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HomeMy WebLinkAboutPermit Electrical 2006-10-3 (2) SPRINGFIELD 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 BLECTRICALPERMIT APPLICATION. I City Job Number COv0 200 b - 0 11- b L( /6ft}-b . . / ,',' '.'."'Jr.' ~'. .'''.,.:It.e.\.,:........ ....>.1-'" ,; " _:, {:~"'::',II,., ....... .._],.,.., ;",.' ,"\...,y.: ;,.......'1.. ....,..\......;..&.~;~...:.".~, ':':.. ..::. . ,I ..,..... '. < ,.~.. >" '.' - . ," n-" ~..,., '~, ," . Ie .., h',<" ~. .. ~, 'I -~... ,.-.ert'~........'...."-..".... ,,,_.,. ., ~'lr 1tf-,"1'.... <" ';.~lJjCAtI6N bFiNSTAtlJ{rION;'~:V;;!;~~~~;;r~~ 3 ..:........;.., ..;..:<..'...' ........", ,,', .~,........ ;.,.....,.;".;.,';;.c>;,~..'i.,..'..'''L'~i-<' 1. \:.. """',,"1'''"' """1<""""'-"':'''''': ,..) ":,'~~,:",, ',;'\A'" .,' ,".. . ..,': "" '~\" ~;~t.<,;\~)>_~.~:{"i . ~ly~~q}};fr~~r~..1[~.e.i~.qffl~PJ!Y,~:~..B\ ~~~g~~~;:~~N~~,tl~~~g~t~~~;~\l':~\~~,tl~~l~,~:}t~~ S'j"j"-? 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LEGAL DESCRIPTION: \70Z 5300 61 "36D Service Included JlUIt-s~vcl' f0~~eA- Permits are non-transf(rabie and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is . Modular Dwelling Service or . Z. $50. 0.0. / 0 (:) Suspended for 180 days. \" i IU'I,\::~fficlej:v . . "'n law t:l.., I r- t~:{cbNTID!Cro~Yf~~~'~I~~}~~y,~~(i2tlJ)\l~e oreCJ.~~;:\J;\~~i~'i:~~;~~;;t.~~dJ~rt',iiti~~)i}t'~'~:~}!~,'t~i-~~\ti~i~~1~'~~~~(tM~\?,~~~~ :Iec:::;=:,:~~~~#~e~;~~t!~;;:~~'''=~'~.~~''''~':::':"'"~,c=,,!~, ') \11 \;;11"'1' --- b^ .... copies 01 ~ll o D You ma'1 ? Qt. . the tel~~h6ms to 40.0. Amps $ 75.0.0. Wi, , l!~eQrSgOII I 'i ~ <0 (. { rDJmber I~ '1. :v..s1)h:~~." 4L~al Amps to.laaa Amps $163.0.0. City~ \" V\ _}- Phom,Cen.ef-:J '''(I' ( rOver 100.0. Amps/Volts $375.0.0. .' Re.connect Only $ 50..0.0. 10.0.0. sq. ft. or less Each additional 500. sq. ft. or portion thereof $10.6.0.0. JOB DESCRIPTION: $ 19.0.0. Supervisor License Number U .., ''I , 5. c. ~,r~~~~t~t~i~:f:t~I~~]t6~~~~~~dr~~~~~~~~~~ - ~ .);,if.,..;.;.'._..,...".."I>\.>~~j:a-.-i:,'<~........,..~):;;'(\~...\:;:...!~;;.....::\,~'.l.io.t..1>>l......;<\\<.,~...#.s;.~lJ!'<~ ',:.:>. Expiration Date lO 10,1 - ..' Installation, Alteration or Relocation l lC I U In. 20.0. Amps oi-\ess $ 50..0.0. Constr. Contr. Number v P"?"m1IYs~A' I EXPIRE tfon~W~D Amps' . $ 69.0.0. . . I 0 ltvrr~RIZEo UNDER THIS PE4~M~is N,Oioa Amps .. ..' $10.0..0.0. Expiration Date \ IY.__ _ -(jOR 13 '\BANoO~f.JHu0amps or 100.0. VoItssee "B" above. I .' t.; U M Nt t 1\1 U t . .~J ,........ /':;'::.~~0:l.;.:.i:.:.;~;':3..';~~:n~:~~w.fl~~lr,~..:~,#;~j~;.;r~~t~~;~ ~.~~;{,.,~:::{t}'-\I~~.;~1~,;.~\C"':1:.,i~;'~'.:':;.-tl<.;/;-:.~.'"i:-; . " . . . PERIOD D "~B") ~1i"C'~'" ,.ts':~~:~ ,>I"~l.-t-~";};~~~I.~,.",'t:,"r.~,):..-."'';:~> ::.,;:ll.'~;~ ~,'f,:r~...rl,)"t...""\/;.'.l ;"~::,\\/:~'i::-::~~:~' . xgnature of Supervlsm Elect1)\~ 11) 0 A Y . ... . ()",.E ~"~~"";;..,;U.:~~~L,.";~;:~~})f;\~j)d;;S;i..I7~:i.f;;J~;:t~t(i;::;)~J:;ij*'J!k:ti!-tF:::~.\t~),Jb~tj~';:~:ii.:.:;sr;:.~ . . \ . \ f\ . '- , II' A ^ A ^ I New Alteration or Extension Per Panel I J V~k _ j \J VV \A,\. V .. . · . One Circuit $ 43.0.0. I '" . . . I P:sL~. ~:~i~d::~~:~~~~:~~'With. '$ 300 . I Owners Name ~I*rti _ 5 . ..._..~,......,.'"........., ,..._._..'...'~_,...'.. .., ,....."....,........ ,. .., ,,"",. ....r'..'. i Address I (2( ( C-=-(ct" ~'^-~ (" ( E. S;-~~i?~~'1i~:~~~~,~~:(~AH~i~~{f.~~~~Th~i-i,1iEm~:~i{~;#'~~K!;i'~i~ll~11.?W~~~ \\ ci.,60ld (~V~, Phone i L? Q P:::~:;::;;~:'_>'_""""_'_"$_~~~~...e_~'.,,_' 1",- ,\ ~ Sign/Outline Lighting $ 50..0.0. \ OWNER INST ALLA nON Limited Energy/Residential $ 25.0.0. )fhe installation is being made on property I own which Limited Energy/Commercial $ 45.0.0. JS not intended for sale, lease or rent.. .. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~.~t!1:.: : .', '. ~;..,,', ,," . ..<:: ~:';~' '~~: <'~.''.:': .>.~ ~. <. 'j ;':'. "':~.;i.:': ':"^ ,~~:;"../:"."" ~~'~';l"';' ::..:,t/;:'.:: ~:'~"f, 4 'l'SUBTOTAL OFABOVE'~~""""'''''''''''''''''"''''';'\ . . :f:,~:t)};'.:::.'..:~:.~ ".~? ~~:.:~'.~ ~:;:,~":~ :"~"4'j' ~;:. :~.~~:~...:~'~:);~'~t\~,;>}~?~'0~ii~~~;~~~:i~~:i~~~;]:r~ ~;~~~.~~~; ~ ~ Del 2-01 z...cru'i 726-3769 8% State Surcharge 10.% Administrative Fee 5% Technology Fee ( 0 C;:> 8 10 s- Owners Signature: TOTAL 12; --- Shared Drive(T:)/Building Fonns/Elecu;cal Pel111il Application 8-06.doc . _ &eAI,(t,IQ(t!EU) I , , i . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01264 ISSUED: 10/03/2006 APPLIED: 10/03/2006 EXPIRES: 04/03/2007 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 77 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 ASSOC LLC Address: 11211 GOLD COUNTRY BLVD STE 10 GOLD RIVER CA 95670 Contractor Type Electrical Manuf Home Inst Plumbing '~n5~OU \V I CONTRACTO~ IN~O~l':M'fff)~i" \)~,\\\'J t _.~ . \ \V\'1',VllOi'd d '0'/ \he ~e set \oft Contractor . f\\\ t=,N \at a009\e ,,\,\'\oel;ic:enCS{f\ 9ft~i>it\tion Date BURRELL BROS EI\~P'~~SE~L~~f. 0 \\'\fb\<i~"&> ~ \he iU\ero&}20/2009 EMERALD LIFE S~~Gf@rm:~~@)O~ rfb~5-0' 0 e hof(fS/l8/2007 EM ERA LD LI FEST~M1>'M~~I~CO\)\~\~~~R.~o."e ~~~,:\ca'b"SY.) 8/2007 ~t\~ ~-~, - C".C1."'\II.. .. .., '\\\J'" \BuILDJ. O,"'~P~RMA\Ifi[@' .2"Z~)' . . '~~l 'Ot \ '\ ..80U" r#}Cf\'Sto't~~n\'~ 6 Lot Size: Height of Structure Sq Ft 1st Floor: . Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a O{~~t)aMtd: _t_..U ~ "~:. ~ '-.L" ~7nV; \t: ~1\1 \~ N~\ DEVELOPNI'ENT rrt1N -: \\\5 ?E~w\ OR\IED Bt-.~DO~E~ fOBEQUlRED PARKING Overl~~tl? ~~CED OR \5 ~ Total: # Stree~R~t~'{ ?E~\OD. Handicapped: Paved ~ R&lt: Compact: Phone 541-747-2724 541-463-2022 541-463-2022 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Paee 1 of3 . .ITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-01264 ISSUED: 10/03/2006 APPLIED: 10/03/2006 EXPIRES: 04/03/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line I Valuation Description' 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 + 5% Technology Fee + 8% State Surcharge Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement Manufactured Home Service Amount Paid Date Paid Receipt Number $30.50 10/3/06 1200600000000001482 $15.25 10/3/06 1200600000000001482 $24.40 10/3/06 1200600000000001482 $30.00 10/3/06 1200600000000001482 $45.00 10/3/06 1200600000000001482 $50.00 10/3/06 1200600000000001482 $160.00 10/3/06 1200600000000001482 $50.00 10/3/06 1200600000000001482 Total Amount Paid $405.15 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 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 Service: Approval required prior to utility company energizing service. MH Pedestal: Approval required prior to utility company energizing service. Pa2e 2 of 3 ,~q, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . ~ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01264 ISSUED: 10/03/2006 APPLIED: 10/03/2006 EXPIRES: 04/03/2007 VALUE: 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. .~t/{V~ Owner or Contractors Signature Pa2e 3 of 3 10(3(06 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-0 1264 COM2006-0 1264 COM2006-0 1264 COM2006-0 1264 COM2006-0 1264 COM2006-0 1264 COM2006-0 1264 COM2006-0 1264 Payments: Type of Payment Cred itCard cReceint I C~f Springfield Official Receipt ~opment Services Department Public Works Department RECEIPT #: 1200600000000001482 Date: 10/03/2006 2:20:26PM Description Manufactured Home Placement Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Feeder Manufactured Home Service + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Amount Due 160.00 30.00 45.00 50.00 50.00 15.25 24.40 30.50 $405.15 Paid By GERALD WALTERS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 003699 In Person Payment Total: $405,15 $405.15 Amount Paid ) Page I of I 10/3/2006 . . ' . . lit. lo . 40' ~ 0( V < .. NORTH ~ Electric, Water & Sewer Service 0( 14' I I .\ 0( 10' . Rear Porch 3' X4' Front Porch 6' X8' " 1 o ,... . Q) E o I Q) .- ..c o ~ 3' . . 0 v >< 0 3' ~ 4 ~ >- m 3: Q) > .C Cl 7 . -...porch 3' X4' Granada Estates 5335 Daisy St. Space #77 o co o co >< ~ ~ v + lo v + Street