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Home My WebLink AboutPermit Electrical 2008-4-22 L.{!(v\ /0-6 Y ,.. ~"-L7 QY SPl'lINGFI:EL"",{I , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION / . /' . City Job Number C 0141 z..o Or ~ 0- c> 556 Date V /zo/'O p- I , 2. . CONTRA'CTOR INSTAiLATION ONLY B. ~s~;'~i~es or~~;eder~ ~I~~t~lIatiol1, AYter~tj~'~:;;r }{cl~~;tion: . "e '\.. ^"~/, v~ '" r J,,%~'4b~'*' ~' Electncal Contractor ~"\I~ r; f~ck1~~~T,ION: q~~awv~u;res $ 63 00 o . .11 es ad9&ip.rLhu "'-1 yoU to {)l. I 11 - IJ ' . .~O!jflcatI9\l G~nfe '!!II'IfJJS tbeQ9~~n Utilit $ 75 00 Address y("'/7 {'3[ (O~ -j...- \)1\~3~1:tr8lJ~€ld"lQjms-!etfo,r,. $125.00 _ 0090. You may ~an\;;80\Wfu~R~-001. $163.00 City ~VC{?ANL Phone Go, .~e Cen1@y,er( les %!~t~Ules by $37500 ~ for the <9A9QW1f~fH e ~f:>ho~e $ 50 00 Center is 1 ~'pQ-3~~2 NO~f~catlon SupervIsor License Number c/(p:) ~S c. Tempo~~~~~lceS:Oi~lF~ede~'s ExpiratIOn Date to/I f'l.o6l ( l 200 Amps or less Constr Contr Number I '2fo -'Dl, I 201 Amps to 400 Amps bit/] I'O~ 401 Amps to 600 Amps ExpIratIOn Date 7> l/ 1 . I N Over 600 A~ps ~r I O~O Volts see "B:' ab~~e . c. ". SIgnature of Supervlsmg ElectrIcian OTlCE: D. Branch CIrCUIts .," THIS' - ".. c' '. .?J /' J / '>1 .!-rr) AUT.HPfRM1'TN811Mrti~~n or Extension Per Panel I /;/CZtIu .L /V/IJI''/~') "ORIZfD~fjffP IRE IF THE Wo $ 4& 00 I - COlvIMENCfDIJ1~~d81ItMkl ffRMPT'f~PN RK-- 3 Owners Name b-&\-I GrrA-v'!-NS 180 DAY FltFjJO~liANfHJ~fO~, ~r c $~ 00 I ~ , Address I "] 5 0 A( ~ t- E. Miscellaneous (Service/feeder not incl~dedr~Each Il1stallati~n City )' f> ;:;'1\ Phone 7 zt p t {;of Pump Oflmgatl~~ "C'C . $ 5~ o~?? Sign/Outline LIghtmg $ 50 00 Limited EnergylResldennal $ 25 00 Limited Energy/Commercial $ 45 00 1. ('ji60NOF)t!T;.1-'f3QN " LEGAL DESCRIPTION 17c32~32 I ZZD 0 JOB DESCRfTION ;4d J/,?t,iEtL Lf Ltv~7"h" Permit~re non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 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 ~ 3. k":t.~k,"'<r~-<}:$ft' 't$'1~ "'-">'i.? '","S~~ €OMfLJ..J# FE;~,~C!1!1!I?l!L!! BbLOW "''''l<''' f f'-" Hf';:,<<''l-%!?'5"-i$4,<- ,"""F- -I "">-- A. ~:~~w Residentiar- ~Single. ot"Multi-Family per J:l,,:elling unit. 0t&:^W#'",,<, ~< 4. ""~ ~Jj!./" J. '*' .;1M",", "',,;: ~ '*nod .;.;-w="" t"' ,"'- Service Included 1000 sq ft. or less Each addItional 500 sq ft or portIOn thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder $10600 $ 19 00 $50.00 Installation, Alteration or Relocation $ 50 00 $ 69.00 $10000 l/B Minimum Electric Permit Inspection Fee is $45.00 + Surcharges hD 7?C> b ~ ll:f:(..J C:ec; '. / 20 ~ TOTAL ()7};1:r~- ~ Shared Dnve(T )/Bulldmg ~al Pennlt ApphcatlOn 1-03 doc 4. ' SUBTOTAL OF ABOVE ~ ;t-~"'!~; " IZYo State Surcharge 10% Administrative Fee CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00556 ISSUED: 04/22/2008 APPLIED: 04/22/2008 EXPIRES: 10/22/2008 VALUE: $ 2,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1390 N ST ASSESSOR'S PARCEL NO.: 1703253212200 Springfield TYPE OF WORK: Bathroom PROJECT DESCRIPTION: Add bath TYPE OF USE: Alteration Residential Owner: GERALDINE GRAVES Address: 1390 N ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMA TlON . Contractor Type General Electrical Mechanical Plumbing Contractor MD CONSTRUCTION INC EVERYDA Y ELECTRICAL SERVICE MD CONSTRUCTION INC BILL BAILEY PLUMBING INC License 153658 136371 153658 84110 I BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: MON. OregcM_t~reu1\feu.t.o Secondary Occupancy Group: AliI: ~opted5fl~gon UtIlity Primary Construction Type folt~-eg~~enter. 1Ne_~8re set fOJt~ Secondary Construction Type~O~~~2"()01-001~DeI~~R 952..()()1 # of Bedrooms: In Vi may obta~Alhe rules by 0090.. au t S(Nbt91e\bft~tlone n/a calling the ~n :!.~S9R Iltilitv Nqtifi8atiOR numoeIC~~~~.u~~RMATlON . Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Phone Number: 541-726-6601 Expiration Date 12/0612008 08/12/2008 12/0612008 06/24/2009 Phone 541-520-3690 541-607-6908 541-998-1141 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I NOTICE: Sidewalk Type: THIS PERMIT SHAtor~~";Pf! WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Street Improvements: Storm Sewer A vaiIable: Special Instruction: Notes: Pa2e 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fixture Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Vent Fan Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00556 ISSUED: 04/22/2008 APPLIED: 04/22/2008 EXPIRES: 10/22/2008 VALUE: $ 2,000.00 I Valuation Descriotion ~ $ Pel' Sq Ft or multiplier $1.00 Square Footage or Bid Amount 2,000.00 Value Date Calculated Total Value of Project $2,000.00 $2,000.00 04/22/2008 ~ Amount Paid Date Paid Receipt Number $20.00 $21.00 $25.20 $10.50 $48.00 $12.00 $50.00 $32.00 $43.00 $18.00 $81.62 $107.33 $9.45 $7.00 4/22/08 4/22/08 4/22/08 4/22/08 4/22/08 4/22/08 4/22/08 4/22/08 4/22/08 4/22/08 4/22/08 4/22/08 4/22/08 4/22/08 2200800000000000496 2200800000000000496 2200800000000000496 2200800000000000496 2200800000000000496 2200800000000000496 2200800000000000496 2200800000000000496 2200800000000000496 2200800000000000496 2200800000000000496 2200800000000000496 2200800000000000496 2200800000000000496 $485.10 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. ~eouiredJnsDections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final BUIlding: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Pal!:e 2 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00556 ISSUED: 04/22/2008 APPLIED: 04/22/2008 EXPIRES: 10/22/2008 VALUE: $ 2,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Covel' Final Electric: When all electrical work is complete. 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 propel' 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 durin construction. ~.lbh'-j1iJj) ;;~_~ l-) - 2.7: 2cc8 h er or Contractors Signature Date r Pal!:e 3 of 3 225 Fifth ~treet Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00556 COM2008-00556 COM2008-00556 COM2008-00556 COM2008-00556 COM2008-00556 COM2008-00556 COM2008-00556 COM2008-00556 COM2008-00556 COM2008-00556 COM2008-00556 COM2008-00556 COM2008-00556 Payments: Type of Payment Check cRecemtl RECEIPT #: 2200800000000000496 Date: 04/22/2008 DescnptlOn Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin BUilding Permit Fixture MInimum/Adjustment Plumbmg Vent Fan Mmlmum/ Adjustment Mechanical ~Mechanlcal Issuance Fee~ Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By MD CONSTRUCTION Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 4840 In Person Payment Total: Page I of I 11:11:26AM Amount Due 107 33 81 62 945 5000 3200 1800 700 4300 2000 4800 1200 1050 2520 21 00 $485.10 Amount Paid $485 10 $485.10 4/22/2008