HomeMy WebLinkAboutPermit Building 2005-03-085F'TUUgFIELE'
225 FIFTH STREET . SPRINGFIELD, AR97477 o PH:(541)72G3753 ' FA)ft (54
ELECTRICAL o-
?o
City Job Nrtmber
1.3.
z<3&zrl)a /'oo P
LEGAL A.c
@
JOB DESCRIPTION
Service Included
1000 sq. ft. or less
Each additional500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpWolts
Reconnect Only
$ 63.00
$ 75.00
s125.00
s163.00
$375.00
$ s0.00
$ 69.00
$100.00
43.00
ne $ 3.00
ication
$ 50.00
s s0.00
$ 25.00
$ 45.00
ex-)
1/D4rA &h* 5*;.-
Permits are non-transferable and expire if work is
' not started within 180 days of issuance or if work is
Suspended for 1E0 days.
2.
Electrical Contactor //z
Ad&ess )Kl
city@zld-<-. Phorc ,€61 '-30'lo
(7.'
B.
Supervisor License Number 2?€
Expiration Date 6 ZO
Constr. Contr. Number 6zJzz
Expiration Date
.>Zaa/
Signanrre of Supervising Electrician
Owners Name
Address
.>
Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signanrre:
Installation, Alteration or Relocation
200 Amps or less $ 50.00
c.
/1 /oe E. Nlibcellaneous'(Sendcelfeeder not included) -Each Installa tion
_ 66'
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600
regon
Fump or irrigation
Sigr/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
lYo State Surcharge
10% Administrative Fee
TOTAL
Minimunr Electric Permit Inspection Fee is $45.00 * Surcharges
3So
Inspection Request: 726-37 69
4.
Shared Drive(T:/Building Forms/Electrical Permit Application l43.doc
.Date
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Status Issued
225 Fifth Street, SPringfield, OR
541-726-3753 Phone
541-726-3676Fa.x
541-7 26-37 69 Inspection Line
Building/
PERMIT NO:
ISSUED:
APPLIED:
EXPIRES:
VALUE:
Combination Permit
coM2005-00080
03/08/2005
01/20/2005
09t0912005
$ 62,779.00
SITEADDRESS: 2638MAIALP Springfield TYPEOFWORK:ManufHomew
ASSESSOR'S pARCEL NO.: 1703251405700 Garage/Carport Private Lot
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Maia park lot 34 - MH on lot with garage & covered deck.
Owner:
Address:
Contractor Typb
General
Electrical
Manuf Home Inst
Plumbing
JOHN GARRETT
2638 MAIA LOOP
SPRINGFIELD OR 97477
PhoneNumber: 541-672-6088
t0D
Contractor License
HARDACKER & OLEARY DEVELOPMENT 79496
CHRIS MILLERS ELECTRIC INC 62377
HARDACKER & OLEARY DEYELOPMENT 79496
HARDACKER& OLEARY 79496
Expiration Date
02n9t2007
12t2u2006
02n9t2007
02n912007
Phone
541-8954307
541-895-3660
541-89s-4307
s41-89s-4307
BUILDING INFORMATI(
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled rrou,AryTf Ntt
in OAR 952-001-001
Overlay Dist: 9696. y6
tng
be
13.00
Sidewalk Type:
Downspouts/Drains:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
II
R-3
U
VN
572
160
to
Th os e ru I effi1iffig$h*xlxc
0 through OAH 952-001-
23.00
12.00
10.00
17.00
0.00
# Street Trees Rq!5r1
Paved Drive Rqfir*
Yo olLot Coverage:
u may obtain copies &9f$:rutes by
r the center. (Note: thJltqgbn8Fgd''
,.'il,T,:.?iYffi
,i# :y$fr iffIt
o n
)
Curbside 5'
Curb and Gutter
Fully Improved
Yes
PUBLIC IMPROVEMENTS
Notes: Storm drainage piped to curb face 112712005
Page 1 of4
iliZED UNDER THIS PERMIT IS NOT
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fa.x
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00080ISSUED: 03/0812005APPLIED: 0112012005EXPIRES: 09/0912005VALUE: $ 62,779.00
Description Type of Construction
Carport Carport
Foundation Onlv Use Bid Amount
Garage Garage
Manuf Home Manufactured Home
$ Per Sq Ft
or multiplier
$18.00
$1.00
$24.30
$1.00
Square Footage
or Bid Amount
160.00
3,000.00
572.00
43,000.00
Value
$2,880.00
$3,000.00
$13,899.60
$43,000.00
$62,779,60
Date Calculated
03107t200s
0u20t2005
03t07t2005
0U20t200s
Fee Description
Plan Review Residential
+ l0o/o Administrative Fee
+ 7o/o State Surcharge
Addressing Assignment
Garage/Carport
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Placement
Plan Review Major - Planning
Sanitary Sewer - lst 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 - lst 50 Feet
Water Line - lst 50 Feet
Willamalane Manuf Home Private
+ l0oh Administrative Fee
+ 7Yo State Surcharge
Manufactured Home Service
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid Receipt Number
r200500000000000083
1200500000000000304
1200500000000000304
1200500000000000304
1200500000000000304
1200500000000000304
1200s00000000000304
1200500000000000304
1200500000000000304
1200500000000000304
r200500000000000304
1200500000000000304
1200500000000000304
1200500000000000304
1200s00000000000304
r200500000000000304
1200s00000000000304
1200500000000000304
1200500000000000304
1200500000000000304
1200s00000000000304
r200s00000000000304
1200s00000000000304
1200s00000000000341
1200500000000000341
r200500000000000341
sr05.30
$s2.s4
$36.78
$31.00
$r85.40
$30.00
$4s.00
$160.00
$103.00
$4s.00
$402.16
$s28.88
$10.00
s865.31
$82.03
$128.15
$63.19
8772.49
$175.r3
$990.76
$4s.00
$4s.00
$1,000.00
$s.00
$3.s0
$50.00
u20t05
3/8/0s
3/8/05
3/8/05
3/8/05
3/8/05
3/8/05
3/8/05
3/8/05
3t8t05
3/8/05
3/8/05
3/8/05
3t8,l0s
3/8/05
3t8105
3/8/0s
3t8t0s
3/8/05
3/8/0s
3/8/05
3/8/05
3/8/0s
3n7t05
3^7t05
3n7tos
$5,960.62
tr'ees Paid
Plan Reviews
Initial Review
Planning Review
0u25t2005
0u25t2005
01t25t2005 APP02n5t2005 APP
Pase2 of 4
SKG
TAJ
Valuation Descriotion I
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2005-00080ISSUED: 03/08/2005APPLIEDz 0112012005EXPIRES: 09/0912005VALUE: $ 62,779.00
Public Works Review
Structural Review
0U25/2005
0u25t2005
0u2712005
03t07t200s
APP
OK
CAS
DLM
Storm drainage piped to curb face
u27t2005cAS
Missing the proposed foundation
drawing for the M.H. Called
contractor & requested that he
bring in the needed drawing before
obtaining permits. 3/7/05 dlm
Standard comments for M.H. &
Garage. All other commnets are on
hte drawings.
To Request an inspection call the24 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 trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
HoId Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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 building is complete.
Underfloor Drain: Prior to cover or placement of concrete.
Water Line: Prior to lilling trench and including required testing.
Sanitary Sewer Line: Prior to lilling trench and including required testing.
Storm Sewer Line: Prior to lilling trench.
Manuf Home Plumbing: After home has been connected to water and sewer.
MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to
the panel.
MH Service: Approval required prior to utility company energizing service.
MH Pedestal: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Reouired Insnectinns
Paee 3 of4
Status Issued
225 Fifth Street, SPringfield' OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 InsPection Line
Building/C ombination Permit
coM2005-00080
03/08/2005
01/20/2005
09/09/2005
$ 62,779.00
PERMIT NO:
NSUED:
APPLIED:
EXPIRES:
VALUE:
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 una "u
woih perrormed shall be done in accordance with
the ordinances of the City of springfietd and the Laws of ihe state bf oregon pertaining to the work described herein, and
that NO OCCUPANCy will be made of any structure without permission of the com-unity 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 insi"ciions are requested at the proper time, that each address is readable from the
street, that the permit card is locatet at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature Date
Page 4 of4
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
yelopment Services Department
Public Works Department
RECEIPT #: 1200500000000000341 Date: 0311712005 10:45:27AM
Job/Journal Number
coM2005-00080
coM2005-00080
ccM2005-00080
Description
Manufactured Home Service
+ 7o/o State Surcharge
+ l0o/o Administrative Fee
Amount Due
50.00
3.50
5.00
Item Total:$s8.s0
Payments:
Type ofPayment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard CHRIS MILLER ddk 984866 In Person
Payment Total:
$58.s0
-ffi:50-
I
3/17t2005 Page I of I