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HomeMy WebLinkAboutPermit Electrical 2005-7-6 -................ o l.!)~ , 1I.t\N:I\{.\.~J 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 I. l'Li5CAfii5NOF/iNsiAi.JiAti()N,;;r.;,-.:~,;;,;t 3. I(COM.'.'P. -:="''''''''BelHE.fb'[?iEBEWW,.><"," ,'):;;:,'\'\;;"':':' "'I f<'."".,v":"r~""'---'~' ..r.~.",.,',',~ ~,..,..W!@~""",.r'.,,,,_",....._=, '" $0' " IL/br rtf'\~~a.. ~\2 A. ~fT~~~~i'f;r~ifg1;i~iM~i~~r;mut~~~~L~g~ili~._.:;~l 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. t?CONf.RACTOR&rNS."1:, -;4ff..5iooiVtOm, ",y}.l/ 2. f.. ,,,~,"'-.'-~'" "~'." ".:,'~ ..,' - ~"'. -. 'I,:: ..rv-...:....l'l.'~ -'v.--'.~ '---:"~"""'P,,"'! .1 / / , ' ~o $50.00 ~~~,::~"t;':",J;"I,..."'t.> t;~,~ n~_ ".'_,'h.~T"" r.\.~-.' .__ .A. .'., .......'J.., -,,1')'. _c.,, j 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 .' , ......,., .;J'" ~'H5.A.-,c. .,- "e?,",ul .....- '., ,\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' ~<:. ., I :t./o." '- .:oNlI\ IV o~er,~0~~~tJ~k\300.y;~~<:r,\'B"'ali~~~..e\T,r.D?- " D~1~;;:"~!~~~:':;~" -'I 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 . .' {.". ~ . ,f. , ~, .' -.' . ,j . . ,. ','.. '," ~.. . , "'.,' '.. "'. ,.." ';'. $ 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!. r...'bt-~,-::!,\ ~-, ...:::......:...: ;...... :').";'.-' -.I "'~-' ;."11. "'. ,'. J I"J 4. r'SUBTOTAEOF'ABOVEf...~..;.:,"',<~..,J ~ "'. '...',..,.-~;'>;..~tdi.'fZ~'v'(134r, '-ic'......c' .~1,~:"..;;';:' .;j"" ~..&." d':. .... . ." . ._ '.. _,""_.'V'IJ'~..... 5>-0 Owners Signature: yo -; S,-Vo , <-050 ..:>0- h,ni'~~, C ~ t' - ,~?- 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 -,--- - -,..-....... '~""U U;:J1;lI , " . . 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 , \ ' . " 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