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Home My WebLink AboutPermit Electrical 2008-10-6 225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(541)726'3753 0 FAX: (541)726-3689 ELECTRICAL PERMITAPPLICATION CCvV\zoo8- OIOY, I. 'fJlI1i'!AfliJiljJil/P!l.ij[S'1Y;f:f!ifAWiiiT,.."mif.ijlliII- .' 'iiII """.".,~.- ,,,,".,t. .~,,. ','.p"'''''''.t~''1!J.\'''''''='0''''', ~1I , 2 CJ L/ ..:3 I jT S . City Job Number LEGAL DESCRIPTION 17DZ 30 '5 l( oz~o( JOB DESCRJPTION.-i 5> ~\f L '~ 5 (" I or '-........,-t-s Permits are non.tr~n'sferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Date /'1104 . 3. fff,i2&mj/;iJ;lflJjElseHlJ!}.JjjJ/il!fj1;7I:<'ilff~':'.&;W'lil1i_...' . .. ~"""""""'o""""""h,J",,,'''''''''>=0,",''''''',-',,'''' .... "';', .. "_ "', ...'. \.._.. , ,!~.~'1*~~ , ~.rul1liij"'~~:'-I"li:_*;nft?~w0<'"i6..\*wJrt~~~*'1t;I''''''''' ,,,,,,,_w.."':ifu.iJk'l';f';<;'~'b;t;\lA~f;~, ~'~ A. ~~~f!(~,S.m!:~,!!,~~~~~ll!g!~qr,I!I\:L~Ht!~~_~,m_UjiH~,ri~bf~lEhgSiQit~ oW Service Included 1000 sq. ftor less . Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'dHome or Modular Dwelling Service or Feeder $50.00 5) { i!f\='''''',*,4t.wrl<iW~}M<'';''''''P~~-''~'''''':8*S~Fli''''''''''~\kN~i0i!im ~\j~~~'J!?~~1"!'1MI~XW~..\lH1t)\1niB;b:>tiit:j~;j';\f..w::;~'iJr\1~_Mil1jnj;'4-"'lV"it/ill.'W~,~~ 2. ~~rJ!;jj!~$l/$?~~r'dl!;lJ!!!!lJl!iJfllfllga B. ,~~~j~f:b~~~~rr!:~~!f~~~R~!~,~t~l~~~.!~~ft~]Rl~j~~J.W\IH~~ ElectricaICo~tnicto~~~ .~ 200 Amps or less ' $63:00 Address.. /0 CfZ ~.~ /"'""'" ... /. "70 .-fSdO City ~ Phone f?--r (j 7r:~ -s 1. /./A'!'7 I Expiration Date I P LJI Installation, Alteration or Relocation /0 ~ ' . 200 Amps or less $ 50.00 Constr. Contr. Number {; .s r 3 7. '1 y2OJ...mps to 400 Amps $ 69.00 lawrll.,l ,,' OIflV . , Expiration Date ~~?e!~~~,~~~~ts;,;;.~:~;,~ V?It;se~."B':;i~ve. $I,~~'OO... ..... . Signatu~re ofsupervisitA~lW~=~~~;;i~~t:~.)li<c!",~.~iJ!ai_~~.,.~&_~!!~;~ L. 009.0) YO':.,e ciiltif."t~e: the te'~~lteration or Extension Per Panel, . -C81llh9. a Oregon Utility NO~cuit . $ 43.00 . Owners Name~/,-,., ,;:;;c:.r~~;7=:::=~:_::":'::"':;1l Address. / -, r ~_~~_... ':::i,rr--- -. E./~~F~Ha~~~_~J(~j~~;~Sa~~g![1i,tIJl!J~,!!Sl2l!~~~~~1~:!!~,t~!t~,tioll City si=>Fu Phone7'f7= 7""jt;6 . Pump or irrigation' $ 50.00 ""n Sign/Outline Lighting $ 50.00 OWNER INST ALLA TION Limited Energy/Residential $ 25,00 The installation is bein~~~d&;o;1l' property I own which' Li~tEnergY/Commercia] $ 45,00 is not intended for saN,\&IlIW;.en1fStlAtt txl'Il\E 'f~'Allt'tric Permit Inspection Fee is $45.00 + Surcharges THIS PERM L1nE"TI'\IS PERMI\!.'.",""i\Mm""i'l\"'.""\("'.A"1lr\'1l!\~_..., f!fi1f.?#"IfJ' i Owners Signature: AUTHORIZEO U,w n .. DO"pft rRIIBT@TAil3,OEW@VE,lli""\1'".,r;!,"'" 7 ~ . MMENCED OR IS "BAN "I:U ~!..~lIll:1\"iM\i"'''''''''~1ll'''iiT1liilW,i!L'. "Ie. . d. !ell:.', .) ... C~118e DAY p~Rlrm. ~'State Surcharg~; cr "f'; 1 0% Administrative Fee I 7)--0 5,9',; TtZo+~ orl~ 37; Inspection Request: 726-3769 TOtAL. I J ---- Supervisor License Number. 201 Amps to 400 Amps 40 I Amps to 600 ',Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $75..00 $125.00 $163.00- $375.00 $ 50.00 c. Shared Drive(T:)/Building FormslElectrica! Pennit Application I-06.doc CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01047 ISSUED: 09/04/2008' APPLIED: 07/1412008 EXPIRES: 04/06/2009 VALUE: $ 25,000.00 Status Issued 225 Fifth Street, Springlield. OR 541-726-3753 Phone 541-726-3676 Fax. 541-726-3769 Inspection Line SITE ADDRESS: 1294 31ST ST ASSESSOR'S PARCEL NO.: 1702303402401 Springfield TYPE OF WORK: Manufactured Home on Private Lot TYPEOF USE: New Residential PROJECT DESCRIPTION: Manufactured home <replacement M.H.) Owner: GEORGE TRA VESS Address: 1495 CHEEK STREET SPRINGFIELD OR 97477 1 CONTRACTOR INFORMATION I Contractor Type Electrical Manuf Home Inst Plumbing License 63137 46472 46472 Contractor RALPH W BROWN GREAT WESTERN HOMES INC GREAT WESTERN HOMES INC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I BUILDING INFORMATION I I 10fSto '~:requlreSyout~ I. .IUtENTION: em ~ ,~Oll!1lon UtilitY, follow rules a mtllelf<<\1llSel; ctric NMft\ication Ce t Btigh OAR 952=ctric In OAR 952"()0~ ~Ies of the rulel\,:\l}f,tric 0000. You me; ~YiA~.~~ tel~~~:n. calling the ~ e~~OU_NO . :.:.::-"'Dr !"~ t~~ . ,:. E:':', M.U,~. . . I lJII)Vet!o'f.~iENnNi'ORMATlON I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: . ,# Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage:,. 39.00 42.00 11.00 22.00 0.00 Phone Number: 541-747-9740 Expiration Date 02/15/2010 12/29/2009 12/29/2009 Phone 541-729-1500 747-9940 747.9940 Lot Size: 9,583 Sq Ft 1st Floor: 1,620 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 2 REQUIRED PARKING Total: 2 Handicapped: Compact: 17.90 .1 PUBLIC IMPROVEMENTS ~_~ Street Improvements; NU' '''E'RMlT Sl\r>.\.\. U.1"~'PE~WI\1i\Q~Type: Storm Sewer Available: ,lHIS,!l1~I1.EO UMOER1:~MOOME~spoutS/Drains: Special Instruction: Rain Garden for A\,\~t~CeD'0l\ IS fll COMI'I\ nt...Y PERIOO. Notes: Previous MFH was 14X66/ 924 sq ffrlt1l'ir~81Q>t!ls'given for SDC's. Soil #101 Oxley Urban Land/no easements Page I of 4 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpc of Construction Foundation Only Use Bid Amount Manuf Home Manufactured Home Fee Description Plan Review Residential + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Foundation Permit Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder Manufaciured Home Placement Plan Review Minor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area + 100/0 Administrative Fee + 12% Slate Surcharge + 50/0 Technology Fcc Add, Alter, Extend Ore Ea Add Manufactured Home Service Total Amount Paid I nitial Review 07/17/2008 I Valuation Descriotion 1 $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 5,000.00 20,000.00 Total Value of Project Fpp<, Pqirl I , Amount Paid Date Paid $49.23 $34.07 $40.89 $22.99 $75.74 $30.00 $50.00 $55.00 $160.00 $119.00 $-21.04 $-27.67 $9.98 , $248.30 $7.50 $9.00 $3.75 $20.00 . $55.00 7/14/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 . 9/4/08 9/4/08 9/4/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 $941.74 I Plan Reviews I 07/17/2008 APP LLH Paee 2 of 4 CITY OF SPRINGI'IJ!.LD Building/Combination Permit PERMIT NO: COM2008-01047 ISSUED: 09/04/2008 . APPLIED: 07/1412008 EXPIRES: 04/06/2009 VALUE: $ 25,000.00 Value Date Calculated $5,000.00 $20,000.00 $25,000.00 07/14/2008 07/17/2008 Receipt Number 1200800000000000772 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 2200800000000001336 1200800000000001039 1200800000000001039 1200800000000001039 1200800000000001039 1200800000000001039 Replacement Home - Willamalaue Fee, Addressing Fee, and Fire Fee do noi apply. Previous home demolished 1-18-08 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01047 ISSUED: 09/0412008 APPLIED: 07/14/2008 EXPIRES: 04/06/2009 VALUE: $25,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 07/17/2008 10 LKW 07/22/2008 Structural Review 07/22/2008 APP DLM 07/17/2008 Public Works Review 07/30/2008 APP LKW 07/30/2008 Plan nine: Review 08/07/2008 APP TAJ 07/17/2008 Called and left message for Terry Travess on 7-22-2008. Waiting for information on previously demo'd MFH for credit. 7-29-2008 gave Terry Travess a copy of rain garden standards. He will get back to me if he is going to use those standards instead of a drywell for storm water, runoff. Standard M.H. comments for M.H. Only apply. Complete installation instructions for both manufactured foundation systems shall be available on the job site at the time the M.H. setup inspection is conducted. Will do rain garden for storm water run-off. Two street trees are required unless they are already in. 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. L.~rimil;~ Foundation: After forms are erected but prior to concrete placement. 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. 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. Rough Electric: Prior to Cover Fina( Electric: When all electrical work is complete. Pa2e 3 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008~01047 ISSUED: 09/04/2008 APPLIED: 07/14/2008 EXPIRES: 04/06/2009 VALUE: $ 25,000.00 225 Fifth Street. Springlield; 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 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 I" Page 4 of 4 225 .F~fth Street . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-01047 COM2008-0 1 047 COM2008-0 1 047 COM2008-0 1 047 COM2008~0 1 047 Payments: Type of Payment Check cReceiot 1 RECEIPT #: Description Manufactured Home Service Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By' RALPH BROWN City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000001039 Date: 10/06/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 2729. In Person Payment Total: Page 1 of 1 1l:03:39AM Amount Due 55.00 20.00 3.75' 9.00 7.50 $95.25 Amount Paid $95.25 $95.25 10/6/2008