HomeMy WebLinkAboutPermit Miscellaneous 2009-2-5
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1625 HENDERSON AVE SPACE B1 Eugene
ASSESSOR'S PARCEL NO.: 1703344313302
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00169
ISSUED: 02105/2009
APPLIED: 02/04/2009
EXPIRES: 08/2012009
VALUE: $ 10,000.00
TYPE OF WORK: Manufactured Home in Park
TYPE OF USE: New
PROJECT DESCRIPTION: Mannfactured dwelling placement space blO (Moved from Eugene)
Owner: JERALDINE LECKRONE
Address: 1625 HENDERSON AVE SPACE BIO
EUGENE OR 97403
Residential
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Manuf Home Inst
Contractor
OREGON ELECTRIC SERVICE
JERRY PAUL OTT
License
181997
69455
Expiration Date
05/09/2010
09/26/2010
Phone
541-343-1681
541-935-2696
BUILDING INFORMATION I
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
R-3
VB
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carp.ort
Sq Ft Other:
Occnpant Load:
I DEVELOPMENT INFORMATION I
Frontyard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd: .
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
_ATTENTION: Oregon law requires you to
.v"........ Ill.llv,,:) QUU/JtCU uy lll~ UIt::YUII UlIlIlY
NOTICE: I PUBLIC 1MPROVEMENTS'lotification Center. Those rules are set forth
Street Iniit~!6<flWlI~IT SHALL EXPIRE IF THE WORK In OA""\lJi.:ivml;liW.D,through OAR 952-001-
^IITUQ,o/7.J::n UNDER THIS PERMIT IS NOT 0090,. You may o6faln .copies of the rules by
Storm SeWer l<\ 1I1lH'11"'= Ca"lI~#WJm\f.~r((iAA":e: the telephone
SpecialllilliWMIiMCED OR IS ABANDONED FOR number for the Oregon Utility Notification
ANY 180 DAY PERIOD. Center is 1-800-332-2344).
Notes:
~~
J~~
~~
Paee 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I. V al~~tion Descriotion ,
De~cription
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amonnt
Type of Construction
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Manuf Home State Issuance
Mannfactured Home Placement
+ 12% State Surcharge
+ 5% Technology Fee .
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amonnt Paid
Date Paid
$47.64
$19.85
$30.00
$397.00
$10.44
$4.35
$6.00
$81.00
2/4/09
2/4/09
2/4/09
2/4/09
2/20/09
2/20/09
2/20109
2/20/09
Total Amount Paid
$596.28
Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00169
ISSUED: 02/05/2009
APPLIED: 02/04/2009
EXPIRES: 08/20/2009
VALUE: $ 10,000.00
Valne
Date Calculated
Receipt Number
2200900000000000132
2200900000000000132
2200900000000000132
2200900000000000132
3200900000000000105
3200900000000000105
3200900000000000105
3200900000000000105
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 Reollired IlIsoections I
Manuf Home Set Up: When installation of all piers or stands is complete.
Final ManufHome Set Up: After all required inspections are requested and approved and porches, skirting,
decks, venting,.street address numbers, trees, driveway, etc. have been installed.
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Page 2 of 3
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Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINtT1<lELD
Building/Combination Permit
PERMIT NO: COM2009-00169
ISSUED: 02/05/2009
APPLIED: 02/04/2009
EXPIRES: 08120/2009
VALUE: $ 10,000.00
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is trne 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 theiCommunity 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.ofthe property, and the approved set of plans will remain on the site at all
times during- construction.
Owner or Contractors Signature
Page 3 of 3
Date
Electrical Authorization To Begin Work
E-mailedTo:tena@orelectricservice.com
Receipt # EC547109
2/20/2009 11 :01:52 AM
qty of Springfield
Check on status of permit
By Phone: (541)726"3753'or Email: permitcenter@ci.springfield.or.us
10 New construction
lliJ I or 2 family dwelling
D Multi.family
o Commerci<ll / Industrial
~t=scri~!ion .. '... ...... Qty... l._ _ Ea., _ ", _ Total
fBr,~ill€~!i~l~~,~,- G.~JJE:r92',Rr.,mu!.,tl,",'J~m,_ ;,~J,r,::d0~,."~I!_(n'g_'ulitt1!!1fI~I~S€~1
:~~~~sh~lt~tg~m~~~~~<t~m.~~_~~
11.000 sq. f1. or less l4] .
Ea. addl 500 sq. ft. or portion
[X] Addition/alteration/replacement
IJob no.: IJob address: 1625 HENDERSON AVE
I City/StateIZIP: EUGENE, OR 97403-232~
ISuite/bldg.laptno.: s'pe BID,
Project name:
Cross slreetldi.rections to job site: Franklin Blvd.
I Subdivision:
I TlIx map/parcel no.: 1703344313302
ILolno.:
I-Limited energy, residential
(with above SQ. ft.)
I-Limited energy, multifami]y
residential (with above SQ. ft.)
I - Limitea energy, commercia-\ not offered online at this jurisdiction
(with above SQ, ft:)
I - Stand-alone -limited energy,
residential
I - Stand"alone limited energy,
multi-family
I - Stand-~lone lifriitedenergy, I
commerCia]
11~g~~'~f~~~e!~~J11a~iiJ!@!?~~Ifgll~;\~g~2El~!ica~~~~1
I 200 amps or less [2] , 11 $81.001 $81.001
1201 ampsto 400 amps [2] I I
1401 amps to 599 amps [2] I I I
Ii:T.:IVfP'ORA~yJervIc'e'r()R\feederslinsialliHiQn;fuli~aiioDi
!&;"""-~"'-',"P'l~;""003!to"""'~'!:VIi:"i<'::<'oOC"Jit\:'(:J' -="0
S~p~,I~X,e,I~5~~~(~!1~~~~h~\~'}~-,~.~)0 ,
1200 amps or I~SS. [2]
1201 amps to 400 amps [2]
140] amps to 599 amps [2]
Upgrade service & add circuit for light & outlet.
jName: JefTBrooks
IPhone: (54])343-1681
I Email:
I Fax:
Upon review and approval by your local jurisdiction, your
permit will be e~mailQd or faxed'within one business day,
with instructions on how to schedule your inspection.
I A. Fee for branch circuits with ~ I $6'00~
service or feeder fee, each ,
bra~TJ()N' f)reao. .law reglllres you 0
I I B. i>.q{6['Q~\M~~!liaRDtedrbY the Oegon ut~my
I ;~~l~~~~Wrtlft. T ose rule:, a~e .s_e_t fp_~1'!
II ,almliMlbla~iIJ/Jtl-UU1U nrougn 'f:::',n":.J~].u..:',-
I li~tU"ll'b"'. :ti!ilulmaWO:,;lI'"U~VHC<;L"",V"j"""",,,.._;....'i;;'l_~..,,,
4'''='.~"_'I~",'~7:~U'5i\0~s*;?nif!jt'ttrt:;;1fJ:~~~~'fi'1
I ,Servi~c}~~b}Me~ 'ol:filv it....'"!. ,I;; II;ili~~! t\1f1;ifir.~t on
I Eac " 0 mOdU"j SO lO 332-2' '144)
dwelling,servi f~e - . . . " .
121
Pump or irrigation circle [2]
I Sign or outline lighting [2]
I S,ignal or limited-
or
$6,00
lEI. lie. no.: ~~O~ ICCBlic.no.:.181997
i Business Nar#UJdKdui~ ELECTRIC SERVrCE LLC
ICoota't: Terlahlf&i<l?ERMIT SHALL EXPIRE IF THF WnRI(
IAddress: PifB@XlJilRIZED UNDER THIS PFRMIT I~ MflT
ICity/Slate/ZfPJfujbij;JJ;jlJi~O@f! IS ABANnnNFn i=nR
IPhon" (54lf343\~8"l80 DAY PERIOD. 1 Fax: (541)3431683
I Em.ajJ; tena@ore)ecl1icservke.com
11\'1etro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: ]3925
1 Supervising e!ectrician's name: HERMAN OLLAR
NOTE: This Authorization To Begin Work expires within 180
days if a permit Is not obtained.
rhe local building department may detennine thafan
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
Subtotal I
State Surcharge (12% of permit fee)
City Of Springfield fees *1
I TOTAL PERMIT FEE I
* City Of Springfield fees:- 5% Technology Fee
[Dejaull number of in spec lions allowed}
$87.00 I
$10.44 I
$4,35 I
$101.79 I
CD[
lug
,K.-e.. 2..\2.0\ 09
This Authorization To Begin Work mLJst be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal' Number
COM2009-00 169
COM2009-00 169
COM2009-00 169
COM2009-00 169
Payments:
TypeofP~yment
ONLINE CHGS
cReceintl
RECEIPT #:
3200900000000000105
Description
Perm ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology. Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works. Department
Date: 02/20/2009
Item Total:
Check Number Authorization
'-Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
Page 1 of 1
ONLINE OR Electric Online
Service
Payment Total:
11:10:44AM
Amount Due
81.00
6.00
4.35
10.44
$101.79
Amount Paid
$101.79
$101.79
2/20/2009