HomeMy WebLinkAboutPermit Electrical 2005-2-25
-< CITY OF S~JlNGFIELD, OREGON Ct
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LEGAL DESCRIPTION
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00/02-
JOB DESCRIPTION
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
/.
$50.00
.)0
2. I COif!:J(Acti;X5-I1VfjJ;~Mi!ON: OlVLY I
ARC I . ouW
11- c.. C IR.l' , 200 Amps oe~SIles 'j \)\1\1\'1
.d.~~ \ ,<\0\'1 \ It"
. ...u. 2(UC!"'upsx\<e4!)03AmJte\ 0 '"
Address ~ S 11S.J fl..., V ~j .5QGo;-~)~' o~e.,q~~Ml~itPl9O!P~~~~S2'O\)'o'l
{ . lv" I ~~~ '3-0~lll ~~~~~!tu\es
Phone 7't { -:;o~ ~\(Jn C~S?-tEr'f9lJi~~ ot~e~"o~~"
\~o\",v ~ 9S2'\)V~~WJtb'. \"e ~o'UW:7J.
. \\'Iof" '{ou t\'I'3' --,\el. \l^ \\\\\I\'I^~<\).
Supervisor License Number ejJ 6 t' S \)\)9~;\1\'I9 \'(!? ~~~W,\v,~fces.or.Feed~1;s
v- I \01 . \S y'O'J'''
Expiration Date' / oj 0 f / tJ ,1" (\ut\'l'Oe Cli~}r~llation: Alteration or Relo~ation
I 200 Amps or less
~ 0 - l...j 03 c.. 201 Amps to 400 Amps
/ J 401 Amps to 600 Amps
7, I J j) 6. Over 600 Amps or 1000 Volts see. ;,W,iabove.
D.I BianchCi","uits)~\; "\"I\....;;;~'.0'
"Illy..\' . ,,~t\\ I 'v .
New A1teration'Or.Extension Per.Janel
,,<\c'"0ne C;;irciiil~~\.n'"\\\\';J :'~~'i:.\) \ '
"-\'v \ -0.,,1\\, ....\\ \ P t-..N:v
\" \\\s tEacH AdditlOna .Circuit or with
"\ :\l\~,i:i.re~6FJOd'<!?~~it $ 3.00
\\~~~~11~1~~: (Smice/feedernot included) -Each Installation j
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
B. 'I Services orFeeders -Installation, Alte,ations, or~eiocation;
Electrical Contractor
City
E~,.L"'" .It..
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Constr. Contr. Number
$ 50.00
$ 69.00
$100.00
Expiration Date
~.,~
I
$ 43.00
Owners Name 5~,4Jt:iL /Ilo<cJ6.{(..t'""
Address Zb07 Z h1 b-f AN IJ
City \/t5IV6T A ,Phone 9:;J) ~ (2 (?
OWNER INST ALLA TlON
The installation is being made on property I own which
~s not intended for sale, lease or re~t.
Owners Signature:
I " . " "".",
4. SVBTOTAi OF ABOVE
'0" .. '-,;/ -,: """'-:/
s-e>
::sJD
5",0
7% State Surcharge
10% Administrative Fee
Inspection Request: 726-3769
TOTAL
58~
Shared Drive(T:}lBuilding FormslElectrical Permit Application l-03.doc
-it~
.
. Uli' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00I69
ISSUED: 02/11/2005
APPLIED: 02/11/2005
EXPIRES: 08/22/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4475 FRANKLIN BLVD SPACE I EUGENE TYPE OF WORK: Manufactured Home in Park
ASSESSOR'S PARCEL NO.: 1703344400102
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: MH in park
Owner: SEAVER MOBILE HOME PARK LLC
Address: 26032 ENGLAND LP
VENETA OR 97487
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Manuf Home Inst
Plnmbing
Contractor License Expiration Date
ARC ELECTRIC 115113 07/29/2006
FATHER & SONS OF OREGON INC 100726 06/29/2005
FATHER & SONS OF OREGON INC 100726 __~"1,,,!l6J~1005
BUlLDlNfrJNFORMJ\ Ro. - ion: 'b,yu:;"e Oregon Utl~\\Yrth
"'" "jJ~ 1 ". set ,0
slp\\OW rUle~ " .. lhose rules are 01-
~ o~ ~8tm~ti~~~~~~10 thrO~gh ~~~~~16~ .
elg ll~~!!"'''' 'ncopleso".., r.
Type'~~"'M~ljou may obtai te' th~~i1loor:
Watel-Pl' ~!lRing the center. (No Uti\i~cRlIB~nt:
Range T'p'e:ber lor the Oregon -332-2~1l<ff. Garage/Carport
Energy PiH/;': Center is 1-800 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Phone
541-741-0494
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 DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage: \\
N01\Cf:, d_ ^"^\ \ rX\lIRE \r 1.r\~,~?\~1
I PUBLIC IMPR@VEME~TSI' UNDER 1\11':> \"'~NEo'rOR
. ,",U"'- or '" M31\ND
COMMENCED Sidewalk Type:
",N'i "\80 D"''i P~~~~poutslDrains:
Street Im'provements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee 1 of3
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 Placement
+ 10% Administrative Fee
+ 7% State Surcharge
Manufactured Home Feeder
Total Amount Paid
.
I ValuaHon De~criotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00169
ISSUED: 02/11/2005
APPLIED: 02/1112005
EXPIRES: 08/22/2005
VALUE:
Value
Date Calculated
Total Value of Project
Fppo, p.,W
Amonnt Paid
Date Paid
Receipt Number
1200500000000000182
1200500000000000182
1200500000000000182
1200500000000000182
1200500000000000182
1200500000000000230
1200500000000000230
1200500000000000230
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.
$20.50
$14.35
$30.00
$45.00
$160.00
$5.00
$3.50
$50.00
2/ll/05
2/ll/05
2/ll/05
2/ll/05
2/11/05
2/22/05
2/22/05
2/22/05
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 Electric: When blocking, setup and plumbing inspections have been approved and tbe home is connected to
the panel.
$328.35
I Plan Reviews I
IRpm~
Paee 2 00
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO:' COM2005-00169
ISSUED: 02/1112005
APPLIED: 02/11/2005
EXPIRES: 08/22/2005
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 oftbe Commnnity 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 tbat 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 aU
times during construction.
Owner or Contractors Signature
Date
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
C0M2005-00169
COM2005-00 169
COM2005-00169
Payments:
Type of Payment
CreditCard
2/2212005
RECEIPT #:
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Manufactured Home Feeder
Paid By
PAMELA SEAVER
~,'~--~
~~
a of Springfield Official Receipt
_elopment Services Department
Public Works Department
1200500000000000230
Date: 02/22/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 742642 In Person
Payment Total:
Page I ofl
10:44:16AM
Amount Due
3.50
5.00
50.00
$511.50
Amount Paid
$58.50
$511.50