006 02/19/2007 1 # of Stories: Lot Size: Height of ATTENTION' n. Sq Ft Ist Floor: . Type of Heat: fotor,ced Air ElectrtcOn {Sq' F<!JndJ';}oor: Water TypeNotifiC~ti;~"~~f!~cd b}S.q'ftP.~~em,~~~:,,~o Range Typen OAR 952_~lectrlcTho~~'!~9\',wg~Caiiibrt Energy PatIf:J90 'rIo 01-0010 thrc.S!l~ltCiOther~et forth . - u may (1" . -0;' AH fJ"" :}O SpnnkIed callin h n/alm COI-<;>J~ul!'!nt EiJad: 1- Q t po f"On......._ ... u. lnp. r. II,........ I. I DEVELOPMENT li;jFORMA:TION.'~g\~~U~iil~~e tel,e?hone - , -~'''''' IS 1-800-33 Y NCREQUlRED PARKING 2-2344)_ Overlay Dist: Total: 2 # Street Trees 0 Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: 37.40 5,663 1,600 480 3 Street IPUBLIC IMPROVEMENTS I Fullv Improved No Sidewalk Type: Downspouts/Drams To Storm Sewer Storm Sewer Available: Special Instruction: . Notes: Storm drainage piped to system 8/15/2005 CAS I of 4 . . CITY OF SPRINGFIELD Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line Buil~nglCombination Permit: PERMIT NO: cOM2005-01093 ISSUED: 09/0112005 APPLIED: 08/12/2005 EXPIRES: 04/27/2006 VALUE: $ 66,300.00 I Valuation Descrintion I Description Type of Construction $perSq Ft Square Footage Value Date Calculated or muitiplier or Bid Amount Foundation Only Use Bid Amount $1.00 2,300.00 $2,300.00 08/1212005 Garaee Garal!e $25.00 480.00 $12,000.00 08/1212005 Manuf Home Manufactured Home $1.00 52,000.00 $52,000.00 08/1212005 Total Value of Project $66,300.00 .. ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $95.16 8/12105 2200500000000001081 + 10% Administrative Fee $51.44 911/05 1200500000000001285 + '0/0 State Surcharge $36.01 9/1/05 1200500000000001285 Garage/Carport $146.40 911105 1200500000000001285 Manuf Home State Issuance $30.00 911105 1200500000000001285 Manufactured Home Conn - Plmb $45.00 911105 1200500000000001285 Manufactured Home Placement $160.00 911/05 1200500000000001285 Pian Review Major - Planning $150.00 9/1/05 1200500000000001285 Sanitary Sewer - 1st 50 Feet $45.00 9/1/05 1200500000000001285 Sanitary Sewer - Improvement $419.54 9/1/05 1200500000000001285 Sanitary Sewer - Reimbursement $551.54 9/1/05 .1200500000000001285 SDC MWMC Administration $10.00 9/1/05 1200500000000001285 SDC MWMC Improvement $865.31 911/05 1200500000000001285 SDC MWMC Reimbursement $82.03 9/l/05 1200500000000001285 SDC SanltarylStorm Admin $129.15 9/1/05 1200500000000001285 SDC Transpo Admin $65.53 9/1/05 1200500000000001285 SDC Transpo Improvement $805.70 911/05 1200500000000001285 .; SDC Transpo Reimbursement $182.69 9/1/05 1200500000000001285 Storm Drainage Impervious Area $976.75 9/1/05 1200500000000001285 Storm Sewer - 1st 50 Feet $45.00 911/05 1200500000000001285 Storm Sewer Each AddU 100' $28.00 9/1/05 1200500000000001285 Water Line - 1st 50 Feet $45.00 911105 1200500000000001285 WllIamalane ManufHome Private $1,000.00 911105 1200500000000001285 + 10% Administrative Fee $10.60 11122105 1200500000000001747 + 7% State Surcharge $7.42 1lI22105 1200500000000001747 Add, Alter, Extend Circ Ea Add $6.00 11/22/05 1200500000000001747 Manufactured Home Service $100.00 11/22105 1200500000000001747 Total Amount $6,089.27 , I Plan Reviews I Initial Review 08/15/2005 08/15/2005 APP SKG 2 of 4 .' . . CITY OF SPRINGFIELD Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: cOM2005-01093 ISSUED: 09/0112005 APPLIED: 08/12/2005 EXPIRES: 04/27/2006 VALUE: $ 66,300.00 Plannlnl! Review 08/15/2005 08/18/2005 APP TAJ Needs survey because of minimum side setbacks. Storm drainage piped into system 8/1512005 CAS Standard plan review comments for M.H. plus garage. Public Works Review 08/15/2005 08/15/2005 APP CAS Structural Review 08/15/2005 0812412005 APP DLM " 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. ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Eiectrical 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. . Drywall: Prior to taping. 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 bnllding is complete. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including reqnired testing. Storm Sewer Line:' Prior to filling trench. Manuf Home Plumbing: After home has been connected to water and sewer. MH Service: Approvai required prior to ntlllty company energizing service. MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. 3 of 4 . . CITY OF SPRINGFIELD . Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: cOM2005-01093 ISSUED: 09/0112005 APPLIED: 08/12/2005 EXPIRES: 04/27/2006 VALUE: $ 66,300.00 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 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 contractors and empioyees 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 wID remain on the site . at all times during construction. Owner or Contractors Signature Date. 4 of 4 225 Fifth Street 'Springfield, Oregon 97477 541-726-3759 Phone . Job/Joomal Number COM2005-0 i 093 COM2005-0 1 093 COM2005-0 1 093 COM2005-01093 Payments: Type of Payment CreditCard '. :i :L l. 11/2212005 RECEIPT #: 7~~";~.~.t4. ":. Wit.~.: -' ,-"'_.- ..,' ; -.r of Springfield Official Receipt .helopment Services Department Public Works Department 1200500000000001747 Description Manufactured Home Service Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By CHRISTOPHER MILLER Received By ddk 1 of I Date: 11/22/2005 Item Total: Lheck Number Authorization Batch Number Namber How Received 796426 In Person Payment Total: 11:58:37AM Amooat Due 100.00 6.00 7.42 10.60 $124.02 Amount Paid $124.02 $124.02