HomeMy WebLinkAboutPermit Electrical 2005-7-6
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2~5 FIRH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726- ^ \~ J.'I\i\.,. ~Q~
ELECTRICAL PERMIT APPLICATION . \ V'. ;,r...,~F-' I..... '\.J
City Job Number c.Ot1oCZOO~-005b2, Date~! 2rrD? "..,,,._now\ng
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LEGAL DESCRIPTION
I~O> 023.2.
ooZ.OD
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
JOB DESCRIPTION
'oo ;114 5Gn..V(Lt!""
$ 19,00
. Permits are non-transferable and expire if work is
,. not started within 180 days of issuance or if work is
Suspended for 180 days.
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$50.00
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B. ~~lC!.~;~}~:e/)e^iJ~,t~~~1~a~~l~!'.~~~~;' A:lt~r.~~~oit~ ~,r;.R~ej~~~_tiirit", .
$ 63,00
$ 75,00
$12~,OO
$163,00
$375,00
$ 50,00
200 Amps or less
20 I Amps to 400 Amps
, 401 Amps to 600 Amps to
' .<\"OU
601 ~trel1ltl(/3}<n'l~lili\'l
.-,.....qION: or8~ilWQ.~Sf\et lonn
1" . ~ ruleS adoR.t~=e~s>.s are95Z.001-
10110 , center. I nu~ ".n \'In ,-,OP-\'. . n.. \l
..\otilica\lOn-O.....~o-t\}~~.:\1:\tl':N ,.I~"f"d"-'" ."
,.. Q q"2 lU. . e1Unor".,,_rVices 01:.. eo ers .' ,
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,\I ~'o '(oU ffla'1 0,,, (Note', t\'le 1",1 lineatiOn
OO~_;\\,\g t\'IB CEii\stlll~tb'W~te;-~\l}l. or Relocation
v~ bel 101 \\20~1';""U'na~Z344). $ 50,00
nuffl te.ll$'T-~ ,
cen .01 Amps to 400 Amps $ 69,O"?'\t \;~r.P.\<.
401 Amps to 600 Amps _,~IQO.OO ,~~\fi'
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o~er,~0~~~tJ~k\300.y;~~<:r,\'B"'ali~~~..e\T,r.D?- "
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Each Additional Ci)'Cuit or with
Service or Feeder Permit
Electrical Contraclor
Address
~e
/
Supervisor License'Number
/
Expiration Date
/
consjontr. Number
j'ration Date
Signature of Supervising Electrician
City
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"'.,' '.. "'. ,.." ';'.
$ 3,00
W '1"- a...u ::r
.f::>..;~e.
Owners Name lCLWe:v\r"-
Address ~S- \-I ~1nr
E. ~~1~fi~~~~s!~~m~J~~3;~.!l:o~, ~1~1ti.i1ed)tE.~h~~~:s,t~lflltiOI!J '
City S~ \.).,
Phone 74b - 730>
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25,00
Limited Energy/Commercial $ 45,00
Minimum Electric Permit Inspection Fee is 545.00 + Surcharges
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or ren!.
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4. r'SUBTOTAEOF'ABOVEf...~..;.:,"',<~..,J
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Owners Signature:
yo
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S,-Vo ,
<-050
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j'"
7% State Surcharge
10% Administralive Fee
TOTAL
Inspection Request: 726-3769
Shared Drive(T:)lBuilding FonnslElectricul Pennit Application 1-03.doc
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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. CITY OF SPR.11'\it.t<U,LD
BuildingiCombination Permit
PERMIT NO: COM2005-00562
ISSUED: 07/06/2005
APPLIED: 05/12/2005
EXPIRES: 01106/2006
VALUE: $ 2,500,00
SITE ADDRESS: 1461 HARBOR DR
ASSESSOR'S PARCEL NO.: 1803023200200
Springfield TYPE OF Manufactured Home on
Private Lot
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Manufactured home replacement.
Owner: WYNANT LAWRENCE C
Address: 2005 HARBOR DR
SPRINGFIELD OR 97477
, # of Units: 1 # of Stories:
Primary Occupancy Group: Height of
, Secondary Occupancy Type of Heat:
Primary Constroctio? 'ThmiENTION~regon law ~~tfjfil to
Secondary ConstroctiO/bllow rules adopted by thE iility
# of Bedrooms: Notification Cenilir. Those Ill'\; aellorth
in OAR 952-001-0010 throu9 'em ~2-001. nla
uu"u', YOU may oOI:iDEVELOiMENY;fNF0RMATlON I
calling the center, , _,_,!.! !!~!,!'.._I.'!
number for the Oregon Utility Notification
Cen\~;O!! 1-800-33<9~J~!.'r. Dist:
21.60 # Street Trees
24.00 Paved Drive Rqd:
19.60 . % of Lot Coverage:
0.00
Contractor Type
General
Electrical
Front yard Setback:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
. Storm Sewer Available:
Special Instruction:
'CONTRACTOR INFORMATION I
Contractor
LYNN EVERETI ARMSTRONG
OWNER
License
145013
Expiration Date Phone
06/28/2006 541-746-8460
, BUILDING INFORMATIONI
1
Lot Size: 7,405
Sq Ft 1st Floor: 1,512
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Electric
Electric
Electric
Urban Fringe
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Yes
31.90
IPUBLIC IMPROVEMENTS'
Partiallv Improved
No
Sidewalk Type:
DownspoutslDrabts Drywell- Provide
Drywell Engineering
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes: Storm drainage to drywe1l5/16/2005 CAS
1 of 3
. CITY OF SPRINGFIELD
Building/Combination Permit.
PERMIT NO: COM2005-00562
ISSUED: 07106/2005
APPLIED: 05/12/2005
EXPIRES: 01/06/2006
VALUE: $ 2,500,00
.'
Description
Estimate
Type of Construction
Estimate
I Valuation Descriotion I
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 2,500.00
Total Value of Project
Fp.p.~ P.llid I
Value
Date Calculated
05/12/2005
$2,500.00
$2,500.00
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $34.32 5/12/05 2200500000000000572
+ 10% Administrative Fee $25.78 7/5/05 1200500000000000945
+ 7% State Surcharge $18.05 7/5/05 1200500000000000945
Building Permit' $52.80 7/5/05 1200500000000000945
Manur Home State Issuance $30.00 7/5/05 1200500000000000945
Manufactured Home Conn - Plmb $45.00 7/5/05 1200500000000000945
Manufactured Home Placement $160.00 7/5/05 1200500000000000945
Plan Review Major - Planning $103.00 7/5/05 1200500000000000945
SDC Sanitary/Storm Admin $3.78 7/5/05 1200500000000000945
Storm Drainage Impervious Area $75.64 7/5/05 1200500000000000945
+ 10% Administrative, Fee $5.00 7/6/05 1200500000000000954
+ 7% State Surcharge $3.50 7/6/05 1200500000000000954
Manufactured Home Feeder $50.00 7/6/05 1200500000000000954
Total Amount $606.87
I Plan Reviews I
Initial Review "
Plannln!! Review
05/16/2005
05/16/2005
APP SKG
WE TAJ
05/16/2005
05/1912005
Plannln!! Review
06/29/2005
,06/29/2005
WE TAJ
Plannln!! Review
07/01/2005
07/01/2005
APP TAJ
Public Works Review
05/16/2005
05/16/2005
APP CAS
2 of 3
Located In Floodway, needs to apply
for a Floodplain Overlay approval.
Contacted owner and told him on
5/19/05.
Floodplain Overlay SHR2005-00005
approved with conditions on 6/28/05.
Awaiting engineered anchoring Info.
Must comply with condtions of
approval for Floodplain permit ,
SHR2005-00005: I, Submit LDAP
(done). 2. FEMA Elevation
Certificate prior to occupancy. 3.
FFE a minimum of 18" above BFE.
4. Keep all records for Inspection.
5. 'Engineered anchoring system
(approved by Tom Marx 7/1/05).
Storm drainage to drywell
5/16/2005 CAS
.
.
CITY OF SPRINGFIELD'
Status: Issued
225 F1fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
BuildingfCombination Permit
PERMIT NO: COM2005-00562
ISSUED: 07/06/2005
APPLIED: 05/12/2005,
EXPIRES: 01106/2006
VALUE: $ 2,500,00
Structural Review
05/16/2005
06/0112005
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,
I Reouired I nsnections I
Footing: After trenches are excavated.
Hold Downs Installed: Speclallnspection performed prior to placement of concrete. Provide report to City
Building Inspector. '
Manuf Home Set Up: When Instailation of ail 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 i~stalled.'
Manuf Home Plumbing: After home has been connected to water and sewer.
Final Plumbing: When all plumbing work is complete.
MH Service: Approval required prior to utility company energizing service,
By signature, I slllte 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 wID be made of any structure without permission ofthe 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 wID remain on the site
at all times during construction.
Owner or Contractors Signature
Date
3 of 3
2,25 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
J
Job/Journal Number
, COM2005-00562
COM2005-00562
COM2005-00562
Payments:
~ Type of Payment
, C'reditCard
.
~ .
:,
.j
,
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I
7/612005
.
RECEIPT #:
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Manufactured Home Feeder
Paid By
LYNN ARMSTRONG
J:~~~
~....
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000000954
Re<:eived By
djb
I of I
Date: 07/06/2005
Item Tetal:
L:heck. Number AutllOrization
Batch Number Number How Received
026609 In Person
Payment Total:
1:13:22PM
Amount Due
3.50
5.00
50,00
$58.50
Amount Paid
$58,50
$58.50