HomeMy WebLinkAboutPermit Building 2008-12-3
CITY OF SPRINul'lJ!,LD .
Building/Combination Perin it
PERMIT NO: COM2008-01729
ISSUED: 12/03/2008
APPLIED: 12/0312008
EXPIRES: 06/09/2009
VALUE: $ 2,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6875 IVY ST
ASSESSOR'S PARCEL NO.: 1802022309400
, Springfield TYPE OF WORK: Singte Family Residence
TYPE OF USE: Repair
PROJECT DESCRIPTION: Repair water damaged kitchen, remove bearing wall
Overlay Dist:
# Street Trees Rqd:
, Paved Drive Rqd: OR\{
NOi\Cf.~ % of L~lf~{; lfiH\: W NOT
1\-11S PER~i ~~Inl=l\ THIS PER~2i ~D
f>,Ul~iJ~~RR{j-ri?~1'tmsf' r '
';~~\80 Of>,y pbKIUU. Sidewalk Type:
Downsponts/Drains:
Owner: GARRETT BRIAN KEITH & ALECS
Address: 6875 IVY ST
SPRINGFIELD OR 97478
. I CONTRACTOR INFORMATION I
Contractor License
MCKENZIE TAYLOR 109867
JEM ELECTRIC INC 161235
MO~1jI!f:~I!SElf:R>INGW requires yout.o
DE~~:y",SRENCERJ"'ARRrN~go~ _~~~~...I 76395
NollTlCallOn v~IIl~' " ,. "y. ,~.I~",.,., ~ - =..,: '
in OAR 952_001_cl,,~UI["IlJNPi~I\l!l~ION I
0090 You may obtain caples o1\ne rules oy
# of Units: caliino the center. (l't<!lf6Stlh1le5!>le~hone
Primary Occupancy Group: numb~fer the OregMe;gtilil\f~uti\i~n
Secondary Occupancy Group: Center is 1-8CQ>ilgatai~.
. Primary Constrnction Type VB Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: Energy Path:
Sprinkled Building:
Contractor Type
General
Electrical
Engineer
Plnmbing
Electric
Electric
Electric
No
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
St~eet Improvements:
Storm Sewer Available:
Special Instruction:'
Notes:
Page 1 01"3
Residential
Phone Number: 541-914-2567
Expiration Date
11109/2010
0910712010
Phone
747-5413
541-729-1074
54 I -484-9080
(541) 689-3839
05/29/2009
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occnpant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
-~!il~';I:!~Ir,!!'t~:
ti" ' , ".." ,
. ~ \.
"
."
-'.">"..,.;....., '~,
-.... .':.
, Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amonnt Use Bid Amount
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fixture
MinimnmlAdjustment Plumbing
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amonnt Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01729
ISSUED: 1210312008
APPLIED: 12/03/2008
EXPIRES: 06/09/2009
VALUE: $ 2,000.00
I Valuation Oescrintion .'
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
2,000.00
'Value
Date Calculated
$2,000.00
$2,000.00
12/03/2008
Total Value of Project
Fpps ~
Amount Paid
Date Paid
Receipt Number
$10.40
.$12.48
$5.20
$52.00
$34.00
$18.00
$8.00
$9.60
$4.00
$50.00
$30.00
1213/08
12/3/08
12/3108
1213108
1213108
12/3/08
12/23/08
12/23/08
12/23/08
12/23108
12/23/08
2200800000000001703
2200800000000001703
2200800000000001703
2200800000000001703
2200800000000001703
2200800000000001703
2200800000000001768
2200800000000001768
2200800000000001768
2200800000000001768
2200800000000001768
$233.68
I Plan Reviews I'
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 w'orking day; inspections requested after 7:00 a.m. will be made the following
workday.
I R,&'\U.irpl,ri In~.1rlections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insnlation: Prior to cover.
Final Building: After all required inspections have been' requested and approved and tbe building is complete.
Rough Plumbing: Prior to cover and including reqnired testing.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
Page 2 of 3
CITY OF ~nUj....td'lJ:<.LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-01729
ISSUED: ' 12/03/2008
APPLIED: 12/0312008
EXPIRES: 06/0912009
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Electric: When all electrical work is complete.
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 Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I fnrther agree to ensure that alt reqnired inspections are requestcd 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 wilt remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Page 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
"5f'"~;"~1i' ,"",",
JIr", ,
, '
'.',...',
. ,I
: - /' -'.}
---'.':_",,",,-, ,- '-,
City of Springfield Official Receipt
Development Services Department
Public Works Departinent
Job/Journal Number
COM2008.01729
COM2008-0 1729
COM2008-0 1729
COM2008-0 1729 ,
COM2008-0 1729
Payments:
Type of Payment
CreditCard
cReceint I
RECEIPT #:
2200800000000001768
Date: 12/23/2008
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
JEM ELECTRIC INC
Item Total:
<"::heck Number Auth~rization
Received By Batch Number Number How Received
djb 202227 tn Person
Payment Total:
Page 1 of 1
8:20:35AM
Amount Due
50.00
30.00
4.00
9,60
8,00
$101.60
Amount Paid
$101.60
$101.60
12/23/2008
t: ..
.. ':...GITY OF SPRINGFIELD, OREGON
225 FII<)''' STREI.;'I' . SPRINGFIELD, OR 97477 . PII:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number COvill. 2-0 C ~ - 0/ 7 Z. 'r
SJ:C~~L~
~.
ZON ~
INITlALSllJ' .
DATE rJ--aA '(TO
SOURCE \J[ ~p-
Date
'- I LOCATIONOFINSTALLATION: I
_ b<6l5 :c;/ ",J '11~~ 0" qJ!DO
LEGAL DESCRIPTION: 0 ~
/80Z-0Z-Z:S tCfOO
3. I COMPLETE FEE SCHEDULE BELOW
A, 'I New Residenlial- Single or Multi-Family per dwelling unit,
Service Included
JOB DESCRJPTION:
J'hL~ ?
Clrc.....,: f-c
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$121.00
$ 22.00
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$57.00
Constr. Contr, Number
2. I CONTRACTOR INSTALLA TION ONLY I B. I Services or Feeders - Installation, Alterations or Relocation:
Electrical Contractor ~ 17 LJ..\ r (-<"cL:_.{ 200 Amps or Jess $ 73.00
201 Amps to 400 Amps $ 86.00
Address 3'8'~L-1 _16--'\\Q.cu-- fl.&.. 401 Amps to 600 Amps $143.00
(7 ( ~ 601 itlrwsto 1000 Amps $186.00
:SO\-- C Phone r;lJf/:-rA(J quil:M~OI~ AmpslVolts $426.00
I ATTENT I. dopted bV t e Ore~'Sgpll9l1l\)nIY $ 57.00
follOW Wc1es a tel. Those lu~e~;~.952,On1.
Supervisor License Numb,o.lOlit\C;.~r,Q~Qo..~ 0 thlou9 o\.tt\e~I:IIl\\!o\Wry Services or Fecders
in l)/,f\ ,,- ma';t <3\(ta\n "uP\:~he telephOne
Expiration Date r/C(!j', ~nA ~l. lNotueiili,,, ~lia~, Alteration or Relocation
"ullr.:C' h UI"'dv.1 ., .....'"
,,,mper tOI t e s 1-800-332-23"""v Amps or less .
l'h( 1~~ 201 Amps to 400 Amps
401 Amps to 600 Amps
City
New Alteration or Extension Per Panel
I -<0
One Circuit $ 50.00 J
Each Additional Circuit or with / ? c)
-.::> r A. on __ I L Service or Feeder Pennl...~ en $ 5.00 j
Name I l> j ,4-,# b- J' -...... err \,\~~\Jl'
A ess b (?75 Tvy 'Sf- E. I ~~~~';\I\"~t..~9~eeder not included) -Each Installation I
V.-..... ' n,1\(,~ S\'\~\.\; ~S \,t.\l\ il.)l'
<;',1- J..) Phone ~\J "S-\l.\.1It\ ~1.)~Vm~ ~W 1 $ 57.00
'n"'''' ~()\,-\1t.1.) U()\'-~~~ In;e-Lighting 12 $ 57.00
OWNER INSTALLATION P-U\\.1I\'J\t.~Ct.tl ?t.\\~ EnergylResidential $ 29.00
The installation is being made on property I &.,I;\~I>j~ tlt>-i Limited Energy/Commercial $ 52.00
IS not ,"tended for sale, lease or rent. P-~ Minimum Electric Permit Inspection Fee is $52.00 + Surcharges
Owners Signature: 4.1 8UllT01"AL OFABOYE ' [(0
'jbO
~
C{
/O(bO
q- 7- 10
$ 57.00
$ 79.00
$114.00
Over 600 Amps or 1000 Volts see "B" above.
D. I Branch Circuits
City
12% State Surcharge
10% Administrative Fee.
5% Technology Fee
Inspection Request: 726-3769
TOTAL
Shared Drivc{T)/Building FonnslElectrical Pennil Application 7-08.doc