HomeMy WebLinkAboutPermit Miscellaneous 2008-12-3 (2)
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-0I729
ISSUED: 12/03/2008
APPLIED: 12/03/2008
EXPIRES: 06/30/2009
VALUE: $ 2,000.00
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: Single Family Residence
TYPE OF USE: Repair
PROJECT DESCRIPTION: Repair water damaged kitchen, remove bearing wall
Owner: GARRETT BRIAN KEITH & ALECS
Address: 6875 IVY ST '
SPRINGFIELD OR 97478
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Contractor Type
General '
Electrical
Engineer
Plumbing
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION I
Contractor, License
nUJ;fI/"fl
MCKJil~G!1r7:j\~ORegon / 109867
JEMI>El!;!'!fal'~Ie:IN0Pted b:~ reqUires yau tJ6p35
MORfDER~~f:t'lEIYRI~mse e Oregan Uti/it
DE~~SI'fEI'Ig;ji iI~~fX9f'Q~ are set {nrf.J6395
n~;;;~ng the ce~1lIL"Im. i&~Q.~Krr8N I
er far the (J" . .,-\ U'e leI ! L}
Ce t . regCJ[l~'/i' ephan
n er IS I-aOO_? 1:ltllYiH"tificatiae
R-3 He. ~'8l:);ucturen
Type of Heat:
Water _Type:
Range Type:
Energy Path:
Sprinkled Building:
VB
Electric
Electric
Electric
No
I DEVELOPMENT INFORMATION ~.
NOTICE:
THIS PERMIT SHAL JWk\'hQist:
AUTHORIZED UNDE ~ Sfi'r~/'fj:rl.tsTK\Ii1WDRK
COMMENCED atW5>~gMill:IS NOT
ANY 180 DAY ~E~:~~IiIAMl@NmroR
I PUBLIC IMPROVEMENTS.
Residential
Phone Number: 541-914-2567
Expiration Date
ll/09/2010
09/0712010
Phone '
747-5413
541-729-1074
541-484-9080
(541) 689-3839
OS/29/2009
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
, Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Page I of3
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 Amount Use Bid Amount
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fixture
Minimum/Adjustment Plumbing
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter; Extend Circ Ea Add
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 ~mps or less
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01729
ISSUED: 12/03/2008
APPLIED: 12/03/2008
EXPIRES: 06/30/2009
VALUE: $ 2,000.00
I Valuation Descrintion I
$ 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
Fp~. l':iilU
Amount Paid
Receipt Number
Date Paid
$10.40
$12.48
$5.20
$52.00
$34,00
$18.00
$8.00
$9.60
, $4.00.
$50.00
$30.00
$11.90
$14,28
$5.95
$119,00
$7.30
$8.76
$3.65
$73.00
12/3/08
12/3/08
12/3/08
12/3/08
12/3/08
12/3/08
12/23/08
12/23/08
12/23/08
12/23/08
12/23/08
12/24/08
12/24/08
12/24/08
12/24/08
12/30/08
12/30/08
12/30/08
12/30/08
2200800000000001703
2200800000000001703
2200800000000001703
2200800000000001703
2200800000000001703
2200800000000001703
2200800000000001768
2200800000000001768
2200800000000001768
2200800000000001768
2200800000000001768
2200800000000001772
2200800000000001772
2200800000000001772
2200800000000001772
2200800000000001782
2200800000000001782
2200800000000001782
2200800000000001782
$477.52
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 working day, inspections requested after 7:00 a.m. will be made the following
work day.
, ~ Rp(llljr~fl I"illPl'ti?n< I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Paee 2 of 3
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-01729
ISSUED: 12/03/2008
APPLIED: 12/03/2008
EXPIRES: 06/30/2009
VALUE: $ 2,000.00
225 Fifth Street, Springtield, OR
54]-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing. ,
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify tliat 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 Springtield and the Laws of tbe 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 incompliance 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.
Owner or Contractors Signature
Date
Paee 3 of 3
~t{;;~;~C~o~l;~,R~~m)3LP,~Q~GON.< ,,'
.:. r '.,-
SPRINOFtKLD
225 FIFf115TREET . SPRINGFlELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
CityIobNumber "Ot-V\;?60Y- 0{7l'7 Date
t(7Cfn S
Expiration Date /0'4 J -I 0
Constr. Contr, Number ,,}#ii~h S--
. <-hi(~ ~~~. CW'
Expiration Date -?1-;:!!}J.;,'()-'9~7 -.
/.<~ {<'~ ~ 01
SignaturelUPerviSing Ep'%~ ~ ~ .
~j- 0", e>~ (,I:>, .
, A 'T/i '9 .~~-
~ . ,~'t:: /~~... One Circuit '
~~ I Vo O:?ijtA('*' Each Additional Circuit or with
'j ..-;;?/ '/' A.A ,fl'e- ~ ~ Service or Feeder Permit $ 3,00
o 'If,;me c:> C:>-/' YL$- ~'~/ (<"
........ <;" ?- ~ ""';\'\~~~41~"K+2!~~1if'('1Wli ";~t~'t~s.fP" ~~4{lf4-*1/~4ik
A "dress A ~77.r- I V'-- .. A /.n il:t^"'NIfs"eJlanea_l!~;tSeryice/"e~nat iucludedlmaCli1Iusf.ilIation\ll
Q< ~') -J- (7 \ ",~u4'o'Y~' *::j_""~"",~"_j_-""<4:w",~;$~~_:i:1V~=i""""">4't'"~",_",,:,=,,,,,,.,,"-,=,,;J~
City -:;;" I-j\ Phone, ?Itf - 2~6 7 :;>0 Pump or irrigation $ 50;00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential ' $ 25,00
Limited Energy/Commercial $ 4~.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
~. __4'~__W'''''_Wi''.4'4~''''' . _- "". 7 '7
4.!i;CJB7J!JT.;<lJL10EiiffiQJt1!il' . - ..-; -. ~
''0~''''''''~''_='''W;:;''''''';&;""",_'"*,~1~'",, -iiO.i/.i' ." "'. .. ,-, "
ftr<<l. State Surcharge B 7b
, 10% Administrative Fee 7JV
5% Technology Fee .s bF
71 .
TOTAL , '12-
Shared Drive(T:)/BuilWng FormsIElectrical Permit AppIication 8-06,doc
1. l!i;iGA:TION..'70Jj)iNSiiJriJfM.7ffifjN}I;;m~,~i'ii1i '~i".
, "....'""~"ili'f''P.~='''9''?-- '~","~~it;taJ~Iiti'Ir,,,~.~~.,",.itlk~,;;t ..
(,-y F7 S ~vv )
LEGAL DESCRIPTION:
jgOZ 02.Z- '5
"
b ?If(JO
JOB DESCRIPTION:
*JcL SMvl c.e
Permits are non-transferable and expire.if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
~oo1VTlbi:GFORtmST%T~rrln6NioNi>>~
2. ~:0"'-9i)'0'2J'!l0fi",c;'@"Aii,Y-i2l'~~~1i..".t'&'3iiS7-~j)fu;~
Electrical Contractor
~U.M..
rJ-ec&jr
Address '(5?;:) L{
City , ~-kl
,1r,,"','J...G.r ~
J .'
Phone :JE -/CJ7.!
Supervisor License Number
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent. . .
Owners Signature: '
Inspeetian Reqnest: 726-3769
, '
1f;~'.Z'l,'*;'f~r~~~wm:m~;W$r.ij*<iii~t';%'i;;rt~~~~A;fl",:&~;v,j"'lpD1
A. ~;J~i.m~~!~~~~g!~i2rdL~.l!!B~11~.tJP;,~~Jk~~J!1,!grJ!m,~_
Service Included
1000 sq, ft. or less
Each additional 500 sq, ft, or
portion thereof
$106,00
$19:00
Each Manufact'd Home or
Modu1!/! J:))lIelling Service or $50.00
F~dl:tO~ ~
""1;.0'1_ 1,-~ .
B~'f);1~VJ1\~~~. m"!i1it~?!l;:ti'1m'i'.!6'&Rel~ftl;lii'!L
.-.." o~:a,e~:-'""'~---"--_"'0ili.,"IJl;-_m. -Cy = . '..'
~4~A'?fmf .;~~ 0'90 ~o I $ .illJo 73
cs>",~0:"'~~, ;: '$ ~ " '
t>oJcrm8.t~ 4!l3 ~'6 ~ft. $75,00.
. ~A"Jl1~,f~if'~P-&~0 /"(9. $125,00
601CS>~~t!)~g.~S"'v. CS>09~ $163,00
Over 1~~1sN? ~<.I''''~ "'<.I', $375,00
'R wt?:~..'6>. '<.I' 0 <i'" 0,,' 0 $ 50 00
econnect'~: 00,... '1~ cs> 'u '
~' .f.rul 0.-1 Gf 0~ S<'oQ\6' '""'1/1;:/0
Il!:T.:-'--' . .. ill'i! . '" 'if
c. F'.~fup~.~aJ1Y;. . . . ' .. .
", ~ "b<i'0",<l'6 ' ,
Installa~on, Alteration ~1.l6tion
200 Amps or less
. 201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or' 1000
D.
$ 50.00
$ 69.00
$100,00
Now Alteration or Extension Per, Panel
$ 43,00
225 Fifth, Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0] 729
COM2008-0 1729
COM2008-0 1729
COM2008-0 1729
Payments:
Type of Payment
CreditCard
cReceintl
Item Total:
Check Number Authorization
., '
Received. By Batch Number,' - Number How Received
RECEIPT #:
2200800000000001782
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
JEM
DJB
Page I of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 12/30/2008'
8:40:39AM
AmountDue
73,00
.. 3,65
8,76
7,30
$92,71
Amount Paid
r
,
-'
40262] In Person
Payment Total:
$92,71
$92,71
12/30/2008