HomeMy WebLinkAboutPermit Electrical 2009-4-13
. Receipt # EC549952 \j0
4/13/20098:44:37 AM ,\-,
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City of Springfield
Electrical Authorization To Begin Work
Epmailed To: arceleror@aol.com
I
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I D New construction
[XJ Addition/alteration/replacement
I!KJ 1 or 2 family dwelling
DMulti-ramily
D Commercial/Industrial
IJob no.: IJob address: 2145 31ST ST
ICity/Staterl.lp: SPRINGFIELD, OR 97477-1871
I Suite/bldg./ilpt.no.: SPC 79
!Projcct name:
Cross street/directions to job site: Marcola ROlld to 31 51 street (Welcome West M/H
Park)
I Subdivision:
map/pan'cl no.: 1702302104200
ILot no.:
Replace service & feeder fOT MIl-lame
I Name: Welcome West I
Ipho"" (54r-!~: IF." I
1~,~;:~~"ZP'~,~j3f!'.t~~1T,", ~~ W_~IR_E IF TH~ ~ORK",. ~_ "~,,U0, .,1
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I Contact: v9gi1 I
IAddress: PO BOX ]723 I
City/StatelZlP: SPRINGFIELD OR 97477 I
I Phone: (541)74)0494 IFllX: (541)7411685. I
I Email: arcelecor@aol.com I
I J\.'letro lie. no.: I City lie. no.: I
I Supervising electrici;m's lie. no.: 43685
ISupl'rvising deetriehm's name: STEPHEN M SEBASTIAN I
Upon review and approval by your local jurisdiction, your
permit will be a-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization'To Begin Work expires within 180
days if a permit is not obtained.
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The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances,
I Description Qty. I Ea. J Totlll ~
1~~~,e~tt~~~ie,~~~~~1~t~~~'~~~Ji~,~~~~~~;;~'~1K~_~~:~
11,000 sq, n. or less [4J
I Ea. add! 500 sq. ft, or portion
I ~ Limited energy, residential
(with above sq. ft,)
I - Limited energy, multifamily
residentilll (with above sq. ft.)
I-Limited energy, commercia-] not off(:red online at thisjurisdict,ion
(with above sa. 11)
I - Sland~alone limited energy,
resIdential
I ~ Stand~alone limited energy,
multl~familv
- S[and~alone limited energy,
commercial
,',~~~~c(:~'9!l"~~~4tfJ;i~!fIJ@J?~~t1aj~'~~ratiO!I;)~~1>!QR~~I~c~t,~o~'~~~~"1'1
1200 amps or less [2J
1 201 amps to 400 amps [2 J
140 I amps 10 599 amps [2]' l
I;T~,~~~Q~~~x~s~'r~~~:~~:r~~!~'i,ns,~allitt~O!l;,~H~ta.t.~o6';:~~:-.' " ,~
1 ~~J?!<!!~:!21~(:1l!',~~'.>' -,' ~ ,^_*~'-f ";"";:4':i"~:-~-df'!"''': . ,.:~'i ~ .:: ~;:- ~ <"'
'1200 .mp' or less [2J 1
1201 amps 10 400 amps [2] I
1401 amps to 599 amps [2] ,
1~~!~~iK~[~~,~~_~,~Y'IMi~!iIl?'~Plr~1~~oDJJfcF);~n.~1 '--
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I ~~Fi&'t!)'Q~;~r&gor . law reql ires you :0
~:Uffl~t~es R(inntprl hy tho (1. OT~ '_1+: ~.
I '~ll>~I!i'OVI~~~IQ!lJ1tel' Tt,ose rule! are set ~rth
fil!1 Ilr,",i\!iJiili'~r@T-tJu1 0 throuah CAR 952- 01.
I ,~hIilMlbX.l1M mall obtain jcopies 01 the rule by
l~l~~'"Jfi!Js}tl~rp,~n'2r~~~~e.I~I,JJ.l.!j{.tt'~8.llilr'}.!f~~'.
1 S r._r.;..~, Iy, '~\f"'>I' II GUHlY fWUTlCallmn 1
emce recollfct 0 IlY.12 1"0 I. '"
I C"h m''''',"cThimt9fn~ "~r80 ~2':1.J-l). $6300 1126001
dwelling, service and/or fecdl'r
121 .
I Pump or irrigali~n circle [2] I
I Sign'or outline lighting [2) I
I Signlll ~ircuit(s) or limited~ I
energy panel, alteration, or
extension f2)
1?;:~,;~~~,~d;~~'~EC:T~19A~:~I~~If:F;:e~_S~: ,%~~!'Jj;~, };>
I Subtotal $126.00 I
I StateSun.:harge(12%ofpennitfce) $]5.121
I City OfSpringf1eld fees" $6.30 I
I TOTAl. PERMIT FEE $147.42 I
. City or Springfield fees: 5% Technology Fee
[De/aull number o/inspections allowed}
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00465
ISSUED: 04/0712009
APPLIED: 04/07/2009
EXPIRES: 10/13/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2145 31ST ST SPACE 79
ASSESSOR'S PARCEL NO.: 1702302104200
Springfield TYPE OF WORK: Manufactured Home in Park
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Manufactured Home in park- replacement
Owner: WELCOME WEST MHP
Address: 7007 SW CARDINAL LANE, SUITE I
TlGARD OR 97224
Phone Number: 541-746-0314
Contractor Type
General
Electrical
I CONTRACTOR INFORMA TlON I
Contractor License
A ACTION MOBILE HOME MOVING & DEI\i142807
ARC ELECTRIC 115113
BUILDING INFORMATION I
Expiration Date
05/05/2010
07/29/2010
. Phone
541-935-1786
541-741-0494
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I sf Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
672 .
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
I DEVELO~.MENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:.
Compact:
i
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Special InstruNMICE' ,
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Dow.!I~.I1ppts!Drains' .
ATTEN liON: Oregon law reqUIres you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are sel forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Notes:
Pa2e I of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2009-00465
ISSUED: 04/07/2009
APPLIED: 04/07/2009
EXPIRES: 10/13/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I V aluation Descri~tion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees Paicl I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Manuf Home State Issuance
Manufactured Home Placement
+ 12% State Surcharge
+ 5% Technology Fee
Mauufactured Home Feeder
Manufactured Home Service
Amount Paid
Date Paid
Receipt Number
$47.64
$19.85
$30.00
$397.00
$15.12
$6.30
$63.00
$63.00
4/7/09
4/7/09
4/7/09
4/7/09
4/13/09
4/13/09
4/13/09
4/13/09
2200900000000000342
2200900000000000342
2200900000000000342
2200900000000000342
3200900000000000240
3200900000000000240
3200900000000000240
3200900000000000240
Total Amount Paid
$641.91
I Plan Reviews I
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 Reouirecllnsnections I
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.
MH Service: Approval required prior to utility company energizing service.
MH Electric: When blocking, setnp and plumbing inspections have heen approved and the home is connected to
the panel.
Paee 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2009-00465
ISSUED: 04/07/2009
APPLIED: 04/07/2009
EXPIRES: 10/13/2009
VALUE:
225 Fifth Street, Springfield, 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 frout of the property, and the approved set of plans will remain ou the site at all
times during construction.
Owner or Contractors Signature
Date
Paee,3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00465
COM2009-00465
COM2009-00465
COM2009-00465
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
Manufactured Home Feeder
Manufactured I-lame Service
+ 5% Technology Fee
-t- 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000f40
9:25:42AM
Date: 04/13/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
63.00
63.00
6.30
15.12
$147.42 .
Am'ount Paid
KR
$147.42
ONLINE
ARC Online
Electric
Payme~t Total:
$147.42
Page I of I
4113/2009