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Home My WebLink AboutPermit Electrical 2010-1-8 ~,. _Electrical Permit Application 225 Fifth Str~ct+Springficld, OR 97477 + PII(541)726-3753+ F^X(~4J)726-]689 t~~;~PEWA~mM~N':'-8I!J~E(QN'ITY.arrJ!1 ,~;4;;i~'?9,ShS2YsF""".7''''~.W'7~~4t",~7: .,iJ0"","~-<37,3.<,,,":S~<,.,,^ ~c=fo~oq-c:>OO Lf ( I Date /-g-/O I " . . I This permit is issued under OAR 918.;.3.09-0000. 'Permits are nontransferable. Permits expire if work is not stal1ed within 180': days of issuance or if work is suspended for 180 days. .' Hcsjdcntial, pcr unit, scrvice includcd: 11,000 sq. It. ~r less (4) I. Each additional 500 sq. ft. or portiO:n thereof I Limited energy (2) $ 32.00 I Each manutactured home or modulilr I $ 63.00 dwelling service or feeder (2) /~ IScl"Vices or fecders:' insla!!alfon, a//eralfOli. re/ocation I 200 amps or less (2) $ 81.00 $ I 20J to 400 amps (2) $ 95.00 $ I Name: /k.rn.J?~ tftJ I I 40 110 600 amps (2) $158.00 $ I Address: (j/fO }/Wy' 91 If/ I I 601 10 1,000 amps (2) $205.00 $ I City:e-u..CrexE I State' oil-I ZIP' 97CfOZj I Over 1,000 amps or volls (2) I 1$469.00 $ I Pbone: 5H (-6~.s>tt7" I Fax'54( b88-9zol.( I I Reconnect only (2) ._ . $ 63.00 I $ I E-mail. ~ '. I Temporary sCI"vi.ces 01" fcedcl.s: inSlallation, alteration. relocation This in~tallation is being made on residenlial or farm pro,;i/l;N' l( I>lP{)jlel!lOl'i IIliW'~'1lJlrA$ YClIII- I $ 63.00 $ owned b~ me or a'member of my immediale family. TltiR, " rt~ e ~G'P4ij@a%s100 Ore ..~ $ 87.00 $ property IS not mtendcd for sale, exchange, lease, or rent~elj!Wah n ;erne;. I,u~" gOn Utl'~ 479.540(1) andA79.560(l).. In bAR 9. 2 d 1 illS res are setforth I $126.00 $ S. '. ' .. 0090. YOI "".....,., 0 ~-u!,!-1- I' d 'b . h_:~^"~,~t~"~:_~,,..,... _.. '''i'' . " '",. . ,.. . .~. -r,~ f -"',",U<<lfAI~~PYi ss ;i~~{'~c\:sor ee crs ~ectlOll a QVC ii~~:7~:~:~~~~:2;Z;::;~~MRjnu~~! &r ~m~c~;~;~=:=~li;2s:~:::~:~r~r lecder Ie, .. I Address: 'ptJ .,tb.l' c9d"';) / j Eacb branch circuit j. I I $ 6.00 I $ I City: .6itqM'Je.. I State: tJlZ I Z.IP:9 p. VtJc9 II b. Fee for branch circuits without purchase ofa s\:rvlee or feeder fee: I Pbone:5<}f t!?j?(.p-5'y'9'y-' I Fax6'0 ~6 --5'/'/7 I Fi"t bmnch c;,cu;t (2) '''.. I I $ 55.00 i $ .:I E-mail: lzlMek.ch7c &h4/1n,o/..c!d1?? I I Each additioual branch ciccu;; $ 6.00 1 $ I C~B licel)~e no.: /.5Z;;th:7r:P I BCD license no.:~/)_ </tac:Je.} j i\liscellanclllls fees: service or feeder not ineluded I Signing supervisor's license no.: 97~9Cr j' Each pump or irrigation eircl!;: (2) I I $ 63.00 I Print name of signing supervisot:Ll?P7d A? ~/er-- Each sign or oLitline lighting (2) $ 63.00 I Signature qf signing supervisor: ,- .A- t.------..--.. I Signal circuit o~ a limited-cnergy pinel, .....,- - alteration, or extension (2) $ 63.00 $ I Each additional inspection: (I) $58.00 $ 1"""'''''<3''''''0. CA"<"'G'QV. ERN MENT'A' 'ooR'QV. A":'-""'9J~I. ~~'i!80;~i5;2",0.L.;;'""L:.:S;,. .'....." ... .' ilk} _ r;r, ^ ".'. "~T:-;ti",1ft~n;iilr",,,: . I Zoning approv~l vcrificd? 0 Yes .0 No I "~f;~il!!;J'iitC~TEGQRY!f.ioF:~:C.ClNSmRUCml(i)N l"~,'",:f',ic[!':;c~1 RResidenti~l '1 0 Governmel1t f 0 Commercial I If~l!1~l'i:!WClBlSlmE'i'IN I'Cl~MA'TlClNifAN D::IiOcM'IClNl+l'l:'Wii?>l] I Job site add,'ess: Old 5 57#7 I I City: W/'i/?oh,">/d r State: /1L I ZIP:CJ75/77 I Refere:ce:. (7f>z 3. 1.1./ ( , J Taxlo!.: OL/OOO '''iiWf''lBliJoiU'';'!I"1"1iTI'IlD'E SC..R.I"TI.Q.'N"Q""W QRKu'<"""';'W!'0';':fJi' ;:+.:::0f;;,,d;<;nk';;'a&~ _JJf;t;!/ ..... ....... ... .IT';;'.' ::::i' TZ*#"' '. '~0:0-1i;:>i."0,\.J..,~:~~:':'rt,0; /~/- //j;;J h74-HLL4/",f./PY'd" /?/??L,o ; , $134.00 I 1 $ I ~Or~1 j 1 I I $ $ 25.00 $ $ $ ~ '. ..\t I. ~~!~ .l~,nter subtotal of above th.:s TICE "(Minimum Permit Fcc S5S.110) NO : -., THIS PERMIT SHAll EXPIRE lF1"n#EI!/I:~F:l~sllrclwrge (/2 x [A)) AUTHORIZED UNDER THIS PER~I}&11~Moh Fee (5% ol[Aj) '. COMMENCED OR IS ABANDON~lfct+kL rees aud surcharges (A througb C), ANY 180 DAY PERIOD. ~.3.tD j $ 7/:;'0) $ 1'.15'1 $73, 7/1 440.2584.) (9/08/COM) ~~'\&lX~\. ~~~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00041 ISSUED: 02/0412009 APPLIED: 01112/2009 EXPIRES: 07/05/2010 VALUE: $51,500.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54 t-726-3769 Inspection Line SITE ADDRESS: 205 57TH ST 'ASSESSOR'S PARCEL NO.: 1702334104000 SPRINGFIETYPE OF WORK: Manufactured Home on .' Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured home on private lot Owner: BENSON VERN W Address: 940 HWY 99 N EUGENE OR 97402 I CONTRACTOR INFORMATION 1 Contractor Type General Electrical Contractor BENSON DEVELOPMENT ROBS ELECTRIC INC " License 143021 156678 I BUILDING INFORMA nON I # of Units: I iOf tei . to 1 Primary Occupancy GrOI..trnO~-Oregon laW .re Secondary occupancy. G . rules adopted by t ef > lortlVced Air Electric Primary Construction T. ficat\On C8lIter. Those l\ 3Jg!l2-OO1- Electric Secondary Construction ~. 852.oo1..o010thro~ \~lll:ile8 by Electric # of Bedrooms: 0090. YOU may obtaIn CO~t\WerEl\Sl'one oiI1nngthecienter. (Not~IiI.QW~g: nla , f-,; fer ,,,.. Or'p'gon . 1\ J ..,...J, .-. Cen\efllj \)~mjfMENT INFORMATION 1 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 14.00 . 22.00 5.00 14.00 0.00 I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-688-8899 Expiration Date 05/15/20 I 0 08/1412011 Phone 541-688-8897 541-686-5444 Lot Size: 4,356 Sq Ftlst Floor: 1,392 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING 3 Ves 31.00 Total: , Handicapped: . Compact: 2 Sidewalk Type: Curbside 5' To Storm Sewer Partially Improved Yes Downspouts/Drains: . Stormwater tapped to private storm main in private drainage easement on south P,~~g~l;fJ~~i~,"~>€~'F#~h'f;;.;:::':':~(;::., NOTICE: PIR~ If THE WORK ~.'. , THIS PERMIT SHf\ll ~IS PERMIT IS NOT,\;;: ,AUTHORIZED UNDER ^BANDONED FOR!f~J!:l0.~ COMMENCED OR IS" ,..,..:"c?~~..{"'~')';.' ANY 180 DAY PERIOD. ..,'..,..... .... Notes: :,'1' . '~j Page 1 01'3 _s.,.e.~IJl.'...N O""I.El.;...~ _, '.:.," "-4" "', ' "A~ ': :IIIiiIt.... ,'--'-' .'. ..' A!;:. . "" '.: ~.~..) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line DescrilJtion Tvoe of Construction Foundation On Iv Use Bid Amount Manuf Home Manufactured Home Fee Description Plan Review Residential *** SDC ANNEXATION CREDIT + 12% State Snrcharge + 5% Technology Fee Addressing Assignment Fire SF Fee - Residential Manufnctured Home Placement Plan Review Major - Planning Sanitary Sew... - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Snnitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportntion Admin Storm Drainage Impervious Area Willamalane Manuf Home Private + 12% Stnte Surcharge + 5% Technology Fee Manufactured Home Service Total Amount Pnid Initial Review 01/14/2009 Structural Review 01/20/2009 Public Works Review 01/20/2009 . I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 $1.00 Squnre Footnge or Bid Amount 1,500.00 50,000.00 Totnl Value of Project F""" P'WLI Amount Pnid $37.70 $-118.82 $47.64 $30.40 $38.00 $69.60 $397.00 $211.00 $483.84 $636.30 $10.00 $1,009. I 7 $97.90 $114.07 $888.98 $201.54' '( $74.20 $556.53 $2,858.00 $7.56 $3.15 $63.00 $7,7]6.76 Date Paid 1/12/09 214/09 2/4/09 2/4/09 2/4/09 2/4/09 2/4109 214/09 2/4/09 2/4/09 2/4109 2/4/09 214/09 2/4109 214/09 2/4/09 2/4/09 2/4109 214/09 1/8/10 1/8110 1/8/10 I Plan Reviews I 01/20/2009 01/21/2009 01/27/2009 ':. APP LLH APP CJC APP TSS Page 2 of3 .. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00041 ISSUED: 02/04/2009 APPLIED: 01112/2009 EXPIRES: 07/05/2010 VALUE: $ 51,500.00 Valne Dnte Calculnted $1,500.00 $50,000.00 $51,500.00 01/12/2009 01/20/2009 Receipt Number 1200900000000000010 1200900000000000076 1200900000000000076 1200900000000000076 1200900000000000076 1200900000000000076 1200900000000000076 1200900000000000076 1200900000000000076 1200900000000000076 1200900000000000076 1200900000000000076 1200900000000000076 1200900000000000076 1200900000000000076 1200900000000000076 1200900000000000076 1200900000000000076 1200900000000000076 1201000000000000025 1201000000000000025 1201000000000000025 as submitted Stormwater tapped to private storm main in private drainage easement on south property line. &f!~INO.RIEl.Dj -l ~.. ',. -,' Status Issued CITY OF SPRINGFIELD Building/C?mbination Permit PERMIT NO: COM2009-00041 ISSUED: 02104/2009 APPLIED: 01112/2009 EXPIRES: 07/05/2010 VALUE: $ 51,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plaoniu2 Review 01/20/2009 01/28/2009 APP DDK 3 street trees required. I along 57th Street and 2 along A St. 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 Renllirecllnsneetions 1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. Foundation: After forms are erected bnt 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 reqnested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. 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. MH Service: Approval required prior to utility company energizing service. Erosion/Grading Inspection: Prior ,to ground disturbance and ,after erosion measures are installed. 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 w~rk described herein, and that NO OCCUPANCY will be made orany structure without permission of the Community Servi~es 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. 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 , Pa2e 3 of,3 225 Fifth Street Springfield, Oregon 97477 541-72-6-3759 Phone Job/Journal Number: COM2009-00041 COM2009-00041 COM2009.00041 Payments: Type of Payment Check cRe'ceinll RECEIPT #: Description Manufactured Home Service + 5% Technology Fee, + 12% State Surcharge Paid By ROBS ELECTRIC INC City of Springfield Official Receipt DeveIopme'nt Services Department Public Works Department 1201000000000000025 Date: 01108/2010 Item Total: Check Number Authorization Received By Batch Number Number How,'Received djb 5349 In Person Payment Total: ~ ., Page 1 of I 10:45:10AM Amount Due 63,00 3,15 7.56 $73.71 Amount Paid $73,71 $73.71 1/8/2010