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HomeMy WebLinkAboutPermit Electrical 2003-12-31 (2) ~: .", ,~ '2':25 FIFTH STREET ;. -; ~\ ;;', j< , . " .:: : :; : :', ::'" ELEaCAL PERMlT APPLICATION p " i ' . ' I ~ " ' . \~; h \ I. ::'~, t l ,~ "'''''\ . \ ',' - ,. .' .'.~'L\~ ~":ISfRIJ'lGFlE,LD, OREGcp~.9.7,~?:'1 ;~',:; p: ~:,~ r\:::~,\;~~, :' "', ,""',:-"" ",:' " ' : . .. " 1 . INSPECTION REQUEST: .726:3169'''-; ~ I ,---::' ,e.' :' Tify'Joh NumhcrCOIM c.003' ~ 0 J Z 9' .0, ~ .~'. I'~ ,l ,,"":, ,~t,. ("'" , ;,'d :','~" '~;~:) ~~,.>..{ .. '. t'll ~~,,~, ' , t : -: .,' ~" ; t: ~ ,<?5FI~C~:",~7t?-~??~9f:.:'~ ~~~ 1':' ~~.' '~~ !Q' :i\.~~ t,"~: ~~~~~:)1 is ~ i<.~ k~:~;, t,)"~ ':-'~. c,' -', -: " ~ \ " .'~ " "J' ~.^,;",I... ".," ",,', "',", f :f'~'l '3' COMP1'E'TEFEESCHEDULEBELO\V 1 '\, 1 r, -: , , I' r, ,t ,\ ~ ~ ! ')'. f\ } . ' ,~.... --' '..." L ' ' , :' .~~:, /1.'~ I, : t:,1 ,': l' ','~ ~~, :~I I'! ;." b! !~~;:>" ' <,'~\.',.~ ",,,,:. ;":>.~' .. Y;':.~:, 1;",'1. LOCATION;Of'lNSTALLA1TQN ~"::",;,,,'~~:,,::"'~I:\::::J:;\, i ~,~:, \'." :,' '. ' ':'>' ',}. 53-3'~ L:-';b'f! i"s '-7'>: /~l J#t- c:g::g::;~"..:_} ~.> N~~~;~'R~;identilli,si~glc or'~'",:, :\ ~ : '-- Multi,Family }leI' dwelling unit. Service Included: ',' ',\,,\-:l., . '., ' \\ ;," ~ i~,: ';. )?~~.: I . . (" , ~ .....,. 1,."..,..,,"', \';,:5:""':':' ,':,. '~'-,' " . ; '''''':', :z':>'/ . .. ,-.::' ." , " , ',' ;:1::",<"':".<' :}.':!/'.' . . .' ~. " ';">'t' . ~, i-,', ~ ~.~ :. ': ~ .~: d ")" ..1' " , . LEGAL DESCRIPTION \702. 3300 0/300 Items Cost JOB DESCR~TION , t s submitted has thl{lt1~rR. or less J1Il-t >~&\~J;~~e~n~ require specific IT!lPc~~ldditio,nal 500 ,., zoning, I ;-...,." ~ sq, ft or DortlOn .' approval. v\.,./y- ~ Permits are rion-transferabre ana ex~iWlng _ mereof if work is I19,(.'started within 180 days 0 \a- - ~ ,- o\~ elldrlvianllfd Home or ofissllance2r~fwork is suspood6Mv" r~ J&.V ~lodt~lar Owelling 180 days, :';~':'z Autl',onzed Slgnatu ServIce or Feeder , ': . " $106,00 $ )9,00 ' , . - ',/'> '.' '\ . . ': ,. ~ SUlJl " " . \:, , '.<.: . . ,. / $ 50,00 :,,5"'0 .. ~ -I \ \ ", .:. "I.:' B. Sel'vices or Feeders . . ;.:..' '. /'': ~ " . Installation, Alterations or, /' " , Relocation: ,:\ ':;, " .' ;, .' "" l,,:; ".} , 1,."7'1> Burrell Bros. Electric ~;f', i":~, '." ','. '. ,- , " . ' 40159 Booth Kelly Road ~"":,)~;,,, 200 amps or less' .' .' ...' $ 63,00 Springfield, Oregon 97478 I,L"':, >'.... 201 amps to 4d6'~IilP;~' '., .' ',' $75,00 , .~~~ '-:-~L..~ ...... ;!~~::':~,,~ ~~i.:.:,' ,'>',401 amps t~(60Qamp~, '"'~., '-, $125,90 " . " [-? "~I \':<. ',< /~;.:,,:.t~;;,"';~5;~: ,<';..:" ,,;. " I '~q 1 amps ~o 1009 amps ' , . . $) 6~ :00. . Supervis!?FJ::.ic~.n~,e!Nt!iB~er'\.~~~;":'\.~~~ ":"", ''', '; . Over.,lOOO:' amps/volts, $~75.00 ' t ',j,~ ~.; ~(. '<j, j t, 'v. > , ~. , 10, w ;;p, < ;;:; '>;:'\~'t <~ "', ,,,, l,. . < ." ~ I~,' ,." . . ",,".' '".:" ,:"\, ,:...:' ',' -",I,''',,,,,;., .;;"ijf,"',' :,' I" Reconllect'''''Illv " . $ 5000 ' . 1 '., ~ 'J' '\ , " " - ~..' "~' '.. ~ , ' V J- \ , . '. t,.::,; ~',: ~;1JirationDate': c' \9-\.\::)~,,:: ~~ ,> .i:.:~: ,:::< ~;'.- < ,,'. ',:'>' ' ':: '..'.',:, ,", . '~ ," , O"'~ ' (< : ~;" ,.,:,:',':' :-: \:,' '" ;,,'\,' ,:;\~;'.\" ':~1."" ,\:':::,>:, ' '.C-: Tcmpon\.i:y ScrvicesYor Feeder~ t. \r l\-\t.,~ '1 ,:' '~'eon~tr.~9~tr, Nui'n~er1.b'~~::('.':'~'; ,:,:;<" '., :', " i~stam\f!W.J;.'Alt~rat~'\~\!.tRdl~~~H)ef\~\1 \S-~O ' I',~. '. -'-"""..;",~\',' ~., ~,;" " """ :h~<""id" """ , ",~{11., ;,Y",' " ,,,'%,ik'll~'~' ~ncn;~t.'\\.\ -;:" to ,,,\,LI.\C: r r\ cQo ' , , " U'.", ',' ''- ." ,,- O/p "'.' "'cY"~\\~ y\..pw, "Dr:.:"l{\V '1I.\t:v{'" I,' ";,.:'~.: ;;Expiration Date '\~\b\(" :~:.::' :.,' ,?,.:: ':,:~",': >";\"'~):?) 12e~\ (~W~~e~~ Q.le. ~e~~QQr. $50~OO ' "''''('i''.':',';-, "'...."'",:"jl>,.:d'j., ,.,' P2en. "~\9~cAt\n\V' .' $6900 ' ~. .':{~\.>,.~t~:Si~;).;,l,~ure.,of ~uJlerYising Electrician ">.._~,,~~, .,-,:~.,jG5A~~~~~QQ 2~~Q. ,'," $100,00 :::) :',...,.:+ ~ . "{J"~LitiJ' <t "~. ">" ?J "~B~'lb~ ,amps ,Ot!,~9~,vo1ts see. -I, ' , :~ ,'\ _.',~:'~,.1 'l \,,: ~ . ~~, ;~ '> (l ~Xe '--., ~'."\ '. v ";-;dt " , f-:!;'Y,' \,'.." , . t" , ' . ^~ " ....: I":'/'~ ' l , . "( "',0; l.). . ., ::,,:~ .,i:y~' ~l~rs~:alne~~+' ~,('~':~;:.:;t:~-/;a.ic-s D. Bral~~~v,7lSf~1~~ion or Extension Per'~(~nel ;.. "":' }~d~:;'ess:,:;',JtIH,\:~ofJ:'~J~'7 ~~ on:~:~~ir;l~it \ ;;.\ OU\o. '. ,$43,00 " ....:.c;;v~+e,~~,:cA.hO~,;.. ~~NI\ON.,t&:~::~fu6~9*~ervi" $ 3.00 ';:,' OWNER INsTALLATioN' p;. {U\eS 3, (~,."O~ DO"'~ > \@~ \ " , ,.' " Theinstalla~icinis:beif).g made 011', ~0\~~\H \\~ ~~~urt$l~~~~~~(''\\d€J.{mfrt~CllIded) " ~. ,'prop~erty I,o\vnwhichis nci!interded .'.. -\o\\~\ce: sz-R01-, (~~\~'~l$.ffi1)rn&OA \e\etlno. '. , , . .'. .' for s'~lie, lease ofren!:'" " ,\ O"'~ 9 u tn~~~_fl~ O~~~'i~~e tlot\\\Cat\on . $50,00 '. .... . ,',>,.;,., ,'.~, 0090.'(0 \ne~~6'u ~U~\'1t~44). $50,00 ',",:. OrrncI's S}gnature: ",. . .... ca\\\ng ~o{ \'t\R1-Q~~ t'\~~e?-- $25.00 . .' . , ' , ." .' ...' . nu",b.e{ rr~llci111n~1rEI}ergY/C0I11m $45,00 ., ,'. .. ,- \,. . J~~ '".- . 2, CONTRACTOR INSTALLATION ONLY ~,~..i .W:.~ . " I ! ( , .", . '. >:' ", ~ - -" '. . ~:, ~': ~. , " l\'linimuIll Electric Permit InS)lection Fce is $45.00 + SurcharHcs .I'" ',' , . b ,. '. '. i ..~,' ' J' 4. SUBTOTALOF ABOVE, .' .' , 7% Stat~ SUrCh!lrgc 8% Administratiyc Fcc .' ; ,<' l ~ . '.".. " . ,'.'" - '.' "'., . ., ' ... . " .' ". t' ,~ . , A,. .; . , . , , ., " "-.. ,", '... : ~.' . . ~ . TOTAL .. -." ,". '. ,",. ',-.\.\> .-c; .~ . ,,'" '. ~.( . . . ., <." )'0 '3 :)'~ 5110 ' -8S0 .s ~ . -GRRINGfi'I:-l;JD. ._ .J..~~ ._.~.,-,_..~...!::ll",...:.......". ~ . .::.\, ,..... ,., '"., /. , . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01290 ISSUED:, 12/30/2003 APPLIED: 12/30/2003 EXPIRES: 06/30/2004 VALUE: $ 12,000.00 Status Issued ", .t. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5335 Daisy St 88 ASSESSOR'S PARCEL NO.: 1702330001300 Springfield TYPE OF WORK: Manufactured Home in Park TYPE OF USE: New Residential PROJECT DESCRIPTION: MH 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 BURRELL BROS ENTERPRISES INC FATHER & SONS OF OREGON INC FATHER & SONS OF OREGON INC License 136446 100726 100726 Expiration Date 08/20/2005 06/29/2005 06/29/2005 Phone 541-747-2724 541-689-5090 541-689-5090 BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction 'Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 ",.. SETBACKS I DEVELOPMENT INFORMATION. \av-J faQU\fas 'j~\\\t'/ Ot\.\.Q{a90n ."e ou~t;U~ihlWR>MRKING -r"'I"e.t'l1'\ \.... ~ed '0'/ \ afe 5 ' Overlay Dist: /1.\ , U\eS ad09 1'"Ose fU\efo,t.~9S2...o0 # Street Treestll~~ '. On cantef. 0 \,,\'oU9" ~,'t~~1\RP€lf. \ Paved Drive .~,\ca\\ C.2_00'\--09~ ,I', Moi>\eseompA~~one nl\f' 9.., o'o\a\n . \"a \6\' . \\On % of Lot Cov&,U '(OU '('(\a'/ tsf. ~~o\e. W\'/ t'l0\\1\Ca 00 c~\\\{\9 \,,_~~; o\'eg~~ ~~~_2344). e;U' \- , . '\-"., I PUBLIC IMPROVEMIDN'l'S. r,......~,... Ie ' Sidewalk Type: Front yard Setback: ''0, Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: OR~ Special Instructi9!l:'\CE'. E'fJl\Rc \F 1\-\c 'N M01 Nu \ . WI\i S\-\~ll PERWI\1 \S \'~ Notes: i\-\\S Pt.~ItO lINOER i\-\\~\OONCO fOR ~Ui\-\OR NCE.O OR \S ~B{\\'~ COWlWlE. O{\'i ~cR\OO. {\N'i '\ 80 Downspouts/Drains: \1, Paee 1 of 3 '\' _~~I~gF,irg~ "_"'_"'_' f \ I. . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: 'COM2003-01290 ISSUED: 12/30/2003 APPLIED: 12/30/2003 EXPIRES: 06/30/2004 VALUE: $ 12,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Manuf Home Tvpe of Construction Manufactured Home $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 12,000.00 Value Date Calculated l.~~ Description Total Value of Project $12,000.00 $12,000.00 12/30/2003 ~, Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $25.50 12/30/03 1200200000000002670 + 7% State Surcharge $17.85 12/30/03 1200200000000002670 Manuf Home State Issuance $30.00 12/30/03 1200200000000002670 Manufactured Home Connection $45.00 12/30/03 1200200000000002670 Manufactured Home Placement $160.00 12/30/03 1200200000000002670 Manufactured Home Service $50.00 12/30/03 1200200000000002670 Total Amount Paid $328.35 IJ:jo 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. 1 Manuf Home Set Up: When installation of all piers or stands is complete. 2 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. 3 Manuf Home Plumbing: After home has been connected to water and sewer. 4 MH Service: Approval required prior to utility company energizing service. ," .f' Pal!e 2 of 3 _-%~~t~~~I~~ _'__ I . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01290 ISSUED: 12/30/2003 APPLIED: 12/30/2003 EXPIRES: 06/30/2004 VALUE: $ 12,000.00 Status Issued' 225 Fifth Street, ~pringfield, 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 10,cated at the front of the property, and the approved set of plans will remain on the site at all times during construction. VWtf2f!t?--- ' /.2-/50/ cJ.s e/ . Owner or Contractors Signature Date Pal!:e 3 of3 .:...; 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-0 1290 COM2003,01290 COM2003-01290 COM2003,O 1290 COM2003-01290 COM2003-0 1290 Payments: Type of Payment CreditCard Receipt #: 1200200000000002670 Description Manufactured Home Placement Manuf Home State Issuance Manufactured Home Connection Manufactured Home Service + 7% State Surcharge + 10% Administrative Fee Paid By GERALD W ALTERS Check Number Received By Batch Number Authorization Number djb . 000262 615193 city of Springfield Official Receipt Development Services DepartIl!!nt Public Works Department Date: 12/30/2003 1:16:53PM Amount Paid Item Total: 160.00 30.00 45.00 50.00 17.85 25.50 $328.35 How Received In Person Payment Total: Amount Paid . $328.35 $328.35 . . . '.\ . . . ~ 13' N CXl Front Porch 6' X 12' \ r----------- I I I I I I I I ~ ~---------_. ./ Awning" 7' X 14' y . A is .. f in ~ .. - ... ... y 14' (0 <D >< ~ T""" Q) E o I Q) .n o :2: Street 42' ~ . .... . 15' ----------, t Rear Porch ;. 3' X4' .. 2' (:) ~ >< (:) T""" >- ~ Q) > "C a ~ . Electric, Water & Sewer Service -- Carport Awning 12' X 26' NORTH > Granada Estates 5335 Daisy St. Space #88