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Home My WebLink AboutPermit Electrical 2008-10-13 3. 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(54t)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (Or17 2oo?- 0 I ~ 5-" I 1. ~~T~!~fiN-i'~(j~~I.. LEG'7E62~05-3 .3 c>S 70t{ S"20 - ~_?3.5 Pumpor iirigatiOli $ 57.00 Sign/Outline Lighting $ 57.00 NOTIef!ed Energy/Residential $ 29.00 THISmMl'fISfMLct-rM'rI"tt:IIF THF WORK $ 52.00 ~ I8J,~l1fe~OO + Surcharges '~ nq AN e I j .. -co 10% Administrative Fee. II~ 0 5% Technology Fee 57(;> 1l(l.{7~ JOB DESCRIPTION: IVtlA./ tnJ lit ' Permits, are non-transferable and expire if work is not started within 180 days of issuance or if workis Suspended for 180 days. ' li?;<i"""!K0'l2!?'\f;W+!1~#ti'Jit%~U#tjJM8UEM'1\tl;!31ili1!i1Wil!0:S0%]'F~Z0m;SQffi~1 f(ir@N!FRAeff@ll:iINST:lf.1:lI!f&'F!@'Ni@.NUH ,2. ,"Yfut01IJiIillGWinlMi\illlE:!0E:tiZ'k,qI\1j~1161i0:40t?4~:";>'''''ilb4&~~Milit11l Ele'ctrical Contractor lur Ii 00 C~1 APe r Address CJ () .h' ) r:7 ~ - City VeVlC-L 61 Phone ~//~?23 - - Supervisor Licens~ Number 9 770S Expiration Date /0 -/0 Constr. Contr. Number r-'A-J - S~6S"'C /5~301? -a,,~ bCi. Expiration Date ,"/- I '~7;::~ ~eZ:\C""f.k" rJ.~~, Address ? ~6 ~ ' Nair-I,.. ">\- City f--u.(;.ENc ,Phone OWNER INSTALLATION The installation is being made on property] own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Date A. rir4:i{~m~mtnJi~~1I1~~~~~m~l~!$Yln1~lt~11JII Service Included 1000 sq. ft. or less Each additional 500 sq. ftor . portion thereof Each Manufac!' d !'Iome or Modular Dwelling Service or Feeder $]21.00 $ 22.00 $57.00 Ilt( .2 B. 200 Amps or less 20] Amps to 400 Amps 40] Amps to 600 Amps 60] Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only j $ 73.00 $ 86.00 $]43.00 $186.00 $426.00 $ 57.00 C. $ 5.00 ><ij;;"10@ffil!r<*1$.0d;;S~iU0l@liMW:r4:m:'m:0fW:~g!W~?:aw:Jj4jG~;~li',jW?'iii1011t'~~'iF&~% E. "Ml~eUan~~!~l!(~~LYJ,,~~!~~t~~~tJm~!!~~wJlJ1,,~!tt~tallatton TOTAL Shared Drive(T:)/Building FormsJElectrical Permit Application 7-0S.doc CITY OF SPRINGFIELD ,Building/Combination Permit PERMIT NO:' COM2008-01304 ISSUED: 09/12/2008 APPLIED: 08/29/2008 EXPIRES: 04/07/2009 VALUE: $ 70,762.00 Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 242 S 70TH ST ASSESSOR'S PARCEL NO.: 1702353305904 SPRINGFIETYPE OF WORK: Manufactured Home on Private Lot New PROJECT DESCR]PTlON: ,TYPE OF USE: ]nstall Manufactured Home on Private Lot Owner: KRISTEN JA YCOBS Address: 2509 NOAH STREET EUGENE OR 97402 I CONTRACTOR INFOR~ATlON I \ Contractor Type General Electrical License 176754 156308 Contractor PACIFIC KEY CONTRACTORS TURNBO CARTER ELECTRICINC BU[LD[NGI,NH)~MATlO!", I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: # of Stories: I R3 Height of Structure,s yOU to '~"" \'oqu"" \".~ "_",',,,"\Nl: Type::"," He~h CqE~diWi"\, ctrie VB . '.: ,; ,:Watlii',:ryl\.e: 'rules are set 1~~~ trie , '1 \.1 " ..,.....,(1:,8 952 n . j^ :, . c;Ran,'geT)'pe: 911 OAR Or: eJ.:tric , ,.", .. ~'-'1 <<,[,)ll 11 rules oy \ 4 r" ,;,'.2,-OCEne.rp. PaW~ies 01 t e , \11 ~:"o" \100 ff\;Sp?in~lrd~\'Ydll1g:te\e.~hO~~o 009, .. _ ^~nlf-r, \1 .,'1"\' >lCll.l.ca\.dij can~iivdinl))P~i~fr' I~'fION,' I nurPa" "'( ,~I " , , \.ie!.l~~ ~.. , Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: . # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS' Residential Phone Nnmber: 54]-520-8735 Expiration Date .06/] 2/2009 07/14/2009 Phone 729-5795 541-729-8409 Lot Size: 6,849 Sq Ft 1st Floor: ],812 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 100 Occupant Load: REQUIRED PARK1NG Total: Handicapped: Compact: : Sidewalk Type: Street Improvements: Storm Sewer Available: NOlYeE' DownspoutslOrains: To Storm Sewer Special Instruction: Clearance to exist19IbPR)l'''~ and fiber optic lines must be maintained during and after construction. . Clearances must'lJl!Ia,IitWt\'4ItTpSkIAIJ.;,IiNJgIMi/liIP/ilftW~RKngfield Utility Board, Notes: All roof and footing drainage shaAldl~@&IMi(;l>WJ&fRo'fIff9':ft~ffiVJrf' IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pa!?:e 1 01'3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01304 ISSUED: 09/12/2008 APPLIED: 08/29/2008 EXPIRES: 04/0712009 VALUE: $ 70,762.00 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726~3676 Fax 541-726_3769 Inspection Line I V~I.~~~,i?nI?~~cdqti?n I Description Tvpe of Construction $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 6,000.00 64,762.00 Value Date Calculated Total Value of Project' $6,000.00 $64,762.00 $70,762.00 09/04/2008 ] 0/0212008 Fonndation Onlv Use Bid Amonnt MannI' Home Manufactnred Home L.Fpp< PqitlJ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $47.41 9/]2/08 2200800000000001379 + 12% State Surcbarge $45.42 9/12/08 2200800000000001379 + 5% Technology Fee $29.47 9/12/08 220080000000000]379 Addressing Assignment $37.00 9/]2/08 2200800000000001379 Fire SF Fee - Residential $95.60 9/12/08 2200800000000001379 Foundation Permit $]49.46 9/] 2/08 2200800000000001379 MannI' Home State Issnance $30.00 9/12/08 2200800000000001379 Manufactured Home Conn - Plmb $52.00 9/12/08 220080000000000]379 Manufactured Home Placement $160.00 9/12/08 220080000000000]379 Plan Review Major - Planning $211.00 9/12/08 220080000000000]379 Plan Review Residential $97.15 9/12/08 2200800000000001379 Sanitary Sewer - Improvement' $525.91 9/12/08 2200800000000001379 Sanitary',Bewer - Reimbursement $691.63 9/]2/08 2200800000000001379 SDC MWMC Administration $]0.00 9/12/08 220080000000000]379 SDC MWMC Improvement $1,009.17 9/12/08 2200800000000001379 SDC MWMC Reimbursement $97:90 9/12/08 2200800000000001379 SDC Sanitary/Storm Ad'min $128.93 9/12/08 2200800000000001379 SDC Transpo Improvement $888.98 9/12/08 2200800000000001379 SDC Transpo Reimbursement $201.54 ,9/12/08 ;2200800000000001379 SDC Transportation Admin $75.08 9/12/08 2200800000000001379 Storm Drainage Impervious Area $654.99 9/12/08 2200800000000001379 Storm Sewer Eacb Addtll 00' $17.00 9/12/08, 2200800000000001379 WiIlamalane Manuf Home Private $2,513.00 9/12/08 220080000000000]379 + ]00/0 Administrative Fee $11.40 10/13/08 2200800000000001500 + 12% State Surcharge $]3.68 10/13/08 220080000000000]500 + 5% Technology Fee $5.70 10/13/08 2200800000000001500 Manufactured Home Feeder $57.00 ] 0113108 220080000000000]500 Manufactured Home Service $57.00 ] 0/13/08 220080000000000]500 Total Amount Paid $7,913.42 I Plan Reviews I Initial Review 08/2812008 08/29/2008 APP LLH Pa2e 2 of 3 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2008-01304 ISSUED: 09/12/2008 APPLIED: '08/29/2008 EXPIRES: 04/07/2009 VALUE: $ 7Q,762.00 '225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 08/29/2008 09/04/2008 APP LKW All roof and footing drainage shall be piped to existing storm water pipe. Structural Review 08/29/2008 09/04/2008 APP DLM Planning Review 08/29/2008 09/05/2008 APP DDK 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 Re(l~h'e,d I,nsn~ction~,' , Ufer Electrical Ground: ]nstall ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Foundation: After forms are erected but prior to concrete placement. Manuf Home SetUp: 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, strec,t address imrnbers, trees, driveway, etc. have been installed. FinalBuilding: 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. Storm Sewer Line: Prior to filling trench. Sanitary Sewer Line: Prior to filling trench and including required testing. Water Line: Prior to filling trench and including required testing. MH Service: Approval required prior to utility company energizing,service. MH Electric: When blocking, setnp and plnmbing inspec!ions have been ,approved and the home is connected to the panel: By signature, ] state and agree; .that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify Jhat.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. 1 further agree to ensure that all required inspections are requesied at the proper time, that each address is readable from the strcet, that the permit card is locat~d at the, front of the property, and the approved set of plans will remain on the site at all times during construction. Owncr or Contractors Signature Date Pa2e 3 01'3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journ"al Number COM2008-0 \304 COM2008-01304 COM2008-0 1304 COM2008-01304 COM2008-0 1304 'Payments: Type of Pi'yment CreditCard cReceinll RECEIPT #: Description Manufactured Home Feeder Manufactured Home Service + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By TURNBO CARTER ELECTRIC City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000001500 Date: 10/13/2008 Item"Total: Check Number Authorization Received By Batch Number Number How Received djb 013752 In Person Payment Total: Page I of I 9:50:15AM Amount Due 57.00 57.00 5,70 \3.68 11.40 $]44.78 Amount Paid $144.78 $144.78 I Oil 3/2008