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Home My WebLink AboutPermit Electrical 2005-5-2 (2) ~-'!: . o~ ' ' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54~726-36~1S? ~ 0 '~:J>"i .. ... ~ ~ ~.t'.:<',J~~-I, ELEc.;l.KlCAL PERMIT APPLICATION . "t ~ ~ 0' ~,\ ' ""'. I'/. . ~ \~ % ~, City Job Number C;o.M'ZOO~ - 00,",',( Date \: z../D r o~ o~. 6111' ~C) &0' ~ "0 <$> , ,. II' 3. r~C(rMl/tETE.1itEBSCHE>>.' ':B'" OM I''a " :::'",t..., ,,:', 'I ~\')\J<t~..,.., '.:':;~n.,.~:,:t..~.k.""',,f ,~',':.(,.l ."....~ 'v- ""','V",':"",,' -of ~<_., "r.<,:<t"", '>",," _ .. ~)....,~1""_~~.';" ..- ',." ' ." '. \, \~ ~ &11' ~ ~ , -^;O.~ A. ~~~~'ij.~f(J~iiti~L;:$jiigl~~~rMi,)iiCr. ~ : . "y' y~ :'~ii~nit.. '.j ~ ".' D "0' 1:>~ " 0;, Il' 1-" .00 CS1 <=3-. ,. , t."'~~""'" ...,.. " ""., '''~'''''W'''''''''''...'' '1 1. tLpC~/I}Q!YJ)J[!NS,'f...tJ.U~'1'{Io.l$':( ;,::~:. SJ"3 ('" ~Ats.-,.' So P J42. LEGAL DESCRIPTION 1701- '"SsoC> Ol ") 00 JOB DESCRIPTION 1M l.f s: CY2.. \I ( Lt: Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. f"""'"' ", ,;' ;:'-";.i,.,,},,'h ..-~, r. "'\.- ,." .: '.' "n" ""';:','-;;" r"'d:;t',,,,,,. '.'"..... ".-' '.'C.,,_~~l;' .,.,:~~it~i"^l. . ..... .....'1. _,~~_ .,_Ar--,, "_",,_.+.._~.,~'~"-.,.._,,. '." "C(i)NTAA.b.lvR;INSTA.JJEATION.oNEY~: 2. ;~~' ~-(,,''-'.,'~_~.' ;;".:';"\ .' '-~.r_~,~.'J"':" ,:;:,<.~.';~\~""4-'r.,;,'."",::",;;_,. '. Electrical Contractor BUI111<::LL BHOS. ELECTRIC P.O. Box 697 ill.:,lt"", v;/Io,::;, Cii yl48Y 541-747-2724 Phone Address City Supervisor License Number 41LI ~ Expiration Date to . 67 Constr. Contr. Number 70 -q 47. (Q Expiration Date I 0 -(Yp \,'ture ofSupem~ng ~Utrici'" (\[JWfl) JV\M1.,_, Owners Name S4-",,~,A-r, (:> , €~ 1""A-~ Address i 1'2-( ( ('~l '- ' G,..._ /.r.., ~ CityGol6 \2.vCt\. . cA Phone ~ OWNER INST ALLA nON The installation is being made.on property I own which is not intended for sale, lease or rent. Owners Signature: Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder / $50.00 5'"'0 B. 1.~~f9l~~~',~rF~~~~~~t~:I;'l!a,ii~:~~,~;Aite;~.ti~n~;~~'~~16~~ti~n':.' ,'j 200 Amps or less J\f~~~OU m 201 Amps ~~~P)N: Oregon ta~ ",g~t\6b9PUtiliN 401 Ampsf8\@@JtkrlPSl adopted oy ~ I(~a~~<>&at ~orth 601 AmpNt.9t~QOOti\mp;enter. 6~~~e:.lsb @l~~~2-001" Over 100~fi~a-001-001. -'~-i"'e ~8~OJ\eS by Reconnec~~. You may obtatr:i~ ::-e: ~~ ~I@~hons c. l;~i,.'~Ih~P'~~~i~~~;.~:.:,~~,~ui!~~~~~ipatiP~l , " .. .1 r.,> "., ", .' ~">'Cen\er lff.g~~' '., , Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or I 000 Volts see "B" above. D l'.Bl~N""';(li~:';:"~ :-;.;,':' C',"..,., ~""'Jj("'~. :';:., . ,'.' . :." ^" ' '1 . tL!:~,r.~~~~~cl~~'~-o!~':.':"i-;~:::ih~J~',t'$~;{t{.~:l,:t.::.." ,';;;~' ":~..~~'_ ,'.\ '~'> .' ..,~4~__':':':.,'"" $ 50.00 $ 69.00 $100.00 New Alteratlon.or,Extension Per Panel . , e \t\n~olQ , ,NU Hut... . XPIRr: It: "~h: \$(\,m One Clrcult TH C PERM\l SHA\ l E 1$ ~3.00 .'.~ ,,("\T' Each Additional1eircuit or-withNDER lH\S PERM\i I$ 1\1\J \ ^"TIlf\~l/tU u $ 300 E"n Service or Feeoer Pennit- - . ~ . "DO ~6a rllA , ." ...', ('n~nMF~CEDDR1~Mun'~ I . E. ~:^~js.k~l!a~ilB;;:(~A~S~4f~~fft~t~\b'Cluct~d), :.~ach In~tallation I 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 ~,,\,-<(c,.,..; (.'" "~'~;"<'...;I." -;'~', '. . 4. SUBTOTAJE,OFABOVE '^, . ~.~: " , '. \ .;-\kl' :\'''>- l< ,~-. ''''\; '1 - . ,~ If., . l . ','1' "t..T'f,Jt:>&...::'\ .':l;"~j" x~'h,~,,'~t...~.. ..,.... ,. " ' ~-o -S'O ~ s-oo SBSO ~ (\ 7% State Surcharge ~~ ~ ~V~~::mn;sttotiVOFee Inspection Request: 726-3769 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00494 ISSUED: 04/27/2005 APPLIED: 04/27/2005 EXPIRES: 11/02/2005 VALUE: $ 15,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . SITE ADDRESS: 5335 Daisy St 142 ASSESSOR'S PARCEL NO.: 1702330001300 Springfield TYPE OF WORK: Manufactured Home in Park TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured home in park Owner: SANTIAGO ESTATES ASSOCIATES LLC Address: 11211 GOLD COUNTRY DR STE 100 GOLD RIVER CA 95670 I CONTRACTOR INFORMATION I Contractor Type Electrical Manuf Home Inst Plumbing Contractor FATHER & SONS OF OREGON INC FATHER & SONS OF OREGON INC FATHER & SONS OF OREGON INC License 100726 100726 100726 Expiration Date 06/29/2007 06/29/2005 06/29/2005 Phone 541-689-5090 541-689-:5090 541-689-5090 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: R-3 Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkl~(Hfu11a'i6lN: Oregorf1f.!w requ~~cup.ant Load: f"IIf'\", 0, ,1_ _ . S YOU to . -'-';:. "'~l-' ,\0-" ~ ." lne uregon Ut'/'ty DEVELOPMiENifcINfJ I II e rules are set mr~ ~()9~, v. 952-001-0010 through OAR 952-001. IRED PARKING Overlay ~st9U may obtain copies of the ru/ei!'wal: # Streetq;~elQ l~"~~enter. (Note: the te/ephorli\ii<<dicapped: Pave~R~qac the Oregon Utility Notiti~mpact: % of Lot Co~tnlr is 1-800-332-2344). Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paee 1 of3 _ ~,~f!!i{ll,~.ftJ@H?~ ....",--., . ..., I , \ ... . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00494 ISSUED: 04/27/2005 APPLIED: 04/27/2005 EXPIRES: 11/02/2005 VALUE: $ 15,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Fee Description + 10% Administrative Fee + 7% State Surcharge Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement + 10% Administrative Fee + 7% State Surcharge Manufactured Home Service Amount Paid Date Paid Receipt Number $25.50 4/27/05 1200500000000000522 $17.85 4/27/05 1200500000000000522 $30.00 4/27/05 1200500000000000522 $45.00 4/27/05 1200500000000000522 $50.00 4/27/05 1200500000000000522 $160.00 4/27/05 1200500000000000522 $5.00 5/3/05 2200500000000000522 $3.50 5/3/05 2200500000000000522 $50.00 5/3/05 2200500000000000522 Total Amount Paid . $386.85 I Plan Reviews I 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. 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. 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. Paee 2 of3 _~'~'J!q~19.PJ., '." , . 1 \. .' . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00494 ISSUED: 04/27/2005 APPLIED: 04/27/2005 EXPIRES: 11/02/2005 VALUE: $ 15,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 aU times during construction. Owner or Contractors Signature Date Pal!e 3 of 3 ,', 225 Fifth Street SpHngfield, Oregon 97477 541-726-3759 Phone . ~ity of Springfield Official Receipt ~velopment Services Department Public Works Department RECEIPT #: 2200500000000000522 Date: 05/03/2005 7:51:17AM Job/Journal Number COM2005-00494 COM2005-00494 COM2005-00494 Description + 7% State Surcharge + 10% Administrative Fee Manufactured Home Service Payments: Type of Payment Paid By CreditCard JOSHUA BURRELL Item Total: Check Number Authorization Received By Batch Number Number How Received djb 035601 In Person Payment Total: . Amount Due 3.50 5.00 50.00 $58.50 Amount Paid $58.50 $58.50 -' " 5/3/2005 Page 1 of I