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HomeMy WebLinkAboutPermit Electrical 2003-4-7 (2) 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 . . ....... The following project as submitted has the following , ELECTRICALPERMITAPPLICATION zoning, and does not require specific land use City Job Number CoVllt 200~ .- 00 Zl{7... Date Ol.{O 703Pproval. ~'D f!C-- . Zoning, "'_ 3 P:'<U~,:wM;i;<r~%;~;;T~~''<~~='''{~h~!''~;~;''::,~:,v~r;'~'~~~"':M~'~7 "~ :~., 1"0' '"~' "~ . ,'. ';1 . <if::;:"~i'i8&''';'l'iY\lfJk<;t- '- ~""~"'~~~iliill$":"'"''~:'P''''''' "'<.~;J"" ',' ,:~~1':" , " - ,: . _ct L,,; , Authorized Signature cp<.A;.. / ,,,~,;j~,~~~;~~W~Uili~:upii..": ] i,. 1. 5335 0~:5>y $, , #'12 LEGAL DESCRIPTION 1701..:5360 0/300 JOB DESCRIPTION 1111+ <?LvL Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is . Suspended for 180 days. 2. ~', .....f l---.: /11_rrh.1I IV, Electrical Contractor ~"'f.--l'tV\ J ('\' ilt~,-- Address~)~ f\0eu(~ r7..cl Phone ~ -f},f..{LL(J City 0 .r ~1111 - Supervisor License Number ~ 0 III \ Expiration Date I b I 0 I J () tI , Constr. Contr. Number Qr) -r97q Expiration Date JtL/ (),/ / () '3 Sign Supervis' g Electrician , \..; -0: v . , ~~~~~ Owner N e ~h It) 0 (::?:~~ Address :$ 3~~Sl:.' A;'" ~v ~~ ~ ,<'V \ -, JlJ?I'-/~ ~;S,~~ \. \.. '-<.X\' ~~\,)' City '> p,q) ~~~'~" ~~... , ~~. ~~ \;:)~~v {o ~~ OWNER INS'{~~.M(1l N~ . \)~ m\S . ~v S~ . ~-v <:v~ ~<V' The installation ls~~t~~~~N?~perty I own which is not intended for s~U;I,~~~~tl!nt. . VV ,~~ . <J ~ Owners Signature: ~~ Inspection Request: 726-3769 A. 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 $106.00 $ 19.00 I $50.00 '50 B. ..-.w.c....'.."'. "".'''. '."""'" '.' '. ....".1 ~':':4'>::'\\'" -C~\,,-,V.~; '"'~...,,, - >.. t '," ,'10 tion'sloT, ~elocatiori:'~,~:, t%'!fi't~;\~'~\,\ -. - -',"~\ ': :~~. -"-""" 'A 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 . ..' j .,,' "-": . ~,' . Installation, Alteration or Relocation 200 Ampsor less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D, . I .'- ,>';' ,,~. " < "'[',\! New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit . $.43.00 . . $ 3.0B \" U\{es ,/0 , ~. '~.i~),~Xt~tiM,'J \M {u\es a ,nose {U . ~~2..()0" . Pump or~lg'Jflon r'\ centS{. 6",~","finO~'!>u: \~Q. ~ ~f~~J\lQ" 00'\0 \".- - (l",,\~.A i SignlOl)tlu\e''Cl ''9~.&,()O~- 'r, &~r,\ll}S O'\ll.5u:O~,o~a Limited~ '6idp.nfi~IOb'\a\' ~.\"n~s: \niSl~Q~c~'\\on . Limited OO~ei(fu~Wb'i'6Ft~;~;~IJO" U'\~\%~~99 Minimum Electr\G~(n'm'i ~~ t ~rfl~I1\~Qli\'$~~:OO + Surcharges 4. ~ )JV 90 .~~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/BuiIding Forms/ElectricaI Permit Application I-03.doc ...._~8l,~~J'.u?~ .,__.,........ i. - . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00242 ISSUED: 04/07/2003 APPLIED: 04/07/2003 EXPIRES: 10/07/2003 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5335 Daisy St 42 ASSESSOR'S PARCEL NO.: 1702330001300 Springfield TYPE OF WORK: Manufactured Home in Park TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace MH in park Owner: SANTIAGO ESTATES LLC Address: 5335 MAIN ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type General Electrical Manuf Home Inst Owner Plumbing Contractor MELVIN E LANGFIELD . DIXON ELECTRIC MELS BUDGET HOMES SANTIAGO ESTATES LLC MELVIN E LANG FIELD 66954 BUILDING INFORMATION I o # of St&ti~~ ~ He~~~t~~r.e T.~e&f!!ej"'tbf ~'<S"I ,((.\'t~~],~~ ~0 ~0 ~ #' .!tl)~fJIy4'e: 0 ~ ~O ~O o~ ~~H,ii'&..*r.pa!ft'f ~0~.~di 0~ ~ ~ ~~ ~ 0 ,V)' ~ O~ ~0 ~~o ,^,O .~ ~0 .~ ~. ~ ~..'\,,., "'... 'Il~11 11:'- .'-,.." .....b! ~~ ft,~~fQ.t}"~'~~I~~OkMATION I T'~~~ D ^<v~ ,~~ ~(J~~'Q ~. ~~<::5~ RE~~~~ ARKING ~ ~o~ ~o ~r? ~ _~~ ~t: ~~\~ ~ ,~.~(J~Oj ov~~0~~~~"TreeSRqd: ~~ ffil\~ed: ~~ O~ ~. ~ ,cPa~~ Drive Rqd: <$- ~ 9~)(ct: ~ ~'\:) ~~,e. 0~ " '\~ ~\} '-.;;: '\:)<::S CJ'Ii ~ I9Aj of Lot Coverage: ~~\J &,<(.. ~~ ~-\5 ~. ~ S ~(j ~ ~ ...~. -~ - ,'II; '1" -(\. I PUBLIC IMPROVEMElX~'I~ ~'v~~~~~ \,)~~~v '\ ~'\),\~~)J~~aiit',\ype: ~~ ~o~nspoutslDrains: ~ License 66954 66894 66954 Expiration Date 05/31/2003 07/1812003 05/31/2003 Phone 541-747-9585 541-895-2440 541-747-9585 05/31/2003 541-747-9585 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pal!e 1 of 3 ...._ ~~ft.I"~.!!fll!;i~9; ..._ _ 1 I). . . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00242 ISSUED: 04/07/2003 APPLIED: 04/07/2003 EXPIRES: 10/07/2003 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft Square Footal!:e Value Date Calculated Total Value of Project ~ Fee Description Amount Paid Date Pai Receipt Number + 10% Administrative Fee $25.50 4/7/03 1200200000000000964 + 7% State Surcharge $17.85 4/7/03 1200200000000000964 Manuf Home State Issuance $30.00 4/7/03 1200200000000000964 Manufactured Home Connection $45.00 4/7/03 1200200000000000964 , Manufactured Home Placement $160.00 4/7/03 1200200000000000964 Manufactured Home Service $50.00 4/7/03 1200200000000000964 Total Amount Paid $328.35 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 Manuf Home Plumbing: After home has been connected to water and sewer. 3 MH Service: Approval required prior to utility company energizing service. 4 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. Pal!:e 2 of 3 ~d~.'-!Jl~9,~I~t'~f I Status Issued . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00242 ISSUED: 04/07/2003 APPLIED: 04/07/2003 EXPIRES: 10/07/2003 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 d~tion. /I ' Owner or Contractors Signa Paee 3 of 3 f'-7'oJ Date gfJIBq~~'.Qf :';"T--","."~--'-~"'_' ;-0-...,', ."E"':'!"~-'~!i-,...;t . ~ ~ t . . , 4/7/2003 '. 2:42:18PM . 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000000964 Date: 04/07/2003 Line Item Total: . Amount Paid 160.00 30.00 45.00 50.00 17,85 25.50 $328.35 . Amount Paid 328.35 $328.35 . Line Items: Job/Journal Number Description COM2003-00242 COM2003-00242 COM2003-00242 COM2003-00242 COM2003-00242 COM2003-00242 Manufactured Home Placement ManufHome State Issuance Manufactured Home Connection Manufactured Home Service + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Received By Check Number Confirm No How Received Check MELS BUDGET HOMES djb In Person Payment Total: Page 1 of I cReceipt.rpt '~~"II'~'~'~~''''''\\'';'';':''''~il'' : ":.:l"', .';. '.' "'~~". ,:". : ..:"" ,,,":":' ,..;" "'~ I"'~ .~n ~', ", ".,\ .,il' ..' ,., 'I' I' ., , 1"1 'lll ~,'J'~I.I"I' ~~ }'"'' .~. "1" ',.'\' ". .', ......1. 'I , " ..~1'.11\1 l J"l '\'~...r1~ _~~',.>"..:'~.." ::':i~' '_:'".,'" ..,' :.t. ..:" ~I"i;;jm'" ",]",,,:,,(,,,-,,".,,.'.,, "., ," "...., . ....:,......:. ~ i~k~.~.. '.:~l:l::'~?V.l';~~~\;~.,.:~..:. :,),~...,::':..,! I ":, /.,/:\..,.....(' . ".'.' -" -.' , '\ ,~' .,' ',"",' ". '1 "'j' ' .'". . . ~:..,; l."""~"\' ,','," '.\. ," . ." 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