HomeMy WebLinkAboutPermit Electrical 2009-6-11
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:Sprinter5c@yahoo.com
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R~ceipt # ]:C553471
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6/)1/20098:43:46 AM
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Check on status of permi!
By Phone: (541)726-3753 Or Email: permitcente..@ci.springt1eld.or.us
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I Description I!~ Qty. [a. I Total I
i;ft~~~~~!:~~~~~:-~~:~~j:~~mJj@wt_i~ng,Uilit>-In~~_~_~~~~ f" :.~!
II,OOO,q ft. or Ie" [4J I I
I Ea. add! 500 sq. f1. or portion I
1[
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I
) 0 New construction
IX] Addition/alteration/replacement
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The_local building depar1men"t may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
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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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'-.~C~~P:OR'(;(j~C2NSiR~c:rlg!i~tjO'
Iii] I or 2 family dwelling D Multi-family 0 Commercial/Industrial
I,';~ ' ".:jO~'SITE'I~~.Q~M!\If6~;~NDfC<.iCArlO~ic";:'-;"~-';;"::::M;:f'1
IJob no.: IJob address: _658 S 57TH ST
I City/State/ZIP: SPRINGFIELD, OR 97478"5439
I Suitc/bldg./apt.no.: SPC.21
IProjcctllllme:
Cross s'reet/djrectiQn.~ to job site;
ISubdivision: I Lot no.:
Il~l~~p::a'~d no,: 1802040000200
Replacing maimfactured home with new manufactured home.
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I Name: Jeremy Cooper
!Phone: (541) 743-]2]3
IFax: (541) 895-2207
I EUk. no.: C25d\1U I 1l;1::: 'ICCBHc.no,: 174458
I Bos;,,.,, N"me: f~~flIffiMI'lhatll6/[L EXPIRE IF THE WORK
ICon.ac!: JeremAlJ'*IORIZED UNDER THIS PERMIT IS NOT
IAdd"": 8292400l\(1f*llNelm OR IS ABANDONED FOR
I Cily/S''''c/ZIP: A(lUv;JIfW ~4jllERIO 0,
1 Phone: (541 )74312] 3 I Fax: (541 )8952207
I Emili!: Sprinter5c@yahoo.com
IMetrolic.llo.: 541743-]2]3 ICitylic.no.: Creswell
I Supervising electrician's lie. no.: 5407S
I Supervising electrician's name: JEREMY J COOPER
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
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I-Limited energy, residential
(with above SQ, ft.)
I-Limited energy, multifDmily
residential (with above Sq, ft,)
I-Limited energy, commercia-] ~ot om'red online <It this jurisdiction
(with above Sq. ft,)
I - Stand-alone limited energy,
residential
I - Stand-a,Jone limited energy,
multi-!amllv
- Stand-alone limited energy,
commercial
L~mJi.~:s;9'fi~fe~~~dl!~Ha)1~ii~~fI!~~~T~o'ill}\~L2Iti~io~a,t~~~;~~~~~~;I
r 200 amps or less [2]! I
I 201 amps to 400 amps [2] I
140] amps to 599 amps f2] I
I~T._~.~Mr.9J~,RY. .ls~~~C[s~9:.~',~~~t:rS.:i~~I!ii!i>~~'~_.;a'.ft..~.r~~o~l~~~:":'". *'\
I~J?LQ!l ,~elo~"!t,!~I.L ..:.:: --:'.;1 "-', "lti'~. ::;,1j~"7:;'A1, ,'G::'!i t ~~-~ /,; ,,"0',. ,:,-.,,J
1200 amps or less [2] I
i 20] amps to 400 lllnps [2} .\
140 I amps to 599 amps [21
I;~lliilcb' ~irc~ltr~tiE_~Y?ili_t~,rat{iif;~bl~~~teli~!~~p,cr pan~1
I A. Fce for branch cirelli!s wi!h I' . I
service or feeder fee, each
bmnch cir<.N!b: "..._...... ~ .
I B.reefor~'r~rk~!~rJlts"I"-. ""I\'..~V"ICHV ICI..jUIIC~ VU.l,V
w;,hout ,fuIida\lf ml!'i$e<lJ,dO! ted by tt e Oregol Utility
first brafldhltifttNl1t:U'm ronto' Thn~o I d~... .........
I.""h "dflJbt'm9'f\'J!'l~,001-01V10thm"Jh 'OAFl-, .~?_O~1_,
1(~.l~I!~@!l,;'Y6urmav.dDralnV!copies(0f'tR1ii~ules~tiv .
ISm;" re&;iilJlitl@III1[l!Jcente r. (Note the tele~hone
I Each ma_,lUlilalDrT",.dIDe L regon LlI 'Illy ~/,tj>b~ catiM.oo
dwellmg, ,eTV'" an~rm!'I'is 1-800-33 '-2344)
r21 . I - .
I Pump or Irrigation circle (21 i
I Sign or olltlinelighting [2J I
I Signal circuit(s) or limited- I
energy panel, alteration, or
extensionJ21
J~;~~!2\1:;>tJ:;j;r;.~~~~~~~~~~TRk:A.~~,p'~~-MlfFEES'./ 4':~~:' : .~'":::~:":..: I
I ji Subtotal I $63.00 I
I State Surcharge(l2%ofpermit fee) $7.561
I City OrSpringtie]d fees * $3.15 I
I TOTAL PERMIT FEE I $73.71 I
. City Of Springfield fees: 5% Technology Fee
fDeJault numbel' ajinspections allo;l'ed]
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Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/C~mbination. Permit
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PERMIT NO: COM2009-00704
ISSUED: OS/29/2009
APPLIED: OS/21/2009
EXPIRES: 1]/29/2009
VALUE: $:'15,000.00
SITE ADDRESS: 658 S 57TH ST SPACE 21
ASSESSOR'S PARCEL NO.: 1802040000200
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Springtield TYPE OF WORK: Ma~~I'actnred Home in Park
PROJECT DESCRIPTION: Manufactured Home in Park
Owner: . JOE AND LEE LIMITED
Address: PO BOX 717
SPRINGFIELD OR 97477
TYPE OF USE: New,'
Residential
I CONTRACTOR ~NFORMATION ,
Contractor Type
Electrical
Manul' Home Inst
Contractor
SPRINTER ELECTRIC INC.
SANTI AM HOMES LLC
License
174458
98940
Expirati'on Date
"
. 02120/2011
05111:12011
Phone
541-743-1213
503-769-7744
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# 01' Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
R-3
VB
3
Electric
Electric.
Electric
I
Lot Size:
"
Sq Ft l,st Floor:
Sq Ft 2'nd Floor:
"
Sq Ft ~asement:
Sq Ft GaragelCarport
Sq Ft Other:
"
Occupanl Load:
,
1,596
nla
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o,fo of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Slorm Sewer Available:
Special Instruction:
NOTICE:
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Page I 01' 3
REQUIRED PARKING
I, Total:
! Handicapped:
Compact:
,.
i:
Sidewalk Type: i.
I!
Downspouts/Dra.!ns:
ATTENTION: Oregon law requires you 10 .
follow rules adopteg by the Oregon Utility
Notification Center. Those rules are set forfh
in OAR 952-001-001 Qthrough OAR 952-001-
0090 You may Dbtain copies of the rules by
caliing the center. 1'(Note: the telephone
number for the Ore'gon Utility Notification
Center is 1-800-332-2344).
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00704
ISSUED: OS/29/2009
APPLIED: OS/2112009
EXPIRES: 11/29/2009
VALUE: $ 15,000.00
I Valuation Descdotion I
$ Per Sq Ft
or multiplier
$1.00
Square Foutage
or Bid Amount
15,000.00
Value
Date Calculated
Manuf Home
Type of Construction'
Manufactured Home
Description
Fee Description
Manufactured Home Placement
Plan Review Residential
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
ManuI' Home State Issuance
Manufactured Home Placement
+ 12% State Surcharge
+ 5% Technology Fee
Manufactured Home Service
Total Amount Paid
$15,000,00
06/01/2009
Total Value of Project
,
$15,000,00
Fee~ Paid I
Amount Paid
Receipt Number
Date Paid
$305.58
. $-305,58
$305.58
$47,64
$19.85
$30,00
$91.42 .
$7.56
$3.15
$63.00
5/21/09
5/21/09
5/21/09
5/29/09
5/29/09
5/29/09
5/29/09
6/11109
6/11/09
6/11109
2200900000000000542
2200900000000000542
2200900000000000542
1200900000000000574
1209900000000000574
1200900000000000574
1200900000000000574
1200900000000000657
1209900000000000657
1200900000000000657
$568.20
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.
Relluired Insnections I
ManuI' Home Set Up: When installation of all piers OJ' stands is complete.
ManuI' 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. :,
Final ManuI' Home Set Up: AfteJ' all requil'ed inspections are requested and approved and porches, skirting,
decks, venting, street address numbers, trees, drive\\'ay, etc. have been installed.
I'aee 2 of 3
CITY OF SPRINGFIELD
Building/O~mbination Permit
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Status
Issued
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PERMIT NO: COM2009-00704
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541'726-3769 Inspection Line
ISSUED:
APPLIED:
EXPIRES:
VALUE:
OS/29/2009
OS/21/2009
11/29/2009
$': 15,000.00
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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 w?rk described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Servi,fes 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 ~'ddress is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans wi!1 remain on the site at all
times during construction. I
Owner or Contractors Signature
Date
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225 Fifth Street
Springfield, Oregon 97477
541~726-3759 Phone
Job/Journal Number
COM2009-00704
COM2009-00704
COM2009-00704
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
Description
Manufactured Home Service
+ 5%.Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
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1200900000000000657
Received By'
KR
Page 1 of I
Check Number
Batch Number
City of Springfield Official Receipt
I'
Development Services Department
Public Works Department
Date: 06/11/2009
Item Total:
Authorization II
Number How':Received
ONLINE SPRINTER Online
ELECTRIC
Paym~nt Total:
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9:13:02AM
Amount Due
63.00
3.15
7.56
$73,71
Amount Paid
$73.71
$73.71
6/11/2009