HomeMy WebLinkAboutPermit Plumbing 2008-9-4 (2)
i,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726.3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 433 W N ST
ASSESSOR'S PARCEL NO.: 1703274409500
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01334
ISSUED: 09/04/2008
APPLIED: 09/04/2008
. EXPIRES: 05/05/2009
VALUE:
,
Springfield TYPE,OF WORK: Plumbing Only
, TYPE OF USE: Repair
PROJECT DESCRIPTION: Re vent existing,plumbing system - extend 13 circuits
Owner: BERGLUND FAMILY TRUST
Address: 1311 G ST
SPRINGFIELD OR 97477
Residential
I CONTRACTOR~NFORMATlON I
Contractor Type
Electrical
Plumhing
Contractor
DOUG PALMER ELECTRIC LLC
OWNER
License
181465
Expiration Date
04/1412010
Phone
541-434-5600
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VB
,BUILDING INFORMATION)
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
~ DEVELOPMENTlNFO~MA TION J
Frontyard Setback: .
Side I Setback:
Side 2 Sethack:
Rearyard Sethack:
Solar Sethacks:
\~\V ~
\\t~
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPRO~EMENTS I
Street Implflfflij1I'ei!:
Storm sewl.H\..'V:JilliI'lMIT SHAll EXPIRE IF THE WO
Specmllns/WGl;I0RIZED UNDER THIS PE . RK
C RMIT IS NOT
Notes: OMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Sidewalk Type:
Arrt?lffr~W.'tWJlfa,i,'YIiw requIres you 10
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center Is 1-800-332-2344).
Pa2e I of 3
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amoun,t
Type of Construction
Total Value of Project
fm Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$11.90
$14,28
$5,95
$119,00
$11.00
$13.20
$5.50
$50.00
$60,00
9/4/08
9/4/08
9/4/08
9/4/08
1115108
1115108
1115/08
1115/08
1115/08
Total Amount Paid
$290,83
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01334
ISSUED: 09/04/2008
APPLIED: 09/04/2008.
EXPIRES: 05/05/2009
VALUE:
Value
Date Calculated
Receipt Number
3200800000000000622
3200800000000000622
3200800000000000622
3200800000000000622
1200800000000001108
1200800000000001108
1200800000000001108
1200800000000001108
12~0800000000001108
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 wl!rking day, inspections requested after 7:00 a.m. will be made the following
work day. .
I Rellll;.'eclTnsnections I
Rough Plumbing: Prior to cover and including required testing,
Final Plumhing: When all plumhing work is complete,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Paee 2 01'3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
LI1 i' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01334
ISSUED: 09/04/2008
APPLIED: 09/04/2008
EXPIRES: 05/05/2009
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, alld
that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, BuildingSafety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agn;e to ensure that all required inspections are requested at the proper time, that each address is readahle from the
street, that the permit card is located at the front of the property, and theapproyed set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Paee 3 of3
Date
r
, .
C.ity of Springfield
Electrical Authorization To Begin Work
E.m.iled To: JULIE-DPE@COMCAST,NET
Receipt # EC541349
\1/5/20087:28:54 AM
Check on status of.permit
By Phone: (541)726-3753 or Em.il: permitcellter@ci.springfield.or.us
I 0 New construction
[K] Addition/alteration/replacement
I [K] 1 or 2 family dwelling
o Multi.family . 0 Commercial/Industrial
IJobno.: l.Jobaddress: 433 WNST
ICity/StateJZIP: SPRINGFIELD, OR 97477-2961
I Suite/bldg./apt.no.:
I Project name:
Cross strcct/di~cctions to job site:
!Subdivision:
I Tax mnp/parcel no.: 1703274409500
I Lot no.:
I I - Limited energy,
'1 (with abovesq,fU
I-Limited energy, multifamily
I residential (with above sq. ft,)
I I-Limited energy, commercia']
(with abovesQ, [1.)
I - ~l~nd.-a]one limited energy,
resIdentIal
I - Stand-alone limited energy,
multi-family
~ Sli\nd-~]one .limited energy. I I
commerCIal
~~Jg~~~e.t~~J~~~[~,'.i~:t~iI~!'ii~'f3f~~,r~~6}':i~ql~1!5e'i~lC~E1,
1 200 amps or less I
120] amps to 400 amps I
1 40] amps ,to 599 amps I
extend ]3 circuits
IName: ju]ie ford'
IPhone:
IEmail:
IF."
1 200 amps or less
)201 amps to 400 amps
1 40 I amps to 599 amps
1~~~:~~-~jt~~~iyt[urm~~!t2,~~:~~~"~~~!p~,t:~~-Ii,~)~
I A. Fee for branch circuits with I
service or feeder fee, each
branch circuit.
B. Fee for branch circuits $50.00 $50.00
wJtho~eregl n law ulres to
fi"t~IIElepte ..
m'ti ~.r.tp.r n-~M.\f 'll'\r~~ 0 00
~ilfirOAR'952lOO1;.qo1ifiIYY0iJ.a~dAir9521OO1;>~~~'
Sert9!il&vnlVwmIlY obt ,copies ~ the rul~s by I
Eooh.Hf1 <the <eeRIer. (Note: t e Ieleph nil
dwell" ' , d . .
I
,1<;"";;/
,.'-:':':.~<,
I
IEI-lie.no,: C263 ICCBlic, no.: 181465
I Business Nllme~ --.!?.O_U.,Q PALMER ELECTR1C LLC
I Contoet: JIlUlI t&lld::
[Add,ess: ] IeW I&,f?ffiMII ~ALL txt'ltll: IF THe WOr.~
IcitY/St"te/~M1tlOOllW9W:IIUl:tlIMIi) rERMIT IS NO.
IPhon" (5400MMENGED UK l::i A~tfIllll.I~M2r~
I Emu;!: JU]AMfEti9>rlilA'tmifi{IUU.
I Metro lie. no.:
I Supervising electrician's lie. no.: 2742S
I Supervi~ing electrieiim's name: DOUGLAS G PALMER
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
I
I
:'h".;.~".1
~..~;!t:
Subtotal I $]]0,00 I
State Surcharge (12% ofpcnnit fee) $13.20 I
City Of Springfield fees'" I $] 6.50 I
I TOTAL P.:RMIT FEE $]39.70 I
'" City Of Springfield fees: I 0% Administration Fee; 5% Technology Fee
eUYYlt9Do5 - 0I33Y
1\t \ 2COB - \l Cf::,
i \\'5\D~
, K-:Qeeder
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
I City lie. no.:
Pump or IITlgatl
I Sign or outline lighting
Signa] circuit(s) or limited-
energy punel, ulteration, or
extension.
NOTE: This Authorization To Begin Work expires within 180
days 'if a permit is not obtained.
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.
225 Fifth Street
Spriugfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1334
COM2008-0 1334
COM2008.0 1334
COM2008-01334
COM2008-01334
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000001108
Date: 11/05/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE DOUG Online
PALMER
ELECTRIC
Payment Total:
Page I of 1
8:41:33AM
Amount Due
50.00
60.00
5.50
13.20
11.00
$139,70
Amount Paid
$139.70
$139.70
11/5/2008