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Home My WebLink AboutPermit Electrical 2010-1-11 Electrical Permit Application SPR,INGFIELD ~~'r.; 1~;\~q~e~~f~ENf'G~'~ON.L'( I ./fI/1_()/OL/1 Penn it no.: C~ I Date /--11 r- /0 I 225 Fifth Street. Springfield, OR 97477+PH(541)726-3753+ FAX(541)726-3689 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . 1 1 I 'JPR08ERTY::OWNER ,.,,":.:. Signature: I .,,:iCONTRACTOR' INSTAL:t:ATIOR.. It I Business name: 1 Addres'______ 1 C.ity: ~ 1 State: ~ZIP: I Phone: ~x: 1 E-rnail: ~ ~ I CCB licens~ I BCD license no.~ I Signir6pervisor's license no.: I Print name of signing supervisor: I Signature of signing supervisor: ~~ ~~ 440.2584-J (9108/COM) $134.00 $ 25.00 $32.00 $ 63.00 Services or fee-ders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 1 201 to 400 amps (2) $ 95.00 $ 1 401 to 600 amps (2) $158.00 $ I 601 to 1,000 amps (2) $205.00 $ lOver 1,000 amps or volts (2) $469.00 $ I Reconnect only (2) $ 63.00 $ I Temporary services or feeders: installation, alteration, relocation I 200 amps or less (2) $ 63.00 $ I 2.01 to 400 amps (2) $ 87.00 $ 1401 to 600 amps (2) I $126.00 $' lOver 600 amps or 1,000 volts, see services or feeders section above . -I I Branch circuits: new, altermion, extension per panel I I a. Fee for branch circuits with purchase of a service or feeder fee: I I Each branch circuit I I $ 6.00 I $ 1 I b, Fee for branch circuits without purchase of a service or feeder fee: I I First branch circuit (2) $ 55.00 $ I I Each additional branch circuit $ 6.00 $ )1 Miscellaneous fees: service or feeder !'lot included I I Each pump or irrigation circle (2) $ 63.00 I I Each sign or outline lighting (2) $ 63.00 I I Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) . i Each additional inspection: (1) $58.00 $ l~t~~~~Ji!1f?Jj~~i~~]~~1A'RglZIG'A'N_T~~:OSE~1f~~~~t~~~;~n~~I $0~'cr-> 7.~& s. V .s- f 51~ 7 ( $ $ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) .1 (8) Enter 12%,surcharge (.12 x [A]) I (C) Technology Fee (5% of [A]) 1 TOTAL fees and surcharges (A through C): $ $ $ _~"'U)lQl'!IliU,D. I; Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01041 ISSUED: 08/11/2009 APPLIED: 07/17/2009 EXPIRES: 06/10/2010 VALUE: ' $76,924.00 225 Fifth Street, Springlield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1960 INLAND WA Y ASSESSOR'S PARCEL NO.: 1803023306700 Springlield TYPE OF WORK: Mannfactnred Home on Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured Home Replacement Owner: DINWIDDIE WILLIAM J & L M Address: 1960 INLAND WAY SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type General Electrical Contractor JOHN LEE OWNER License 178860 Expiration Date 11/29/2011 Phone 541-510-8616 ..~' tV, BUILDING INFORMATION I 2 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: I Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: . n/a Occupant Load: . 6,534 855 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I R-3 VB I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Sidc 2 Setback: Rcaryard Setback: Solar Setbacks: 53,00 13.00 14,00 24.00 . 10.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I Yes 13.00 Total: . Handicapped: Compact: 2 ',,-- ....... +^ . . I PUBLIC IMPROVEM~Sr:UN~~~~reUd'b~'th';o~~g;n Utility NOTICE' . . . _'I U es Tm ules are set forth Street Improvements: . . . . Notification 0lt1l~.1" ' e! hOAR 952-001- 1HIS PERMIT . ',.,',.., OAR 952-001-0010 th ug Storm SeWer ~:VJlilable: . SHALL EXPIRE IF ,,' '. . In ~t}'t\I'!!R\l11~iaI'1""l the rules by S '11' . 'nUKIZElN'.11"'~'" . T/.U:\lJnDI/ 0090.,XQU !. . +6.~+c\onhon.9 . pecla nstructlOn:V/ 0 new.!.'nperl~IO~i:'ur(ace-, nXlUl<eS to sep~'lin\r!fll!I~!!htllfp~h"IWIlII".'I'U. .'1""0 PW Issues. Ar7;;1~8EO-NCED OR IS ABANDONKEIVD,IT IS NOT numbe; for the Oregon Utilitt,,~~)tllicatiOn Notes: DAY PERIOD. FOR Center is 1-800-332-.-.-. . '. .~,:. _".......~.; t_ Page I of 3 Status Issued Z25 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Manufactured Home Manuf Home Fee Description Plan Review Residential + 12% State Surcharge + 5% Technology Fee Demolition Manuf Home State Issuance Manufactured Home Placement Plan Review Miuor - Planning + 12% State Surcharge + 5% Technology Fee Manufactured Home Service Total Amount Paid Initial Review 07/20/2009 PJannjne Review' 07/24/2009 Public Works Review 07/24/2009 Plannin!! Review 07/30/2009 CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: COM2009-01041 ISSUED: 08/11/2009 APPLIED: 07/17/2009 . EXPIRES: 06/1012010 VALUE: $ 76,924.00 I v a.I~~tion De,~crintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 76,924.00 Total Value of Project Fp"" Pg;.-! . _ ro1 M:MIIII Amount Paid Date Paid $387.88 $47,64 $28,70 $58.00 $30.00 $397.00 $119.00 $7,56 $3,15 . $63.00 7/17/09 8/11/09 8/11/09 8/11/09 8/11/09 . 8/11/09 8/11 /09 1/11/10 . Vll/I0 1/11/1 0 $1,141.93 Plan Reviews , 07/24/2009 APP LLH 07/29/2009 WI DDK 07/2912009 APP LKW 07/30/2009 APP DDK ',1 Paee 2 of 3 Value Date Calculated $76,924.00 $76,924,00 07/24/2009 Receipt Number 2200900000000000815 1200900000000000901 1200900000000000901 1200900000000000901 1200900000000000901 1200900000000000901 1200900000000000901 2201000000000000022 2201000000000000022 2201000000000000022 , Pending decision on Flood Plain Overlay Application. (SHR2009-00002) No new impervious surface. Fixtures to septic. Floodplain information submitted. No PW issues. Adhere to the following occupancy conditions for development within the Floodplain (SHR2009-00002): Provide a FEMA Elevation Certificate completed by a certified engineer, surveyor or architect, AFTER placement of the manufactured home and before occupancy. The linished tloor elevation of the manufactured home shall be a minimum of 18 inches above the Base Flood Elevation, Status Issued CITY OF SrKJj~GFIELD Building/Combination Permit PERMIT NO: COM2009-01041 ISSUED: 08/11/2009 APPLIED: 07/17/2009 EXPIRES: 06/10/2010 VALUE: $ 76,924.00 225 Fifth Street, Springfield, 0 R 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Strnctnral Review 07/24/2009 08/05/2009 WE CJC NEED CURRENT OREGON ENGINEERING FOR FOUDATION SYSTEM Stroctural Review 08/05/2009 08/05/2009 APP CJC Engineering provided- approved as noted on plans / review letter, 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 R,ef.nired Tnsnections I ManuI' Home Set Up: When installation of all piers or stand~ is complete. Final MannI' 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. ManuI' 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. MH Pedestal: Approval required prior to utility company energizing service. By signatu~e, I state and agree, tbat I have carefully.~i~mined 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, and that NO OCCUPANCY will be made of any struCtnre withont permission of the CommnnityServices Division, Building Safety, I fnrther 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. . VP-jO$ Owner or Contractors Signature 10 ) - ) L ...1)C1:o,1J " ( Date -. ',:': ~; ,. Pa!!e 3 01'3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number. COM2009-0 I 041 COM2009-0 1941 COM2009-0 I 041 Payments: Type of Payment CreditCard Cred itCard Job/Journal Number COM2009-0 1 041 COM2009-0 I 041 COM2009-0 I 041 Payments: Type of Payment CreditCard CreditCard cReceirnl RECEIPT #: Description Manufactured Home Service + 12% State Surcharge + 5% Technology Fee Paid By WILLIAM DINWIDDIE W1LLIAM DINWIDDIE Description Manufactured Home Service + 12% State Surcharge + 5% Technology Fee Paid By WILLIAM DINWIDDIE WILLIAM DINWIDDIE v City of Springfield Official Receipt Development Services Department Public Works Department 2201000000000000022 Date: 01111/2010 Check Number Rec~ived .By '. Batch Number nJm njm Item Total: Authorization Number' How Recejved 016196 In Person 097375 In Person Payment Total: Item Total: Check Number Authorization Received By Batch Number Number How Received njm . njm 016196 In Person 097375 In Person Payment Total: :" Page I of I 1:16:30PM Amount Due 63.00 7.56 3.15 $73.71 Amount Paid $7.31 $66.40 $73.71 Amount Due 63.00 7.56 3.15 $73.71 Amount Paid $7.31 $66.40 $73.71 1/11/2010