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Home My WebLink AboutPermit Building 2003-2-25 -"- ."..... ',' ~ "CITY OF ~dUNGFlELD: OREGON' "\ ), , '. " " . . ubmitted has the tollowing 225 1'11'1 n STREET . SPRINGFIELD, OR 97477 . PB:(541)726-3753 . f'~,(~. 'i~3VillCJ9quire specific land use approvclT. - d J ELECTRICAL PERMIT APPU~TION Zoning 1'1 brL . City Job Number af:::2003- OOO:.s2.Date 0 Z \ 20::S ""0 ~ _ &'5 -0'3> I. 'L'.";--r:ONrCi"","/7r:Q,&j 3. . '." ',. '>"0;;" .'. ")l.'.'-"'" '.. '. ~~~-\:.,~. )?~ LEGAL DESCRlPTlON 170Z__~300 01300 Service Included 1000 sq. ft. or less I Each additional 500 sq. ft.,or\O AtkVl'CP' h11lb.~LP l(2-Lftr~" portion thereof \l\~es'l\)\\\\\'l '.: "eO: (l0{\ \0' ' Permil5 are non-transferable and expire ifwork Is Eacb Mantd8Ct'd H6Dle or se\ r;FJ\' \-.. not started within 180 days of issl1llJlCe or if work is ~~~l~i.~~ '!!'J'2: s '0" \ $50 00 '\-, 5(j _ Suspended for 180 days. N. \ \\)lF~.e~'{\ose \ ~ Ol'ot\ e ~'\lW e '. . 1'~~ ~~-' , ,<\,,^ 2. ~"t,~~aNro~~~~~,[o~~' , ."' , " .' ~~. ,^~~~~\C'3-\IS?: . ~W '~O'l"'\'l . Electrical ConlIactor ..I::tL...l.L.t..U:.C.4.Tl '- ~0~1'o~ 9 3qo,<;&;h,~,of.l~{\ \)\~I _'2.'00.0.)' $ 63.00 \{\ \J .-{020h~ to'400 ~'2. $ 75.00 \:FI~ '{\u' \~ \"gj- C,<>>\I 40M~niii~(to:600 Amps $125.00 ",,'0'" ,,{\I" (\'\ll" 601rAnips to 1000 Amps $163.00 Phone ~ -G/)o1 Over 1000 AmpsIVo1ls $375.00 Reconnect Only $ 50.00 JOB DESCRIPTION Address \'?-tYl City ~t:f J) Supervisor License Number If C{,q fCS Expiration Date / e/tr Lf - Consb'. Conb'. Nwnber lA.lft;30 t.f /ujl)t.f . Expimtion Date Q:~~Str;:~cian Owncn Name ~~t') ~J2-iEJp!J Address 5::S -.s ~ j/Y7 A-IN S. r . City sf F1J Phone l']4C)-l{'lICf OWNER INSTALLATION The insta1lation is being made on "."".,.j I own whieb is not inlendedfor sale, lease or rent. ' Owners Signature: L"r..':.n Reqnesr. 726-3769 $106.00 $19.00 InstaUatioll, Alteration or Relocation $ 50.00 $ 69.00 $ 43.00 $ 3.00 E. :m;d,\"f:ii~~4j1ii". Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercia1 $ 45.00 Minimum Ell!etric Permit Inspection Fee is $45.00 + Surcharges 4'~~~$9J- $3.$0 i-'~OO .:p~ ,so 7"10 Slate Surcharge 10% AdminislIative Fee TOTAL ."- ,.::. . . City of Springfield Electrical Permit Attachment Status: Issued 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO.: ISSUED: APPLIED: EXPIRES: ELE2003-00032 2/1212003 2/12/2003 8/12/2003 SITE ADDRESS: ASSESSOR'S PARCEL NO.: 5335 Main St 87 1702330001300 Springfield TYPE OF WORK: New TYPE OF USE: Residential PROJECT DESCRIPTION: MH service OWNER! APPLICANT: SANTIAGO ESTATES ASSOC LL( 1I21I GOLD COUNTRY BLVD ST GOLD RIVER CA 95670 ELECTRICAL CONTRACfOR: ABLE ELECTRIC 541-726-6701 1300 ANDERSON LANE SPRINGFIELD OR 97477 CCB # 146374 Expiration Date: 12/01/2003 5,00 3.50 50.00 D~te Paid 02112/2003 02/12/2003 02/12/2003 Receint Number Descriotion Amount Paid + 10% Administrative Fee + 7% State Surcharge Manufactured Home Service 1200200000000000686 1200200000000000686 1200200000000000686 To Request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00 am, will be made the same working day, inspections requested ofter 7:00 a.m will be made the following working day. Reouired Insoections: 1 MH Service: Approval required prior to utility company energizing service. 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 hereilL I further certify that only contractors a~!1 employees who are in compliance with ORS 701.055 will be used on this project I further agree to ensure that all requ~ed~iitsP."ctions are requested at the proper time, that each address i<;0.~~able from the street, and that the approved sef'1;f~p'I~i'1~::if'';\pplicable, will remain on the site at ail times during clln!ltn'J\:t!.QI)'; o.\)' 0" 'Z..... !J' X '\'fi"':-::. ~\J' ~\0 0\'0<:$ ~eCJ f.W'\5 'O"l n\"'~ ~ .t.,\, \'0 ,'7> 0. __ 'l> _ ~ 'f>~ ct, ~(.Q.,\"" r(\Q., Owner or Contrnctors,SigJiature" \~" O?-' ~e \V 0<:0'<> ~ ~e 'OV-,?-'V" - ,V-\>;J 'i>\J~\;,\) . (\\O~~;~'~~~~~o>>fe<;,o~~~~,o~o \\~~ '?~~~~ ~~~~ t>-'O'?-~ ~~~\~e~ (,e~~IJIJ~<:o ~~'0;~'\~~" \~\~~~'"~~ ~~"'\\J\)' 'o~o. #0 ~/:r:s >:\ 0'0 ~e\' ~o<:o ~~7: ,"\J \ ~\) \) o~,o 0 ~ '> ~'l> oe~ 0\0 rc,IJ'0t t>-~'l ~ 0'?1 -1.,0 'S-e ~e .... '~IJIJf?JIJ~~ \,o\:,e~'<;' o ~'Qe (,0 <:0\5 I of I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: . Job/Journal Number ELE2003-00032 ELE2003-00032 ELE2003-00032 ELE2003-00033 ELE2003-00033 ELE2003-00033 Payments: TWe of Paymen t Check Paid By Receipt #: 1200200000000000686 Date: 02112/2003 Description Manufactured Home Service + 10% Administrative Pee + 7% State Surcharge Manufactured Home Service + 10% Administrative Pee + 7% State Surchorge Received By Check Number Confirm No ABLE ELECTRIC djb Page I of 1 ., 2/12/2003 1 3:37:48PMi . City of Springfield Development Services Department Public Works Department Official Receipt Line Item Total: . Amount Paid 50,00 5.00 3.50 50,00 5,00 3,50 $117,00 . Amount Paid 11 7,00 $117.00 How Received In Person Payment Total: cReceiptrpt rhe following project as submitted has the following not require specl.flc land use ,"" ~(L ?--JJ..J-03 , cKL.0 . , ,," ',. :: ,.~ .' -,' ". t ",. " ' ~ , ~: < " '., " , ' . :"', ,.' ' :~CI1Y.OF ~dUNGFIELD. OREGON" \. _' '... '. . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAXP(541, I ~u-.)""~ ELECTRICAL PERMIT APPUCATlON Autnonzeo Signature City Job Number ~<..(:ZOO:? - 0003.3 Date 0 Z I Z. 0.3 I. ~W^""')~7":'N:'~.S'iNl1rtK.f.jb.~'"" ., ~W~-""'~"~~~.~.., F.nc:: fN:1\'" ~. ~ ~ <l LEGAL DESCRIPTION /702. 3300 O/30() JOB DESCR1PTlON ~r l (n - 1:(0 At'(,bfot') I . ,....~b,'{e.. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Snspended.for 180 days. &~!i"~"~a;.""'".l.Bi",,,e ....~".:t'l!;_~."~ ' .', ." emR,'~ ,', mr@bll' '" 2.. ...' . .;#}i'~~~~~ .. _ Electrical Contmctor ~C?~ v_\P&l'c- Address .\4yJ 'A~() LM (L . City .~() Phone ~-G()(j( Supervisor License Number L!/<F;q X. <; Expiration Date /,/ tJ Lf ConslT. ConIT. Number I L( ((:; 3 0 c.( ItJ!tJLf Expiration Date Signature of SlIjl!;!Vising Electrician y~~ OwnCIll Name ~MJ:J /j~ &:J.,.JprJ Address S":n;- yn,,4-uv s::r--. City SPr=D Phone fJLI'/-'/9fj OWNER INSTALLATION The ins1a11ation is being made on "'"""HJ I own which is not intended for sale, lease or rent ' Owners Signature: Inspection Request: 726-3769 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Maoufact'd Home or Modular Dwelling Service or Feeder $106.00 $19.00 \ $50.oo~ ~n - B. EiS~'.<"~. · ", . '.. '."!Ifl:;~'ir'~. ."- ....~. .". . ...... ~ ..Wl:"""=-<-......_. ,. " r. .":'_-_... . _ i~t ~._.'''__' _. 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIV011s RecOlUlect Only $ 63,00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Installation, Alteration or Relocation .~\.- 200 Amps or less 05 iO ..\\\\i,~ $ 50.00 ,,\~ v' '0" 201Ampst04OOAmp.s,oo.v ~O<C- ~\' _, $69.00 40 I Amps to 6OO~P;00~0 '().~0 :~?:lJv "".$ 100.00 . 0\' \'(\ of" ~.,,- ~0" C?ver:o~. /uiI. ~~ ,~l.'.OO,O'V~is'~U~:'iiiOOY!l: . . D.L_~, <\y~' ~,\C>, ;~ r-; (\~ - ~~e "-, ",,\\\' f,] , ~\ New'A1tefatiolQ>r Extens!OD,Per R8iiet '0\'S;;~~~f,)~: o'<;;J\'().~'~o,v-..:il.~\\'I,.,~r>.D.\' $ 43.00 ('~h;('Jdjti0if81 G""'ii <m~ ~7- ~ "''''' "",' ,c.~\I::~<'\IJ'!) $ 300 :i;ii~~\"t~~~~~timalioll Pump or irrigation '\\\~ ~CS~{J'\ $ 50.00 Sign/Outline Lighting S?-~ ~ ~'\ \"~'?> $ 50,00 Limited EnergylRes~~~<?~~~~ ~ $ 25.00 Limi~ En~~;'..~~\W $ 45.00 Mini ~~ ~~~,.:,. Fee is S4S.00 +Surcbarges ".-" TOTAL ~n- , 3.~ [}L:;m t\ sK SV '- ,... . . City of Springfield Electrical Permit Attachment Status: Issued 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO,: ISSUED: APPLIED: EXPIRES: ELE2003-00033 2/12/2003 2/12/2003 8/12/2003 SITE ADDRESS: 5335 Main St 88 ASSESSOR'S PARCEL NO,: 1702330001300 Springfield TYPE OF WORK: New TYPE OF USE: Residential PROJECT DESCRIPTION: MH service OWNER! APPLICANT: SANTIAGO ESTATES ASSOC LLC 1121 I GOLD COUNTRY BLVD ST GOLD RIVER CA 95670 ELECTRICAL CONTRACTOR: ABLE ELECTRIC 541-726-6701 1300 ANDERSON LANE SPRINGFIELD OR 97477 CCB # 146374 Expiration Date: 12/01/2003 Descriotion Amount Paid Date Paid Receiot Number + 10% Administrative Fee + 7% State Surcharge Manufactured Home Service 5,00 3,50 50,00 02/1212003 02/1 2/2003 02/12/2003 1200200000000000686 1200200000000000686 1200200000000000686 To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 am. will he ll1llde the some working day, inspections requested after 7:00 a,m. will be made the following working day, Reouired Insoections: 1 MH Service: Approval required prior to utility company energizing service, 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. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be u~ on this project. I further agree to ensure that ~1I'r~_~,;r'ed!inspections are requested at the proper time, that each a!l~s,~lfeadable from the street, and that the approved:s1~orpl8'~~if applicable, will remain on the site at all times dup~,,)~nsn;u.ction. ,:$-' 0' ",' \:)v ~ \'I"~ >\ \" ,....0'S.0..0~~0~Oj"'<J:1".0":>~, c~~\\..~~~ ,f;j~ Owner or Contractors'Si~8tUfe~""- O'?-' ~0 "~o' "SP" Date ~~"" - ,\'<(<,\.J ~f;jf;j\""- .O..0~~0~0,,:>0~~~ f':Jc}~v.0~C,'li ~\rv<C;~~'\ S\)~f;j\..~ ~'Q~ ~~~~O~0"'!:l"~~c,0~~~~~' ,,~{;) ~~~t~\) f;j~\..~f;j\)' t:-0 ..~0 00 !:l",(j ~,<$' ~ ~..:s <J:,<J:rr.- ~\)\ ~\..~ \)~ '?- ~o~ ~O<;- (l:(j z;,::,,0 ~l' 00;0 >$"0 ~f;j~ ,'O~ ,~ ''i..,c,'li Oj~ ~ c,0 0" !b(j ...~" _,0"'> ,g;_10'> ~0 ~0 ...," \" ,- 0" ..... -^~ ~~ ~" '-$' RJ~' ~w ~,O ~,0 ~(j c,?} ~0 00 ~~ <:' I of 1 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number ELE2003-00032 ELE2003-00032 ELE2003-00032 ELE2003-00033 ELE2003-00033 ELE2003-00033 Paymeuts: Type of Payment Check Paid By Receipt #: 1200200000000000686 Date: 02/12/2003 DescriDtion Manufactured Home Service + 10% Administrative Fee + 7% State Surcharge Manufactured Home Service + 10% Administrntive Fee + 7% State Surcharge Received By Check Number Confirm No ABLE ELECTRIC djb Page I of I 2/1 2/2003 \ 3:37:48PM i I City of Springfield Development Services Department Puhlic Works Department Official Receipt Line Item Total: . Amount Paid 50,00 5,00 3.50 50,00 5,00 3.50 $117,00 . Amount Paid 117,00 $117,00 . How Received In Person Payment Total: cReceipupt