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Home My WebLink AboutPermit Electrical 2009-3-12 225 Fifth Street. Springfield, OR97477+ PH(541)726-3753 tFAX(541)726,3689 I f!?'PR0'~'":'!'~""-'_K-;'.~~;-"'i(>J~"-:~1fY&tt,;w:,:-~$l.S3)::.. 'c itr'DERARfMEN1i'USE~ON1hY; iC' ..'", _'CJ:.~1'~-";>''''''_:.._:->i''_~''''''''''__'~'~'''''''''''''~_''-"'''"ih';~_'..,'.' ",.1 I~'~..-,. .,." ;;'o;;:D--7i~- "1' Permit no,: 12:'3 - /,7.:L I Date: '3/1 2- / 0 / I Electrical Permit Application " This permit is issned under OAR 918-309-0000. Permits are nontransferable. Permits expire if work' is not started within 180 days of issnance or if work is suspended for 180 days. '~lIl1f0'O~L'X;OV.ERNMENJfJ~:~eeRQV~I...~_~~1 ~m:~~"'1IiEEi.S:08EQ.l!JL!E.. Zoning approval verified? . . DYes . D No . 1 IN'~~h~~~~1t1~~~'~~r~w~ rJml'" 1_1!.~c:;~mEG'ORYj{QF,,[C-C>NSjTIRI!Jc:;mI.C>N~_~~1 ~~"",,,,,,,,,,>,*,,,~w'W?-s~.,,""""'# *"'~~ !!:a, i~;~~~~~IjTIE~I.N~~R~~;;N~~NDj~~c~;7~N;~1~i : ~~~~::lI:I,:el::~:; service included:, $134.00 $ I J b' ddr '3710 S Ii 1 I Each additionalSOO sq. ft. or portion $ 25,00 $ o site a esso",- '- D . thereof 1 City: ~ ~ f u( I State: (:) (e.. 1 ZIP: 1 1 Limited energy (2) $ 32,00 $ 1 ,i=~PES~R,~tjQN[Qf~wvJ~~~~~~! ! !:~::~r::~~:~~~oond::ratL~~o:at::~OO $ 12VJ 1 1 200 amps or less (2) $ 81.00 $ I I 20 I to 400 amps (2) $ 95,00 $ 1 Name: ~,Lxv, c',' 7/ 1401 to 600 amps (2) $158.00 $ 1 Address: ~ 1 601 to 1,000 amps (2) $205,00 $ I City: S-u",..J' 1 State: Ui-u- 1 ZIP: lOver 1,000 amps or volts (2) $469.00 $ I Phone: -"/ I;j/;; -(00 p 1 Fax: ~ _ I Reconnect only (2) $ 63.00 $ I E-mail: I Temporary services or feeders: installation, alteration. relocation This installation is being made on residential or farm property I 200 amps or less (2) I $ 63.00 $ owned by me or a member of my immediate family, This I 201 to 400 amps (2) :: I $ 87.00 $ property is not intended for sale, exchange, lease, or rent OAR 479,540(l)and 479.560(1). I 401 to 600 amps (2) :: I $126.00 $ Signature: lOver 600 amps or 1,000 volts, see servi'~es ~r feeders section above ~~-Gb'Ni1!AAGmb'RIlINsfl'JXlEj""i';I'O'N' <""""","'''''''jj'1){''''''''' 1 Branch circuits'. ne"', alterat,'on, extens,'onperpanel "",,~5i?~~stRL, A ,t,..,..,.,~ ,.,' L:.I:.\'I~. _, 5ff';~W,Wc!i_,.)~!jL!:!< "" Business name: 7~o ~ I I a. Fee for branch circuit~ with,purchase':ofa service or feeder fee: 1 Address: /O'!2-- t' 7~ ~ I' 1 Each branch circuit 1 $ 6,00 I $ I City: d~ : _ . , 1 State: (JA.<.. I ZIP: 97rfO'f lib, Fee for branch circuits without parch,~se of a service or feeder fee: I Phone: - J. 72-1-/';00 I Fax: -~ I I First branch circuit (2) $ 55,00 $ I E:-mail: -- I ! Each additional branch circuit $ 6.00 $ I CCB license no,: ;j:; j'37 1 BCD license no,: ,;l-o-'f5/ c- 1 1 Miscellaneous fees: service or feeder notincluded I Signing supervisor's license no,: "1'/.5"'- -s I I Each pump or irrigation circle (2) $' 63,00 $ 1 Print name of signing snpervisor: Rf1- L-p It t3 TO QjIJ I Each sign or outline lighting (2) $ 63.00 $ I Signature of signing supervisor: f)h t'. t? f} _ _ -- I Signal. circuit or a li~ited.energy panel,:: $ 63.00 $ .'''-''''T- ~ alteration, or extensIOn (2) " additional inspection: (I) $58.00 1 $ $ p(o&V1 $ is' '''-I $.&3~ 1 $ /'-1 ?,,!zJ 440-2584-J (9/08/COM) . ~".o~ ~'\\ ~ ~4Q ~. \} (A) Enter subtotal of above fees (Minimum Permit Fee. $58.00) 1 (B) Enter I 2% 'surcharge (.12 x [A]) 1 (e) Technology Fee (5% of[A]) I TOTAL fees )lIld surcharges (A through C): Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax '541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00062 ISSUED: . 02/03/2009 APPLIED: 01f.1412009 EXPIRES: 08/13/2009 VALUE: $ 86,000.00 SITE ADDRESS: 3710 S A ST Springfield TYPE OF WORK: Mannfactnred Home on ASSESSOR'S PARCEL NO.: 1702314208600 Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Place mannfacture<l home on private lot. Lot 4, Taylor Ray Snbdivision Added Elect service and feeder 3-12,09 I requires you IU ATTENTION: Oregon a~he Oregon Utility . follOW rules adopted b~e rules are set forth Notification Center. Tho hOAR 952-001, _~ ...."'<I"..h..("'\Iln in UAt'\ '::1;J,"~V . :bt~'(I_,..nni.p.s'ofthe rUle:;) uy '. I (J~~~T(,)R lNYb,Q,MAJjIQNeIJPhOne """,,,J .- re on Utility ,,,!'(\licatlon Contractor numberdo~:~~i~ 1_~00,I3i:Cea:Se4). Expiratiov Date GREAT WESTERN HOMES I~~ 46472 12129/2009 RALPH W BROWN 63137 02115/2010 GREAT WESTERN HOMES INC MDI 159 12/29/2009 GREA T WESTERN HOMES INC 46472 12/2912009 Owner: Address: TRA VESS GEORGE T 1495 CHEEK ST SPRINGFIELD OR 97477 Contractor Type General Electrical Mannf Home Insl Plnmbing , # of Units: Primary Occupancy Gronp: Secondary Occnpancy Group: Primary Constrnction Type Secondary Constrnctiou Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ,25.00 14.00 10.00 22.00 0.00 Street Improvements: Storm Sewer Available: Special Instruction: Phone 747-9940 541-729-1500 747-9940 747-9940 I BUILDING INFORMATION I I R3 # Of Stories: I Lot Size:.. NOTI(ifilght of~.trV~'I!1(p\Pt~,\F THE WOR~ Ft IstFloor: THIS pr.:fli\J'bl nW~ &rc~~ ~lr'iS NO$q Ft 2nd Floor: AUTH~tl[0'y'\>mER TH. tfl5R Sq Ft Basement: COM~,~ra,q!i'EIll~~ IS ABANOm tric S'l Ft GaragelCarport 1~~f'iJ~rlJHlOD. . Sq Ft Other: ANY Sprinkled Bnn~}ng: n/a Occnpant Load: 5,663 1,782 VB 4 I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: 2 Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: 3 Yes 29.60 ":: I PUBLIC IMPROVEMENTS 1 Sidewalk Type: Downsponts/Drains: Fnllv Improved Yes Notes: . Storm water to curb Curbside 7' Curb and Gutter Page I of 3 I Plan Reviews I 01/14/2009 01/20/2009 OK LLH 01/20/2009 01120/2009 APP LKW 01/14/2009 01/21/2009 APP CJC Pa2e 2 of 3 Status Iss u ed , 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descriotion Tvoe of Construction Manuf Home Manufactured Home Fee Description *** SDC ANNEXATION CREDIT + 12% State Surcharge + 5% Technology Fee Addressing Assignment Curbcut Permit . Fire SF Fee - Residential Manufactnred Home Placement Plan Review Major - Planning Plan Review Residential PW Disc - 2nd Permit Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administr'ation SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Willamalane Manuf Home Private + 12% State Snrcharge + 5% Technology Fee Manufactured Home Feeder Manufactured Home Service Total Amonnt Paid Initial Review Pnblic Works Review Strnctnral Review I Valuation Descrilltion .t $ Per Sq Ft or mnltiplier $1.00 Sqnare Footage or Bid Amonnt 86,000.00 Total Valne of Project Fpp, P~,i.IU Amonnt Paid i Date Paid $-346.24 $47.64 $37.70 $38:00 $88.00 $89.10 $397.00 $211.00 $416.37 $-30.00 $525.91 $691.63 $10.00 ' '$1,009.17 $97.90 $128.56 $888.98 $201.54 $67.84 $88,00 $849:06 $2,858.00 $15.12 $6.30 $63.00 $63.00 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 2/3109 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 2/3/09 2/3109 2/3/09 2/3/09 2/3/09 ,2/3/09 2/3/09 2/3/09 3/12/09 3/12/09 3/12/09 3/12/09 $8,512.58 CITY OF SPRINGFIELD " Building/Combination Permit " PERMIT NO: COM2009-00062 ISSUED: 02/0312009 APPLIED: 0111412009 EXPIRES: 08/1312009 VALUE: $ 86,000.00 Valne Date Calcnlated $86,000.00 $86,000.00 01/2012009 Receipt'Nnmber 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 ' 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200900000000000074 1200990000000000074 1200900000000000183 1200900000000000183 1200900000000000183 1200900000000000183 Storm watcr to curb As snbmitted \ , _$PAIfl/,".1ii1~9!'.'":',,,,,!,l'< j CITY OF SPRINGFIELD , Building/Combination Permit " Status Issued PERMIT NO: COM2009-00062 ISSUED: 02/03/2009 APPLIED: 01/14/2009 EXPIRES: 08/1312009 VALUE: $ 86,000.00 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Planning Review 01/20/2009 01/2812009 ' APP DDK 3 street trees reqnired. 1 tree along S. 37th SI.:and 2 trees along S. A St. 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 b,e made the following work day. Reouired Insnections , Mannf Home Set Up: When installation of all piers or stands is complete. Final Mannf Home Set Up: After all reqnired inspections are reqnested and approved and porches, skirting, decks, venting, street address nnmbers, trees, driveway, etc. have been installed, Mannf Home Plnmbing: After home has been connected io 'water and sewer. MH Electric: When blocking, setnp and plnmbing inspections have been approved and the home is connected to the panel. Ii MH Se"rv.ice: Approval required prior to utility company energizing service. MH Pedestal: Approval reqnired prior to ntility company energizing service. Ufer Electrical Cronnd: Install gronnd rod at footing and call for inspection in conjnnction with footing and/or foundation inspection. ~ Fonndation: After forms are erected bnt prior to concrete placement. By signatnre, 1 state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is trne and correct, and 1 fnrther certify that any and all work performed shall Ii'e done in accordance with the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUP~NCY will be made of any strnctnrewithont permission of the Commnnity Service~ Division, Bnilding Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. 1 fnrther agree to ensnre that all reqnired inspections are reqnested 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 duri,'?:L.nrstf)rn lcti~n. 11_ . ., ~ ~ ~a '.'r -.~ I (}iftV" ~ 3 ~ (I - or-- Owner or Contractors Signatnre Date ~a2e 3 of 3 22,5 Fiftli Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00062 COM2009-00062 COM2009-00062 COM2009-00062 Payments: Type of Payment Check cReceintl RECEIPT #: Description' Manufactured Home Feeder Manufactured Home Service + 5% Technology Fee, , + 12% Stale Surcharge Paid By RALPH W, BROWN City of Springfield Official Receipt Developmenf Services Department , Public Works Department 1200900000000000183 Date: 03/12/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 2738 Page I of I In Person Payment Total: " I :08:42PM Amount Due 63,00 63,00 6,30 15,12 $147.42 Amount Paid $147.42 $147.42 3/1 2/2009