HomeMy WebLinkAboutPermit Electrical 2005-9-28 (2)
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225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5.U)72l1-3689' -.. ,
ELECTIUC),ALPERMl! APPliCATION Zoni'9 ,11.~dr~1
City Job N~ 2-U7J5 - 0/.3 )7 Date q _ ;)0 - () 5 c". '
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, ,l . CITY OF f ~GFIELD, OREGON '
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Expiration Date / 0 ~ / - a C,
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Owners Name ~,'Uer<Gi'd~rb. )e.~ef
Address :2) 0 0 S .J-OI1R (!tt6J-7}j-, E. ;C~~~~J.\~~~~~iri~!t~~~~d~W~~~n.~~i;~jji~~~
hUjln-t. Phone 7{Jl-(;Olrj
OWNER INSTALLATION
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.pO
Limited EnergylResidential $ 25,00
Limited Energy/Commercial $ 45;00
Minimum Electric Permit Inspection Fee Is $45.00 + Surcharges
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7% State Surcharge .5: 5 ()
~ 10% Administrative Fee ~. ~-
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LEGAL DESCRIPTION
/ F' 03 02. :;)0 Od. 9 0 0
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.
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Electrical Contractor A r-C J: /e.,,--I-t-/c.Iic
Address J:; '11 ~ J/ wL?- '1 '{ 5
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Phone "1l./i- Oy'9 Y"
City ~p
Supervisor License Number
0.r~i5
Constr. Contr. Number
Expiration Date
City
The installation is being made on property I own which
is not intended for sale, lease or rent
Owners Signature:
Inspection Request: 726-3769
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Service Included
1000 sq. ft. or less
Each additional 500 sq, ft, or
portion thereof ..~" \cS 19.00
<\\ll\"'~' .\.\',
Each Manufact'd Home or, \aVJ Ie on 0\\ I,
M d I D lliri.'. 'S'r""~' the Oleg 'I \\0(\\'1 5/0 "'0
o u ar, we g et'Vlce or1" I' se $ 0
Feea~r\\,I'" c ado?\tV - e Il~I"S a _~ .(j~\l.O
,,'I'W Il\\C '__~.",- ,hOS ,_n Of'.\'< :::J"'':'_.r.\)\1
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in U...., '';;'J fl\a)j 0' '\'-Io\e: \ ., \\\iCa\iOn
200<Ariipsor'!esse cen\el. \ ~ \ 11\\\\\1 ,,,0 $ 63.00
v- . 0 \\\ nO" '
201 Atnps\'i6'400 An;IpS Ole" l)' ":,'2.-'2.'3""/' $ 75.00
b'" ,0' ,\)Q a.
401 AI1ip8flll60e;~ps is - $125.00
601 Amps to 1000 Amps $163,00
Over 1000 AmpsNolts $375.00
RecOlmect Only $ 50.00
$106.00
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Installation, Alteration or Relocallon E WORK
2(\Q~Ii~1 ~ 5\1l\ll E'APIRE If J'~1 \~N~VO
201 \AIS.~ , ER 1\115 ~ tP> ~\ ~69.00
40~NC ~ IS "'BMUjU~~tlIO$ioo.oo ,
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. .:urent'l. ,U1L3.'; ,', _'. ".,', f';:-* ~ ", ,,,,'r3!.~J;L~i")i, ,7':, -, )~., " " ,
,.,~ :.>>_ C'.N~~""" ,~;', .,t\&: .___,",. _.'r'~~~';,,~~\;,,~, t,;...,<<:l'.;:'~".:P'"-,,,,>1,j. "~~ .'\ _
New Alteration or Extension Per I'anel
"One Circuit
Eacb Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3,00
I CONTRACTOR INFORMATION I
~
.
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 4795 FRANKLIN BLVD SPACE 38
ASSESSOR'S PARCEL NO.: 1803022002900
PROJECT DESCRIPTION: Replace M/H Service
Owner:
Address:
RIVERSIDE MOBILE HOME COURT LLC
2100 STONE CREST DR
EUGENE OR 97401
Contractor Type
Electrical
Contractor
ARC ELECTRIC
. CI1rY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-0I327
ISSUED: 09/28/2005
APPLIED: 09/28/2005
EXPIRES: 03/28/2006
VALUE:
/I r---. '_'_.
. . '.... ':. I.Jrf.lnn.n J....,
Eugene'o:IO'tlYE, ,E.OF.1(jWORK:'Mlanufactured'Home in Park
. . -..... uu :Jlea b " - - ......
Notification CpntQc T Y he Oregon Uli/ity
in OARWRFQOFuUSE:hOSA:dditIOn1re set fortResidential
vc.' VI, U10thrOL hO II
0090. You may obt ' g AR 952,001
, am copi's f h '
CAlllnn th,..., ....._ _' .; 0 t e nlIQC' I....
number for th~ '0" \"U'e: me telephone
reg on Un;ty N t'f' .
Center is 1,800, ~3' 0 , Icatlon
" ."2344),
License
115113
Expiration Date
07/29/2006
Phone
541-741-0494
r'" . . or<-_
BUILDING INFORM'A'FleNI
. H" r-tHfv/fT S
# of Stories: AUTHORIZED HALL lUot'~;~iF T i=
Height of Stru&5)MMENCED UNDER 's.qr!tfl~~.F!dt,r: WORK
Type ofHeat:ANY 180 DA OR IS A~~I1)\.2;\lFilo\G NOT
Water Type: Y PER/DO Sq i!(nliJi,IMifi/1
RangeType: . Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occ.!pant Load:
, # of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 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:
Storm Sewer Available:
Special Instruction:
Notes:
Sidewalk Type:
DownspoutslD:ralns:
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Type of Construction
Square Footage
or Bid Amount
Valr.e
Date Calculated
Paee 1 of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01327
ISSUED: 09/28/2005
APPLIED: 09/28/2005
EXPIRES: 03/2812006
VALUE:
Status
Issued
- 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F....s PaW
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Manufactured Home Service
Amount Paid
Date Paid
$5.00
$3.50
$50.00
9/28/05
9/28/05
9/28/05
Receipt Number
2200500000000001349
2200500000000001349
2200500000000001349
Total Amount Paid
$58.50
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.
~nm..~tinns I
MH Service: Approval required prior to utility company energizing service.
By signature, 1 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 strncture 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 wm be used on this project.
1 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.
v~ --m,fI~
r - ,2 f7- 0.5-
Owner or Contractors Signature
Date
Pal!e 2 of2
22~Fif,th Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-0 1327
COM2005-0 1327
COM2005-0 1327
Payments:
Type of Payment
CreditCard
'I
t
"
"
..
1
9/2812005
.
RECEIPT #:
Description
Manufactured Home Service
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ARC ELECTRICrrERESAN
HESS
.j:-:; jtIi
~~-!-
Ia_-...,o
"""ity of Springfield Official Receipt
Weveloprnent Services Department
I'ublic Works Department
2200500000000001349
Date: OW28/2005
Item Total:
Check Number Authorization
Received By Batch Number Number H(]w Received
njm 008159 In Person
Payment Total:
Page 1 ofl
1l:29:00AM
Amount Due
50.00
3.50
5,00
$58.50
Amount Paid
$58.50
$58.50