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HomeMy WebLinkAboutPermit Electrical 2009-9-4 225 Filth Street. Springfield, OR 97477tPIl(541)726,375HFAX(541)726-3689 I'" ," ,-,., ," " .,'" '. , - , I t:t,:',DEj:f,..~Rt,~ENfus-~~ ONLY;: ': .' _";,__,,. " " ' ,,' _""'-~ .' ",C, __,.. .,' >" '" . 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'" . , , ,_;,,",u.~,..>eT'~)..I!1..sP'~f~IO~~'p.-~r;}_, ~~__'.; "l~~':' .Yi ,':;.'Feai":i'.'~: '~'~:'\cost<'.c: ,';),,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) ~ Q),.:V'~ ~<{KQ- \j.\ I I I I I-- I I I I 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 -~~~,9-~~,~,~,::) ,.'>',,- ~;\",' ..' ~..""'-"" 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 ll""'''-- . ... "".",-.,....-- 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 .f~:O~= :if.. "".. . u... .. ~. 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