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Home My WebLink AboutPermit Electrical 2009-10-1 OCT-J5-2007 14:08 10/25/2007 13:07 BUILDERS ELECTRIC 7263676 CITY OF SPRINGFIELD 541 485 4055 P.01/01 PAGE 01 CITY OF SPRINGFIELD, OREGON ....IIIINOl'"t&L.O _,"'..,' ZON ' : !~. _ ~' [IifJlAlS ~ ' DATE ~ .. . SOURCE 225 FIlTH STREET. SPRlNGFlELD,OR97477 . PH:(S4l)n6-J7Sl . FAX, (S'I)7~J689 ELEcrRICAL PEW'tfIT APPliCATION City Job Number (Iq~ 61:5/7' 1!J:!!!:~~~'x' ~tiijP!;Eii!.I~~UfJi!.!"!iii!Ri1:;;i1:Ji%\l:1j,~ Date !()/ol/07 JOB DESCRIPTION: j?J JI-. 6-e.r:kr' -r e;r- Cli 7....~ ':r.'-,_:: ~il::""~~':'"'' :-'.~".: ...~-:-.." _',' .--:-' ",'.':': .~"-",~'_"'~"'..__"'~'1'l1r':"",_"~"",,,,c-:,.',,"~_.:l .;. Ne;;;R."cienii~I+Singl~~rMulii;hriitiYper;dW~nilrii Ii nil: ;<~; " n, '. ',' :......:. "/:.: .u' ,_ : " ,.,,' ,_ ., _' ,_._,', .'.', :." ;.'.,., ..;..~, .:'.' . ,-,.~" '.:_'- '-:. .',",' d..~""" ,~.. Service Included 1000 sq. ft. or less Each additional 500 sq. ft, ur portion thereof $117.00 Permits are non-traosferable and eXpire ffwork is Each Manufaet1d Hornt or nnt started within 180 day' or i".lnee or if wurk i. Mudular Dwelling Service or SU"Pended for 180 dIY'. F..d<< . ~,~",~~_:":;:;'_.':''';.":':''i''::-:''''';:~'~~~.~<:~..:.<:'--11I''::'~~':':';"~~__:,"":"~:':. .,', ._'..~ '.....,... ""'1,...... ~ ___...n.""" .,,~'~'~~~... ""-""'"~.. 2 :i~NTRAcrORIN'$j:AJ;tA,TION(}NLY:' B. :'~~~~",.'.;~i,;,~e.;~,~"'1~i~~~.~~~~..~,~~.?,F~.'.:~~.'~..~,'~..i:,':,; . .,.~~!.:.". ,':.>'.' \~.",: .:.. ;". '. .,,'~_,:,:..;,...:., -r.: I' ";'1':',~:",-"':';" ."-,' ""::-:.;.'-~ ~.:'>: ".',:.~ ". . . . . Electrical Contractor K ); Ic-\SYS is if C h,:c Id-200 Am]lSOr'less 201 Amps to 400 Amp' 40 I Am,i>' to 600 Amps 601 AmpSlo 1000 Amps Over 1000 AmpsNolts. Reconnecl Only ( $ 21.00 ft,-s.c=' ..$5$:00' I .." cS'\:) 1<1"> . City C\ ]C\( r--; P /' c.c: 'l-C,.,~l Phone -t1-.,---J, i L;..,-' $ 70.00 $8300 S 138 .00 $180.00 $413.00 $ 55.00 Addm, IW, /01(:(11 \, C Vl Supervisor License Numba- S2 7 :"") S c. ;:5~~~~I~T~.~~I~~"~E!~~'f~7:~r~0R:K~'::~~~}?~)~:p~;1;~:~{~~~~~ Constro Contr. Number 402_C1 (0 In5talla;don, AlteratioD or Reloc3tion 200 Amp' ur I.., . 201 Amps to 400 Amp, 401 Amps to. 600 Amps $ 55,00 $ 76.00 $110.00 E.piration Date . J 0 - / - 10 SigllalUre of Supervising Electrician /~~ 'Ov':".~o.o.~ps or.!OO2,Volts 'ee"B" above. D. :~::~~:~,~ ~~'<:p~~~j~'-:;}~; ::~;; :!;, ~:r~~. \'::\;:~::~.:': '!~:~;-;::~~I,::~, :c~:;a~':;;:;!J:';,~~:)~~::~(~;:.:~~j5::~j1~ New A.lteration or Extemiion Per Panrl One Circuit Each A,dditional Circuit or with Service or Feeder Permit / $ 48.00 t;,_rJ'O S~ ~ .r5U E.piration Dlte Owners Name (8 cz.;M f'11TB.eBe-> Addr.ss iSI 12.;-jl..51 J;bL-i City 'S,-nbQ ~ Pbone · U OWNER INSTALLATION Limited EnergylResid."tial $ 28,00 ~:O~ni:~~:~nf~r ~~I=.:n~p~~~ I own wbich f~JMj~iAi;.,..!..w1.~~.+.~Th!.:~:..~~~~.~.,.!.:#.;.!~f.~~.O.;';~~harg.. OWOO1'9 S,gnature: ",,0') .,,- No!lM'l'lSUllT9.TAIfOFABOYE,~..,,>'0',;-,!;b;,:y-::.- (; '1 c;-U \Y'" ," inOAR~~i~l'.1~iW~i~iiU9ii(JAMiJS2.0Ui-"'\- "..s'. . ::;J \<} '009,~lZJlp'W~~~~i.~tlFli,~ of the rules by X :1 c,< c",,,r.gS%.'Tee!iiiology,Fee.e. the telephone . , . ~umber for the Oregon Utility Notification NOTlt'~..ction R.quest: 726-3769 ~01'1LiS 1-800-332.2344), .I-l. '0n :(3 THIS PERMIT SHALL EXPIRE IF THE WORI, ,'<0' f"\/ , Sb_On""(T:)lBwldinIF0rmslE1_"IP,~iAppl",",,an7-<J7"'" AUTHORiZED UNDER THIS PERMIT is NOT\\) ~'" . . , COMMENCED OR IS ABANDONED FOR ~ ~ ANY 180 DAY PERIOD.. . \)-J ". '.'< '~'_.:. _. ~_~ :_'..,.. ',,' _.:.:~...:,':.' ,.~,.~,,~ ,~,_,..-:-_..,_.:..~.,.~,~ ,....,.'_......-R_".~_, .~,..., ,___ E.:~..~.u.~t<;tl. (s;:~~;Jf.ed.i:iio~ inci#d.d).:.E~~b. Iil;t'ill~ti~ri"; _0 .. ','" J.... ,.., ',;,.e' ':-.' ..,.-.0.'.....:'.....-'; ",:,~'>.'. ,,:,:c<::,__: .:':,".:~..:. '.'::."" ,~"'_',::.:: ;..::~., Pump Dr irrigation SignlO\Jtline Lighting S 55.00 $ 55.00 TiJTRL P.01 ..".' .' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01317 ISSUED: 09/04/2009 APPLIED: 09/04/2009 EXPIRES: 03/22/2010 VALUE: $10,180.00 Status Issued . .' . 225 Fifth Street;Springfield, OR . 541-726:3753 Phune . 541-726-3676 Fax. 541-726-3769 Inspectiun Line SITE ADDRESS: ,157 12TH ST SPACE 4 ASSESSOR'S PARCEL NO.: 1703354100201 Springfield TYPE OF WORK: Man.ufactured Hume in Park TYPE OF USE: New PROJECT DESCRIPTION: Replacement Mauufactured dwelling in park Residential 9wner: Address: BRIAN L FITTERER INC (MSD4IO) 19772 MACARTHUR BLVD STE 200 IRVINE ,CA 92612 ' I CONTRACTOR INFOR~ TION .. , Contractor Type' General ' Electrical Contractor THEROUX NORTHWEST BUILDERS ELECTRIC INC License 65789 4296 Expiration Date 04/18/2010 1211012011 , Phone 503-655-5626 541-485-0922 .. BUILDING INFORMATION I # ufUnits: Primary Occupancy Gruup: Secundary Occupancy Gruup: Primary Cunstructiun Type Secundary Cunstructiun Type: # uf Bedruums: R-3 # uf Sturies: .Height uf Structure Type uf Heat: Water Type: Range Type: Energy Path: Spriukled Building: Lut Size: Sq Ft 1st Fluur: Sq Ft 2nd Fluur: Sq Ft Basement: Sq Ft GaragelCarpurt Sq Ft Other: Occupant Luad: nla I DEVELOPME" I llU ORMATION I REQUIRED PARKING Fruntyard Setback: Side I Setback: Side 2 Sethack: Rearyard Setback: Sular Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % uf Lut Cuverage: Tutal: Handicapped: Cumpact: Street Impruvements: Sturm Sewer Available: Special Instructiun: I PUBLIC IMPROVEMENTS. ' . , . you~ NT' ",,'.1 ('-o-rm law requires ATTE Sidewall{}'ype: the Oregon Utility follow rules adop'8,:: oy. ',Ies are set forth NOTICE' NotificatlJ!P~!l~P9utsmrams. r 2-001. . '01-0010 through OAK 95 THIS PERMIT SHALL EXPIRE IF THE wd.N.<AR;o5;~ay obtain copIes of the rules by AUTHORIZED UNDER THIS PERMIT IS N'6b~liing the center. (Note'the telep'hOt~en COlvlMENCED OR IS ABANDONED FOR. number for the Oregon Utility N~)t1IICa 0 ~ NY 180 DAY PERIOD. ,Center is 1.800.332.234 , Nutes: Page I uf 3 Descriptiun Tvpe uf Cunstructiun Manuf Hume Manufactur.ed Hume ,-..~.~~ellJl~~"",,.. l' , -.","J . '"I" ^^"',~<..tJ::- '"';t,.-. " ,.,._.:, "_",?r~."c . Status Issued 225 Fifth Str.eet, Springfield, OR 541-726-3753 Phune 541-726-3676 Fax . 541-726-3769 In,spectiun Line Fee Descriptiun + 12% State Surcharge + 5% Techuulugy Fee Manuf Hume State Issuance Manufactur.ed Hume Placement + 12% State Surchar.ge + 5% Technulu'gy Fee .' Add, Alter., Extend Circ Ea Add Manufactur.ed Hume Feeder Tutal Amuunt Paid' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0I3I7 ISS VED: 09/04/2009 APPLIED: 09/04/2009 EXPIRES: 03/22/2010 VALVE: $ 10,180.00 I Valuation Descrintion I $ Per Sq Ft ur multiplier. $1.00 Square Fuutage ur. Bid Amuunt 10,180.00 09/1112009 Value Date Calculated Tutal Value uf Pruject $10,180.00 $10,180.00 li'p:p~,~ . Amuunt Paid Date Paid Receipt Number $47.64 $19.85 $30.00 $397.00 $8.28 $3.45 $6.00 $63.00 9/4/09 9/4109 9/4/09 9/4/09 10/1109 10/1109 10/1109 10/1109 2200900000000001009 2200900000000001009 2200900000000001009 2200900000000001009 2200900000000001129 2200900000000001129 2200900000000001129 2200900000000001129 $575.22 I Plan Reviews , 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. Rp(J~ Manuf Hume Set Up: When installatiuu uf all pier.s ur stauds is cumplete. Final Manuf Hurne Set Up: After all required inspectiuns are requested aud appruved and purches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. Electric Service: Approval required priur to. utility cumpany energizing service. , Ruugh Electric: Priur to. Cuver Final Electric: When all electrical wurk is curnplete. Paee 2 uf3 Status Issued 225 Fifth Street, Springfield, OR ,. . 541-726-3753 Phune' ,541-726-3676 Fax , '541-726-3769 InspectiuD Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01317. ISSUED: 09/04/2009 APPLIED: 09/04/2009 EXPIRES: 03/22/2010 VALUE: $ 10,180.00 By signature, I state and agree, that I have c~refully examined the cumpleted applicatiun and do. hereby certify that all infurmatiun hereun is true and currect, and.! further certify that any and all wurk perfurmed shall:beduue in accurdance with the Ordinances. uf the City uf Springfield and the Laws uf the State uf Oregun pertaining to. the wurk described hereiu, and that NO OCCUPANCY will be made uf any structure withuut permissiun uf the Cummunity Services Divisiun, Buildiug Safety. I further certify'that unly cuntracturs and empluyees who. are in cumplillnce with ORS 701.005 will,be used un this pruject. , I further agree ~u ensure that all required inspectiuns are requested at the pruper time, that each address is readahle frum the street, that the permit card is lucated at the frunt uf the pruperty, and the'appruved set uf plans will remain un the site at all times during construction. Owner ur Cuntracturs S!gnature .' " , " Paee 3 uf3 Date 225 Fifth StJ:e.et;' . ';,' / ' Springfield,Oregon:97477 '541-726-3759 Phone Job/Journal Number' COM2009cOl317 COM2009-01317 COM2009-01317 COM2009-01317 Payments:, Type of Payment CreditCard cReceintl " , ,"'. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000001129 " Date: 10/0112009 2:05:30PM Description Manufactured Hume Feeder ;Add, Alter, Ext6-nd Circ Ea Add , .:'+ 5% Technolugy Fee :. : + 12% State Surcharge Amount Due 63,00 6,00 3.45 8,28 $80.73 ,.'; Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid Paid By . BUILDERS ELECTRIC , Kelly 611050 Phone Paym~rt Tutal: $80.73 $80.73 nJm ;!<. , 7' Page 1 uf I 1011/2009