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Home My WebLink AboutPermit Building 2004-4-23 (2) 'Q a d ct as submitted has the followln . FAXatlilla.l~~-3'6W not require 'speciflc land use g Zoning . ., (I, (' _ 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(54I)726-3753 ELECTRlC~~E!.W!J&'J:.kJf41JON City Job Number ~ 1 it ~ ~ate I. ~EOCA.iWN7/F.'J!NSroMFiON,;~~'if'Ji 3. ~c\~<&"'t"ull\~A>tn1r.\q~~ LEGAL DESCRIPTION -W:P>~- ~. -, JOB DESCRIPTION' Date '"', \>lI.'~~1"'i,,~f;.~~,' i..,,~l,J_tf}orjled;SJahe.t:iJ1E~'~~'#t;~~,,#. '.ii:~" .."..-:~~~' ',~' ~COMP1ThTE;EEE'SCHEDlJLEi foell" '''''''''''''i"",,,;,;'m ,.... ~."~":~),.IiM\~-.r:~''''''Ii\t~~~~.it~1o\'i~~:l;.'t~~....~.,.__." ~.:~ A ~N-~R. f~i1"~~I" ''fJ!,S'~I~r\~i)!ll ~1"'~F~'Jll!'I'X,~1id"t~II-!"c!llR'!i'!!!'i~";',~, . eW.;' eSI enha;-_.:;..~-: mg: e4P!~ u n.~~~!"):..per~ we m!!~,umt. 1\'1:..1;1 ...:k:.W''''''''''''''.~\:il,.~~..-''- ' ~"~J'~~~~:.~u!ftu.l\...".,'i.~ Service Included ~~ ~Mrrn(Jfl 1000 sq. fl. or less Each additional 500 sq. fl. or portion thereof $106.00 $ 19.00 Permits are non-transfe[able 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 Suspended for 180 days'- Feeder 2 ~e~1;7~e1Tt;R7NsT~t!~fA B. rS~~.S~rF~~f~fi~t~lirtj~~~rt~F~ti~1r~tRel~it~~'m.J ~'"~l~:C:Ei<< :~- :~~- Address ~ (JdJ( .1 401 Amps to 600 Amps $125.00 /J II (Jr7 /. 601 Amps to 1000 Amps $163.00 City {'('(SW't' Phone --1..D 67t{7 Over 1000 Amps/Volts $375.00 Reconnect Only $ 50.00 !jllt/)) Expiration Date //)-6/ -0 l.f Installation, Alteration or Relocation 1'1// 200 Amps or less $ 50.00 Constr. Contr. Number /'3 t z Y'lS 20 I Amps to 400 Amps $ 69.00 .. AV..E!:I.'TJ.b1";l:Oregon law reqUires you 1't91 Amps to 600 Amps'. $100.00. ExplratlonDatef~-t)-:~. -1' ....' ~.,.- "'.- Ut'I"'"' 600Am 1000 V luau b UIlVYV I ur,-,u o..4.........t-'....... ....}, ...... _. ...-gon I wJ:.;r , psor 0 ts see a ove. s1/;;J.g re ofS n'~: ~t~~~i"!'~~'16~~~~u~~e~:~e9~~~f~~f\Wlf~~~.~~\\~;a-\'{~ y, b\" ". f th I -r<ew AlteratIon or ExtenSIOn Per Panel . . G .:J~ lU may 0 am copies 0 e ru es I . . . .-....---.--'..-.-...--...,Ieh .QneCIrCult . $43.00 · . ~v..rr.., ',," f" ._~__..()w.. ,. '-'-):'1':;- N'- \'f~ O\~Each Additional Circuit or with n ber or lIe re, n II Y 0 I Ica l'!rervice or Feeder Permit $ 3.00 Owners Name - .. '- . < ~ ,,-. . 8441. .. 11\1\1'\ (;......^ ""9'-_ ~ l!l~:~',;\<,&;,~""""'W:""~'~I' '^....~..B~.;~~";~ Address ~.. U \ '(J \ ~. l~}j~~!!.iJ!l~'l~,\~D'},c:l~e,~.;.~;!l!!.=~,ql~a.<;\!l~.s,t,\l\!.ali.m~ City f1. ~ Phone Lffi. ffil..'2-. Pump or irrigation $ 50.00 ~- :.:' Sign/Outline Lighting $ 50.00 OWNER INSTALLATION ' Limited Energy/Residential $ 25.00 The installation is being made on . ',' I.= whi<;b. Limited Energy/Commercial $ 45.00 . . ,. 'lItJld:!Cl AVU ulll },~)fn IS not mtended f'l9eJ'J<M~EletNml'\f Sf HO 03:lN3Ww6j,imum Electric Permit Inspection Fee is 545.00 + Surcharges Owners siJDN~~IIIWH3d SIHl H30Nn 03ZIHoHln~i$b1iT3~;ffio.(iE}';t':~~t~~~ ~f) r.tJ )ltl'llM 3Hl ~I 3HldX3 11\fHS llWH3d SIHl "'"t""_""'M~'m,';!I:M''''~~1l.~ ' - :3:JIlON' 7% State Surcharge ~ . ':0 10% Administrative Fee ~. 00 ~r:::t> \ '. $50.00 f{) ,cD Supervisor License Number c. ~~~t~ry.r~l~~lifr~~;~_~~~~~~~~~'if~ ~"'''',.~..........._ . :1."', ___~ICf.l!L.~~".ij.'~. Inspe~;-\~\.6~~-\~ TOTAL Shared Drive(T:)lBuilding FonnslElectrical Permit Applic:ltion l-03.doc ~rt::.. a" 8 . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00335 ISSUED: 04/23/2004 APPLIED: 03/26/2004 EXPIRES: 10/23/2004 VALUE: $ 20,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3998 FRANKLIN BLVD SPACE 4 Eugene ASSESSOR'S PARCEL NO.: 1703344202400 TYPE OF WORK: Manufactured Home in Park TYPE OF USE: New Residential PROJECT DESCRIPTION: MH in park Owner: JOHN GRANDAHL Address: 3122 EMERALD PL EUGENE OR 97405 Phone Number: 541-687-8322 I CONTRACTOR INFORMATION I Contractor Type Electrical Manuf Home Inst Contractor BEAR MOUNTAIN ELECTRIC LLC JERRY OTT License 136298 69455 Expiration Date 08/06/2005 09/26/2004 Phone 541-953-6747 541-935-2696 BUILDING INFORMATION I # 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 I Frontyard Setback: Side I Setback: . Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Downspouts/Drains: Storm Sewer Available: Special Instruction: Notes: NOTICE: l~~~6~RMIT SHALL EXPIRE IF THE WORK COMME~~~~ ~NDER THIS PERMIT IS NOT ANY 180 DAY PE~:~;8ANDONED FOR law reqUIres you to ATTENTION:Oregonb the Oregon Utility follow rules adopted ;se rules are set fort :otification cen~g~1~hrOUgh OAR 952-00' In OAR 952-001 obt~i~ 'copies of the rules t 0090. You may Note: the telephone calling the cen~r. (on Utility Notification numper for the.. ~e~M. ."l<>'J-n44). Paee I of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line e . CITY OF :srKll"\j~1<u.LU Building/Combination Permit PERMIT NO: COM2004-00335 ISSUED: 04/23/2004 APPLIED: 03/26/2004 EXPIRES: 10/23/2004 VALUE: $ 20,000.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 20,000.00 Description Manuf Home Tvpe of Construction Manufactured Home Fee Description + 10% Administrative Fee + 7% State Surcharge Manuf Home State Issuance Manufactured Home Connection Manufactured Home Placement + 10% Administrative Fee + 7% State Surcharge Manufactured Home Service Total Amount Paid Value Date Calculated Total Value of Project $20,000.00 $20,000.00 04/16/2004 Fpp< P~iIiLI Amount Paid Date Paid Receipt Number $20.50 $14.35 $30.00 . $45.00 $160.00 $5.00 $3.50 $50.00 3/26/04 3/26/04 3/26/04 3/26/04 3/26/04 4/23/04 4/23/04 4/23/04 1200400000000000395 1200400000000000395 1200400000000000395 1200400000000000395 1200400000000000395 2200400000000000400 2200400000000000400 2200400000000000400 $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. ~lIlirrrlrlln~nectinns I I 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. Paee 2 00 e . CITY OF :srKll'\jut<l~LD Status Issued Building/Combination Permit PERMIT NO:. COM2004-00335 ISSUED: 04/23/2004 APPLIED: 03/26/2004 EXPIRES: 10/23/2004 VALUE: $ 20,000.00 225 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 all times during construction. Owner or Contractors Signature Date Page 3 of3 225 Fifth Street Sprlngfi'eld, Oregon 97477 541-726-3759 Phone e .~ ~ Job/Journal Number COM2004-00335 COM2004-00335 COM2004-00335 Payments: Type of Payment CreditCard 4/23/2004 RECEIPT #: 2200400000000000400 Description Manufactured Home Service + 7% State Surcharge + 10% Administrative Fee Paid By Received By BEAR MOUNTAIN ELECTRIC IIh Page I of I .ty of Springfield Official Receipt .veIopment Services Department Public Works Department Date: 04/23/2004 Item Total: Check Number Authorization Batch Nnmber Number How Received 000364 015467 Phone Payment Total: I2:14:09PM A~ount Due 50.00 3.50 5.00 $58.50 Amount Paid $58.50 $58.50