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Home My WebLink AboutPermit Electrical 2004-6-11 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 EL' UCAL PERMIT APPLICATION .' .. CityJoh Numher C3(J14( 2 d}?f -00$".2.0 3. COMPLETE FEE SCHEDULE BELOW A. New Residential-Single or Multi~Family per dwelling unit. LEGAL DESCRIPTION Service Included: C~lIt! ~~I ne ~~oject as submitted h~.S the following zoning, and does not require specific land use JOB DESCRIPTION approval. '0 1000 sq,ft. or less ~.4f? "A.yJ/'U' 7" . \.l)~F~lrh ',1r1'litif'ln.]1..500 -+"--" T /PF ~"'1''' - - 'img e~== - . , , _~~"-;:ll=OJf~j~ .s_q2t_()!P?Etion PermIts are non-transferable and R.~tte-- ~.. thereof if work is not started within 180 ~!>fthorized signature':::"1L_-:::::'"dd"LlL,ifdi-i.ume or of issuance or if work is suspended for Modular Dwelling 180 days. Service or Feeder 1. LOCATION OF I~STALLATION I.. 2..1- ., <:; C~ t!lIl:!' CU Items Cost S m:11 $106.00 $ 19.00 ~$ 50,00 5lJ..OO 2. CONTRACTOR INST ALLA nON ONLY B. Sen!iccs 01' Fccdcrs (FIJI( CbItJs~tle:..T~'\J o \ r \ ,I . _ _ Installation, Alterations or Pbt1.J/JIC/ Electrical' Contractor_l}<1tUY\OJ\ t:... te..cm L \..X\l. Relocation: Address \05\ \-\eLK.ClY't ~ CityWa.V'ti ?b~PhOn' ~}-;q'7L\15l Supervisor License Number ,-JOt/UP J Expiration Date I tfi --I -- pi.1 . 200 amps or less 20 I amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 63.00 $ 75,00 $125,00 , $163.00 $375.00 $ 50.00 Constr ContI. Number \ 5l q \ \ C. Tcmporary Scrvices or Feeders Installation, Altcration or Relocation ~~t' ~, ./ - - D. Branch Circuits Owners N ame-tf't~ i ..~~ New Alteration or Extension Per Panel Addrcss 2.2..<Jr ~ U~~ 1..1/ , - Phone }(~ -21.3.J- Expiration Date 10 7.J ",' _ ,J -, .- (j-;7 Signaturc of SUJlcrvising Elcctrician City~# OWNER INSTALLATION The installation is being made on property I 0\\'11 which is not intended for sale, lease or rent. 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see "B" above .50.00 $69.00 $100,00 One Circuit $43.00 Each Additional Circuit or with Service or Feeder Permit $ 3.00 E. Misccllancous (Scryicc/feedcr not included) -Each installation PlImpor irrigation SignJOll\1ine Lighting Limited Ener.f:,')'IRes Limited Energy/Comm Owncrs Signature: ,=- ,,- - --- $50.00 $50.00 $25,00 $-1-5,00 !\linimllm Electric Permit InsJlcction Fec is S-l5.00 + Surcharges TOTAL 5'D ,1-<) "'lfO rD~ ""'pi) f7)~ 4. SUBTOTAL OF ABOVE 7% Statc Surchargc 8% Adminis~rative Fce ~ CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00520 ISSUED: 06/09/2004 APPLIED: 05/05/2004 EXPIRES: 12/09/2004 VALUE: $ 2,500.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2235 Clear Vue Lane Springfield ASSESSOR'S PARCEL NO.: CLEAR VUE ESTATES S TYPE OF WORK: Manufactured Home on Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured Home on Private Lot. Owner: RICHARD ARCHIBALD Address: 2295 CLEAR VUE LANE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I , Contractor Type General Electrical Manuf Home Inst Plumbing Contractor SHELLEY REAL ESTATE BATEMAN ELECTRIC INC SCHOAP INC GREENSUNS INC License 6217 151911 32039 31366 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 # of Stories: 1 Height of Structure Type of Heat: Forced Air Elect Water Type: Electric Range Type: Electric Energy Path: Sprinkled Building: n/a VN 4 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS" Street Improvements: ' AIJ..'ii~. ON: Oregon law requires you to Stor~ Sewe-f^ht'lw e. d ."'d by the Ol1egon Utility SpeCial Instrt'i'ernm:ru es a opw , , Notification Center. Those rules are set forth Notes: In OAR 952..()01.Q010 through OAR 952-001- ' 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Phone Number: 541-746-2235 Expiration Date 02/18/2006 06/21/2004 04/28/2006 12/19/2004 Phone 541-746-2235 541-995-4757 541-344-8833 541-933-1020 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,782 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: NOlICE: ORK 1~~:O~~~6 ~~~~~ ;X~~~J~~~i,~ NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pal.!e 1 of3 '-IIIit~~~I~e,~!.L~,l:'." ~ L ~._- 0.-,_.:..: _.~~. . ,.,. '-""~~3' 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 Only Use Bid Amount Manuf Home Manufactured Home Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Manufactured Home Service Total Amount Paid Initial Review Initial Review Initial Review Planninl.! Review Public Works Review Structural Review 05/05/2004 06/03/2004 OS/26/2004 05/05/2004 05/05/2004 05/05/2004 I Valuation Description I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 2,500.00 43,930.00 Total Value of Project ~ Amount Paid $34.32 $5.00 $3.50 $50.00 $92.82 Date Paid 4/30/04 6/9/04 6/9/04 6/9/04 I Plan Reviews I 05/05/2004 06/04/2004 06/03/2004 APP LLH ' APP LLH WI LLH CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2004-00520 ISSUED: 06/09/2004 APPLIED: 05/05/2004 EXPIRES: 12/09/2004 V ALUE:$ 2,500.00 Value Date Calculated $2,500.00 $43,930.00 $46,430.00 05/05/2004 05/05/2004 Receipt Number 2200400000000000452 1200400000000000876 1200400000000000876 1200400000000000876 Waited to meet with Liz and Virginia regarding information on the Clear Vue Estates proposed subdivision and other issues regarding the placement of Mr. Archibalds manufactured home. We will process application with same requirements as any manufactured home placed on a private lot. Need to meet with Liz Miller and Virginia Jurasevich to discuss placement of Mr. Archibalds proposed manufactured home. 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. Pal.!e 2 of3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00520 ISSUED: 06/09/2004 APPLIED: 05/05/2004 EXPIRES: 12/09/2004 VALUE: $ 2,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reauired Insnections . Erosion/Grading Inspection: After all erosion measures are in place. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 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. 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. MH Pedestal: 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 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 the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 willbe 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 6mM't;0~ 1/M1t) Owner or c;/n;rat.;rs Signature /r D{j. . ~ 1'; U;??1 Pal.!e 3 of3 225 Fifth street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00520 COM2004-00520 COM2004-00520 Payments: Type of Payment Check 6/9/2004 RECEIPT #: GJ;QF~.'~ iii..,.. ........... LM...-,,,.,, ~~ ~ity of Springfiel~ Official Receipt Jevelopment Services Department Public Works Department 1200400000000000876 Date: 06/09/2004 Description Manufactured Home Service + 7% State Surcharge + 10% Administrative Fee Paid By SHELLEY REAL ESTATE & BUILDERS Received By dIm Page I of 1 Item Total: Check Number Authorization Batch Number Number How Received 338 In Person Payment Total: 11:56:15AM Amount Due 50.00 3.50 5.00 $58.50 Amount Paid $58.50 $5850