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Home My WebLink AboutPermit Miscellaneous 2008-7-7 .' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 I I LOCATION OlUNSTALLATION:" 3 'Zl{l{\ - C-rcv~~~r~l(:f"" }fL LEGAL DESCRIPTION /7032333 A I New 1!~lde,ntt';l- Sil1ile,or Multt:Iiamdy per d';;ellmg ~D1t <!:> '7 b 0 C> ServIce Included 200 Amps or less 20 I ;\\nlPs 10 400 Amps o.\l\\~r-\\'l600 Amps ,,,~0-'l'l \~ O\e~t ~l~b'IOOO Amps Phone _.' O\e~ '01 \'\\\lW:a.~lliR~psNolts ~~~'- "VI:;,,;e \l~'(I ~~b<'JhIY ~~~~ .<.~s e~\e\ \()\'(I\O ,e';o \eW? 0-\\o~ ~\o <;j(I \.()() co? \'(I~nl$(.'t'f!-T--' -c-,- -, - SupefYlsor License Number \0 JJi ~ ~.()() _ ,,'O\0-\~ ~O\~i.\\\\'!-J~~Ii'_ry}e~ces or l'eeders; , ~O\l ~\l.~e~\e\' e~o~ ~~?/i'5 l). t) \'(Ie _ .ne O\:o()()' 'InstallatIOn, AlteratIOn or RelocatIOn c0l ~'Oe\ W~~\e\ \" 200 Amps or less $ 5 5 00 '(\~ C 201 Amps to 400 Amps $ 76 00 " 401 Amps to 600 Amps $110 00 Over6~~mP':.?L!2.0l2. Volt~,S"-"-"B"~~ D ' Branch CIrCUItS, ':.... -\~l~ 1~r \Q. ~e \- _ ~tttteratt~~w~)Jif~I\'~~,,~\\ ~(h-'\ ~~\:.\\ ~'$l~\j~ $ 48 00 Owners Name ~'-1-Q~ LMV\eU \~:~~~~~~_~llh ___u~_$ 400 57~ Address Z'4Lf c;:r E,i-J-vO ~ a...) -e.-- \ E ~~m~ueous (Serv~';,~lf:e~~r.ns!_~ncluded);-Each InstallatIOn, City ~r \ n~Re.ld Phonl?'f)t5-,g~S771 PumporlIT1gaoon $ 55 00 J SIgn/Outlme Llghtmg $ 55 00 LlInIted Energy/ResldentJal $ 28 00 Limited Energy/CommercIal $ 50 00 Mm~,:,um EI~ctnc~erlll;tI~'T.::.~tl~~ Fe~ IS ~~ Surcharges 4 I Sr,mTOTALOF~()_l'1i:-- n" T' :?Z 12% State Surcharge .f l!JY 10% Admmlstratlve Fe\, ~ ;rc-'P 5% Technology Fe~.lt! +.\.-.\ I ~ TOTAL 'f\' ~p ~ l.( 0 !!.L- Shared Dnve(T )/BUlldmg Forms/Electncal Penmt ApplicatIOn 1-08 doc JOB DESCRIPTION l $' A-cld, ~.--). c, ,.. c.....\,., ~ PermIts are non-transferable and expIre ,f work IS not started wlthm 180 days of Issuance or If work IS Suspended for 180 days 2 fCONTRAq~R !NSTAL~!:i01rO~J Electncal Contractor Address CIty ExprratlOn Date Constr Contr Number Explfaoon Date SIgnature of Supervlsmg ElectrICian OWNER INST ALLA nON The mstallatlOn I emg made on property I own which :,nr;: fi: ale, lease\or rent ~~ CL~ \ - InspectIOn Request 726-3769 1000 sq It or less Each addloonal 500 sq It or portIOn thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder $11700 $2100 $55 00 B --;::< ~.. ".,....... .'i~ ~~-r .~y~ _~,,~~~ 4~ """~ ~ Sent_res oi:Feede'rS_'c InstallatlOn;:A!t~r.atlons 0; RelocatIOn _ Lid,"" ~~.::;;~ ".-.- " ~~~~~__~~ ';;"k/" -7_~,,- ",_!;--2",t;~t-. $ 70 00 $ 83 00 $13800 $18000 $41300 $ 55 00 -Wi.~ Status use IDltIals CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01406 ISSUED 09/13/2007 APPLIED. 09/1312007 EXPIRES: 10/08/2008 VALUE 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 2445 GROVEDALE DR ASSESSOR'S PARCEL NO 1703233309600 SprIugfield TYPE OF WORK Smgle FamIly ReSidence TYPE OF USE Repair ReSIdentIal PROJECT DESCRIPTION Replace gas furnace aud water heater Owner RYAN CARNEY Address 2445 GROVEDALE DR SPRINGFIELD OR 97477 Phone Number 541-953-8771 I CONTRACTORIN~?RMATlON I Contractor OWNER JUNG ENTERPRISES INC eU \@ OWNER " ~'-_ 'M,'tf~~~I:~~~ 1\\I\\~t ,,-cNT\ON: Od:"'~p~B'I'IItnlNG~- RMA TlON I "I ,.. 's e: ...y\. r If . I \. t I I 110'11 ru,e \at i u~... 01'. ,,'-'~ 0 , # of U IlIts :'ot\iice.tlon Ca~.oO~O \\'II9P~!l\rtle~ luWi ~V PrImary Occupancy Gro1lifO~ 95~~ obtaIn CqJ>~i~~~cSt~!iftR!jf1 Secondary Occupancy Gr'CQ90. '(oU m centat. tl'l'f~1~,o! H~~'i 9r>. " PrImary ConstructIOn Type callIng \~t\'le Otago _~~r21'Yp~ Secoudary ConstructIOn TY~Umbef cen\et Is \-80 ange Type # of Bedrooms Euergy Path SprIukled Bmldmg Contractor Type ElectrIcal MechaDlcal Plnmbmg License ExpIratIon Date Phone 102455 11/1712008 541-741-0002 Lot SIZe Sq Ft 1st Floor Sq Ft 2ud Floor Sq Ft Basement Sq Ft Gal age/Carport Sq Ft Other Occupant Load n/a I DEVELOPMENTlNFORMATlON I REQUIRED PARKING Frontyard Setback SIde I Setback SIde 2 Setback Rearya. d Setback Solar Setbacks Overlay Dlst Total # Street Trees Rqd Hand.cap~~'/. Paved DrIve Rqd CP.rARllCo6'llU % of Lot Cover age ~\?~ '" ~~ \~ ~\j1 \\\O~\~~~,~11 ~~~:~? .t\,,~$ \'~_c;n iO\\ I PUBLIC IMPROVEME~;~\'.\7.t.\l \l~ \$ ~\)~~~ ~O\'J\Wlt.'$l\5f~~~~~ f','$l'l "CO\) Bownspouts/Drams Street Improvements Storm Sewer Available Spec13llnstructlOn Notes Page I of3 -ii.~ Status use mltials 225 F,fth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlDe DescrIptIon Tvpe of ConstructlOu Fee DescriptIOn -MechaUlcallssuauce Fee- + 10% AdmlUlstratIve Fee + 5% Techuology Fee + 8% State Surcharge Add, Alter, Exlend c.rc Add, Alter, Extend c.rc Ea Add ApplIance Vent Fixture Fnrnace - up to 100,000 btu Gas Outlets 1-4 Mmlmum/Adjustment MechJUlcal MIUlmum/Adjustment PlumblDg + 10% AdmlDlstratIve Fee + 12% State Surcharge + 5% Technology Fee Fixture + 10% AdmlDlstratlVe Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Clrc Ea Add Total Amount PaId I ValuatIon DescrlDtI~,n I $ Per Sq Ft or multIplIer Square Footage or BId Amouut CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01406 ISSUED 09/13/2007 APPLIED. 09/13/2007 EXPIRES: 10/08/2008 VALUE: Value Date Calculated Total Value of Project I/f'''<, P.irl .1 Amount PJld Date PaId ReceIpt Number 1200700000000001192 1200700000000001192 1200700000000001192 1200700000000001192 1200700000000001192 1200700000000001192 1200700000000001192 1200700000000001192 1200700000000001192 1200700000000001192 1200700000000001192 1200700000000001192 2200800000000000411 2200800000000000411 2200800000000000411 2200800000000000411 1200800000000000741 1200800000000000741 1200800000000000741 1200800000000000741 To Request an mspectIOn call the 24 hour recordmg at 726-3769 All mspectIons requested before 7'00 a m will be made the same workmg day, inspectIOns requested after 7 00 a m WIll be made the followmg work day $20 00 $1520 $760 $12 16 $48 00 $400 $1400 $1600 $1400 $500 $1700 $34 00 $320 $384 $160 $32 00 $320 $384 $160 $32 00 9/13/07 9/13/07 9/13/07 9/13/07 9/13/07 9/13/07 9/13/07 9/13/07 9/13/07 9/13/07 9/13/07 9/13/07 4/4/08 4/4/08 4/4/08 4/4/08 717108 717108 717108 717108 $288 24 Plan RevIews I IRf'll~ Rough Plumbmg PrIor to cover and mcludmg reqUIred testmg Paee 2 of3 -${~~Q.~ &iii III: : . CITY OJ:< ~rKINGFIELD. Building/Combination Permit Status use imhals PERMIT NO: COM2007-01406 ISSUED: 09/1312007 APPLIED: 09/1312007 EXPIRES: 10/08/2008 VALUE: 225 FIfth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Fmal Plumbmg When all plumbmg work IS complete Rough Gas After lIne IS mstalled and reqUIred testmg aud capped If not attached to au applIance Rough Mechamcal PrIor to Cover Fmdl Mechamcal When all mechamcal work IS complete Rough ElectrIc PrIor to Cover Fmal ElectrIc When all electrIcal work IS complete By signature, I state and agree, that I have carefully exammed the completed applIcatIOn aud do hereby certIfy that all mformatlOu hereou IS true and correct, and I further certIfy thaI any and all work performed shall be done m accordance With the Ordinances of the CIty of Sprmgfield and the Laws 01 the State of Oregon pertammg to the work deSCrIbed herem, aud that NO OCCUPANCY WIll be made of any structure WIthout permissIOn of the Commumty Services DIVISIOn, Buddmg Safety I further certIfy that ouly contractors and employees who al e 10 complIauce WIth ORS 701 005 WIll be used on thIS project I further agree to nsure that all reqUIred mspectJOns are requested at the proper tIme, that each address IS readable from the street, that the pe It cdrd IS located at the front of the property, aud the approved set of plans wIll remam ou the sIte at all 'ill' m'::~;~\ 7-7uh Date Page 3 of3 225 FIfth Street Sprmgfi'CId, Oregon 97477 541-726-3759 Phone ~ CIty of Sprmgfield OffiCIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2007-0 1406 COM2007-01406 COM2007-01406 COM2007-01406 Payments Type of Payment Cash Change Job/Journal Number COM2007-01406 COM2007-01406 COM2007-0l406 COM2007-01406 Payments Type of Paymeot Cash Change cReccltltl RECEIPT #. Date: 07/07/2008 1200800000000000741 Description Add, Alter, Extend CIrC Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmInistrative Fee PaId By RYAN CARNEY RYAN CARNEY Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received dJ b In Person dJ b In Person Payment Total Description Add, Alter, Extend CIrC Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmInistrative Fee PaId By RYAN CARNEY RYAN CARNEY Item Total Check Number Authorization Received By Batch Number Number How Received dJb In Person dJb In Person Payment Total Page I of I 11 39 02AM Amount Due 3200 160 384 320 $4U 64 Amount Paid $50 00 ($936) $40 64 Amount Due 3200 160 384 320 $40 64 Amount Paid $50 00 ($936) $4U 64 71712008