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Home My WebLink AboutPermit Electrical 2005-9-13 r':?'::':;'~.:' . '.:dTY OF'C'tlNGFllitD'''ORE~0N;';;~>*\ :>;:. )~~""";.f.1 . \:.,.'...: ;..:' .-r-.~ : ..'.-t... ...." .-; "1~ ~:...,," \. .A':..'~'\" 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: ( '~~/;-3689 ELECTRICAL PERMIT APPLICATION .Q~'<; 0 o~ CityJobNumber CCWlZeC'- DOS-f S- Date ,\",e~ .""/ .9, d~/,rfJl~~g~~@":('ii . ' ~~::r::~!t:~~,:~~_~1 LEGAL DESCRIPTION /6(f{IIZ Z 0-0&,00 A. ~~~,j~iltilii;:"s.;!igte10?Mji!ti:!~!Ji!lyfp.~t~~v~ill~g'uilit, 1 ~:~~C;;~N rV6W ifJ b ~~~i::.I~C~:~::s $106.00 , .A..... I I I 0 Each additional 500 sq. ft, or T'O-t!. c..t rc....A.-::-r t'ZoIL r'AJ c' portion thereof $ 19,00 . Permits are non-transferable and expire if work is Each Manufact'd Home or ~ not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder lTccJiiiIDiCfciif;tN'ST A i:'f.'4:tioN'ON.,-LY,'l B. r-.'.s,'..~.;;,'.',ri~.~~. o~,',Fe,e.,'~er"s:~,. .<,Jh:.~t._a, n..ai;';'.n, :A, I,t",erii,' li6iis. ~r.".R.e,}o,,',~ii'li~.n: I 2. 1.,,,..,...+,1,;.....- ,"-,:' .~. .....,,...,,..."'. ,..:....." .~,. ;...:...... -'.. ~ ,P." ..-- . . . -.' " Electrical Contractor Hard I ~ r, EJ tuJy-,'c, :r rJc., 200 Amps or less .., .' J ATTEPintR~ffi~~WRt requires \,n.. tn Address .')0;;' 9 W In-rerUteK. follo..4%~P.fu\9~R~le Oregon IJtililv Notific@.bAmp.s1bJlOOlllAillpsules are set forth Phone JJf -06(}~in OAro.ver2lO(l(j~p~(jJlliJgh OAR 952-001- 0090. Itecocneqt &I)\in copies of the rules by Callif)g" ',th~.~e,nte~",..rNote,: the ,tele, P, h,o~e nI.Cltlr;!ft:~:~;~~~~~~~~f5)al1cni:, " ""..!~,,~!,[:' ~;:: ,,:~ij Installation, Alteration or Relocation .200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "8" above. D. t);lr~9cli"G.it~~JitS :~> . -;# '. . ~" . ..,:~" $50.00 City A.u. c,f/1 e '0 $ 63.00 $ 75,00 $125.00 $163.00 $375.00 $ 50.00 Supervisor License Number .. s5~7S Expiration Date /e:?-I-A 7' Constr. Contr, Number 1.2,10{ 9- Expiration Date OJ - D) - .2 00 le $ 50,00 $ 69,00 $100.00 Owners Name "?::>f't1.I, C:::L J5: bV ~ ,. Address I? Ie \f "-M,~ City b\..&{..-7'i e Phone ?f!.. - 70 '3 C{ New Alteration or Extension Per Panel / One Circuit V Each Additional Circuit or with Service or Feeder Permit $ 43,00 $ 3.00 ",' ,[ , ' If) Signature of Supervising Electrician ~~ #A-/.._~ E. ~~Mis1~1),a~J~~s. iSeh.j~iif~:~~ic)iotiJJ~i~~ed );E~di't~si~lIa ti~n I Inspection Request: 726-3769 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45,00 \~jn,i,:,-?i!'. Ele:tricJ:nm~~J'1~p~~tio~C~~omurcbargeS 14'1f,' S~T.9}JiI::~~:Ji!i;~;l, ~U,'R':,},~' ""j l( r-- ~r.<j, \.'\,'_"'!-' " , U: f,., ~~. " ..J P.U "-:~ 'rE\ 01'- U r.!>- CO\,7.%\State'SurchargeD ~ ,.or'\1f\~n.I"J' u:>c> p.\'-l\10% 'Administrative Fee 7 ~ f,l- sz- TOTAL OWNER INSTALLATION The installation is being made on property I own wbicb is not intended for sale, lease or rent. Owners Signature: Shared Drive(T:)IBuilding FonnslElcctrical Pennit Application l-Q3.doc . CITY OF SPRINGFIELD ' Building/Combination Permit PERMIT NO: COM2004-00515 ISSUED: 11/1012004 APPLIED: 05/04/2004 EXPIRES: 0112512006 VALUE: $ 43,830,00 . , Status: use initials 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax ,541-726-3769 Inspection Line . SITE ADDRESS: 2061 INLAND WAY ASSESSOR'S PARCEL NO.: 1803112200800 Springfield TYPE OF Manufactured Home on Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: M.H. & Garage on Lot - Owner: BENDT DANIEL R & ELLEN N . Address: 1310VICfORIAN WAY EUGENE OR 97401 ICONTRACTOR INFORMATION I ATTENTION: Oregon law requires you to f€cmtnU!tOJi'dopted by the Oregon Utility License NoIfjmJ)JNGfB~mw..;EJll'.!Ies are set torlh 132089 in ()MHEROO8()mtQli'~.RHP9m!"l,(9.NIi. 100726 uu~u'. YOU may oOtai. , <ntflL'DrNtNNFeRMA TlON' calling the center, (o,J,,,,. ",J lM~fJ,:\JJ~ # of Units: number for thfJ. Oregon UWli'r ~iiiiies:J.l~ , Primary Occupancy Group: Centjttjs 1-800-33hflglltlpr . Secondary Occupancy U-I Type of Heat: Primary Construction Type VN Water Type: Secondary Construction Range Type: # of Bedrooms: Energy Patb: ,- Sprinkled Contractor Type Electrical Manuf Home Inst !Ul!, vl!,LoOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 26.00 10,00 Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: 12.00 4.00 IPUBLIC IMPROVEMENTS I Street Fullv Improved Storm Sewer Available: Yes Special Instruction: N01\CE: IRE II' THE WORK 1HI5 PERMIi 5\1f\~~ V'~\5 PERMIT IS N01 Notes: f\UTHORIZED UNO~~ M:lf\NDONED rOR ~~~~i~~~~ ~~RIOO. I of 4 Phone Number: 541-912-7034 Expiration Date 0210112006 0612912007 Phone 541-688-5006 541-689-5090 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 528 Sq Ft Otber: Occupant Load: I Yes 25.70 REQUIRED PARKING Total: 2 Handicapped: Compact: Sidewalk Type: DownspoutslDrains Curbside So Curb and Gutter Status: use initials 225 Fifth Street, Springfield, OR 541-726-3753 Pbone ' 541-726-3676 Fax 541-726-3769 Inspection Line , Description Type of Construction Foundation Onlv Garaee Manuf Home . Use Bid Amount Garaee Manufactured Home Fee Description Plan Review Residential -Mecbanical Issuance Fee- + 10% Administrative Fee + 7% State Surcbarge Building Permit Curbcut Permit Heat Pump Manuf Home State Issuance Manufactured Home Connection Manufactured Home Placement Minimum/Adjustment Mecbanical Plan Review - Planning PW Mult Disc - 2nd Permit Sanitary Sewer - 1st 50 Feet SDC SanitarylStorm Admin Sidewalk Permit Storm Drainage Impervious Area Storm Sewer - 1st SO Feet Storm Sewer Each AddtllOO' Water Line - 1st SO Feet Refund - Admin Fee Refund - Surcharge + 10% Administrative Fee + 7% State Surcbarge Add, Alter, Extend Circ Minimum/Adjustment Electrical Total Amount Initial Review Plannlne Review 05/0512004 05/1712004 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00515 ISSUED: 11/10/2004 APPLIED: 05/04/2004 EXPIRES: 0112512006 VALUE: $ 43,830.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 $24.30 $1.00 Square Footage or Bid Amount 6,000.00 528,00 25,000.00 Value Date Calculated $6,000.00 $12,830,40 $25,000.00 $43,830.40 05/04/2004 05/04/2004 05/04/2004 Total Value of Project Fpp<, P'li4,l Amount Paid $115.44 $10.00 $123.01 $86.11 $335.55 $75.00 $12.00 $30.00 $45.00 $160.00 $33.00 $71,00 $-30.00 $45.00 $24.13 $75.00 $482.56 $45,00 $14.00 $45.00 $-49.55 $-34.69 $4.50 $3.15 $43.00 $2.00 $1,765,21 Date Paid 5/4/04 5/21104 5/21/04 5/21104 5121/04 5121104 5/21104 5/21104 5121/04 5121/04 5/21104 5/21104 5/21104 5/21104 5/21104 5121104 5/21/04 5/21/04 5/21/04 5121104 5126/04 5/26/04 9/12105 9/12105 9/12105 9/12105 Receipt Number 1200400000000000616 1200400000000000779 1200400000000000779 1200400000000000779 1200400000000000779 1200400000000000779 1200400000000000779 1200400000000000779 1200400000000000779 1200400000000000779 1200400000000000779 1200400000000000779 1200400000000000779 1200400000000000779 1200400000000000779 1200400000000000779 1200400000000000779 1200400000000000779 1200400000000000779 1200400000000000779 VOUCHER #76604 VOUCHER #76604 1200500000000001333 1200500000000001333 1200500000000001333 1200500000000001333 I Plan Reviews I 05/0512004 05/17/2004 APP RJB APP TAJ FEMA approved LOMA bas taken tbis out of the flood area. 2 of 4 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00515 ISSUED: 11/10/2004 APPLIED: 05/04/2004 EXPIRES: 0112512006 VALUE: $ 43,830.00 Status: use initials 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Public Works Review 05/0512004 05/12/2004 APP VRJ SDC Credit for 720 sq ft from existing structure, Structural Review 05/0512004 05/06/2004 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. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trencbes are excavated. Foundation: After forms are erected but prior to concrete placement, Framing Inspection: Prior to cover and after all rougb in inspections bave been approved. Drywall: Prior to taping. Final Building: After all required inspections bave been requested and approved and tbe building Is complete. Underfloor Drain: Prior to cover or placement of concrete. Storm Sewer Line: Prior to fIlling trencb, Sanitary Sewer Line: Prior to filling trencb and including required testing. Manuf Home Plumbing: After home has been connected to water and sewer. Rougb Electric: Prior to Cover Final Electric: When all electrical work is complete, Final Manuf Home Set Up: After all required inspections are requested and approved and porcbes, skirting, decks, venting, street address numbers, trees, driveway, etc. bave been installed, ManufHome Set Up: Wben installation of all piers or stands is complete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete, Rougb Mechanical: Prior to Cover Final Mechanical: Wben all mechanical work Is complete. 3 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00515 ISSUED: 11/10/2004 APPLIED: 05/04/2004 EXPIRES: 0112512006 VALUE: $ 43,830.00 Status: use initials , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , By signature, I state and agree, that I have carefully examined tbe completed application and do bereby certify that all information hereon is true and correct, and I further certify that any and all work performed sball 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 berein, and that NO OCCUPANCY wiD be made of any structure without permission of tbe Community Services Division, Building Safety. I furtber certify that only contractors and employees wbo are in compliance with ORS 701.005 will be used on this project, I furtber agree to ensure that all required inspections are requested at the proper time, that eacb address Is readable from the street, that tbe permit card l! located at the front oftbe property, and the approved set of plans wiD remain on tbe site , at all times during constructiolL Owner or Contractors Signature Date 4 of 4 225 Fifth Street Spring~eld, Oregon 97477 541-726-3759 Phone J<ibIJOIIrnal Number COM2004-00515 COM2004-00515 COM2004-00515 COM2004-00515 Payments: Type or Payment CreditCard \I u '1' " ~, :,( d r 9/12/2005 . RECEIPT #: Wit."~"RIN~I!I, m.D,'_,:, ," ~. ; j jlLty of Springfield Official Receipt .elopment Services Department Public Works Department 1200500000000001333 Description + 7% State Surcharge + 10% Administrative Fee Add, Altero Extend Circ Minimum/Adjustment Electrical Paid By HARDING ELECTRIC Recei ved By djb I of I Date: 09/12/2005 Item Total: LUecK ~umDer Autllorlzatlon Batcb Number Number How Received 054452 In Person Payment Total: 10:53:24AM Amon nt Due 3,15 4.50 43.00 2,00 $52.65 Amount Paid $52.65 $52.65