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Home My WebLink AboutPermit Electrical 2009-6-12 225 Firth Street+Springfield, OR 974n+PH(541)726-3753+ FAX(54 1)726-3689 l~rl;r[)E~ARf:MEN't;~S'EONLY..' I .~;<'!f'-";""''''*.f-<'H'l;lJ1r.".;!',.".-''''M>",,,,-,?,,,,",,,,,,.,'f'i,''"-'"".,,,,",' I permit~0.:~9- CJO"7I\1"c:A I Date: 6/;;;>-10 q 1 Electrical Permit Application . . G r , I 'I 1 1 1 ] I.; I I I 1 I I 1 I I I I Signature: Over 600 amps or 1.060 volts, see ~erviees or feeders se~tion above 1 l~t~t~~ii~'C.ONTRA:CT,OR1}INS;rA.lf~JION.~it-~~ftd~,\t~r'~1 . 1 Branch circuits: new,,::alteratiol1, extensiof1,per panel 1 I Business name: f\.cu 1 \ fA )n A I. ;: 11~~ 1;' ~ I I a. f'ee for branch circuits with purchase ofa service or feeder fee: 1 I Address: {JD .J"vrV r ,.{ll f)'t)3'. I Euch branch circuit I I $ 6.00 I $1 . I CitY)'llq; /rt~ ~ I State:/'JR. I zlp(f7t.J 0 :;L I b. Fee for branch circuits withoot porchasc nfa service or !Ceder fee: '1 I Phone:~l/' - t,- 151 Fax:hl/l.t,.J?t, -;x76 1 I First branch circuit (2) I $ 55.001 $ I I E-m'lil: }PIT/v ;.L. ~ I I Each additional branch circuit $ 6.90 I $ I I CCB licens~ no.: 510 l?:r 0 license nobl)-/ (/5C I .1 Miscellaneous fees:.sJrvice orfeeiler no! included I I Signing supervisor's license,no.: _.c;;J5;;.s I I Eachpump or irrigation circle (2) $ 63.00 $ 1 1 Print name of signing superviso 1 Each sign or outline li~hting (2) $ 63.00 $ 1 J Signature of signing supervisor: 1 Signal circuit or a limiJed.energy paneL $ 63.00 $ ,1 alteration. or extensio,:! (2) '~-$ (/ , , l~i~~;~;~~I;~~O;~~~ANf!USEi~,~i:;;f,~~~tl~~~ ~#\ ~~.o'" I ;~,~::';:::::::;:'~:;.''::) } 03. 'J'O (\.\\ \9':\.{f\'\~ I (B)EnterI2%sorcharge(.12x[Aj) $ !.:S'IIS" ~ \ ~ '0'(, I (C) Technology Fee (5ro of[A]) $ 1, 1b'<O \rJ" . . \j...\ ,I TOTALfeesandsurcharges(A through C): $ 7.J.-17( This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within I80 days of issuance or if work is suspended for 180 days. 1~'ijj[~~fZ411ft~I1():CJ,\l~J;.G'OVERNMEN~~~~~RROV AL'f;':]:*)~~~l$Ff~ I' l~ffJ~~j;'~~j~\~i!~~ii~ ~EE~SCHEDUtE~-;;,~~,~;~;'~')~:"~:~",~ . ~'\ I Zoning approval ve~ified? 0 Yes I . [1 No . 1 1!~~;~~j;\.gf.i~=~ti;~~f::~~i{:;';f(~))~~1.JIQ~1 /;('.:.i~t-' .';:1 (I:o'tal l:~w'~:~fffffi'.if.~'\:CA,.EG-08.Yitt-Of;::KC:ONS1;RU.CJION~~f~;~:~t~:~~:;~~~~I "'''\'$:w.,*y"''.:'.\t~.f~''''~I""",,,,~:~:i:.(,\,,,,,'''\'i't '-,I,,",,'~;j,,\u,,~'\r. ,'-~"-"'"", ...'- ,.e~. .r: ~, cost 1 Residential, per unit, service included: . ~~~~~~~~~t;~ITE:i1N~~R~;~~;~~~ND~L~c~~~;~~~~~"1'l)t 11,000 sq. ft. or less (4)i! . I ~ ...,.." 1 Each additional 500 sqi: ft. or portion lob site address: /03;;J. ;1/1'1-ii'?-S'r thereof . $ 25.00 $ I City: I State: I ZIP: j I Limited energy (2) $ 32.00 $ i~~~~'~~;;~b~~2~~()~~&~~\:;~~\'Ir"~":l;(~~'i!t,~! I ~~~~I~:ns~:~~~~r~~ ~ei~~r(2)odular I I $ 63.00$ 1 1 Services or feeders: i~stallation, alteration, relocqtion ~j';lli!~.lI~~]\\~~~;Vi'iPROPERTYlOWNER~!~;;~~t.14\'\fi;;:*w;~~J I ~:~ :::~oo::;: ;~: ; ::::: : [Name: \r{~ l\.n(f\~ ] 401 to 600 amps (2) $158.00 $ I Address~() ~ ~\ \ . I 1601 to 1.000 amps (2) $205.00 $ I CityJrtJ\P\L I State:{')\L-1 ZIP:q\4c'::l~ I Ovefl,000an,psorv~lts(2) $469.00 $ I Phone: - _ _ ., . IF';: _ _ . I I Reconneetouly (2) $ 63.00 $ 1 E-mail: 1 I' Temporary services or fc.cders: i'!sta/lati~n, alteration, relocation This installation is being made on residential or fann property I 200 amps or less (2) $ 63.00 $ owned b~ me or a member of my immediate family. This 201 to 400 amps (2) . $ 87.00 $ property IS not mtended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). . 401 to 600amps (2) $126.00 $ ,$134.00 $ 440-2584.J (9/08/COM) CITY OF SPRINGFIELD Building/Combination Permit . Status Issued PERMIT NO: COM2009-00482 ISSUED: 05/01/2009 APPLIED: 04/10/2009 EXPIRES: 11/22/2009 VALUE: $ 10,900.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541:726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 7032 MAIN ST ASSESSOR'S PARCEL NO.: 1702353100903 Springlield TYPE OF WORK: Manufactured Home on Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: New Manufactured Home On Private Lot Owner: NORRIS MAX E Address: PO BOX 311 . LOWELL OR 97452 Phone'Number: 541-510-8454 Owner: Address: TTT RANCH, LLC PO BOX 2121 JASPER OR 97438 I CONTRACTOR INFORMATION I Contractor Type General Electrical Manuf Home Inst Contractor RICHARD A TRICKEY INC NEW WAY ELECTRIC lNC Al OTT MOBILE HOME SET UP License 52320 51088 69455 Expiration Date 01107/2010 06/27/2011 09/26120 I 0 Phone 541- 726-3058 541-686-2365 541-935-2696 BUILDING INFORMATION I . 3 # of Stories: I Height of Structure Type of Heat: orced Air Electric . Water Type: Electric Range Type: Electric Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 6,466 1,400 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constructiun Type Secoudary Construction Type: # of Bedrooms: I R-3 VB I. DEVELOPMENT INFORMA nON I Front yard Setback: 15.00 Overlay Dist: . . y~" to SIde 1 Sethack: 0\43.00 requIres #'IStre,et Trees Rqd: ON' Orog ,.-" , tllIt' Side 2 Sethack:TTENT\ . 0\.,.29.001e oregon Pa}'ed,prive Rqd: ., dop ~u ,,i) " ^T ,01\1 Rearyard Setl)!lCk:V rules a ntef T!~cQO rules are s~_3~~j)t Cover~ge: Solar Setbac~s:)ti1icatlOn cOe 1 0010 ',O,O.O)gh OAR 9 les by . ~ I. a Q';?-O - _ ._;~O rol lhe ru '0090. You rnaYe~~~;.'''(N~ie: tll'P)JBJ~ic:iMrRovEMENTS I K Street Improve,gt~lir:~rtro~ ~he orePRo:111~:I~I_'')::\44)~ NOi\~i~~walk(r.)\ll!e:L EXPIRE IF 1H!\WS ONR01 llw"_o C nter is 1-, u v'mproveu T\1\S PERI~\l1 v' '~~ PERM\! Storm Sewer Available: e Yes I .' Downspouts/Dt:tin1~\S Tp,Stot.m Sewer "U r\1u"\I-"'~ - Jl.NDONt:u IV" Special Instruction: Storm water to connect iuto storm system ; MENDED OR IS fl,B , ,OM. ERIOD ~~ ~1WD~P . Yes 17.30 REQUIRED PARKING Total: 2 Handicapped: Compact: Paee I of 3 _l:iP.!~tI\lG.p'I_DJ ! Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541"726-3769 Inspection Line Descriotion Tvpe of Construction Foundation Onlv Use Bid Amount Manuf Home Manufactured Home Fee Description Plan Review Residential + 12% State Surcharge + 5% Technology Fee Addressing Assignment Fire SF Fee - Residential Manuf Home State Issuance Manufactured Home Placement Plan Review Major - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC Transportation Admiu Storm Drainage Impervious Area Willamalane Manuf Home Private + 12% State Surcharge +.5% Technology Fee Manufactured Home Feeder Total Amount Paid Structural Review 04/15/2009 Initial Review 04/13/2009 Public Works Review 04/15/2009 I Valuation Descrintion , $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 3,500.00 7,400.00 Total Value of Project Fp~,. P~irl I Amount Paid $50.38 $47.64 $30.40 $38.00 $70.00 $30.00 $397.00 $211.00.. $462.80 $608.63 $10.00 $1,009.17 $97.90 $127.02 $201.54 $888.98 $75.32 $767.72 $2,858.00 $7.56 $3.15 $63.00 $8,055.21 Date Paid 4/10/09 5/1/09 5/1/09 5/1/09 5/1/09 5/1/09 5/1/09 5/1/09 5/1/09 5/1/09 5/1/09 5/1/09 5/1/09 5/1/09 5/1/09 5/1/09 5/1/09 5/1/09 5/1/09 6/12/09 6/12/09 6/12/09 I Plan Reviews I 04/15/2009 04/17/2009 APP LLH 10 Pal!e20f3 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00482 ISSUED: 05/01/2009 APPLIED: 04/10/2009 EXPIRES: 11/22/2009 VALUE: $ 10,900.00 Value Date Calculated $3,500.00 $7,400.00 $10,900.00 04/10/2009 05/0 I /2009 Receipt Number 2200900000000000363 2200900000000000465 2200900000000000465 2200900000000000465 2200900000000000465 2200900000000000465 2200900000000000465 2200900000000000465 2200900000000000465 2200900000000000465 2200900000000000465 2200900000000000465 2200900000000000465 2200900000000000465 2200900000000000465 2200900000000000465 2200900000000000465 2200900000000000465 2200900000000000465 3200900000000000450 3200900000000000450 3200900000000000450 LKW . Left message with installer, need to talk to owner regarding site plan and an LDAP CITY OF ~rKIJ'lld<l~LD Status Issued Building/Combination Permit PERMIT NO: COM2009-00482 ISSUED: 05/01/2009 APPLIED: 04/10/2009 EXPIRES: 11/22/2009 VALUE: $ 10,900.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3 769 Inspection Line Structural Review 04/20/2009 04/20/2009 WE KLK Public Works Review 04/22/2009 04/22/2009 APP LKW . No structure allowed in 10ft Trunk . Sewer Easement.Storm water runoff to existing storm drain Plan nine Review 04/15/2009 04/23/2009 APP DDK Plot Plan not drawn to scale. Confirmed actual setback dimensions with Joe Tokatly. Structural Review 04/23/2009 04/23/2009 APP KLK 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 Renuired Insnections I Ufer Electrical Ground: Install ground rod at footing and call for in~pection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. ManuI' Home Set Up: When installation of all piers or stands is complete. Final ManuI' 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. ManuI' Home Plumbing: After home has heen connected to water and sewer. MH Electric: When blocking, setup and plumbing inspections have been approved and th~ home is connected to the panel. " By signature, 1 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 perfo"rmed shall be done in accordance. with the Ordinances of the City of Springfield and the Laws of the State of Orcgon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission ofthe Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will he 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 of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 3 01'3 8PlUNQFIIQ..D' ;-." I -'A~-IJ~. .. 'iIIIIiIIa--;"" -. .... ......... c _ ~ . ~'- ... ',- .;........... ,.'~ City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Spri!lgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00482 COM2009-00482 COM2009-00482 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 3200900000000000450 1:51:49PM Date: 06/12/2009 Description Manufactured Home Feeder + 5% Technology Fee + 12% State Surcharge Amount Due 63.00 3.15 7.56 $73.71 Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid NEW WAY ELECTRIC/JUSTIN NJM PASLEY $73.71 512115 In Person Payment Total: $73.71 Page 1 of 1 6/12/2009