The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2005-6-24 (2) .. .. , CITY OF SPRINGFIELD. OREGON Z- 71 b Li7'(;3~bff JOB DESCRIPTION JII If S \2..\1 L 09/,0l- t .r:.~ ~ , PermltJ are nOD-tr.nsferabie and expire If work Is not started whbln 180 daY' ..f ...uance or If work Is Suspended for 180 day.. ...",,",,_w,j;,.i&:~Ari\!~~i'IJ!j';'~~ 2. ~...~~ Elccttical Contractor ~U1. ~ /to/rz :v Address 'Y>N I>r City Bill.Itzt.f.,L Phone _,).~-'7~C;s" Supervisor License Number . .2 ~ s '1::$ Expiration Date IQ,/{} ,/ ()L- Conslr. Conlr. Number 10'- 1> H. Expiration Date 10/ '" I 0 -r . . Si~f Supervising Electrician owners~t+/..( ~ A ~'S\T Address "2 'is'f b '\ '2:>IE:-f> M W City ~(:::' Phone 7Z' -21(<6"3 OWNER INSTALLATION The installation is being made on r' or" _, I own which is not intended for sale. lease or rent. Owners Signature: IDspectlon Request: 126-3769 6/zvlo'\ , 3. Service IDcluded 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufacl'd Home or Modular Dwelling Service or Feeder 5106.00 519,00 2... $50.00 100 B. 200 Amps or less 5 63.00 20IrtowtO'.(~ 575.00 401 M&s!lf?b,(lrIr/f'J uo~~f ~fJ9IUa~ $125.00 6lU:t~~ tJ'\lQOOlJ/rilpION) 1~ "41 JO} J9~fal9O 0rl3'iJlrM.R~oo UI l;"", 841 tll4.1l1~OO &e~.Ci'~ 46nOJ4I O' ~IQO '1ew no" '0888 "'Vlles aJl? sa .00-100- c. JI" J Ml?/ Uoflo . sa/nJ MO/io} IDstaIl.don, Alteration or miQafIl@11N3.LLV . 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69,00 401 Amps to 600 Amps $100.00 Over 600 A s or 1000 Volts see "8" above. D. ! ,; I '. ," -~ " New Alter.doD or ExteDsloD Per PaDel One CircuilYC7!r.f. Each Additional Cifcitit or with 'nl:-'."DA" $300 Service or Feeaer Permit T SHAl' - . AUTHnr:lI7m ".._..~ LN"Ht IF Hue: "'"" ,,, E. ' ./-INY180 DAY PER'I'O "UI'1IWUI'It:O Fall Pump or Imgallon D, $ 50.00 Sign/Outline Lighting $ 50,00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee Is $45.00 + Surcb.l'lles $ 43,00 4. ,~. ~ .' .' ,'~ ~. :';lll.::.:, " ,~.....I , t';f .' ~!/.i~:,._'...J1~ .""'.J~-.,~~'.. .?i~~'- r~ o ," . 1" I' ~ . " c. ' 10-0 7 10 117 7% State Surcharge 10% Adml"istrative Fee TOTAL SIw'cd Orh ~T:)lBuildinK formslElccuical Permit Application 1-'l3.doc: . - . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00384 ISSUED: 04/27/2005 APPLIED: 04/04/2005 EXPIRES: 1210812005 VALUE: $ 33,120.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2716 Garson Ln Springfield TYPE OF WORK: Manuf Home w ASSESSOR'S PARCEL NO.: 1703361109902 Garage/Carport Private Lot TYPE OF USE: New Residential PROJECT DESCRIPTION: Manufactured Home with Carport, Lynnetes Happy Homes lot 2 Owner: CHRIS ADSIT Address: 28465 SIESTA LN EUGENE OR 97402 Phone Number: 541-345-4535 Contractor Type General Electrical Manuf Home Inst Plumbing I CONTRA€{f,OR>INRORMAlllIONlI~~ \.. '{ UOIIB:l!l!ION fi.l!l!ln UOOaJO a41 J I Jaqumu Contractor eU04da\al a41 :elON)~a41 EEit'Pfration Date CHARLES COLUMBU~o1 salnJ e4110 Sa!dO:lI~51!\0 fi.BW nOA '009/ll3/2005 L YNNS ELECTRIC ~OO-G96l:fv'O 45noJ41 WW(j.OO-G961:NtlJ~tI4/2007 CHARLES COLUMB lJO les am sa\nJ eS04!51At1ue~ UO!IB:l!I!ION PACWEST BUILDERS ..~n uoBaJr aul fi.Q !l5?ilOJlB SalnJ MOn0117/2005 I BUIIl.DtNG'lll~'Ufu',,"'ddN"f :NOI1N3llV Phone 541-935-1880 541-726-7895 541-543-1904 # of Units: 1 # of Stories: 1 Lot Size: 5,522 Primary Occupancy Group: R-3 Height of Structure Sq Ft 1st Floor: 1,188 Secondary Occupancy Group: U Type of Heat: Electric Sq Ft 2nd Floor: Primary Construction Type VN Water Type: Electric Sq Ft Basement: Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport 240 # of Bedrooms: 3 Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 24.00 5.00 5.00 10.00 0.00 Overlay D1st: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 1 Yes 25.80 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Setback 5' Curb and Gutter DownspoutslDrains: Notes: Encroachment permlt'fo~ sewer hook-up in ROW, Storm I!I11Jt to curb face 417/2005 ~His 'PERMIT SHAll EXPIRE IF THE OKK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 160 DAY PERIOD. Pal!e 1 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspec(lon Line Description Tvpe of Construction Carport Foundation Onlv Manuf Home . I Valuation Descrintion I $ Per Sq Ft or multiplier $18.00 $1.00 $1.00 Carport Use Bid Amount' Manufactured Home Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Addressing Assignment Curbcut Permit Encroachment Permit Foundation Permit Garage/Carport Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Placement Plan Review Major - Planning PW Disc - 3rd Permit (Street) Sanitary Sewer - 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet WlIter Line - 1st 50 Feet Wlllamalane Manuf Home Private + 10% Administrative Fee + 7% State Surcharge Manufactured Home Feeder Manufactured Home Service Total Amount Paid Square Footage or Bid Amount 240.00 3,300.00 25,500.00 Total Value of Project ]?pp< PlIilIJ Amount Paid $59.67 $46.90 $32.83 $31.00 $80.00 $130.00 $60.60 $68.40 $30.00 $45.00 $160.00 $103.00 $-60.00 $45.00 $365.60 $480.80 $10.00 $865.31 $82.03 $101.48 $66.30 $772.49 $175.13 $80.00 $604.19 $45.00 $45.00 $1,000.00 $10.00 $7.00 $50.00 $50.00 $5,642.73 Date Paid 4/4/05 4/27/05 4/27/05 4127/05 4127/05 4127/05 4/27/05 4127/05 4/27/05 4127/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4127/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 6/24/05 6/24/05 6/24/05 6/24/05 Pal!e 2 of4 . CITY OF SPRIN",nJi.Lu Building/Combination Permit PERMIT NO: COM2005-00384 ISSUED: 04/27/2005 APPLIED: 04/04/2005 EXPIRES: 1210812005 VALUE: $ 33,120.00 Value Date Calculated $4,320.00 $3,300.00 $25,500.00 $33,120.00 04/04/2005 04/04/2005 04/28/2005 Receipt Number 2200500000000000378 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 2200500000000000823 2200500000000000823 2200500000000000823 2200500000000000823 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00384 ISSUED: 04/27/2005 APPLIED: 04/04/2005 EXPIRES: 1210812005 VALUE: $ 33,120.00 Status Issued 225 Fifth Street, Springfield, OR 5411-726-3753 Phone 5411-726-3676 Fax 54,1-726-3769 Inspection Line Initial Review Planning Review Public Works Review 04/07/2005 04/07/2005 04/07/2005 I Plan Reviews , 04/0712005 APP 04/22/2005 APP 04/07/2005 APP SKG TAJ CAS Storm drainage piped to curb face 4/7/2005 CAS Structural Review 04/07/2005 04/26/2005 APP RJB 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. ~rptlln.nwlons I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are Installed. Encroachment: After Item(s) have been removed to Inspect condition of public right of way. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Setback: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are Installed. Ufer Electrical Ground: Install ground rod at footing and call for Inspection In conjunction with footing and/or foundation inspection. Slab: To be made after all Inslab building service equipment, conduit piping and other equipment Items are In place but prior to concrete. Foundation: After forms are erected but prior to concrete placement. Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough In Inspections have been approved. 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. Final Building: After all required Inspections have been requested and approved and the building Is complete. Water Line: Prior to filling trench and Including required testing. Sanitary Sewer Line: Prior to filling trench and Including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work Is complete. Manuf Home Plumbing: After home has been connected to water and sewer. MH Electric: When blocking, setup and plumbing Inspections have been approved and the home Is connected to the panel. MH Service: Approval required prior to utility company energizing service. Pal!e30f4 . . CITY Vj< ~rKll'\juN"'LU Building/Combination Permit PERMIT NO: COM2005-00384 ISSUED: 04/27/2005 APPLIED: 04/04/2005 EXPIRES: 12/08/2005 VALUE: $ 33,120.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line MH Pedestal: Approval required prior to utility company energizing service. 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 Paee 4 of 4 225 Fifth Street Springfit!ld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 Payments: Type of Payment CreditCard ., , ., 6/24/2005 . RECEIPT #: Description Manufactured Home Feeder Manufactured Home Service + 7% State Surcharge + 10% Administrative Fee PaId By L YNNS ELECTRIC ~ 2200500000000000823 ReceIved By djb Check Number Batch Number , Page I of I JIlty of Springfield Official Receipt .velopment Services Department Public Works Department Date: 06/24/2005 Item Total: Autborlzatlon Number How Received 001664 In Person Payment Total: 9:14:18AM Amount Due 50.00 50.00 7.00 10.00 $117.00 Amount Paid $117.00 $117.00