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Home My WebLink AboutPermit 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 ~ $163.00 ONftJ~~~ste~r. Th Y the O'e901l~bl Re~.e~o~ 01'0010th~:rule!Jaf'$set ~ c. ^ . er for the (). ate: the te' es by Installa ti{qyt4t~pljali~{tWllIRtJtma.tiQo f~Phone .s I-8M.. '~"&Y IvOtlfiCRt.z-.., 200 Amps or less ..,tor\1~-2344J --N'gI.OO 201 Amps to 400 Amps .. $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. l!8~ A1arv/~~ation or Extension Per Panel . THJfSeJfi1irt;uit A~biafd\UJn{l/CJ;fE.ttA~ with ~M s.~ (.:'1./[..\.<:.. L COrvTMf.~MZff):#lVlJEnl1H"'PIRt IF THE ,2\ v c-Il.... ~~ A~y Phone h r7 -- SO 70 OZ800 JOB DESCRIPTION JIl;f ( +- SC<L 1/ l CC' I ,?2e ~--f2 Permits are non-transferable lnd expire if work is . not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor Poh ~ EJer fn'c.j]jy. Address p() n!Jx 032/ City ~.eJ1Q.- f:/6b~$(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