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Home My WebLink AboutPermit Electrical 2002-07-05SPRIiIGFIELD Job# 02-00803-01 RESIDENTIAL PERMIT Caty Of Springfield Gommunity Services Division Building Safety Page 1 of 2 Job Number: 02-00803-01 Office: 726-3759 Inspection Line: 726-3769 Tax Lot#: 02000 Subdivision: 225Fifth Street Springfield, OR97477 Location Of Proposed Site: 1350 00005th St Spr AssessorsMap#: 17032631 Lot: Block: Addition: K clTY oF SPRINGFIELD, OREGON Owner: Mary Jane Arnold Address: 1350 sth Street Scope Of Work: Miscellaneous Contractor Type ElectricalContr Plumbing Contr Phone Number: City/State/Zip: New 541-746-3056 Springfield, OR97477 Value: $O Hardship permit for connection to sanitary Hardshio aooroved bv Jim Donovan. Contractor Mary Jane Arnold 1350 sth Street, Springfield, OR97477 Mary Jane Arnold 1350 Sth Street, Springfield, OR97477 sewer, watei and electric service #Expiration Date Phone 541 -746-3056 541-746-3056 $. oP' flo"' .$ 9a Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings Occupancy Heat To request an inspection call the 24 hour recording at 726-3769. All a.m. will be made the same working day, inspections requested working day Required lns MH Service Plumbing 7:00 following Water Line Sanitary Sewer Line -Prior to filling trench. - Prior to filling trench. Electrical Job# 02-00803-01 # Of Stories: Height (feet): Current Units: Proposed Units Census Gode: Does not apply Total: Page 2 of 2 Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq Main:Accessory Paid On Receipt# Value/Quantity Fee Amount Electrical Minimum Electrical Permit Fee Manufactured Home Service\Feeder State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical 07t0512002 07105t2002 07t05t2002 07t0512002 9847 9847 9847 9847 1 $.00 $50.00 $3.50 $4.00 $57.50 Plumbinq Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage 8% Administrative Fee - Plumbing Total Plumbing 07t05t2002 07t05t2002 07t05t2002 07t05t2002 07105t2002 9847 9847 9847 9847 9847 75 75 $.00 $8.26 $59.00 $59.00 $9.44 $135.70 Grand Total By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that the project address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during $193.20 F-5-o z Date Fee 225 FIFTH STREET SPzuNGFIELD, OREGON 97,177 TNSPECTION REQUEST'. 7 26-31 69 OFFICE: 726-3759 1. LOCATION OF INSTALLATION I 3se) 5Yc- s- h LEGAL DESCRIPTION I ao3 243 i a zoo() JOB DESCRIPTION aS Ntou Permits are llon-tra ifrvork is not started lvithin 180 dal's o[ issuunce or if uork is SignatureI tiO day's. 2. CONTRACTOR INSTALLATION ONLY Electrical Phone Number COMPLETE FEE SC}IEDULE BELOWJ. A. Nen- Residcntial-Singlc or t?_?-. -O v sq Modular Drvelling Serv'ice or Feeder Multi-Family per dn'elling unit. Sen'ice lnclutled: or less 500 Horne or Items Cost Sum $l06.00 _- $ r 9.00 B. Sen'ices or Feeders Relocation: 200 amps or less 201 amps to 401 amps to (r01 antps to I Orrer l $ 63.00 Citt $ 125.00 $43.00 : Expiration Date -' Signlture of Superr ising Electricitn Constr Orvncrs N see ,,B" abo\re D. Branch Circuits*^" IJ Nelv Alteration OI pnone'Hb-,3 os_t, lrcurt lation or irrigation ine Lighting Limited Energv/Res Limited EnergJy'Comm Service $ 3.oo - One C or u'ith OWNER INSTALLATION The installation is being urtrde on property I orvn lvltich is not intended for sale. leasc or rent. gnature: E. .,4 $50.00 $s0.00 $25.00 $4s.00 l\Iinimum Electric Permit Inspection Fce is S-15.00 * Surcharges 4. SUBTOTALOTABOVE 7oh Stfie Surcharge 8 7u Atlministratil'e Fee j;o )r? '-/E Orvncrs Si TOTAL s7P ELL- T RICAI PERMIT APPLICATION Cit.vJob Nr.t,.,' O'Z*OC 8N I has / s so.ooJ-O Authorized Addrcss Expiration fri 5+ not inclutled) THORP PURDY JEWE]T o TIRNESS 6L WILKINSON.P.C.June 13,2003 101 I Heru-ow RoAD, SurrE 300 Srnnrcrrrlo, OREGoN 97477 PHoNe: (541)747-3354 Fex (541) 747-3367 E.MAIL ADORESS: JURNESS@THoRP-PURDY.coM MARVTN O. SANDERS (1912-lc)77) JACKB. LTVELY (1923-197c)) JrL E. GoLDEN (1951-l 99t ) ATIORNEYS AT I..A.W lohn C. Urness , Attention: Jim Donovan City of Springfield Development S ervices Department 225Fifth Street Springfield, Ok97477 5*-Re: TemporaryHardship Dwelling at 1350}#dn Street, in Springfield (City Planning File Number 2002-05 -0125) Dear Jim: I wanted to confirm our June 12th telephone conversation: 1. My client, Mary Jane Arnold, no longer desires/needs the above-described temporary hardship permit. 2. Nobody is living in the travel trailer that was the subject of the permit. 3. My client will be moving forward to have the water, electrical and sanitary connections properly disconnected. As I indicated, we would appreciate having some time to accomplish that as my client has had her hands full with a very difficult family situation. Thank you for the information and assistance. Very truly yours, ,I'HORP, PURDY, JEWE'I'T, URNESS & WILKINSON, P.C. Urness JCU/syp cc: Mary Jane Arnold u 4/rrr< E.-p*)/;oKtlnnt/ry Maz s;nl,{'Dr4