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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