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Home My WebLink AboutPermit Electrical 2005-4-27 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ~() ~ - (<)0 l{ 91.( Date .~~;~,:t'~'\:'i'~i~~4f'~~-"~^~!\'~,'\,\~":n:~'\'fE'1"'::'~"',<f3~.':.W~.;::r-.;7:7""- ,.;\"~r:~'K~''!c;:r~~'~i €w:r<(";~n:~:;)'!;~';"~:,,,,,; "~>%~:&:~;.1",;.t{f~!::;;;~~~Xf\':'~,t ,%/<:';N'j~ '~~U:~;~0.~ ..:..,..~"'l:t~'~, ~::~'" ;"lJ.,: , it~:"'l 4 '.w;S"l: r1J,'I70~';t',T~:O, ~~,ji';t' DO,' :,"TUAI\'l'-,:< "~.,i,l<.dG!:j.,:"\~,,i;O, 'il . M'- LJ.. ".J.A,'..I':.t'1LJ., r::L1U :Y~L,,,, ' , l'\"~l.l'r:'t~~!~-0~ ~""\$ - ~:~"'f'it~~~~~<~f,*,;~\~?jt'$:'0(,I: ~~.:t:r)k1,.~t~~~:;'r:'~1{;;i; :fL;.Z~~~$\~it~~_~\!i:.:'~,~;"~'~ f ............_"".01,.:....:.<4.~, <,......~,~.....~~_""""'"'~,."'..<__.. ',,' ,f:-..,.,,,..,.._..."'-........-__...,...~ ~ 7% State Surcharge \\J-" t\ 10% Administrative Fee ~'7 ,'" ....,-.,..,'" !\X-VI.-'-"""<'\"1" '~.' "r::;:.c~:."'.~ ':'\;.""', ~.... .~.. &^", ,~w."~.' '~il..-"I.\~.....~. ~'.""^";:'"'"'J.~ ~. . . 'l' .) ''(','- V~W~ll."'-:" ,.~'l~~lo""'.~..;:\."'f.;{ ""","'-;'\'; <..~_J_~,'!'l;,x.,""'....;..',k""_~~. ""',.'~""'i" 1. 'LOCAITON'OFINSTALMrJTONfi,"" . .l~...,>{..~~.~!<.:~,..:,.+~,;;<.!{'--_'i,;;"~ )l,.,.!,}'F'~,*"\.,,_,~.. ,_-to ~,;.;;~. ';.J'~:"""-<:""t;'~\h.",,,:"~...w:.'I,,,,rir~': ....\GlIW,~._I#<_'ol,""~..""~. '",~~"-h... .. ~'W~".~:_'k~Nl'~,.~M._~~""',:t...... :llltL S33r Dc<lS'I' LEGAL DESCRIPTION ,\ 70 z.. 3. 300 JOB DESCRIPTION s 1-. II / 'I "2- 0/30 0 (( ~ {J (Ct C. ~ M.II. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~-- ~,,,,'='\;$,,,~,,,",,,,,,,,,",'-"_',,,,,,,,~--'''''..~='''''''m=''''''''' :;-., _ .,";~~jC~n.<,j'.')~ :.': t\'.1'>>'+~i" i;:.t:';;;~;:' ,\";.,.q.i~_~-"\....'\'~~_i~>';N.ri. ~?',~....h':"1'" ~".~~~i;;'A~ .'~~;1')-l 2. w;gll~~~~qlJJ!~Jf~&1!4~[~fl!ljJ!iill:j};~~1 Electrical Contractor ,::~fc..4-f" V SONS of o~. Address . 'J.. &- l()..(P ~VY''l( t4ve City >{ c) '2.-- {;. t.A-Cj4'< L 11 . Phone "f'~-S-O fO IfJ.H,jH& fqlft..- ~'.'r'-.:"" License Number Iv 0'2 " Expiration Date I. / 2-r, /0 1- '. Constr. Contr. Number Expiration Date S71l1~~~irJ;:L OwnersName SCLf'o(I14~O E, fq/~J Address II Z l \ &0 I J. ~ LcV'~'{ 'b:.1L City b-c:>( J 2., \/I5tt, cA Phone 7t("- V f I f , , " .......... .,f OWNER INSTALLA nON The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 if /z7 /0 ("" I I . !\:," ';<>;:~. .~.~~'" ,~-r~'"C'i: '~"'Jt\"'1i,~~~.""'~ ,,....~M:$'<"~S.,.,~tl:'~~l-~'~~' r-.,.',,~'o;,:).~. '\.'!r\$).Wr~~ ' , ..~ ',":<(vl-1"~~ . "'~"w. "~". .....~'} .,.,.,..."..... ....1.r..'. h\~:,""r""''''}'' ''l:'" ''\r'<'~'"'' j ',_'>'W~_'~ ..", ''''~''''~'''''- , "'~A':" ';~/:~S".;tt.~',,~{.::<!.:..j.r,.;.~tl\~...*~ 3. ~;'COMPL'ETE.j:;;EE'SeHPJ) , EHELv,W)\\"':"'i"'~\l.;ttl'F'!'''jil~''''I'.;f.I# f~"Bi:ts...~~t5~~~ff'&i~~~"J~'t~';:\:..:~':"~'S.~\~~~~~l ~!~\\lV;'- "l~,. ,,\.~- '~~{~I~...(.~,!lu~J!l\lt.:~tt;l ::0", ~ oft" ot- '~ ~ A. ' ~t~~ii~.:@r~mr~~ffft\~.~~1~;rtit<f~~~fi~p:[~~~\a'~~l1i'W~~lli~it~~~~~ %'1","'"''''''''^'''''',....,~.. ," l:> ,.. ,.oK, "~ ~"..~~;~~" .,..,,1.>>' ..",., ,l:>"~I" .,,.~;'~'l\1i .'i:.^'~:.~"~>J.b:.~\i.~~)~;~,'i*;:...~;'N:,rll>0',"~<,'W> >......$l;,'l~~i..k....~,'lI~,;, is' !':'h'c::"~~"; "WII^' ".,,' <"~...,i!.~."..~ :v.iI'. to .'J;"~~1t . 0",. ~.;. .." ~ Service Included ~@ ~ 0,-", ~~" 0' '\.. @9, ~ 1000 sq. ft. or less Q>~..", <'^ . 0;'~,~J06.00 Each additional 500 sq. ft. or~"G-", " ~<\/\ - ~@ O'~ portion thereof @ r.r~ $"~'QQ ,Vc\ /. <9 :0' ~.." '0 O'~ ,,~~,; - ,--... $ ,00 @ 19- S ~ Each Manufact'd Home or Modular Dwelling Service or Feeder ~ ~. "_, ."'_."...._. _""", A...~.~T.""~"'< .' '.,..l'<".",~_ .,;... ~..~, . "U__"_l "'...~_......_..~ ar-,,\.:~A~~~'k.P.i..~.~~'i~.;."" \::;j;~,::?~~"<i~~,; \~~....'ib",.'t~,'t~.:~,"...':~....':,~.Ws, >N.j~~',. ,'" ,;f'~ 'f, :::.; -:,~~-:.~~-.'.fl ",: :.' B. ~~rwi~'D', ,,' .~~W'staIrati()~~Alteiafons;'.~Relo'c'iitioii::J;.' ~~rl'6Wfu'~!~~~()CiIIJal;preqrJ(t~f~gii"i.t'J:~\i1i'.~I~~J.a\,'},' ~-Ui)\~S:w ~~~,t~ e1 by the Oregon Uti~t93.00 , '~<N>~f)'S)lO'9Qq ~Pb ~se rules are set f$)rt~OO ~~~9\~~SJt~~ ro~gh UAR 952-00f..).00 {; ~' 1m I CopIes of t 60f ' ~J~lCOOOtaml{$\Jot . ne ru'eS~}}3.00 nUm r. ' e. the tclt::pnon Over ~dWrNp~~on Utility Ne-rr.. '~75.00 Reconnett~4Y"S 1-a00-332-234';j: II.,;QIIOllJ 50.00, I _r."..,.,..""~"',:':!,,.':I.:Wl!:l.,,,.,'~'<.,,ffl:~_H. --.. ,- ,.. '-"""~''''''<..... ...'~~u.... "-'~.I'I ~'d c. glir."':.'~'p':~'~. ~!~~s~f~i~~f;~'F,~E~~I~~!~:l~t)}'I~~~~l~~~~~~{~t~~?f.;~~~ 1.':t.ttt~ii.\l-'Q~;.tw~~i~~~~~.r.~~~~l'iS~~~~~,......;liiht:,~'.i:'~~~i;.L;,1I.,\ I", -."( ~l.aW~ Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps' Over 600 Amps or 1000 VoltS see "B" above. . ....~"""~~J;.'....~~,.~_... ".........'f"""~....,, '~'MO'I""''' .. .. ''1fl\~--'-- ~-p,"".l';,"""n'.'\'t,p,:"', '.'" :",,,::~. "'" ~"l""~'~'" \"'''''..''~'~' ''',' ~':'~ D m,'.,'" ."'Ii~.;.~r'."':"<:.' ,,,.,,,,);~<">'1''o.'' i~"- ,1,,'t"'~T" '~/I '." ."~Jf"l~ . ne '::,:.;:lrCUl S, 1.!.."'-:\r:,I'.~>..;:-'."'fV,q.<!r.' - "~\"''<l''T~r~ ..~.\ . "'""",,:(t.>;" '~\' ~;. , ,,,,j~.~1i_,''"i~~'J'..('; '. ;~ >.*<-, , ";.1!I.~~"';''', $ 50.00 $ 69,00 $100.00 tt\5l~~~ation or Extension Per Panel ~One'GirCRiM\T SHALL EXPIRE IF THE WO~~3.00 , ab)\ .'iQadltionaluGircuit orLWithPERMIT IS NOT II t;i1IliIP"U I~ULfI ffllv $ 300 eO~~ENCrBf:ORe~lABANDOt~~D rOR . nr~lXF~-mo'-",''iir1\ . '~~~~,' '="-"~'''''''''c'<\''''''''''''~"-='''''''-~'''''''''''~~-I"''''-''~~ , E.A\l~~~~n~\~~iVG~ ,s~~Qi~~~(i~~~1f~~~'tmiclfl~i:a~'~E'~lliS'rn~tIu1ti6i~{~ ,<:\'f'~';;~~Wff-"':'Y~~';;:~"':'ll~~' "($,.,.."""''';.S.'(,!~:,~'''';:''....Vj' Lhw-~ .~;, .>t..i, ~"','G\~t.,l,,' ~.,,~~.:.; :t ' "4t\~\:e.',,-~" .'j ,,\! j'ii': , { ';""-"'" -r,'-' ,'~'i .."~' -" """''''-'.:<:',''':: -~'l";.~..~'-~'" ."".1, -, -- ,'-. , <' w' ,- '.~";"'l,;..- < ,~-' ,'" ., ~t\,~-JJ Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges s-o 'J So ~ ~ c::> ssrc:-.- . . CITY OF SPRINGFIELD , Building/Combination Permit PERMIT NO: COM2005-00494 ISSUED: 04/27/2005 APPLIED: 04/27/2005 EXPIRES:. 10/27/2005 . VALUE: 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 License Expiration Date FATHER & SONS OF OREGON INCI00726 06/29/2007 FATHER & SONS OF OREGON INC 100726 06/29/2005 FATHER & SONS OF OREGON INC 10972~_...),\..es 'l0'i):~~~12005 BUILDI - ~ri~ J '~~e Otegon ~~l,~~ yu\es a 0 ose tu\es ate ~52"()()1. #~\~'M-lesh centet. ,n ntOUgnO~f\ ~~~~1 ~'f;8f~Jj~tJiT~Q~?\: CO?ies01, tnES~t'i\~~ Floor: 'F~Ulfl;ar:rt\a'/ obt~\n, ote'~ ~~e te\~\ ~4 Floor: W6teJOr~~,,~ cef\t~~:. ,~~ U\W\\'1 t-l~ ~m~sement: Rangg~~:~ '0t \\ie Qte~~~~~,,~~ Ft GaragelCarport EnertID1Jralil~R "R\ef \9 ,,;~ Sq Ft Other: , Sprinkled Buil~'rig: nla Occupant Load: Phone 541-689-5090 541-689-5090 541-689-5090 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type .' Secondary Construction Type: # of Bedrooms: R-3 VN I DEVELOPMEl'i 1 ll'uORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewe'r Available: Special Instruction: , PUBLIC IMPROVEMENTS I O?-.~ Sidewalkf~p'-e:,r \\'\~ ~. ~a\ "ii\f"~:. . f\ \ \.. r..'f.: \~ '~t:?"~\ \ ~O \ v _\\~~\\ SDownspP\~t~ralDsb rO\\ \\,\\S ?\\lr..D \j~Dt\~ i\'Oi\~DO~t \)",\,\01' ,cD 0\\ f\ \'J\,,^t.W;:)~ ?tWOD. cO u\) Di\'l , ~~'l "\ u Notes: Pa2e 1 of3 ' _9@l~.~~~I''''''\ .,_ ~ , ~ I l, . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description . Tvpe of Construction Fee Description + 10% Administrative Fee + 7% State Surcharge Manuf Home State Issuance Manufactured Home Conn -.Plmb Manufactured Home Feeder Manufactured Home Placement Total Amount Paid I Valuation Description I $ Per Sq Ft or multiplier. . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00494 ISSUED: 04/27/2005 APPLIED: 04/27/2005 EXPIRES: 10/27/2005 VALUE: Square Footage or Bid Amount Date Calculated Total Value of Project ~ Amount Paid Date Paid Value Receipt Number 1200500000000000522 1200500000000000522 1200500000000000522 1200500000000000522 1200500000000000522 1200500000000000522 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. $25.50 $17.85 $30.00 $45.00 $50.00 $160.00 4/27/05 4/27/05 4/27/05 . 4/27/05 4/27/05 4/27/05 Manuf Home Set ~p: When installation of all piers or stands is complete. Final Manuf Home Set Up: After all required insp~ctions are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. ManufHome 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. . $328.35 I Plan Reviews I Pae:e 2 of 3 _~~~J~@!~'L.9, ' ., . -' t \ I. . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00494 ISSUED: 04/27/2005 APPLIED: 04/27/2005 EXPIRES: 10/27/2005 VALUE: 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 ofany 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. r/u)cf%\ ''((27/05- Owner or Contractors Signature Date Pal!e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . g~t!!.4l~N-',"';i". .. . \i 1f ",,.;<, "~""",,,,'h '." """""~'-'"' ......~.:;;..V:;;".;.~.:;;t ~~ , ! 'i ~ty of Springfield Official Receipt ~velopment Services Department Public Works Department RECEIPT #: 1200500000000000522 Date: 04/27/2005 11:43:34AM Job/Journal Number COM2005-00494 COM2005-00494 COM2005-00494 COM2005-00494 COM2005-00494 COM2005~00494 Description Manufactured Home Placement ManufHome State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder + 7% State Surcharge + 10% Administrative Fee ., Item Total: Check Number Authorization Received By Batch Number Number How Received djb 613425 In Person Payment Total: Amount Due 160.00 30.00 45.00 50.00 17.85 25.50 $328.35 Payments: Type of Payment Paid By CreditCard SANTIAGO ESTATES Amount Paid $328.35 $328.35 " J '1 4/27/2005 Page 1 of 1 A -I - [ 11 ' ~ Front Porch 6' X8' y .( ~ 1 A A N ~ SO' . ~ < NORTH l c Rear Porch 8'X8' 14' t Electric, Water & Sewer Service 2' m +-+ CD <0 >< 0 co ~ ~ T"" >< Q) 0 E T"" 0 >. . 13' ~ :I: ro Q) ~ ..c Q) 0 .> I... ~ 0 'fI i <0 + . Granada Estates 5335 Daisy St. Space #142 Street . . . . ~