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Home My WebLink AboutPermit Electrical 2005-12-30 I.' I I. I ':~ - ,pro~' - ate' II 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54i~126;3689 do.! . s. u~:lDg ELECTRICAL PERMIT APPliCATION approval, " h CityJobNumber('.OA.(ZOO~-- C/S-S? Date IZ/')O/O\' ZonlDg I ,L_'---. ,. Date .... :L:.......~'"'} 1. 1...I1!,'~";'0; ~'U1~.Iu '\.srr,lffigil':Fl@N~ 3. IfjJf!iPBE'FEJFE1!;:S@H:EniJEE;\"J;"j-'d"W~ ~"-"" ~ ~..._. _"='-'a. ~~ .~~.~" 3D 33"' G.-A1T-.,.'"l.v~ .'.j:t "3& LEGAL DESCRIPTION /70 "3.Z'ZzO Service Included JOB DESCRIPTION 1000 sq, ft. or less -;-, . ~ \.'. I Each additional 500 sq. ft. or _ 'C..6P~..r 1"1~ ~e-e t.-'1I"/~)Portionthereof Permits are non-transferable and expire if work is Each Manufact'd HomeiQlJires yOU to not started witbln 180 days of Issuance or if work is J'TEN-ModoIafJDWeIITn'iS~ceorJon Utility Suspended for 180 days. ,',', ' tallOW r8&~~dopted~:c~~U~; are SL: '::~ $50.00 2 lirCiLNiFi&t'&i@RhNSTj\lri~ii!ieM'oN1~ otilic,Ii)(s~i~~- ~;Fmi~il\'ltrriation, ~terations or.IRel~~4~ . I....., ."" ~.'I""':('''L.. II ~oI'llll I \n OA.R g.,)j;......~ btalr\ cop\e~ v' ." '. '..0.1.. ,.il...,,~.I.~ .... . Electrical Contractor p,. C <t-rJ,.;J!, <c.1.9.c.:N.'6f,90. '(.2oo7."n\'p~ or lessNo\e', tf1e k 'T $ 63.00 ' , J '.\1~ r.en\81. \ . ~\ . call1P201 J\mps tt400,AmjJs~ili\'i\ $ 75.00 numt401IliSJj,\eto 60~AmpS\2 ,) $125,00 Gp,n\:i::lr\~ \ - 601 Amps to 1000 Amps $163.00 Over \000 Amps/VollS $375.00 Reconnecr Only $ 50.00 O'JbOC A ~N" ~R""'~il".i;i:.ft'>:~~.I:'~"S' "all'pllln,ljll~M'~'."I"""lr ~<i":I.I~ "L'~il'Ii'I.Il':I"I'~ll~ II ..l . ew ..,..~l ~la.~~.J~~~~,,,~ ~-,,-;,aml y, pe~'~,~~ mg unh. $106,00 $ 19.00 Address (J. () B C)J '2~L( City W'A--\~"'Ill' J& Phone 7 t{'{--of'JO') Supervisor License Number '3 to G~ - .s Expiration Date '711 0 !", V Constr. Contr. Number -4.3 "{q S~ Expiration Date 7/1 % , I I Signature of Supervising Electrician c. .~eri!p.'~lra'r.y;$_~~~~!~~~~~ . $ 50.00 $ 69.00 $100.00 "I! ' 'I 'I ~ l!e--a, ~ () Owners Name ~ H ?-'~~ ~ ..... -:-. (7"0 c. .~JIol~M"" ~I I . I.~ U1 '\llllIfll(~1.Jnffi.1 ..w, '1~\Lr illr-!;~II.U~~J. 11~1 Address 1....0 V C)f' l:) r '; E. M~~.c~l~a~e,~us~(~~C~f~~~~(U~':.'!l.iEaC~l~~'st'l~a~io~1I City ~(A...c& .oP.Phone SO;,0-0630 PUmpOrinigati,9l.19\v.~\T;:\\~~~ . , ,no, ~Signlo~r~l.i~ 'il't.\l\ ~~ ~U\'\ OWNER INSTALLATION ~~,\t "Wlt1. ~J;~i.".4~~ The installation is being made on property I own which \'(,\S'? 'Rtfuld ~l/lc~mmercial is not intended for sale, lease or rent. ~1t: C~, ~~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit I $ 43.00 lJ3 $ 3,00 Owners Signature: 7% State Surcharge 10% Administrative Fee L.{ 1- "),,- '(TO SZbr Inspection Request: 726-3769 TOTAL ' Shared Drive(T:)lBuilding Fonns/Electrical Permit Application 1.Q3.doc . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01557 ISSUED: 12/30/2005 APPLIED: 1110212005 EXPIRES: 06/30/2006 VALUE: $ 2,000.00 c. Status: Issued -iit Wi 225 Fiftb Street, Springfield, OR "j ~ 541-726-3753 Phone " " ~ 541-726-3676 Fax ~ 541-726-3769 Inspection Line , "SITEADDRESS: 3033 GATEWAY ST APT 36 ASSESSOR'S PARCEL NO.: 1703222003600 Springfield TYPE OF Apartment Building TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Fire Damage Owner: 'l" Address: , . i (' KKMH PROPERTIES LLC PO BOX 8099 A TIN MICHAEL HUMMEL PORTLAND OR 97207 Phone Nnmber: 503-810-0630 i'_ ".1" " '. " # of Units: Primary Occnpancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: '') I CONTRACTOR INFORMA:f.IGNI~ leo,\)" ~00 v: \01\'(1. Contractor '000 \a,-.t-I ",e O':E\c,tnse aa'Expiration Date Phone OWNER ~. Ole eO '0'1" IUW~I>." <~,';:)~- s \J'! GLEN A CAMPB~I;;J'~\\~~ a,OO?: \'(1.0s~, \o,\73~9.5,e IU\~"e OS/24/2006 r-' ,...~ no_ - .... , ~.. ,eY" 0 \",r.<BUILDINGINFORMATlONI,e ,\\c'O.\\O, o\~(v! oj":,'2--v:", 0'0"" ~OC~' '\\\'1 ","0\\ \0 OJ>.~euSfui"!.~,:~el. ~ 00 \J\':.._~'gltll,t' Lot Size: R2 (.:i.:I~'i) .~~~~t<or:\\e Ole~'i)\)-';/~ - Sq Ft 1st Floor: c'O.'fYpp,(jf)Heat:,s 'I' Sq Ft 2nd Floor: \)0\ ......H~\ (\,-WaterJYpe: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Patb: Sq Ft Other: Sprinkled n/a Occupant Load: 541-744-0705 " M i ' Contractor Type Vi ,1 General '." " Electrical I, VN i; !' , b, I DEVELOPMENT INFORMATION I Front yard Setback: );'\ SIde 1 Setback: ~,;:" Side 2 Setback: i~/. ~ J " Rearyard Setback: , ' Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Storm Sewer Available: Special Instruction: , "IC~~ 'r. .j~ l' .- IPUBLIC IMPROV,]j'.N~ SW>,\.\. t1-\l~~~~\A\1 \S \W' "~ \l~ ~1t\\~"~\') iO~ ,,\\,\\S ~\t~O U S '~tw'" ' to.Ui\'\~~"C~O ~~~utslDrainS CO\-ll o.Q\')~P~ , t-W( \U '.\'" ~l Notes: , ~~ ! ,I , " r-, \ :, 1 of 3 , . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-01557 ISSUED: 12130/2005 APPLIED: 1110212005 EXPIRES: 06130/2006 VALUE: $ 2,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I > , ..... Description Estimate Type of Construction Estimate $ PerSq 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 12/30/2005 FppsPaifll Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Building Permit Minimum/Adjustment Electrical Amount Paid Date Paid $9.00 $6.30 $43.00 $45.00 $2.00 12/30/05 12/30/05 12/30/05 12/30/05 12/30/05 Receipt Number 1200500000000001871 1200500000000001871 1200500000000001871 1200500000000001871 1200500000000001871 Total Amount $105.30 I Plan Reviews I ;:. To Request an inspection caU 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. I RI'OJlirti~ Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 2 of 3 . . CITY OF SPRINGFIELD ' Building/Combination Permit PERMIT NO: cOM2005-01557 ISSUED: 12/30/2005 APPLIED: 11/02/2005 EXPIRES: 06130/2006 VALUE: $ 2,000.00 Status: Issued 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 certity 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 wiD be made of any structure without permission of the Community Services Division, Building Safety. I further certity 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 win remain on the site ~t al times dU,rin~~truction. ~ J Art I l VJ AA~ I ).. - 2..,C) 0 5- - , o er or Contractors Signature Date '" 3 of 3 . ; f 225 Fifth Street ~,Springfield, Oregon 97477 1;~41-726-3759 Phone i ;\ . ~AO~ Jiiij,ty of Springfield Official Receipt .velopment Services Department Public Works Department ''! .Iii ~!ob/Journal Number (k0M2005-0 1557 i!c'OM2005-0 1557 " , ;. COM2005-0 I 557 t , 'qlM2005-01557 COM2005-0 1557 RECEIPT #: 1200500000000001871 Date: 12/30/2005 8:40:09AM, Description Building Permit Add, Alter, Extend Circ Minimum! Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee Payments: , Type of Payment ,; ~ CreditCard r. ~ Paid By JUDITH CHRISTIANSEN Received By djb Item Total: l.;heck Number Autb.ortzatton Batch Number Number How Received 33654A In Person Payment Total: Amount Due" 45.00." 43.00 . 2.00 6.30 9,00 $105.30 Amount Paid $105.30 $105.30 ":to.: ~. . t'<, )' \ . .. Ii, it ,~.,.;(, . .. " :( ~ ;- i"l. ;\ \ 'r ' . <: ~ :t ; , ~ , I ,'. "' ~", " "- , , ,,' ;1 , Ai it. ,';!~ ~ ty.( !, ^ " " ~. r .. :! ) '(.' n;' ,I , \ " , , ': ~ ;'1 ~' ." i' :{l if '#!o,> ,"'I (. ,. l~ ~ 'I . ,'J: :: :! " . , 12/30/2005 1 of 1