HomeMy WebLinkAboutPermit Electrical 2005-1-19
200 Amps or less ' $ 63.00
201 A}ffs to 400 Amps $ 75.00
401 ~mprlfrMo~~ $125.00
60!IJ~~~cfl1lJfg) ~~2~~ law ~ $163.00
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. er for the (). ate: the te' es by
Installa ti{qyt4t~pljali~{tWllIRtJtma.tiQo f~Phone
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200 Amps or less ..,tor\1~-2344J --N'gI.OO
201 Amps to 400 Amps .. $ 69.00
401 Amps to 600 Amps $100.00
Over 600 Amps or 1000 Volts see "B" above.
D. l!8~
A1arv/~~ation or Extension Per Panel
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JOB DESCRIPTION
JIl;f ( +- SC<L 1/ l CC' I ,?2e ~--f2
Permits are non-transferable lnd expire if work is .
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor Poh ~ EJer fn'c.j]jy.
Address p() n!Jx 032/
City ~.eJ1Q.-
f:/6b~$(fLIL/
Phone
Supervisor License Number 41 Y '1 S
lD!D'\CYl
Constr. Contr. Number \ S lr'l 1.0 '1 ~
Expiration Date ~) \ Y 1 D 5
Expiration Date
Signature of Supervising Electrician
~
-:? ---
Owners Name
Address I "3 S- '7
City hl6-t:W~
OVVNERINSTALLATION
The installation 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
.2
$50.00
IOU
B.
$ 43.00
$ 3.00
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
(00
7
,0
I f7
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Forms/Electrical Permit Application 1-03,doc
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-01057
ISSUED: 10/07/2004
APPLIED: 08/25/2004
EXPIRES: 07/18/2005
VALUE: $ 42,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3878 Aster St Springfield TYPE OF WORK: Manufactured Home on
ASSESSOR'S PARCEL NO.: 1702314102800 Private Lot
. TYPE OF USE: New Residential
PROJECT DESCRIPTION: Manufactured Home on Private Lot. No Sanitary Sewer Connection is Approved Per
Public Works Comments 8/26/2004 - MS '
Owner:
Address:
SHEDRICK JUAN
1357 RIVER RD
EUGENE OR 97404
A TTfNTlO .
fOlio" N. Ore
, . v'; rul 90n I
^JOtifif'::>f; _ es adOntoN' aw reOl,ir" _
In OAP t'\:~' '-'entAr ,..~ >JY me Oreg- - yvu to
I CONJlJM~~O'R-m.f.'FmN~s On Utility ,
Calli ... , /lay Obta' ." UUgh OA are set forti)
Contractor nurnbng the Center. ''I ilf~Of th'lJija~n Date
OWNER er fOr the Or~ (NOte: the te e rules by
ROBS ELECTRIC INC Center is 1.8~9.~(/(J~i8ty N ~7J?hoO"14/2005
RONS HEATING AND AIR COND 9~344o If1catiO>tj29/2006
FATHER & SONS OF OREGON INC . 100726 ~. 06/29/2005
FATHER & SONS OF OREGON INC 100726 06/29/2005
Phone Number:
541-554-3275
Contractor Type
General
Electrical
Mechanical
Manuf Home Inst
Plumbing
Phone
541-686-5444
541-343-6829
541-689-5090
541-689-5090
BUILDING INFORMATION' '
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1 # of Stories: 1., Lot Size:
R-3 Height of Structure ...,',_ ""<~,,S9 .Ft 1st Floor:
NOTICE- Type of Heat: Heat Pump Sq Ft 2nd Floor:
VNTHIS PER^W~ter Type:' Electric Sq Ft Basement:
AUTHOR Rangea;n~.etXPI . Electric Sq Ft Garage/Carport
~OM IZ[j[)lIUg'~!i{ RE IF THE W SqFt Other:
ANY MENCfSJJrm,k1. u~IH'h~fRMIT ISYQAK Occupant Load:
1Rn D"\' fiLl".!,,');/, 'XIhT
I DEV;L~M~. INF~RMAlfi~ I
1,350
Front yard Setback:
.. Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
5.00
12.00
30.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2'
Yes
31.20
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes Downspoutsillrains:
Storm drainage to weephole to curb via privat easement provided.
Sidewalk Type:
Curbside 5'
Curb and Gutter
Notes:
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Foundation Onlv Use Bid Amount
Manuf Home Manufactured Home
Fee Description
Plan Review Residential
-Mechanical Issuance 'Fee-
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 7% State Surcharge
+ 7% State Surcharge
Addressing Assignment
Curbcut Permit
Foundation Permit.
Heat Pump
Manuf Home State Issuance
Manufactured Home Conn - Plmb
Manufactured Home Placement
Minimum/Adjustment Mechanical
Plan Review Major - Planning
PW Mult Disc ~ 2nd Permit
Sanitary Sewer - Ist 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SHC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Storm Sewer - Ist 50 Feet
Water Line - Ist 50 Feet
Willamalane Manuf Home Private
Refund - Admin Fee
Refund - Surcharge
+ 10% Administrative Fee
+ 7% State Surcharge
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01057
ISSUED: 10/07/2004
APPLIED: 08/25/2004
EXPIRES: 07/18/2005
VALUE: $ 42,000.00 '
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
2,000.00
40,000.00
Value
Date Calculated
$2,000.00
$40,000.00
$42,000.00
10/12/2004
10/12/2004
Total V alu~ of Project
~.,
Amount Paid
$29.25
$10.00
$4.50
$39.70
$3.15
, $27.79
$31.00
$75.00
$45.00
$12.00
$30.00
$45.00
$160.00
$33.00
$103.00
$-30.00
$45.00
$365.60
$480.80
$10.00
$865.31
$82.03
$97.72
$66.82
$772.49
$175.13
$75.00
$539.40
$45.00
$45.00
$1,000.00
$-1.20
$-0.84
$10.00
$7.00
Date Paid
Receipt Number
120040000000000125~
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
1200400000000001447
VOUCHER #82221
VOUCHER # 82221
2200500000000000067
2200500000000000067
8/23/04
10/7/04
10/7/04
10/7/04
10/7/04 '
10/7/04
10/7/04
10/7/04
10/7/04
. 10/7/04
10/7/04
10/7/04
10/7/04
10/7/04
10/7/04
10/7/04
10/7/04
10/7/04
10/7/04
10/7/04
. 10/7/04
10/7/04
10/7/04
10/7/04
10/7/04
10/7/04
10/7/04
10/7/04
10/7/04
10/7/04
10/7/04
10/12/04
10/12/04
1/19/05
1/19/05
Paee 2 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-01057
ISSUED: 10/07/2004
APPLIED: 08/25/2004
EXPIRES: 07/18/2005
VALUE: $ 42,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Manufactured Home Feeder
Manufactured Home Service
$50.00
$50.00
1/19/05
1/19/05
2200500000000000067
2200500000000000067
Total Amount Paid
$5,398.65
Initial Review
Plannine Review
Plan nine Review
I Plan Reviews I
08/25/2004 08/25/2004 APP SKG
08/25/2004 .09/01/2004 APP TAJ
10/21/2004 10/21/2004 APP TDl revised site plan and setbacks dated
10/21/04 OK.
08/25/2004 08/26/2004 APP MS 8/26/2004 - The work to be done
under the public improvement
projeCt has not been completed yet.
There shall be no hookup allowed to
City services until the PIP work is
complete. - MS
8/26/2004 - No portion of the
proposed structure shall encroach
into any PUE located on site. - MS
08/25/2004 10/07/2004 APP DLM
Public Works Review
Structural Review
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.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Footing: After trenches are excavated.
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 addr,ess numbers, trees, driveway, etc. have been installed.
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.
Manuf Home Plumbing: After home has been connected to water and sewer.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Paee 3 of 4
Status
, Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01057
ISSUED: 10/07/2004
APPLIED: 08/25/2004
EXPIRES: 07/18/2005
, VALUE: $ 42,000.00
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 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
Pal!:e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-01057
COM2004-01057
COM2004-0 1057
COM2004-0 1057
Payments:
Type of Payment
Check
1/19/2005
. RECEIPT #:
Description
Manufactured Home Feeder
Manufactured Home Service
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
SHEDRICK ENTERPRISES
c;tv of Springfield Official Receipt
elopment Services Department
, Public Works Department
2200500000000000067
Date: 01119/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 2497 In Person
Payment Total:
Page 1 of 1
8:06:24AM
Amount Due
50.00
50.00
7.00
10.00
$117.00
Amount Paid
$117.00
$117.00