HomeMy WebLinkAboutPermit Building 2008-7-9
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01030
ISSUED' 07/09/2008
APPLIED 07/09/2008
EXPIRES: 01/09/2009
VALUE.
Status
Issued
225 Fifth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 3680 JASPER RD
ASSESSOR'S PARCEL NO 1802061202700
Sprmgfield TVPE OF WORK School
TVPE OF USE
New
PublIc
PROJECT DESCRIPTION Remodel 10 bathroom
Owner SPRINGFIELD SCHOOL DISTRICT 19
Address 525 MILL ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
ElectrIcdl
Contractor
WEILAND ELECTRIC DIVISION, LLC
License
175373
ExpIratIOn Date
04/06/2009
Phone
541-747-7701
BUILDING INFOR,MA TION I
# of UUlts
PrImary Occupancy Group
Secondary Occupancy Group
PrImdry ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of StorIes
Height of Structure
Type of Heat
Water Type
Range Type
Energy Path
SprInkled BUlldmg
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback
Side I Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved DrIve Rqd
% of Lot Coverage
\ ' I(ne \'nll to
.........r-...ITlnM. Oreaon 8'"1" f0r' '- - , , ,
':'irNI:<;(}o- adooted 0" Ille .
I PUBLIC IMPRO\1tll'lt-:_. - ~ l' tcr Tho'o;0 I c1le' 2 r' ",h
I-.!UllllvU\''''''' Cen Lie ,.... ., '\ J __ V.... I ~
In OAR 952-001-5uIew,,1i!/lype, , ~y
Y qtJtaln cop,e' CI ,ilL c_
0090 ou m%r\(gr,\~l?g!'Jsf.Drams.'J ~, c
calling the Oregon Utility .'Ie lI,c"tlon
number for the 1 800-332-234'>)
Center IS -
Total
Handicapped
Compdct
Streetlmprove~ents
Storm Sew". A vadabfe
'Ill'
Spec131 Instructuln RIii:T 51
,.,u II-/G!l12 fALL E ()
Notes fOMMENC:g UNDER T~-IF!E /F THE W
Ny 7 Rn "'\ OR /.~ ^ n, 5 PERI'~/7'.~ ORK
or, t'tRIOD-'"VUUNI:: ..\ '~:.:;
0/ ~ation Descrintion I
Descnptlon
Tvpe of Construchon
$ Per Sq Ft
or multiplier
Squdre Footage
or Bid Amount
Value
Date Calculated
Page I of2
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01030
ISSUED: 07/09/2008
APPLIED. 07/09/2008
EXPIRES: 01/09/2009
VALUE'
225 Fifth Street. Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Totdl Value of Project
Fees PaId .1
Fee DescrIplIon
+ 10% AdmmlstralIve Fee
+ 12% Stdte Surcharge
+ 5% Technology Fee
Add, Alter, Extend CIrC
Add, Alter, Extend Clrc Ea Add
Amount Paid
Date Paid
Receipt Number
$560
$672
$280
$48 00
$800
7/9/08
7/9/08
7/9/08
7/9/08
7/9/08
3200800000000000479
3200800000000000479
3200800000000000479
3200800000000000479
3200800000000000479
Total Amount Paid
$7112
Plan RevIews ,
To Request an mspection call the 24 hour recordmg at 726-3769 AllmspectlOns requested before 7:00
a m. will be made the same workmg day, mspectlOns requested after 7.00 a.m. will be made the followmg
work day.
I Reolll,~ed I"snecti~ns 1
Rough ElectrIC PrIor to Cover
Fmdl ElectrIc When all electrIcal work IS complete
By sIgnature, I state and agree, that I have carefully exammed the completed applIcatIOn and do hereby cerlIfy that all
mformatlOn hereon IS true and correct, and J further certIfy that any and all work performed shall be done 10 accordance with
the Ordmances ot the CIty of SprIngtield dnd the Laws oflhe State of Oregon pertammg to the work descrIbed herem, and
that NO OCCUPANCV Will be made of any structure without permiSSIOn of the Commumty Services DIVISIOn, Bmldmg Safety
I further certify that only contractors and employees who are 10 complIance with ORS 701 005 Will be used on thiS project
I further agree to ensure that all requIred mspecltons are requested at the proper lime, that each address IS readable from the
street, that the permit card IS located at the front of the property, and the approved set of plans will remam on the site at all
times dunng constructIOn.
Owner or Contractors SIgnature
Date
Page 2 of2
City of Sprmgfield
Electrical AuthorizatIOn To Begm Work
E-malled To weJlandbo@msn com
ReceIpt # EC5331i32,
7/9/20081 44 57 PM
~
By Phone
Check on status of permit
(541)726-3753 or Ematl permltcenter@cl sprmgfield or us
TYPE OF WORK
[,
CONTRAfTQR
Fg SCHEDULE~
Descnptlon Qty Fa
ResldentmfSlNGLE- OR multl-famll) dl\e1hng URlt
..ttJC~$ g~~il!ge ::;;:~''',
11,000 sq n or less
I Ea add! 500 sq ft or portIOn
~~I@J~E~rgy :~
Limited energy resldentlal
(\\Ith above sa ft)
Limited energy multifamily
residential (With above sq ft)
I-L,mited energy, commercial
(With above sa n)
I Stand-alone limited energy
resldent13! ..
I Stand-alone limited energy
multi family
I ~tand-a]one limited energy,
commercial
I Servl~es OR feeders mstallatl<!n, al~cru~lon, AND/OR ~IQcaholl
1200 amps or less I I I
I 20 I ampSlo 400 amps I I
140 I ampsto 599 amps I I I
[I E1\1PORAH.Y~e~I~~~ffi!~r:'~t~~~I~ah~~,
AND/OR reloc~tll:~n^2L"'~~~~;~J0'0
I 200 amps or less
120 I amps to 400 amps
140 I amps to 599 amps
1 Branch clrcults-~N~~VJ~a!tc~tion! o!i e~!tcn~lOn; per panel
I A Fee for branch circuits with
service or feeder fee, edch
branch CircUIt
I B Fee for branch CircUIts
without service or feeder fee,
first branch CirCUIt
1 each addl branch ClrCUlt
1 ~hsce}Ia~~lls
I Service reconnect only
I Each manufactured or modular
dwellmg service and/or feeder
I Pump or IrngatlOn Circle
I Sign or outlme Ilghtmg
I Signal Clfcult(S) Of limIted
energy panel alteratIOn or
extensIOn
Total
I D New constructIOn
[K] AddltlOnlalterallonlreplacement
c;!.TEGORY OF CONSTRUS;IION':,"
I D I or 2 family dwelling D MultI-family [KJ Commercial/Industrial
I JOe S[TE INFbRMATION AND LOCATION '
I Job no 08 0068 I Job address 3680 JASPER RD
I City/State/ZIP SPRINGFIELD, OR 97478-6554
I Smte/bldg /apt no
I Project name Spnngfie]d Schoo] upgrad
Cross streeUdlrectlons to Job site
R'
1 ~ubdlvlslOn 1 Lot no
/Tax map/parcel nQ 180206)202700
I DESCRIPTION OF WORK
remodel m bathroom
SITE CONTACT
I NJme 80 Hart
IPhone (54])517 1429
I Emall
IFax (541)7477701
1 EI hc no C277 1 CCB hc no 175373
1 Busmess Name WEILAND ELECTRIC DIVISION LLC
I Contact 80 Hart
IAddres~ PMB 204 5729 MAIN ST
lClty/Stdte/ZIP SPRINGF]ELDOR 974785426
IPhone (541)7477701 IFax (541)7477701
1 Em.ul wellandbo@m~n com
1 Metro hc no I City he no
I SupervISIng eleetncldn's hc no 25605
I SupervISIng electnclan's name JACK L WEILAND
2
$400
$48001
$8001
I
I
I
I
I
I
$4800
not offeft,d onlme at thiS JUrisdictIOn
NOTE ThiS Authonzatlon To Begin Work expires Within 180
days If a permit IS not obtained
I ";z,,ELECTRICAL PERMI1;FEES
I Subtotal I $5600
I State Surcharge (I 2% of penn It fee) $6 72
I CIty OfSpnngfie]d fees'" $840
I TOTAL P~RMIT HE I $71 12
COM' ~m ~~~s 10% Local Admm ree 5% Local lechnology
Upon review and approval by your local JUrisdiction, your
permit Will be e~malled or faxed Within one bUSiness day,
With instructions on how to schedule your inspection
The local bUIlding department may determine that an
AuthOrization To Begin Work IS null and VOId If It does not
meet applicable land use laws and local ordinances
ThiS AuthOrization To
RCPTi#- r <; 2.Jsu s- -'47 Cj
') 'Tr: PROU,~f,L -;: 9---0 r
PRocrssv,"c"'''b
Begin Work ~be oo~f6,,, J71 ;:OIL" u;/II rl3~'ar,;lj by a Permit
225 FIfth Street
SprIngfield, Oregon 97477
541-726-3759 Phone
Wilill
CIty of Sprmgfield Official ReceIpt
Development Services Department
Public Works Department
RECEIPT #.
3200800000000000479
Date. 07/09/2008
2 08 26PM
Job/Journal Number
COM2008-0 I 030
COM2008-0 I 030
COM2008-0 I 030
COM2008-01030
COM2008-0 I 030
Description
Add, Alter, Extend Clre
Add, Alter, Extend Clre Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Payments
Type of Payment
Paid By
Item Total
Check Number AuthOrIzatIOn
Received By Batch Number Number How Received
Amount Due
4800
800
280
672
560
$7112
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
NJM
ONLINE WEILAND Online
Payment Total
$71 12
$71 12
cRecelntl
Page I of I
7/9/2008