HomeMy WebLinkAboutPermit Electrical 2008-10-30 (2)
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Status
Issued
CITY OF SPRINGFIELD-
Building/Combination Permit
PERMIT NO: cOM2008-01597
ISSUED: 10/30/2008
APPLIED: 10/29/2008
EXPIRES: 05/12/2009
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1007 W N ST
ASSESSOR'S PARCEL NO.: 170327340]200
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE:. Alteration
Residential
PROJECT DESCRIPTION: Service change and over all update
Owner:
Address:
FREMONT INVESTMENT & LOAN
616 FIRST AVE 500
SEATTLE WA 98104
I CONTRA~TOR ]NFORMA T10N ,I
Contractor Type
Electrical
Plumbing
Contractor
ANTONE ELECTRIC INC
PRICE RITE ROOTER & PLUMBING
License
14543~
159330
Expiration Date
04/23/2009
03/30/2010
Phone
541-689-4560
541-221-3212
,BUILDING INFOR~ATlONI
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strnctu re
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
SqFt 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Str.eet Trees Rqd:
Pav€d'DriveRqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped: '
Compact,:
Notes:
NOTICE:
. THIS PERMIT SHAll
AUTHORIZED UNDER ~~;~RE IF THE WORK
COMMENCED DR IS ABAN PERMIT IS NOT
ANY 180 DAY PER/DO. DONED FOR
IT:;-",... .., uroqol'l .
I PUBLIC IMPRoMJtMEN;r,S'I~ ".' '. R'I: rc~:.,;r't '"'t.::>
adopted by lnG Ul equll t.Jdll1Y
!'OllTlcatlon Cente'Sidewalk'Type:tre set forth
111 OAR 952-001-0010 throuoh n4R qr-2-0
0090. You may obDownspoutsmrlains" 01-
. 1(;111 l"vUfJlb'::i OT [ le ru es by
. calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center IS 1-800-332-2344).
/'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Page 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I y aluati?~ Descriotion ,I,
Descriotion
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
, Total Value or Project
I I<'pp<, pg;.-! .
r/l-~
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-01597
ISSUED: 10/30/2008
APPLIED: 10/2912008
EXPIRES: 05/1212009
VALUE:
Value
Date Calculated
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $11.30 10/30/08 2200800000000001572
+ 12% State Surcharge $13.56 10/30/08 2200800000000001572
+ 5% Technology Fee $5.65: 10/30/08 2200800000000001572
Add, Alter, Extend Circ Ea Add $40.00 10/30/08 2200800000000001572
Perm ServlFdr 200 amps or less $73.00 10/30/08 2200800000000001572
-Mechanical Issuance Fee- $21.00 11/14/08 2200800000000001647
+ 10% Administrative Fee $10.30 11114/08 2200800000000001647
+ 12% State Surcharge $12.36 11114/08 2200800000000001647
+ 5% Technology Fee $5.15 11/14/08 2200800000000001647
Fixture $51.00 11/14/08 2200800000000001647
Minimum/Adjustment Mechanical $44.00 11114/08 2200800000000001647
Vent Fan $8.00 11/14/08 2200800000000001647
Total Amount Paid $295.32
I Plan Reviews 1
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 working day, inspections requested after 7:00 a.m. will be made the following
work day.
~e(]liirecUnsnections I
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Page 2 013
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPkll~hHI!,LD'
Building/Combination Permit
PERMIT NO: cOM2008-01597
ISSUED: 10/3012008
APPLIED: 10/29/2008
EXPIRES: 05/12/2009
VALUE:
By signature, I state and agj'ee, 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 aud 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 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.
~-. OA ' ----L.
. '-.'-.A~" ZU/V'l.l PA
.....~
Owner or Contractors Signature
---
Page 3 01.3
/(- / y,()~
Date
City of Springfield Official Receipt
, Development Services Department
Public Works Department
225 -Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1597
COM2008-0 1597
COM2008-0 1597
COM2008-0 1597
COM2008-0 1597
COM2008-0l597
COM2008-0 1597
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200800000000001647
Date: 11/14/2008
,
3:13:38PM
Description
Fixture
Vent Fan
Minimum/Adjustment Mechanical
'~Mechai1ical Issuance Fee~
+ 5% Technology Fee
+ 12%'State Surcharge
+ 10% Administrative Fee
Amount Due
51.00
8.00
44.00
21.00
5,15
12,36
10.30
$151.81
Paid By
GINTER ENTERPRISES
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
In Person
Payment Total:
$151.81
$151.81
1167
,
Page 1 of I
11/14/2008