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Home My WebLink AboutPermit Electrical 2004-12-21 (2) '-, y" Oi.o.QO 22S rIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)72 X~61 ~'" ELECTRICALPERMrr APPLICATION () o~";"";~^ ~ . 0.:.........., City Job Number CO"",, Z-='-I.- 0 i '3>'-1 B Date / Z - 2.1 ~ 0 '-{ "1,,<?" ~ 0"".<3-"<,, , ~O"'}: ". ~~ "'0, ~IS' I. 3. ~~~~JR.EE.s - . ~. . :::l~_:~::=J:i4/,;'.ciit..g B. W;~~'~.t~~it:Sf,r. ~~'-(~~~~~J;'" Electrical Contractor E.tU ENe.. ~ IE./I TP)I'. ~elllcE. 200 Amps or less . $ 63.00 201 Amps to 400 Amps $ 75.00 401C.Afi![si!6 600 Amps XPIRc Ie ,.u~ V\$J25~00 " ,,-r <<HlIll E ~". 6o.lr~PS:tO!1000'AmpsR "uIS pCQMIT Iss:f63100 . fj\?cn 1I~1\lt III - OY~!j 1000 AriipslV'olts S ^BANCn~lm FQ$.375.00 Reconnectl9iiJy:D DR I" - $ 50.00 c. ~~~~l~~~~;'~~m L( 7 5'0 tf-t\",- \.LI ('", LEGAL DESCRIPTION 16030-:)( JOB DESCRIPTION "'>~ E 13. 0"))'00 }tiff ~ ~ -j-t:.-e \) t:: ,'\.. 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._ Address /.20 !YI()/\/R..N::. .s:..r. City CuU:N E Phone :3 '-I t./ - 3 ~ fc / Supervisor License Number E 1- 3.s- .S' 1 () I, /J..OtJ '+ 9cJ::J. 0 D Expiration Date Constr. Contr. Number Expiration Date --.3 J I r / (j ;;- Signature ofSupeIVising Electrician ;;"j~.;q,z;;;~ . Owners Name ;Il! #(L\ A- '?t:i2-e: t Address 4-7 ')0 ~Ih.\<...(,_ E (~ City S:?Fr(:V~ Phone OWNER INSTALLATION The installalion is being made on property I own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 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 ! $50.00 so Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 40J ~ !91~0~ law requires you 1'$100.00 ATl E" II . . - . lh Ore.qon ulIlity ~ ~ . OA 0'" ,- '. I by I \lie~OAl/0Iiafffl.!~~!tl~!tIlnslqlifif)l>lImlrU es '69.ea~iffi'filhe center. (Note: the telephon~ 43.00 Ea2h ASai!' " U\9llr.vltllility l'lUllI"""IOn sc!Wit~ Ji. ,~~ffii-(~S'V'600.332-?344\. $ 3.00 E. "'~'.. .lTr~jjiy:r;1, :t~tt~~'mIT>j ;QIJ.:'Yi.W'; ::(. ,J~:jW'il"'1b., .;\ -:;'''~~'_'' " ,.J...... Iii..., ,,' ~ '-' '~'" '.. .... _.1' ff.... ,~~ r, Pump or Urigalion $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/CommerciaJ $ 45.00 Minimum Electric Permit Inspection Fee Is $45.00 + Surcharges 4. . . . . '., ~ . ,'. ' ,..... 1..1.: . (i "t.;__c~ ..O?~* Q ".~'! >' .'. ',.' . :k.;- ",Ill ~.,", . . . .' ~ I ,', .. ,,' , ,. '. ), .,.', ,'. '" s-o 7% State Surcharge 10% Administrative Fee "J>'" ~oC:> S8~ TOTAL Sbated Driw(T:YBuildias PonDIIEIoetricaI Permit Applicalioa 1~3.doc . CITY OF ~rKll"jGFIELD Building/Combination Permit PERMIT NO: COM2004-01348 ISSUED: 12/21/2004 APPLIED: 10/29/2004 EXPIRES: 06/21/2005 VALUE: $ 15,000.00 e Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4750 FRANKLIN BLVD SPACE E13 EUGENE TYPE OF WORK: Manufactured Home in ASSESSOR'S PARCEL NO.: 1803031103500 Park TYPE OF USE: New Residential Overhiy Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: to laW requIres you. . .', ::'1;:7""" t\re!lon U'" :,:y.."ltllitV I PUBLIC IMPROX.~~..~ptald ~Yse ruleS ale set foM . d1~UIft.ar. 0 _1oJ'lA.R952.()()1- NOg'; 952'()()1'()01~~~~Wie rules by In 90 vou may obtll\5'oqookQu.,\YR!ie~one 00 ." t'ar ""ote; Ul , . _^.lon \ling the ceO- . ,.. Utility Notif,\iG" ~~~;e:~-2344)' PROJECT DESCRIPTION: MH in park Owner: MARIA PEREZ Address: 4750 FRANKLIN BLVD SP 13 EUGENE OR 97403 Contractor Type Electrical Manuf Home Inst Plumbing I, CONTRACTOR INFORMATION I Contractor License EUGENE ELECTRIC SERVICE INC 90200 KEN L STINNETT MOBILE HOME SETUP I 104181 KEN L STINNETT MOBILE HOME SETUP I 104181 I BUILDING INFORMATION' I:I~'N\J"" # of Units: "OIX\'t. Iw bf torie$':)1 .,..C. \.1 t"r -t.I\~ \" . Primary Occupanc~\9f9u~~'fS'i SI;\Ru.. ,\\IS \,tH<;! ',o.l:tltructure Secondary occupJilcy\\V~o.uP: \ \~l)tX\ ~I)c.~yp .frileat: Primary construct1o\'lJ'tYI1\\,\lltl) 'V-lhnS ~'O~ Water Type: ~l \ ,v 't.1) \J"" Secondary Construcn n'type:,c. \,tX\I\JI). Range Type: # of Bedrooms: C.\J\W'i'~G 1)~'1 Energy Path: ~~'1 Sprinkled Building: nla , DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Speciallnstruclion: Notes: Paee I 00 Phone Number: 541-736-1187 Expiration Date 03/17/2005 0211712006 02/17/2006 Phone 541-344-3561 541-746-7003 541-686-4907 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 784 REQUIRED PARKING ~WlLS:-"R~G.I!:n ~. .., - - ," 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 e . CITY VI< ~rKll~uNI'..LU Building/Combination Permit PERMIT NO: COM2004-01348 ISSUED: 12/21/2004 APPLIED: 10/29/2004 EXPIRES: 06/21/2005 VALUE: $ 15,000.00 I Valuation Descrintion I $ Per Sq.Ft or multiplier Square Footage or Bid Amount Value Date Calculated. Total Value of Project Fpp<. PiilLI Amount Paid Date Paid Receipt Number 1200400000000001538 1200400000000001538 1200400000000001538 1200400000000001538 1200400000000001538 2200400000000001538 2200400000000001538 2200400000000001538 520.50 $14.35 $30.00 $45.00 5160.00 $5.00 $3.50 $50.00 10/29/04 10/29/04 10/29/04 10/29/04 10/29/04 12/21104 12/21104 12121104 $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. ~lIirpil T~snections I Manuf Home Set Up: When installation ofall 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. Paee 2 00 Status Issued 225 Fifth Street, Springfield, OR .541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line e . L.11 Y Vi' ~"'KlNGFIELD ' Building/Combination Permit PERMIT NO: COM2004-01348 ISSUED: 12/21/2004 APPLIED: 10/29/2004 EXPIRES: 06/21/2005 VALUE: $ 15,000.00 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 Paee30f3 Date 225 Fifth Street Spri/lgtleld, Oregon 97477 541-726-3759 Phone e 8!'.~'RI"a."'............ '.. IIIc ... I : i , , ~. II : av of Springfield Official Receipt .elopment Services Department Public Works Department RECEIPT #: 2200400000000001538 Date: 12/21/2004 10:42:09AM Job/Journal Number COM2004-0 1348 COM2004.0 1348 COM2004.0 1348 Description + 7% State Surcharge + 10% Administrative Fee Manufactured Home Feeder Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 3.50 5.00 50.00 $58.50 Amount Paid Check JACK PATRlCK djb 2932 In Person Payment Total: $58.50 558.50 12/21/2004 Page 1 of 1