HomeMy WebLinkAboutPermit Electrical 2009-9-4
225 Filth Street. Springfield, OR 97477tPIl(541)726,375HFAX(541)726-3689
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I permitno(!6'~ /LJ7'i1
I Date: 9~~~ 01
This permit is issued under OAR 918-309-0000, Permits are uontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days,
I i':;<';',i,'i\jlibCp,.l::,G0VERNMENT:t'jl;P.PcROYAlBj:;ij\j,\'i1';;~ri~:1 l"ilJ;)~~~~fif~ifI,I;EE~,SC:HED.U~E~Wf@'&~'i!i;'&~~
hZOning approval verified" 0'Yes 0 No I I"N"" '-ti~-<"t, ;"'\':-:'t~:;"':" ,:X"t:f" ,(")"'''':'I'Q'''''ti.''1 "cose:'.1 "'Total'"
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,';),,01.,"'.': ,"i'CATEGORVi"OF,"CONSTRUCTIOW"'''';''.'''-' ,'''; I ." ,.,.d-.', . ....-...." '." ,,-, ,'-",'. '-".'. ,,"'" '-. "
I 'ri;::~~:~:;al' I D"~o~~~ment' I 0 c~:~;~r:i:I'-1 I Residential, per unit, service included: '
11!~>.1~bEfjSltE:;JNF,ORNlAnON'!'AN[j'iI10CATJON~~"~1!1 11,000 sq, ft, or less (4) $134,00 $
I~;'~:~;;'t;ad;ess:!i;" -ii.... - 3';'" .J~" . !. "~'"''''I I ~~~~;ritionaI500SqftOrportion $ 25,00 $
I City: 5 OC';~ .pc\o.. I State: iJ1L I ZIPA )'17 g I I Limited energy (2) $ 32,00 $
i~';~:~;'c:~~~:~.FdE~~~~~i ! ~~~~~!::;~~::::,."L~:~: :: t.I,
I : ;PROP,ERTY"OwNER. ,:", I 201 to 400 amps (2) $ 95,00 $
I Name: :.$hcw...n ':5CJ1n;e.,'C/;&.(-- -.-) I 401 to 600 amps (2) $158,00 $
I Address: \2. 7'2. 3-2 z')5'{-- -' I 601 to 1,000 amps (2) $205,00 $
I City: 5 ('I, ,t;' eI(J I State: O'R I ZIP: eu Lf / <t lOver 1,000 amps or volts (2) $469,00 $
I Phone:.f'i'-~606-697'3:> I Fax: I Reconnect only (2) ,$ 63,00 $
I E-mail: r5 he. rr L{S 62. J L( @::. Htt..ho() , L.C:l7'Y"') I Temporary services or feeders: installation, alteration, relocation
Th" II' 'b' d 'd' I c I 200 amps or less (2) $ 0 $
IS msta attoo IS emg ma eon reSI entia or larm property , 63. 0
owned by me or a member of my immediate family, This I 201 to 400 amps (2) $ 87,00 $
property is not intended for sale, exchange, lease, or rent. OAR I
479,540(1) and 479,560(1), . 401 to 600 amps (2) $126,00 $
signature:)~ ' ~ lOver 600 amps or 1,000 volts, see services or feeders section above
I ,,:',' ,-;.";.';:':CONTRACTOR:' INSTALLATION:: ':' "-' I Branch circuits: new, alteration, extension per panel
I Business name: oW NM I a, Fee for branch circuits with purchase of a service or feeder fee:
I Address: ' I Each branch circuit . I I $ 6,00 I $
I City: I State: I ZIP: , b, Fee for branch circuits without purchase of a service or feeder fee:
I Phone: I Fax: I First branch circuit (2) $ 55.00 $
I .E-mail: I Each additional branch circuit $ 6,00 $
! CCB license no.: I BCD license no.: ! Miscellaneous fees: service or feeder ,:ot included
I Signing supervisor's license no,: I Each pump or irrigation circle (2) $ 63.00
I Print name of signing supervisor: I Each sign or outline lighting (2) , $ 63,00
I Signature of signing supervisor: I Signal circuit or a limited-energy panel, $ 63,00 $
alteration, or extension (2)
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I Each additional inspection: (I) $58,00 $ I
I~It~,~~~~~~:~~~~AReLTCAt\f:t;~\JS,E~:t~~t)%t~llfi;~\$iNulf~lr-:~I
I (A) Enter subtotal of above rees - I'" '\
(Minimum Permit Fee $58,00) $1 t? > I
'I (B) Enter 12% surcharge (,12 x [A]) $! 7)~
I (C) Technology Fee (5%0f[A]) $ \.._3/},
I TOTAL fees and surcharges (A through C): $ -7-~ 7(--"
,
$
$
440-2584-) (9108/COM)
Building/Combination Permit
PERMIT NO: COM2008-01474
ISSUED: 10/08/2008
APPLIED: 09/26/2008
EXPIRES: .03/04/2010
VALUE: $ 26,290.00
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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 ~rKIl'lt.l'l~LU
SITE ADDRESS: 1272 32ND ST
ASSESSOR'S PARCEL NO,: 1702303404302
Springfield TYPE OF WORK: Manufactured Home on
Private Lot
TYPE OF USE: New Residential
REQUIRED PARKING
Overlay Dist: X. 'J'lO?-'frotal: 2
# Street Trees Rqd: \?-\: \t \~ \'0 ~oRandicapped:
Paved DI",i~~ Rqd: X\r>-\...\... \:'j.? ?\:~&\\ O?- Compact:
%(~i1~t't.:~\~tI"g~ DX.?- ,\,\\'0 ~~D t
'\'\\~,:;R\l\:D ~\\~o. IS r>-'Or>-~D , .
. I PUBLIC ii\i~.~Q~E'Mi~:::S..s)IJ,
, I '"
Fullv Improved ~r>-~'\ '\ tlU - Sidewalk Type:
Yes DownspoutslDrains:
PROJECT DESCRIPTION: Replacement Mobile Home on Lot
Owner: GREEN V ALLEY ENDEAVORS LLC
Address: 3998 FRANKLIN BLVD
EUGENE OR 97403
Owner:
Address:
SHAUN SCHNEIDER
1272 32ND ST
SPRINGFIELD OR 97478
Contractor Type
Electrical
Manuf Home Inst
, s yoU to
_ 1...,u tp.nulre .... _
AT1ENTIUN: v,~"'-~ "'" thA Oregoll V,;":,:",
10llow ruleSlse0NTRACTOR,INFORMI\:T10N I
Notilication c.~, '~'-01 0 thfOugn Uf'" v_\"~, by
Contr:jlitoi;R 952-001 Obtain copies 01 the r~~15ense
OWNERQ90. You may 0 (Note: the telej) ('on
'\' ",the center. , ,"'''" h\atltlca I
A ACTIONJM,o.~!!iJ:,~J)ME(jVI(j)VJ~~,}~J:'ElVI42807
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Ce'"BUlLDlNG INFORMATION I
# of Units: ,
Primary Occupancy Group:
Secondary Occupancy Group:.
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: I
Height of Structure
Type of Heat: orced Air Electric
Water Type:
Range Type:
Energy Path:
Sprinkled Building: No
I
R-3
VB
I DE~ELOPMENT INFORMATION I
Fron!yard Setback:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20,00
25,00
10,00
41.00 .
0,00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pa2e I of3
Phone Number: 541-606-6973
Expiration Date Phone
05/0512010 541-935-1786
Lot Size:
Sq FUst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
7,405
1,440
64
To Storm Sewer
CITY 01' ~rKll'\l'-'l'mLD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-01474
ISSUED: 10/08/2008
APPLIED: 09/26/2008
EXPIRES: 03/04/2010
VALUE: $ 26,290.00
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
" I. Reouired Insnec!ions I
Foundation: After forms are erected but prior to concrete placement,
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,
Final Building: After all required inspections have been requested and approved and the building is complete,
Manuf 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,
By signature, 1 state and agree, tbat 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 tbe 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.
1 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.
d~~
Cf - Lf-tJ'l
Owner or Contractors Signature
Date
Pa2e 3 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Foundation Onlv Use Bid Amount
Manuf Home Manufactured Home
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fire SF Fee - Residential
Foundation Permit
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Placement
Plan Review Minor - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
+ 12% State Surcharge
+ 5% Technology Fee
Manufactured Home Service
Total Amount Paid
U 1 t' VI' ~rKINGFIELD .
Building/Combination Permit
PERMIT NO: COM2008-01474
ISSUED: 10/08/2008
APPLIED: 09/26/2008
EXPIRES: 03/04/2010
VALUE: $ 26,290.00 .
I V a.luation, Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
4,000,00
22,290,00
$4,000,00
$22,290.00
$26,290,00
09/29/2008
10/09/2008
Value
Date Calculated
Total Value of Project
!?pp< P\WU
Amount Paid
Date Paid
Receipt Number
$45,32
$31.77
$33,81
$20,04
$36.00
$69,72
$30,00
$52.00
$160,00
$119,00
$168,29
$221.32
$34,89
$308,23
$7,56
$3.15
$63.00
9/26/08
10/8/08
10/8/08
10/8/08
10/8/08
10/8/08
10/8/08
10/8/08
10/8/08
10/8/08
10/8/08
10/8/08
.10/8/08
10/8/08
9/4/09
9/4/09
9/4/09
2200800000000001448
1200800000000001052
1200800000000001052
1200800000000001052
1200800000000001052
1200800000000001052
1200800000000001052
1200800000000001052
1200800000000001052
1200800000000001052
1200800000000001052
1200800000000001052
1200800000000001052
1200800000000001052
2200900000000001007
2200900000000001007
2200900000000001007
$1,404.10
I Plan Reviews I
Initial Review 09/29/2008 09/29/2008 APP NJM
Structural ,Review 09/29/2008 09/29/2008 APP DLM Double wide mobile home (not mfgd,
home) replacing a single wide,
Plannin2 Review 09/29/2008 10/0312008 APP DDK One street tree required unless one
exists there presently,
Public Works Review ' 09/29/2008 10/03/2008 APP LKW Storm water to curb
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.
Pa2e 2 of 3
225 Fifth Street
Sp':ingfleld, Oreg~n_ ~?_,!77
541-726-3759 Phone
Job/Journal Number
COM2008-01474
COM2008-01474
COM2008-01474
Payments:
Type of Payment
Cash
Change
Job/Journal Number
COM2008-01474
COM2008-01474
COM2008-01474
Payments:
Type of Payment
Cash
Change
cReceiotl
RECEIPT #:
Description
Manufactured Home Service
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
SHAUN SCHNEIDER
SHAUN SCHNEIDER
Description
Manufactured Home Service
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
SHAUN SCHNEIDER
SHAUN SCHNEIDER
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City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000001007
Date: 09/04/2009
Item Total:
Check Number Authorization,
Received By Batch Number Number How Received
djb
djb
In Person
I n Person
Payment Total:
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
djb
In Person
In Person
Payment Total:
.,'..
Page I of I
10:18:19AM
Amount Due
63,00
3,15
7,56
$73.71
Amount Paid
$84,00
($10,29)
$73,71
Amount Due
63,00
3,15
7,56
$73,71
Amount Paid
$84,00
($1029)
$73,71
9/4/2009