HomeMy WebLinkAboutPermit Electrical 2008-7-21
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225 F1ITH SfREET . SPRINGFIELD, OR 97477 . PH (541)726,3753 . FAX (541)726,3689
ELECTRICAL PERMIT APPLICATION
City Job Number Cbrvl'2.LSDf{.-OO7Qrg
l. LOCATION OFINSTALLATION:
.Jo,:z.~ In/Ilnd WtltA'"
LEGAL DESCRIPTION U
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JOB DESCRIPTION
MIt Sen/iu cVF<<dt/
PermIts are non-transferable and expIre If work IS
not started wlthm 180 days of Issuance or If work IS
Suspended for 180 days
2 CONTRA~OR INSTALLATION ONLY
ElectrIcal Contractor 7C rYiliv CI4I"\e. r
Address fYO,!?oX /#9
CIty JJf?UE~ Phone <?J35--.70)
'I //Z)?
/0 I (0
Constr Contr Number /5'"t?3og
ExpiratIOn Date 7-1 ':1- ()'7
SupervIsor License Number
ExpIration Date
S4upez---
;;!rs Name /-kvo (e{ fhs I-
Address ~'Z,'2, Inland JAJ~
CIty ~Y;njF,...uePhone
OWNER INSTALLATION
The mstallatlOn IS bemg made on property 1 own which
IS not mtended for sale, lease or rent
Owners SIgnature
1nspeclIon Request 726-3769
3 COMPLETE FEE SCHEDULE BELOW
A New Resldenlial- SlOgle or Mulli-FamIly per dwellIng umt.
ServIce Included
1000 sq ft or less
Each addItIOnal 500 sq ft or
portion thereof
Each Manufact'd Home or
Modular Dwelhng ServIce or
Feeder
$11700
$2100
$55 00
/1000
:J..
B Services or Feeders - 1nstallatlOu, AlteratIOns or RelocallOn,
200 Am~ '1r I~~. $ 70 00
201 ^"1Pt:~ ~l/.<I ~wr".3f-1ALL ExoIR: IF T!tJlJ. 09' K
401 A'J!PJ f?:~HMt'/J"lJl~DER 1IilS P~RI\I~P~HruT
601 ^'I!m~%~Q.Q9:'MlP0R IS ABANDDNED$iIlMloo
Over 19-q~i]9<<s PERIOD, $41300
Reconnect Only $ 55 00
C Temporary ServIces or Feeders
InstallalIon, AlteralIon or Relocalion
200 Amps or less $ 55 00
20] Amps ~14ffi\~JQiJ@~ Oregon law reqll!r$~6'OO to
401 Ampsfl(jI6'ilY>~ adopted tiy tne U 8'$11'0'06' V
Notification Center Thu,~" Ie 0, -'" ',j.
Over6001lM::l";h'",,$I1090'lJ'~W'liiBJ"_'!l'ove c . _ c01-
D BrancJi)f)lllku'lbu ,may obtain GOpJC1:6 01 ~(i'" fl.l'<l~ l:Y'{
calling fhe'c'enler (111" , "- ''J
New Alter~tlR\\:/!!i ~t~I\~'lY, ~e~ Panel, " " ~~, ",0
One CIrCUIt Center IS 1-tlOU..,;;',<'2<l't4iJA8 00
Each AddIlIonal CIrCUIt or WIth
Service or Feeder Permit $ 4 00
E Miscellaneous (ServIce/feeder not included) -Each InstallatIOn
Pump or lITIgatIOn $ 55 00
SIgn/Outhne LIgbtmg $ 55 00
LImIted Energy/Resldentlal $ 28 00
Limited Energy/Commercial $ 50 00
Mmlmum ElectrIC Permit Inspection Fee IS $50 00 + Surcharges
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4
SUBTOTAL OF ABOVE
8% State Surcharge
10% Admmlstratlve Fee
5% Technology Fee
TOTAL /31.70
Shared Dnve(T )/BUlldmg FonmlElectncal Permit ApplicatIOn 7-07 doc
__~N..~
!~ ll"
1IiL. '
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00798
ISSUED: 07/0312008
APPLIED, 06/0512008
EXPIRES, 01/03/2009
VALUE: $ 56,300.00
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 2033 INLAND WAY
ASSESSOR'S PARCEL NO 1803112200200
Sprmgfield TYPE OF WORK Mannfactured Home on
Pnvate Lot
TYPE OF VSE New Residential
PROJECT DESCRIPTION Replace Manufactured Home
Owner POST GRETCHEN & HAROLD
Address 2033 INLAND WAY
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Gener dl
Electncdl
ManufHome Inst
Contractor
PACIFIC KEY CONTRACTORS
TURNBO CARTER ELECTRIC INC
GARY LARSEN
License
176754
156308
39913
Expiration Date
06/12/2009
07/14/2009
04/05/20 I 0
Phone
729.5795
541-729-8409
541 389-8227
. BUILDING INFORMATION I
2
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
No Occupant Load
.6TTl:'tdT""'Ud r\~_ _,_ _ '_
J ~ - '''''..,...."....,;1 yvu tV
I DEVELOPMENT INFORMI'/HONL"'S adopted by the Oreoon Utili"
It, C -
'M'''v'",,,,,} enter ThoSEREQJJiR~ft~ NG
In OAR 952-001-0010 throU.(lh (JAR 952,001.
0090 U I InIn."nnget Total 2
Ivv '~"'Y _u am cop"ps (>1 the rt~s by
calling the cen~ar (NotbHfR~lfe~REnilone
number for the Oregon L~RWP.~Bliflcatlon
Cent~1 W1-800-332,2344).
# of Stones
HeIght of Structure
Type of Heat orced AIr Electnc
Water Type' Electric
Range Type Electnc
Energy Path
Spnnkled Bulldmg
1
7,841
799
# of VOltS
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary Construchon Type
# of Bedrooms
I
R-3
VB
Frontyard Setback
S.de I Setbdck
SIde 2 Setback
Rearyard Setback
Soldr Setbacks
3500
500
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
3000
000
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer Available
SpecIal Instruchon
S,dewalk Type
NOTICE: Downspoutsillrams
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS P[R'\~IT :::: NOT
COMMENCED OR IS ABA~JJ iCe r ~r\
ANY 18C D^,Y PEI')'OD
Notes
Pa2e I of 4
-~~
Status
Issued
225 FIfth Street, Spllngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726,3769 Inspechon Lme
DescrIptIOn
Tvpe of ConstructIOn
FoundatIOn Onlv Use BId Amount
Manuf Home Manufactured Home
Fee DescrIphon
Plan RevIew Resldenhdl
+ 10% Admmlstrahve Fee
+ 12% Stdte Surcharge
+ 5% Technology Fee
Foundahon PermIt
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Manutactured Home Placement
Plan RevIew Mmor - PlanDIng
+ 10% AdmlDIstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Manufactured Home Feeder
Manufactured Home ServIce
Total Amount Paid
JmtJaI Review
06/09/2008
Public Works RevIew
06/09/2008
I ValuatIOn Descrmtion I
$ Per Sq Ft
or mulhplIer
$100
$100
Square Footage
or Bid Amount
5,300 00
51,00000
Total Value of ProJect
F"p<. Pv11
Amount PaId
$5481
$29 43
$35 32
$20 52
$84 32
$30 00
$50 00
$16000
$11600
$11 00
$1320
$550
$55 00
$55 00
$720 10
Date PaId
6/5/08
7/3/08
7/3/08
7/3/08
7/3/08
7/3/08
7/3/08
7/3/08
7/3/08
7/21/08
7/21/08
7/21/08
7/21/08
7/21/08
06/09/2008
I Plan Reviews ,
06/13/2008
APP LLH
APP LKW
Pa!!e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO' COM2008-00798
ISSUED: 07/03/2008
APPLIED. 06/05/2008
EXPIRES' 01103/2009
VALUE: $ 56,30000
Value
Date Calculated
$5,300 00
$51,000 00
$56,300 00
06/05/2008
06/0512008
ReceIpt Number
1200800000000000596
3200800000000000462
3200800000000000462
3200800000000000462
3200800000000000462
3200800000000000462
3200800000000000462
3200800000000000462
3200800000000000462
2200800000000001117
2200800000000001117
2200800000000001117
2200800000000001117
2200800000000001117
FIre Fee and Wdldmalane Fees do
not apply Repldcmg same size
home
No new fixtUl es & no new surfaces
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00798
ISSUED. 07/0312008
APPLIED. 06/0512008
EXPIRES: 0110312009
VALUE: $ 56,300 00
--........ cfIIII
UA..nl_
~~
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
54]-726-3676 Fax
541-726-3769Inspechon Lme
PlannlD1!: Review
06/09/2008
APP TAJ
06/19/2008
Structural RevIew
06/09/2008
07/0112008
APP DLM
ThIS lot IS m the floodplam but not
the floodway see Lane County map
approved by FEMA as per Steve
Hopkms Smgle-wlde replacement II
OK per JIm Donovan by the
defimhon sechon of the development
code that thIs IS not an extenor
subdIvIsIOn lot
ThIs MH replacement has receIved
Floodpldm overlay approval
(SHR2008-00005) per the followmg
occupancy conditions
I PrOVIde a FEMA ElevatIOn
Cerhficate completed by a cerhfied
engmeer, surveyor or architect after
placement of the MH
2 The fimshed floor elevatIOn of the
MH shall be a mmlmum of 18"
above the base flood elevatIOn
Approved as noted on 6/30/08
Floodplam OverldY determmatlOn
apphes
To Request an mspectlOn call the 24 hour recordmg at 726-3769 All inspectIOns requested before 7 00
a m. will be made the same working day, mspectlOns requested after 7 00 a,m, will be made the followmg
work day.
Ufer Electncal Ground Install ground rod at footmg and cdll for mspectlOn 10 conjunctIOn wIth footmg and/or
foundatIOn mspectlOn
Foundahon After forms are erected but pnor to concrete placement
Manuf Home Set Up When mstallatlOn of all pIers or stands IS complete
Fmal Manuf Home Set Up After all reqUIred mspechons are requested and approved and porches, skutmg,
decks, ventmg, street address nnmbers, trees, dnveway, etc have been mstalled
Fmal BUlldmg After all reqUIred mspectlOns have been requested and approved and the bUlldmg IS complete
Manuf Home Plumbmg After home has been connected to water and sewet
MH Service Approval reqUIred pnor to utlhtv company energlzmg servIce
MH Electnc When blockmg, setup and plumbmg mspectlOns have been approved and the home IS connected to
the panel
Paee 3 01 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00798
ISSUED, 07/0312008
APPLIED: 06/05/2008
EXPIRES: 0110312009
VALUE: $ 56,300.00
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 InspectIon Lme
By signature, I state and agree, thdt I have carefully exammed the completed apphcdtlOn and do hereby certIfy tbat all
mformatlOn bereon IS true and correct, and 1 further certIfy tbat any and all work performed shall be done m accordance With
the Ordmances of the City of SpnngIield and tbe Laws of the State of Oregon pertdmmg to the work descnbed herem, and
that NO OCCUPANCY Will be made of any structure Without permissIOn of the Community Services DIVISIOn, Bmldmg Safety
1 further certIfy that only contractors and employees who are m comphance With ORS 701 005 Will be used on thIS project
1 further agree to ensure that all required mspectlOns are requested at the proper tIme, that each 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 remam on the site at all
times durmg construction
Owner or Contractors Signature
Date
Paee 4 of4
225 FIfth Street
Spl'mgfield, Oregon 97477
541-726-3759 Phone
~
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
Public Works Department
Job/Journ.l.1 Number
COM2008-00798
COM2008,00798
COM2008,00798
COM2008-00798
COM2008,00798
Payments
Type of Payment
Cash
cRecclOtl
RECEIPT #:
2200800000000001117
Date: 07/2112008
Description
Manufactured Home Feeder
Manufactured Home Service
+ 12% State Surcharge
+ 10% AdmlDlstratlve Fee
+ 5% Technology Fee
Item Total
Check Number AuthorJLatlOn
PaId By Received By Batch Number Number How Received
PACIFIC KEY CONTRACTORS nJm In Person
Payment Total
Page 1 of 1
1 56 06PM
Amount Due
5500
5500
1320
1100
550
$13970
Amount Paid
$139 70
$1397U
7/2112008