HomeMy WebLinkAboutPermit Building 2006-09-22Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2006-01216ISSUED: 0912212006
APPLIED: 09/2012006
EXPIRES: 0410512007
VALUE:
SITE ADDRESS: 929 l8TH ST
ASSESSOR'S PARCEL NO.: 1703362107700
PROJECT DESCRIPTION: Kitchen Remodel
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Remodel Residential
0wner:
Address:
Contractor Type
General
Electrical
TURNER CLYDE F & PAULINE C
929 I8TH ST
SPRINGFIELD OR 97477
Contractor
H ENIG ES COn.STRUCTION LLC
Expiration Date
02n3t2008
law requ0ftb!il0ttr
License
r 68529
Phone
541-988-9032
541-344-4928
541-744-0700
CONTRACTOR INFORMATION
Plumbin
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
LIVEWIRE ELECTRIC INC
KEVIN LEE KIKER ATTENTION
Energy Path:
Sprinkled Building
R-3
VN
Those rules are set
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
L EXPIRE lE{trH&d[ffiBK
R THIS PEffiMrrcfl()T
i ABANDONED F()R
N()TICE:
ffij:l iJ:f,r64s. ee n M rT s HALI
Paved Drive ffITHORIZED UNDErohof Lotcov$@ffigNcED 0R ls
nla
ANY 180 DAY PE
Sidewalk Type:
Downspouts/Drains:
DEVELOPM ENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Pase I of3
#of You
Type for the Otegon
Water Centerh 1
Range Type:Ft Garage/Carport
F
Status Issued
225 Fifth Street, Springfield, OR
541-126-3153 Phone
541-726-3616 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01216ISSUED: 0912212006
APPLIED: 0912012006
EXPIRES: 0410512007
VALUE:
Description Tvpe of Construction
Fee Description
+ l0oh Administrative Fee
+ 57, Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87, State Surcharge
Fixtu re
Min imu m/Adj ustment Plumbing
Total Amount Paid
Total Value of Project
Date Paid
9t22t06
9t22t06
9t22t06
9t22t06
9t22t06
l 0/5/06
r0/s/06
t0t5t06
l0/5/06
l0/5/06
Value Date Calculated
Receipt Number
2200600000000001 329
2200600000000001 329
2200600000000001 329
2200600000000001 329
2200600000000001329
I 20060000000000 l 490
l 20060000000000r 490
l 20060000000000r 490
I 200600000000001 490
l 200600000000001 490
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$s.20
$2.60
$4.r 6
$43.00
$9.00
$4.50
$2.25
$3.60
$r4.00
$31.00
$lr9.3r
F peq Pcid
Plan Reviews
To Request an inspection call the24 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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Reorrired Insnecf
Paee 2 of3
Valuation Description I
SFXI'l.l{BPlGLe
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01216ISSUED: 0912212006
APPLIED: 0912012006
EXPIRES: 04/0512007
VALUE:
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 Safefy.
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.
6 *
"
r, o, L o nr', u"y*6rrn a t u re Date
Page 3 of3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Ct'., of Springfield Official Receipt
' elopment Services Department
Public Works Department
RECEIPT #: 1200600000000001490 Date: 10/05/2006 e:45:2lAM
Job/Journal Number
coM2006-0 t2 l6
coM2006-0 t2 | 6
coM2006-0 r2 r6
coM2006-0 t2 t6
coM2006-01216
Description
+ 8olo State Surcharge
+ l\Yo Administrative Fee
+ 5% Technology Fee
Fixture
Minimum/Adjustment P lumbing
Amount Due
3.60
4.50
2.25
r4.00
3 r.00
Item Total:$55.35
Payments:
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
CreditCard RICHARD HENIGES djb 036814 In Person
Payment Total:
$55.3 5
-ffi
cReceint I Page I of I 101s12006
atilrllfi.LD
d.Z
225 FIFTH STREET o SPRINGFIELD, OR 97477 o PH:(541)726-3753 o FAX: (541)72G3689
BLECTRICP PERMIT APPLICAION
Ciry Job Date
s F,&t lld{3
I L,O CATI O N OiT ffS?HI I,ATI ON 3. COMPLETE FEE SCIIEDULE BELOW
lrA. New Residential - Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof.
Each Manufac,'JY0id th '
Modular Dweuiqf;gvFtnfu,/ I
AU
SIrt{++Xp
LEGAL DESCRIPTION 10
JOB DESCRIPTION
Kt rcfu /lLnalel
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
$106.00
$ 19.00
Feeder rfitoiPr
)
City
B.
E.
Elecrical conou.,o, LIEWIRE ELECTRIC, lNC.ffi
Address EUGENE, OR 97440
.z??r?8Phone
Supervisor License Number 431'rr-
Expiration Date -o
Constr. Contr. Number
Expiration Date
Signature of
Owners Name
Address lrtyn t- /a rttS*rZ-
City .e f.,0 r!__pnon" 1?7 " 5? t Z
ANY
200 Amps or lBO DAY P 8R,00_less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsA/olts
Reconnect Only
New Alteration or Extension Per Panel
$ 63.00
s 75.00
$12s.00
s 163 .00
s375.00
$ s0.00
I
3
$ 43.00
$ 3.00
$ s0.00
$ 50.00
$ 2s.00
s 4s.00
Fee is $45.00 * Surcharges
FOR
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
One Circuit
Each Additional Circuit or with
Serv'ice or Feeder Permit
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Comrnercial
Minimum Electric
8% State Sucharge
l0% Administrative Fee
TOTAL
(/d __llgt
5 ,Lo
/ 1,3 [^
q 3lo
?,&
Shared Drive(T:/Building FormVElectrical Permit Application l -06.doc
Inspection Request: 726-37 69
(/s-?c
C.
200 Amps
201 Amps to
401 Amps to
//:
Over 600 Amps or 1000 Volts see
Branch CircuitsD.
Ll,lb
Ci& of Springfield Official ReceiPt
f, lopment Services Department
Public Works Department
225 Fifth Street
Springfieid, Oregon 97 477
541-726-3't59 Phone
RECEIPT #: 2200600000000001329 Date: 0912212006 8:23:35AM
Job/Journal Number
coM2006-0r2r6
coM2006-0 r 216
coM2006-012 l6
coM2006-0 t 216
coM2006-0 r2 r 6
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8%o State Surcharge
+ l0o/o Administrative Fee
Amount Due
43.00
9,00
2.60
4.16
5.20
Item Total:$63.96
Payments:
Type of Payment Paid Bv
rc
Received By Batch Number
Authorization
Number How Received Amount Paid
Check
u^heck
LIVEWIRE ELECTRIC, INC
LIVEWIRE ELECTRIC. INC
njm
nJm
I 0868
I 0878
In Person
ln Person
Payment Total:
$6 r .36
$2.60
$63.96
Job/Journal Number
coM2006-01216
coM2006-0 t2 I 6
coM2006-01216
coM2006-0 t 2 l6
coM2006-01216
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5olo Technology Fee
+ 8% State Surcharge
+ 10%o Administrative Fee
Amount Due
43.00
9.00
2.60
4.16
5.20
Item Total:$63.96
Payments:
l'ype of Payment Paid By Received By
Check Number
Batch Number
ffi
Number How Received Amount Paid
Check
Check
LIVEWIRE ELECTRIC, INC
LIVEWIRE ELECTRIC, INC
njm
nJm
I 0868
I 0878
ln Person
In Person
Payment Total:
s6l .36
$2.60
$63.96
cReceint I Page I of I 9t22t2006
Building/Combination Permit
Status Issued
225 Fifrh Street, Springfield, oR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2006-01216ISSUED: 0912212006
APPLIEDz 0912012006
EXPIRES: 0312212007
VALUE:
SITE ADDRESS: 929 l8TH ST
ASSESSOR'SPARCELNO.: 1703362107700
PROJECT DESCRIPTION: Kitchen Remodel
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Remodel Residential
r{0]'tcE:
Owner:
Add ress:
Contractor Type
Electrical
TURNER CLYDE F & PAULINE C
929 I8TH ST
SPRINGFIELD OR 97477
D UNDER THIS PERMIT I
AUTHORIZE
S NOTCOMMENCEDOR IS ABANDONED FOR
Contractor
LIVEWIRE ELECTRIC INC
License
56697
Expiration Date
05/l 6/2008
Phone
54t-344-4928
CONTRACTOR INFORMATION
BUILDTN(
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms;
# of Stories:
Height of Structu
Type of Heat;
rd
fol,low rulee
i'IENI tot\:
Water Type:N otification Center.
Range Type:In OAR 952-001 -00,
Energy Path: 0090 You m obtaSprin kled Buildin9:6lllpg
is 1-8
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
R-3
VN
r:
Total:
Handicapped:
Compact:
you
Utiliry
TU
1
G
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Sidewalk Type:
Downspouts/Drains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid AmountDescription Type of Construction
Page I of2
Value Date Calculated
t
h-
Valuation Description I
SPRIN
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 I nspection Line
PERMIT NO: COM2006-01216ISSUED: 0912212006
APPLIED: 0912012006EXPIRES: 0312212007
VALUE:
Fee Description
+ l0' Administrative Fee
+ 57u Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
9t22106
9t22t06
9122t06
9t22t06
9t22t06
Receipt Number
2200600000000001329
2200600000000001329
220060000000000 1329
2200600000000001 329
2200600000000001 329
$5.20
$2.60
$4.16
$43.00
$9.00
$63.96
Plan Reviews
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Reouired Insnect
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
inlbrmation 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 I'urther 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 du ring construction.
Owner or Contractors Signature
Paee 2 of 2
Date
Fees r,lrfl I