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Home My WebLink AboutPermit Electrical 2003-11-24 ..; ~~I;e ~ pI as submilted has the loll owing 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~~~~l112'6-gg89 10t requ~ specific land use ~~;=ERMIT.::Z~~ -;1;j;,~~;.~~;~~~~~ ~'"hf~""'f~,6;,~~:.:r~..Ii'~.~~~ ~.iL"""':'u..A$;;m.':to.~~;o,',io;...;,-...\Il:Y~;;'~~1~~''''''';''~\~~~~~~~~*~ ~ S ~ILlltV) 6J..w;c 7120 """B:('r"iltfj'.!l'.ig}i~~ET,":\'1';'~l:,ji~'~i"'~I"""'~t'~~~;'''''''!i'''~1i'W'$'!'i;.~ LEGAL DESCRIPTION A. ~;..~!i~~~-~!!!,~~.~gI~.~9~~~.~~~;~;~~"PJW~.~~&~~~!{m \ ~CJ"2., 0"1- ?/) OL~\SO - " JOB DESCRIPTION' 'f'..r\ ~ ...-"C~ 0 A ~ - . . ,,-,-Cl\ITl("\hl'( H:.ooon1a\\' !clqU!fe::; XvlA l' Permlts1arenon-transferable and explre.lf.,lYork,1S It' ,'v not started:withili(f801a~y'S\;('is~U'aH~~ ~'i!'~~ik)St'1'('1 S d d., '180d~- .,'~r I ho,;e rUlvS ar" "" . uspen e lion' ays.l':". .. -..:..^._~-- n'" ""5m" -,.",nh OAR 85;>-C: !.~..'V:~h,.~".,,-t~,..........,!m;:of~\? ......."',. _.. ~.~~~il:~~~ ,-0, 'fCONXRAeJJOR'IN8'-E . -'TlONONEY;(ffj.- 2. f.....'J.....~i:I.'i-:<!~~~.,~....;,~~~~~"S4i~l:'~lI~ callin~ U;2 certer, \Nr)tg;'111B l\jl~,~~ IUI,~8 Electrical Contrictor .tChristensdntiEleetH'catID: llUIlH..ca Ivl - r..... ""In ~ ," ,..... .._'_ "i n'l(', .f') Address 1 ?qR Bethel 1)riv" City Eugene Phone 541-688-6121 Supervisor License Number 3759 S Ex.piration Date 10/01/04 Constr. Contr. Number 26-34C Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or . ponion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder I $50.00 60, (J""O B. ~!~t~1.:.~6~.n~rt~}.:1!i~fi~f&f~~~~~.'1i&.~."~ ~&~.:...~~ ...~~~ -. ,."""~t;.o"","'J;n~"t:.:r.~~!"'~ ~,'=-" ...c__ ,."...:t'':''f',>~c;r~~ 200 Amps or less $ 63.00 20 I Amps to 400 Amps S 75.00 401 Amps to 600 Amps S125.00 601 Amps to 1000 Amps S163.00 Over 1000 AmpsIVolts S375.00 Reconnect Only S 50.00 NOTG'C~"E.(~O"'''''''''''''':IE'.'''''''~''''''-~,,)f~~~\~~~''\'l THIS? U ~c>l'tie=es 0Ii .e~ueE~l"f~~~~"'il-""I"'P-._~ AUl HORIZeD UNDeR \ HI~ tK~. r C 0 I ,. ,InstaUa tion,. A:Iteratioli:"Oi ReWciitl~l VIIVIt.I'i\)LU Ul' ,.... ,.~ ANY f~H9 ~p~'q!(li;sSD. 201 Amps to 400 Amps 40 I Amps to 600 Amps. S 50.00 S 69.00 S100.00 Expiration Date 10/01/04 0 600 Am 1000 V Its "B" b ver ps or 0 see a ove. n (\ () _ ~J(1,.~~"~~'1";if-~;g;:1l1li;J~;r1l'~~il Si~~Orfsurrismg Electrician --\J _ ~D.~~:~::~~::~~:=~~:~r- ~~~~~~~'A1 iJ L l)""":J----:- T o_-y Olaanan One Circuit S 43.00 , Each Additional Circuit or with . / \ , L Service or Feeder Permit S 3.00 Owners Nam~\<:Y\ "---' O~ .- Address 'f,ctS "FrZ/inIC1ln. ~lvtJ-..~o CityG O,r--,u==j Phone GILl?- - 'f~ OWNER INSTALLATION The installation is bemg made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 m~~-#.."",,,.'''''_'''~''''-.1\'''<i~-,",,,,,'~H.Cl,;1(k!~~^.'t',\';;'.<!,\~~"",,,;;'''~'fJ;..>"1'''''..,,~ E "'~'ii-"'"II.-~'~.~-(S. =.."'-~-,,,"",,:i-' "~I"""""cl"""'d'."':''''d'''').>E'.' -'':?I'" IT.i'''"'tj'.''"' .'''- . "~,,,!.S.t~~!l!~~L~~~$~!!~.!:!~!a2\<~~!~~,~~l.!lJ,~~~~ Pump or irrigation $ 50.00 SignlOutlme Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercia1 S 45.00 Minimum Electric Permit Inspection Fee i:; S45.00 + Surcharges 4.. ?fSUBT5TXEOE~OVE ~Rr~~~,~~'~~ ..,..". 7% State Surcharge 1 0% Admmistrative Fee ,,!~ /- (J0 ',~(\. ~.,... SO ~5. 5.CJU ~~~.5^o TOTAL Shared Drive(T:YSuilding FonnslElectrical Permit Application l-03.doc FAX NO. 5416886528 ~~ P. 01 I 225 UJ> U1 STll..EET . SP1U'J'(GFIELD, OR 97477 . PH;(5411126-31S3 . FAX: (5411726-3689 ELECTRICAL PERMIT APPUCATION 'n' City lob Number DllIe J J -..If) - ()~ . ~.. _......^.l<~~~,.~ 1. I, .' 'C'J.1TON:a"l:'~'!~' ,.' :E"u' . ,; . -'.~":'W'rl'l'U:a:" :....-.._..._~~~. ' . 97~ &0.':, h-i ~t: 0 . LEGAL D~SCRl}'110N# ~~L ~_/ JOB DESCR1l'TIOJi PermitS are non-transfqable and expire If.work Is not started within 180 days of issuance or If work Is S uapended for 180 days: .11'.......'""'":'".l. ...._'~_..~,..."'~_~..JJ" l'l. -'.'.-.'_. """".'" 2.' ~Ji."..' .... I. . Electrical Contractor. 9Jristenson ElectriC: Address 1298 &tol-lI.1 1),.,,,.. City fugene Phone 541-6811-6121 ,.-..' Supervisor UCCIISC Number 3759 S Expiralion Date iO/Ol/04 CODSII'. CODII'. Number 26-34C Expiration Date 10/01/04 JfrJ;'":: ~- OwuersNam.c ~.L;j t.Hu. AdclrCll. .1/7y~- m-,/L../ .d-/'. City ~ PhoIle ~1_~ .' OWNERlNSTALLATlON . The iIlslllllatiOD is being made on property I own which is llOt iIl=dcri for sale, lC31C or reuL Owncn Signature: ........' Ilupection Request: 726-3769 . ---......""'....-"_."'..'...JaI!~_. 3 l"LI'. .. .;l.B:" . ~. 'BBL~!!.l("'... -" . If;..ef!~ ~.~~,;t._., "..!~;...~".~,,,.,":". . "',' ~"'~. .,~, ~..<)!ll~. "" .......~'~ A. .!ilk ::ae ": w", .. ,,~. ~~~~r;,~.~ .', ~ ..".r....g~ .~ ~"Ei.....;, .!!L!it.~~~.hm .~,...~!1;l~I~ Semce Included' 1000 sq. ft. or less Each addilional500 sq. ft. or . portion thereof . Each Manul"a<:t'd aOllle or ModuW Dwelling Service or Feeder . $106.00 $ 19.00 . S50.00 B.~~~~l\t"'ti't~~~~~"'~....: ~~\\".~~ 200 Amps arlCls I S 63.00 ,y!!! 201 Amps to 400 Amps $ 75,00 401 Amps to 600 Amp. $125.00 601 Amp. to 1000 Ampa' $163.00 Over 1000 AmpsIVolts $375.00 Reconnect OaJy $ 50,00 c.~~ ~ :~:1Ms"~G3~,r r.;:~~?f~~~..~..i'.M.1,~,'!-'~~~~I;l: IlubUatiQII, Alteration or Relocati',n 200 Amps or I.... $ 50.00 201 Amp. to 400 Amps $ 69.00 401 Amps to 600 Amps' $100.00 Over 6OO'Amll. or 1000 Vola .co "B" above. D. New Ai.ter~UOA or Extension Per Panel One Ci:cu!t Each Aclditional Circuit or with Service or F~ PClIlIit $43.00 $ 3.00 E.~~:.' Pump or irrigation . $ 50.00 SisnIOut!iDc Ugbtina $ 50.00 Limited EncrgylRcsidcntilll $ 25.00 Limited Enargy/Commcrcial $ 45.00 MJnJmwn Electric Permit Ilupection lIee 1:' $45.00 + Surcharges 4,'__ 6y!1l 7% State S~haJgc ".IlL 10"10 Adminisll'1lliveFce t; ?:L TOTAL 7~, ~ Shau'a:I OrivlS(T:VBuildiDa FormsIElcoui~ Permic Application 1~3.doc L(130 170ce 01 t.~(\~ is'<.JY1 ~~". J 5 d77s-'e ~~ I /0 ~ 225 Fifth Street y Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01154 COM2003-0 1154 COM2003-01154 Payments: Type or Payment CreditCard ~~~G_I?~.___~" ~""""'."""'''''.''.: .. . . : ..,.....' : <. .~ '. J L -.' ~ -. : .i<'n,'" ..- Receipt #: 1200200000000002502 Description Manufactured Home Feeder + 7% State Surcharge + 10% Administrative Fee Paid By CHRISTENSON ELECTRIC Received By nom Check Number Batch Number Authorization Number 000228 083878 City ol Springfield Official Receipt Development Services Department Public WDrks Department Date: 11/2112003 10:11:38AM Amount Paid Item Total: 50.00 3,50 5,00 $58.5U How Received In Person Payment Total: Amount Paid $58,50 $58.5U . . . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CI1l'Y OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-01154 ISSUED: 11/21/2003 APPLIED: 11/18/2003 EXPIRES: OS/21/2004 VALUE: $ 5,000.00 SITE ADDRESS: 4795 FRANKLIN BLVD SPACE 6 Eugene TYPE OF WORK: Manufactured Home in ASSESSOR'S PARCEL NO,: 1803%t?q~c\l8Ires you to Park ATTEN nUi\!:uregon th Oregon Utility TYPE OF USE: New Residential PROJECT J?&itC;!tm~JON:\UIMI!'!Ii'~a!~~;I!.l'~uJ>,~,n~(P.I\'mbing connection only. NO OCCUPANCY UNTIL I t't'cation centfELEGTRICAI;_Pr!,RMl:rJS'OBT AINED. o , I . . ........-4 f\ thl"l"\llnn Uf"'\n ::J..J'- v..... OAti l;I:>"VV' - -. pies of the rUle,; Owner: (;~~~R.'rL.QP'!'Z obtain co .. ,_ h"np Address: '4795'FRANKLINdBL:I;D;NEUGENElf"OR') 97403 calling UI" v ":: ~ __~ IlIilitv Notiticatlon numt;er ,UI ,''v ~,-~ "Q2.'JQ44\. r ,~,^.." t_p-nO-... . I CONTRACTOR INFORMATION I , ContractDr Type Electrical Manuf Home Inst Plumbing Contractor CHRISTENSON ELECTRIC INC OWNER OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: " Street Improvements: Storm Sewer Available: Special Instruction: Notes: License 458 BUILDING INFORMA nON I # of Stories: R-3 Height of Structure NOTICE: Type of Heat: ~i1S PERM/lW<;,~eJ~~YP-V AUTHOHIZE[~~~,~~~l;Y~~:,PIRE IF THE WORK COMMENCE Energy,Path:IS PERMIT IS NOT ANY 1 An IH9 2r~!~~BANDONED FOR I DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS' Expiration Date 05/~1I2007 PhDne 541-688-6121 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Impe:rvious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: Pal!e 1 of3 '. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction Manufactured Home Total Value of Project $5,'~00.00 $5,000.00 Manuf 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 Manufaciured Home Feeder Total Amount Paid . . CI1lY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-01154 ISSUED: 11/21/2003 APPLIED: 11/18/2003 EXPIRES: OS/21/2004 VALUE: $ 5,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 5,000.00 Vahe Date Calculated 11/18/2003 ~ F",,< P1ili\J Amount Paid Date Paid Rec,~ipt Number $20.50 $14.35 $30.00 $45.00 $160.00 $5.00 $3.50 $50.00 11/18/03 11/18/03 11/18/03 11/18/03 11/18/03 11/21/03 11/21/03 11/21/03 1200200000000002485 12~0200000000002485 12~0200000000002485 12~0200000000002485 12'~0200000000002485 1200200000000002502 1200200000000002502 121)0200000000002502 $328.35 I Plan Reviews I TD Request an inspection call the 24 hDur recording at 726-3769. All inspection rl~quested 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. ' I R"oWpr! Inonections I 1 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 . . Cny OF SPRI1~uJ:<1J!,LJJ Building/Combination Permit PERMIT NO: COM2003-01154 ISSUED: 11121/2003 APPLIED: 11118/2003 EXPIRES: OS/21/2004 VALUE: $ 5,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line By signature, I state and agree, that 1 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 sh.1I 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 :~~t":~:'~~wX\ Nl'^- \\h\\as Owner or Contractors Signature Date Paee 3 of3