HomeMy WebLinkAboutPermit Electrical 2008-9-11
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225 FIFTH STREET . SPRI~G~IELD, OR 97477. PH:(541)726-3753 . FAX: (541)726-3689 ~;,}~~~~(l/
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ILl97 30+~ sf
LEGAL DESCRIPTION
/7D2303t( 01 fO~
S(2.vL I ke-~f--(L
JOB DESCRIPTION
I11H
I
Permits are non-transferable and expire if work is
not started within 180 days of issuance or ~f work is
Suspended for 180 days.
A. ~:~:~1~~l~~pJi?1~~~lnlf~t~~~5I~~~Gg:~{(i);m~.ri<i:\y~liTI$1fWj:ii~~~~
Service Included
,1000 sq, ft. or less
'Each additional SOO sq, ft. or
portion thereof
$106,00
$ 19,00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
5<
$-YOo
z
liD
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Address /0 'I- z. ~ ~ ~~: ~::::~ :~~ ~::: ~17:;0000
~ . C1 601 Amps to 1000 Amps $163,00
City ~ Phone 7Z.1'-/~OO Over 1000 AmpsNolts $37S.00
o Reconnect Only $ SO,OO
fC(:~ ~ s;.-
/0/1/00/
( /3(;'"7 ,20~ AJPPeq'li~~ you to $ SO,OO
Constr, Contr, Number b ~ (ATTENTION, Oreg~b~\\'Ri' ~~t\1llility $ 69,00
. . follow r~le:; ~~~~rte~rnlllsqj).(l)M4>fPrth $100,00
Explral10n Date d- /1 /08' Notlflcatton C . h. h~Q5iinQQ'.
I /' In UAt'I ':'"z.'001-00t(H",,\l~1il1-\, ntll'e'/;,"t;)oIts see "B" above,
, 90 Youmayolf)atn~'~f~' ~J"".,,.'';i~l\hf,I''',.lk.kl!?'u ,,"ill"-1>l'"
Slgnature ofSupervlsmg Electrician 00. . it " <: '~tiHbtpnone.a1j'i'~'.l16~::,j_11*1'Jl.ii:'W"'i1if:a,"';,,i
~ calling the center, €I, " at'
i.) j) n~;;"'bAr for the Or~oo\!Iil!li2'1i.tlAl~~:ttIl?t!!ion Per Panel
'---' &<./. ~enter is 1E&Q1C~344). $ 43,00
U Each Additional Circuit or with .
G-...-. ,./L = Service or Feeder Permit
Owners Name _...s:(", I r /TV ~..:s
Address 14 ., S1 . C/AE::"E't sf-
~t>(LINS{;~k:bone
Supervisor License Number
Expiration Date
City
lit:' "..'1' ~;\JI.iGi\t?,\Q"ltl:f""'~i~j'-~' 'cJ'""i1it~"0\)iS":''';',:;~;.r;,~<lt;-~~. ~"f,.':ft/hV:$, -';"'-11'" ",,%::,..,. ; t /. ,:......Jl':1
C. ~'<re.rrmor~_r.y;S_crtyH;es.or"~fec~C}f"~rwt;;;...;.<, f ,':t~l)-'1;-"':t'J~;l;fij;\1:C~ -~-:..,_~~.;~
, Installation, Alteration or Relocation
$ 3,00
E. ~l~'i~~~lif~'~ij~k'tTS'~r.~ifci~ir~il'~!sf.j~ti~:t~iW~i~f~i1BtJS~E~:~h;;{ii'~~Yiiitl~~l~J
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Pump or irrigation $ SO.OO
Sign/Outline Lighting $ SO,OO
OWNER INST ALLA nON Limited Energy/Residential $ 2S,00
The installation is being made on property I own AmICE.:.. -Limited En, ergy/c,o,mm, ercia, Wn,~ ,,', " $ 4,S,OO
::::~::::::: sale, lease or rent. l~~H~~rn==~\S;~~~;!:.surChargei /0
, 'COMMENCc~fFISl!ABAMj(:J1U~T\""-'''''''"LT~~ I ~ ~
ANY 180 D~~~9Jrcharge ,,00
10% Administrative Fee " S SO
5% Terti- ffK I 7, C. 70
TOTAL ,~ (--
Inspection Request: 726-3769
Shared Drive(T:)/Building FonnslElectrical Permit Application I-06.doc
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00431
ISSUED: OS/22/2008
APPLIED: 03/31/2008
EXPIRES: 03/11/2009 .
VALUE: $ 54,000.00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: ' 1497 30TH ST
ASSESSOR'S PARCEL NO.: 1702303401800
Springfield TYPE OF WORK: Manufactured Home on
Private Lot
TYPE OF USE: New ' Residential
PROJECT DESCRIPTION: Replacement Manufactured Home
Owner: GEORGE TRA VESS
Address: 1495 CHEEK STREET
SPRINGFIELD OR 97477
I CONTRACTOR INFORMA TION I
Contractor Type
General
Electrical
ManuI' Home Inst
Plumbing
Contractor
GREAT WESTERN HOMES INC
RALPH W BROWN
GREAT WESTERN HOMES INC
GREAT WESTERN HOMES INC
License
46472
63137
46472
46472
I.Bll.llUllI>lNtin\NlilORMA T10N I
TTENTION' Oregon la'tliiiOi -nil", {Illl ,
A 'd b the Oregon Ul ,
# of Units: fol!~W rules adOPJ\hJse rul~~6I1tMrt~' I
Primary Oecupancy ~~iJilP<ltlon_C~~~lO thrOU9hmAib91i~-SW~eture. ,
Secondary Occupanayi OA.'i\~,52 0 AtJtain copiesllHlil16f~!iP.Y orced AII' Electnc
Primary Constructioll~~ YOU :a~K~r. (Note: tlW~ft!~ww.~!t Electric
Secondary Constructio'\:!llYR~ \o~ ~he Oregon U\i1ity~~~I~~n Electric
# of Bedrooms: num e,C nter is!1-800-332GN\Iy Path:
e Sprinkled Building: No
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
27.00
41.91
9,00
24,00
0.00
Overlay Dist: ,
# Street Trees Rqd: 6
Paved Drive Rqd:
% of Lot Coverage: 12,40
Phone Number: 541-747-9740
Expiration Date
12/2912009
02/15/2010
12/29/2009
12/29/2009
Phone
747-9940
541,729,1500
747-9940
747-9940
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
9,583
924
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I(~BLlC IMPROVEM~E WOR~
Street Improvements: , partia~~~~MIi'S\-\M.\ \^~IS'PERN\ll IS~\valk Type:
Storm Sewer Available: _!mED mmE ~BAMDOMED fO%ownspoutslDrains:
Special Instruction: Replacemen ' 'I!fl~R\%. eway
o DAY PERIO. . .
Notes: Storm water to existing systemAtW 18 "
Pa2e I of 3
To Storm Sewer
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvne of Construction
Fouudation On Iv Use Bid Amount
Manuf Home Manufactured Home
Fee Descrintion
Plan Review Residential
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Foundation Permit
ManuI' Home State Issuance
Manufactured Home Conn - Plmh
Manufactured Home Placement
Plan Revie>y Minor - Planning
+ 100/0 Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Manufactured Home Feeder
Manufactured Home Service
Total Amount Paid
Public Works Review
04/01/2008
Initial Review
04/01/2008
Public Works Review
04/0412008
Structural Review
04/01/2008
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00431
ISSUED: 05/22/2008
APPLIED: 03/31/2008
EXPIRES: 03/1112009
VALUE: $ 54,000.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
4,000.00
50,000.00
Value
Date Calculated
Total Value of Project
$4,000.00
$50,000,00
$54,000,00
03/31/2008
06/03/2008
J<~r p,\ilU
Amount Paid
Date Paid
Receipt Number
$43,65
$27,72
$33.26
$13.86
$67.16
$30,00
$50,00
$160.00
$116.00
$11.00
$13,20
$5.50
$55,00
$55,00
3/31/08
5/22/08
5/22/08
5/22108
5/22/08
5/22/08
5/22/08
5/22/08
5/22/08
9/12/08 '
9/12/08
9/12108
9/12/08
9/12/08
2200800000000000377
1200800000000000544
1200800000000000544
1200800000000000544
1200800000000000544
1200800000000000544
1200800000000000544
1200800000000000544.
1200800000000000544
2200800000000001380
2200800000000001380
2200800000000001380
2200800000900001380
2200800000000001380
$681.35
Plan Reviews I
WE
Waiting for info on previous mlb for
sdc credits. Called George Travess
on 4-2-2008,
04/01/2008
API' LLH
Replacement Home - Addressing,
fire, and Willamalane Fees do not
apply,
04/0412008
API' LKW
No SDC's/ previous credit applied to
Replacement MFH
04/21/2008
API' DLM
Replacement single wide M,H,
Standard plan review comments
used for manufactured home only.
Paee 2 of 3
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Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00431
ISSUED: OS/22/2008
APPLIED: 03/31/2008
EXPIRES: 03/11/2009
VALUE: $ 54,000.00
Planning Review
04/01/2008
05/0112008
APP TAJ
This lot was created in 1966 th rough
MS 173, The lot dimensions are
64.91 X 121.
Replacement of a non-conforming
single-wide with one of the same
dimensions and on the same
footprint is allowed nnder the
non-conforming regulations in
Section 5,8-120C of the Springfield
Development Code.
Need to provide 32 sf of enclosed
outdoor storage.
Unless there are already trees in, 6
street trees are requireed: 2 on 30th
St and 4 on Olympic.
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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, Reouirerl Insnec~,ions I
Fnnndation: After forms are erected but prior to concrete placement.
Manuf Home Set Up: When installation of all piersor 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 heen requested and approved and the building is complete,
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.
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 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 will be made of any structure without permission of the 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 of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa2e30f3
225 Fifth Street
Springtjeld; Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0043I
COM2008-0043I
COM2008-0043I
COM2008-0043I
COM2008-0043!
Payments:
Type of Payment
Check
cRcccintl
RECEIPT #:
Description
Manufactured Home Feeder
Manufactured Home Service
+ 5% Technology Fee
+ ] 2% State Surcharge
+ ] 0% Administrative Fee
raid By
RALPH BROWN
7r:~;.,' ..
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City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000001380
Date: 09/12/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
In Person
Payment Total:
2720
Page I of I
9:22:ISAM
Amount Due
55.00
55,00
5,50
13.20
11.00
$139,70
Amount Paid
$139.70
$139.70
9/12/2008