HomeMy WebLinkAboutPermit Electrical 2006-2-15
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215 FlFfD srREET . SPRINGFIELD, OR 97477 . PD,(541)12I>3153 · FAX' (541)~ ~~/i~,,~~~:,:".'i
ELEl.,l.nJCAL PERMIT APPUCATlON" o/-'q/ 0 .. I) fo' ~(~JI
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City Job Number ~ ZO 0 b _ 0 I ,"0 Date Z - / J -0 b, D,'?te <Ol)ll)g re9U/~;<'t"',,,, Ih
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JOBD:-~~ t:--n.....re<i l.<:1"r ~ ~007.:.:-:~: 8106.00 ~,
ftI If S 6rull c..C:! :::~d:=~ 500 sq. ft. or $ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
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Owners Name ?," Lt..v...~ Arc. L. ~,,4.1i
Address Z,Z., J C/ oM-VCME t.;.r E. Mi;;n~~eOus (Servicel;feeder Dot htc1uded) _Ea~~'Iri~tallation
S ~P6 Phone 7ft - ZZ"3 ~ ~i,"or'~~~tion \~t \f 1\'\t. 'Na~" $ 50.00
t\01\~ ~Y\'i~U.P~_~t.~tJ\\1 \S NQ'\ $ 50.00
OWNER INSTALLATION 1\-\\S ~~lt6~"Wi~O~t.~ fOR $ 25.00
The installation is being made on property I own which ~\.rntBttJeoiW'~)Jtk\\efClat $ 45.00
is not intended for sale, lease or rent. ~~~~il~'nsP7~tiO~7~~ is $4~~~0 + Surcharges
Owners Signature: 4. S~?~t':'?~'t~.J:::il'~,; 50
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Permits are non-transferable and expire if work is
Dot started within 180 days of issuance or if work is
Suspended for 180 days.
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:lec~c~1 co:~ctor p../!. ."'" ~"E"\f~C{
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Address . '. L./' \ ,j, \ . \.....)'.,.... t .
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Supervisor License Number r-!J 0 D0 S
Expiration Date \ D - \ - b Co
Constr. Contr. Number
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-L.' tr-!
Expiration Date
Signature of Supervising Electrician
City
Inspection Request: 726-3769
I $50.00 ~
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B.' semces or Feeder5' ....:lnstallati~~AItenltionsor Relocation:
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UOO Amps or less $ 63.00
20 I Amps to 400 Amps $ 75.00
401 Amps 10600 Amps $125.00
601 Amps to 1000 Amps $163.00
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Over 1000 AmpsIVolts $375.00
Reconnect Only \ ",.'~~6.00
c. ~~\f.~~~,J{.f~~~~~">~B;
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Iestiill. "" .atiC)D".Alt..~ .UbO....e>O....' <. ,.;orf
',' ,~- v~~y
20& ~.or1~\ ,~\,:8\ \S \_'O'j $ 50.00
201 ~fil)~~ $ 69.00
401 Amps to 600 Amps $100.00
Ov~~O ~so~ l_~Yolts see "B" above.
D. . Br~nch Circuits'" ..' .
_c~ ".,....;"'.__-_............:>
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
7% State Surcharge
1 0% Administrative Fee
SO.
S7~~
TOTAL
_ '\.,..... ., ..t:.~ _ <r.___1C1_-...;.....lV'"""".t Annlir~rinn l-03.doc
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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 SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00190
ISSUED: 02/15/2006
APPLIED: 02/15/2006
EXPIRES: 08/15/2006
VALUE:
SITE ADDRESS: 2235 Clear Vue Lane Springfield TYPE OF Manufactured Home on
ASSESSOR'S PARCEL NO.: CLEAR VUE EST A TES S Private Lot
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Install permanent electrical service and water line for manufactured home
- Owner:
Address:
'::;'"
RICHARD ARCHmALD
2295 CLEAR VUE LANE
SPRINGFIELD OR 97477
Phone Number: 541-746-2235
Contractor Type
Electrical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
, # of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
, Notes:
~
."
I CONTRACTOR INFORMATION I
Contractor
BATEMAN ELECTRIC INC
GREENSUNS INC
License
151911
31366
Expiration Date
06/21/2008
12/19/2006
Phone
541-998-7187
541-933-1020
I BUILDING INFORMATION.
\<.'0'::> l 0\\\\,.1 X\
# .~QS0t." A(\ \O~
'O,\~OII r,~~I~S: s'o\ 'iJV
R-3 -0\\" Height of'Q.<''O b~\:) "
r)ieg A 'O'T' \.' .' Mr~'::>H' o.t:~ \''0'0 '(h
\: '....'01.> ~~pe-o'" v~a. <.\).\
VN ,:\OY' '\'\\Wat~BTy,n,e;0'O <'I,^o\\'O ^
. '0\. ,~\V ~eJ' ~'O~\' '0\'
. ,- '0<.-\...1 ,,\ (JRa~e,ery'p,~~'O . ~',\c'Q.\"
.... .J (J\J cP ( "IV 0:\'\\
,\;j\' (J\' :<..iEnerg~jP'~th~
C' . '. ("....~(J 0'0 S l\,:~ekl"~\\\'l ^tJ."\'
" (':;.; '0.'1 (">' pnn ~. ()~"I
.....\A'" ,_,\ \\, _(">(\\v' _(\0\\ _n.?:v
., -,...." ,............. I \\...... - ~I\....J
cji~)(J. ~~\\Q 'I1\nE~~p.rMENT INFORMATION I
c~ "''0<'' :\'0\'
00w (j'O\\
\\ Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
-11
IPUBLIC IMPROVEMENTS I ,~~ ~\.)~~,
~~'(\~~'(t~~"\r~ype:
~ ~~\.\. ,y..\S ~~~poutslDrainS
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1 of 2
."
Status: Issued
225 Fifth Street, Springfield, OR
" 541-726-3753 Phone
. 541-726.;3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00190
ISSUED: 02/15/2006
APPLIED: 02/15/2006
EXPIRES: 08/15/2006
VALUE:
I Valuation Description .~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
. Fees Paid' .
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
., Manufactured Home Service
Water Line - ht 50 Feet
Amount Paid
Date Paid
Receipt Number
$9.50
$7.60
$50.00
$45.00
2/15/06
2/15/06
2/15/06
2/15/06
1200600000000000164
1200600000000000164
1200600000000000164
1200600000000000164
;'
Total Amount
$112.10
~j'
I Plan Reviews,
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Water Line: Prior to filling trench and including required testing.
MH Service: Approval required prior to utility company energizing service.
,~
; 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 certity 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 wiD be made of any structure without permission of the Community Services Division,
Building Safety. I further certity 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 wiD remain on the site
" at al:;p::::n~. ,L _ / .s--a ~
Owner ~r Contract~rs Si~ure Date
2 of 2
225 Fifth Street
Springfield, Oregon 97477
5.41-726-3759 Phone
.
Job/Journal Number
COM2006-00190
COM2006-00 190
COM2006-00 190
COM2006-00 190
Payments:
Type of Payment
Check
.'
1
'1
,~
'J
I
.:.!
"
.,~
'.
,:;1
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2/15/2006
~
RECEIPT #:
Description
Water Line - 1st 50 Feet
Manufactured Home Service
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
SHELLEY REAL EST A IE
8.ty of Springfield Official Receipt
(~velopment Services Department
-. Public Works Department
1200600000000000164
Date: 02/15/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 0778 In Person
Payment Total:
1 of 1
9:25:03AM
Amount Due
45.00
50.00
7.60
9.50
$112.10
Amount Paid
$112.10
$112.10