HomeMy WebLinkAboutPermit Electrical 2004-6-8
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726~689 :Oro; 0:;;~)ll4{6';"'i;:;:
ELECTRlCAhPPRlKf.{' ~LICAT10N ~v~ 0:;;"$ . , 'OO~%(l,,"";
City Job Number "'4 fJr' Ut \ lIT Date 6/8/04 ?o'-" "'0" O:;;oS' oS'
- ~ ~~
2. eo.u\te~
gon \a'/'J 0 egon \.""rth
Electrical Contractor JB El~\~~.. Qte '(. \:''1 t'ne t te~Mmp's or less
p..1 \ \:. t~\es adOpllJ 1~Ose tu\e~~?.~~}; to 400 Amps
Address 4685 Isabelle ~~~....\i()n cen\~tQ' ~ (\ t'ntOUg'n ~ \'nEiQU~ ?~to 600 Amps
NO\\\\v'" '2. G01-V. p\es 0 hnne
. Op..?. 95 ~ ob\a\n CO e' t'ne \e~' l"m1R\\to 1000 Amps
City Eugene \~Q~~ntou m~~~;1~~k t~O\;Ut\\i\'/ ~~Y~~~OAmpsNo1ts
v ca\\\ng \ne fie Otego" $2_23~~onnect Only
pet 'ot t . '\_800-3,
(\u{l\ C (\\ef \$
Supervisor License Number 2708-S e C.
1.
~ 7t ~ L/ VY\iu~ 'Vvv~~
I
LEG(\~~ ovrfJ
JOB DESCRIPTIO~ ,--
V'v\.ao2'0\A)'k\~/~
W'vr-J(
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Expiration Date 10/1/07
Constr. Contr. Number 37587C
Expiration Date 7/1/06 (CCB 104929 3/14/08)
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3,
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
:A
$50.00 I Of), LV
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Am s or 1000 Volts see "B" a
D.
NeW~~e~~ oJlt.or tj}~&slfu~~e~
OnJ~JJjlt \ilL Uo OR \S {\'i3{\
Eac~dMm~~~yit\Jl\~h
Serv~Wir t'mIt. permit
$ 50.00
$ 69.00
$100.00
$ 3.00
316D
E.
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
(O~,oD
.-f~1
, n; ~O
\Wr5j
7% State Surcharge
10010 Administrative Fee
TOTAL
, Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004;..Oll04
ISSUED: 10/20/2004
APPLIED: 09/03/2004
EXPIRES: 04/20/2005
VALUE: $ 57,810.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2254 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251302200
Springfield TYPE OF WORK: Manufactured Home on
Private Lot
TYPE OF USE:
Residential
PROJECT DESCRIPTION: Manufactured Home, Maia Park, Lot 3
Owner: GENA LAMERE-STATON
Address: 46121 GOOD PASTURE ROAD VIDA OR 97488
Phone Number: 541-896-3729
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Manuf Home Inst
Plumbing
Contractor
OWNER
JB ELECTRIC
SUNBURST CONTEMPORARY HOMES
OWNER
License
Expiration Date
Phone
104929
58756
03/14/2008
03/09/2005
541-687-5770
541-461-6541
BUILDING INFORMA nON.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
2
# of Stories: 1
Height of Structure
Type of Heat: orced Air Electric
Water Type: Electric
Range Type: Electric
Energy Path:
Sprinkled Building: n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,210
1,280
1
R-3
U-l
VN
360
I DEVELOPMENT INFORMATION.
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
30.00
5.00
20.00
10.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
1
Yes
25.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction: Infrastructure is private.
Sidewalk Type:
Downspouts/Drains:'
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
ATfENTIUrJ.Oregon law requires youto
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
ill OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of tile rules by
calling the center. (Note: the tel~~ho~e
, number for the Oregon Utility Notification
Pa2e 1 of 4 Center is 1-800-332-2344).
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01104
ISSUED: 10/20/2004
APPLIED: 09/03/2004
EXPIRES: 04/20/2005
VALUE: $ 57,810.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
4,000.00
53,810.00
Value
Date Calculated
Foundation OJily Use Bid Amount
Manuf Home Manufactured Home
Total Value of Project
$4,000.00
$53,810.00 '
$57,810.00
09/20/2004
09/07/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $125.58 9/3/04 2200400000000001123
+ 10% Administrative Fee $41.46 10/19/04 3200400000000000297
+ 7% State Surcharge $29.02 10/19/04 3200400000000000297
Addressing Assignment $31.00 10/19/04 3200400000000000297
Annexed 1979 or Before $-162.46 10/19/04 3200400000000000297
Foundation Permit $60.60 10/19/04 3200400000000000297
Manuf Home State Issuance $30.00 10/19/04 3200400000000000297
Manufactured Home Conn - Plmb $45.00 10/19/04 3200400000000000297
Manufactured Home 'Placement $160.00 10/19/04 3200400000000000297
Plan Review Major - Planning $103.00 10/19/04 3200400000000000297
Refund - Res Plan Review $-86.19 10/19/04 3200400000000000297
Sanitary Sewer - 1st 50 Feet $45.00 10/19/04 3200400000000000297
Sanitary Sewer - Improvement $347.32 10/19/04 3200400000000000297
Sanitary Sewer - Reimbursement $456.76 10/19/04 3200400000000000297
SDC MWMC Administration $10.00 10/19/04 3200400000000000297
SDC MWMC Improvement $865.31 10/19/04 3200400000000000297
SDC MWMC Reimbursement $82.03 10/19/04 3200400000000000297
SDC Sanitary/Storm Admin $101.19 10/19/04 3200400000000000297
SDC Transpo Admin $62.56 10/19/04 3200400000000000297
SDC Transpo Improvement $772.49 10/19/04 3200400000000000297
SDC Transpo Reimbursement $175.13 10/19/04 3200400000000000297
Storm Drainage Impervious Area $728.50 10/19/04 3200400000000000297
Storm Sewer - 1st 50 Feet $45.00 10/19/04 3200400000000000297
Storm Sewer Each Addtll00' $14.00 10/19/04 3200400000000000297
Water Line - 1st 50 Feet $45.00 10/19/04 3200400000000000297
Willamalane Manuf Home Private $1,000.00 10/19/04 3200400000000000297
+ 10% Administrative Fee $10.30 10/20/04 2200400000000001318
+ 7% State Surcharge $7.21 10/20/04 2200400000000001318
Add, Alter, Extend Circ Ea Add $3.00 10/20/04 2200400000000001318
Manufactured Home Feeder $50.00 10/20/04 2200400000000001318
Manufactured Home Service $50.00 10/20/04 2200400000000001318
Total Amount Paid $5,247.81
Pa2;e 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01104
ISSUED: 10/20/2004
APPLIED: 09/03/2004
EXPIRES: 04/20/2005
VALUE: $ 57,810.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannine: Review
09/07/2004
09/07/2004
I Plan Reviews I
09/0712004 APP
09/21/2004 APP
LLH
TAJ
Public Works Review
09/0712004
09/07/2004 APP
MS
The carport has been removed from
the plans. Needs to provide 2 off
street parking spaces and 32 sf
storage shed. Shed may have 3' side
setback.
9120/2004 - Need to remove storm
SDC's for Carport prior to issuance
of building permit. - MS
9/0712004 - This manufactured homE
is being placed upon a 10 foot
EWEB easement pursuant to a letter
from EWEB. Please read the
easement, it has been attached. The
City of Springfield does not provide
any legal advice regarding the effect
of the easement or the effect of
EWEB's permission.
9/0712004 - Contacted applicant and
made them aware of the EWEB
easement running through their
property. - MS
9/07/2004 - All infrastructure is
private. -MS
Structural Review
Structural Review
09/07/2004
09/2012004
09/20/2004
09/17/2004
APP
10
TCM
TCM
Carport deleted
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.
~eO!lire~nSDections ,
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Manuf Home Set Up: When installation of all piers or stands is complete.
Final ManufHome Set Up: After all required inspections are requested and approved and porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Manuf Home Plumbing: After home has been connected to water and sewer.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Pae:e 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01104
ISSUED: 10/20/2004
APPLIED: 09/03/2004
EXPIRES: 04/20/2005
VALUE: $ 57,810.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Storm Sewer Line: Prior to filling trench.
Water Line: Prior to filling trench and including required testing.
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 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
Pae:e 4 of 4
, 2'25 tifth Street
Springfield, Oregon 97477
541-726-3759 Phone
SJ:GF;"Dji. '....
u..
~.
-"ty of Springfield Official Receipt
evelopment Services Department
Public Works Department
Job/Journal Number
COM2004-0 1104
COM2004-01104
COM2004-01104
COM2004-01104
COM2004-01104
Payments:
Type of Payment
Check
10/20/2004
RECEIPT #:
2200400000000001318
Date: 10120/2004
Description
Manufactured Home Feeder
Manufactured Home Service
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JB ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
14662
llh
In Person
Payment Total:
Page 1 of I
2:45:00PM
Amount Due
50.00
50.00
3.00
7.21
10.30
$120.51
Amount Paid
$120.51
$120.51