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Home My WebLink AboutPermit Electrical 2009-1-12 , 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 1>"~~oER1ARTMEN-'i:m1sEI0NI1Y;4;:'~1 .:,~Ji"k,..."c.",_,,_...;.,~-r."""a-"'''"''''''''''i_.;,I''''4'~~".~..tt.r?+~'F"" _''''',."Fih,.".._~__J''''~'',,''''''""'''~~''''''''''?''~<''''''~~='';,'''''.w,:.i'U",' I. r' 7 'U_' ,r- Pennit no:LO.r.n 2(}lJ r a,~ J I Date: / - / J- -- 0 9 I $PRINGPIELO i ~~ ~!.ii~~ -", ~*,," This permit is issued under OAR 918-309-0000, Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days, 1~~_~IiEE:~:S.CHED.l!JL!E~_B' l~ilf~~1il~~~~<fh~~iWri'f!('~~I'~I~f,o~lJijI~tr>taIJi """,,~,*",,<,,;g*"'",",""'=,wiCg;!i!!!""'r:ll;,jj! GL4'".r, WoI~~.",~ ~!,Q.st~ I Residential, per unit, service included: I 11,000 sq. ft, nr less (4) $134.00 $ I I Each additional 500 sq. ft. or portion $ 25.00 $ I thereof 1 Limited energy (2) $ 32.00 $ 1 I Each manufactured home or modular I dwelling service or feeder (2) $ 63.00 $ I Services or feeders: installation, alteration, relocation 1 1 200 amps or less (2) $ 81.00 $ I 1 20 I to 400 amps (2) $ 95.00 $ 1 I 40 I to 600 amps (2) $158.00 $ I 60 I to 1,000 amps (2) $205.00 $ 1 Over 1,000 amps or volts (2) $469.00 $ 1 Reconnect only (2) $ 63.00 $ I I I 1 I Signature: Over 600 amps or 1,000 volts, see services or feeders section above I 1~1i[6:C::H'JiliJt?;6JiiQB.~Ir\jS;ii,!l;L1I!J.VI!I(;)N.~.iit~l!:~1 Branch circnits: new, alterailon, extension per panel 1 I Business name-:~r~~"o. (fi"r~.....'''~ ~\r"\hc....~ I a. Fee for branch circuits with purchase of a service or feeder fee: I 1 Address: ~45'+<t- (....r''''' lAiC' t-l<:.J\I.. J Each branch circnit 1 $ 6.00 1 $ I I City: f:klj""_" '12....., 1 Stat~: fJi?!. 1 ZIP:qr'-{Q ~I b. Fee for branch circuits without purchase of a service or feeder fee: I I Phone.,'-f\-1'-11'l~ -z..sll I Fax: I I First brancb circuit(2) I ( I $ 55.00 $ I I E-mail: I Each additional branch circuit I I I $ 6.00 $ I I' CCB license no.: U f( &. '\ I BCD license no.: 7-d}-'If2)? c--- I Miscellaneons fees: service or feeder not Included 1 1 Signing supervisor's license no.: '-fief 7 ;> I Each pump or irrigation circle (2) $ 63.00 $ I 1 Pnntnameofsigningsupervisor: Ki-,;,k'j' -lZ!J.7'j""o .1 Each sign or outline lighting (2) $ 63.00 $ I I S. f . _H - f-/} --.J I Signal cirCUIt or a lImIted-energy panel, $ 63.00 I 19nature 0 signing supervIsor: '~~ . k.......,.,! alteration, or extensIOn (2) $ '--' K 1 Each additional inspection: (I) 1 $58.00 $ 1 .....~ 1~~h.,!l;gIll!![QANIfIll!J:S~i~~ ~ l-<A ' (A) Enter subtotal of above fees $ 6'.r..t7 V , \-A.?:/tJ '- (Minimnm Permit Fee $58.00) 1 (B) Enter 12%surcharge(.12x [A]) $ 7.i'L.-1 ~ . ~ I (C) Technology Fee (5% of [A]) $ '3.0 .;t . .. ~'-b,<' I TOTAL fees and surcharges (A through C): $ 7/.sV 1""_,,', " '1f06AI.E\liG0\iERNI'JIEN;r,jo/A~RR.o\iA~~"~ ~~'fu,~......_.......L......~..._._. _. ,,; ^_ .L. _mm ....._......^=.C&_....{} _ , . ,-. . ,......... -__~ I Zoning approval verified? DYes D No 1~1~""C::AmE'GJ:>RYbd.<:>FJ[Q~N$mRl!J;Q,iil<:>N~~iIl.~~ ,O'Residential ' I 0 Government ' 1 0 Commercial ~~~OBiiS[mE~INIi,oR.M~mIQN~AN()j1YQC~1l10r\j~ 1 Job site address: /2..10 1 9t-ue>>--T - 1 City: ~.,,:or+;~ I State: (JR.I ZIP: I SubdiviSIOn: ----l ' 1 Lot no.: l~lf_~DES~C::R.IP,;iilor\j(QFi~WQRKzlIIJl!lii\f'j~;",~~ii! 1 i3~-{"~, p,ov",~{.J 1 . ~ 1 Name: I Address: I City: I Phone: I E'mail:' This installation is'being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). 1 State: 1 Fax: 1 ZIP: 440-2584-1 (9/08/COM) Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ 20 I to 400 amps (2) $ 87.00 $ 40 I to 600 amps (2) $126.00 $ Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00025 ISSUED: 01107/2009 APPLIED: 01107/2009 EXPIRES: 07112/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line, SITE ADDRESS: 1290 I ST ASSESSOR'S PARCEL NO.: 1703351101400 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE:, Alteration Residential PROJECT DESCRIPTION: Changing shower to walk-in shower stall. Replacing toilet and wall-mnunt sink,. Owner: MCCULLEY JOHN E & FLORENCE Address: 1290 I ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type General Electrical Contractor RICI;IARD LEE KRUMDlECK TERRITORIAL ELECTRIC BUILDING INFORMATION I License 47212 Expiration Date 0211112009 Phone 541-343-1155 541-485-7311 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # 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. I ,DEVELOPMENT INFORMA TION I ' REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Notes: NOTICE: THIS PERMIT SH . AUTHORizED UN All EXPIRE IF THE WORK COMMENCED OR~~~~~/S PERMIT IS NOT ,4NY .180 DAY PERIOD. ANDONED FOR Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ATTENTION: Oregon law requires 0 ffill'-'\~I ....,"'^ ~.-I_..~_ _. , . _ y uta . ,----....., ,,'...... VI~YUIJ uwny I PUBLIC IMPROVEMEN~ I'at/on Center. Those rules are set forth , _. ..l952s;;P1-0r1I1th~Qugh OAR 952-001- 0090.. You" ,a~'ULfa1trBopies of the rules b callmg thnO'wiisp6u(st.Di1aiIls:a telephone Y number for the. Oregon Utility Notification Center IS 1-800-332-2344). Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: .-.. Pa2e I of 3 Status' Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I V al~ation Descr~'p~i~n I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project l,.F'i'\~")?W Fee Description + 12% State Surcharge + 5% Technology Fee Fixture Minimum/Adjustment Plumbing + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $6,96 $2.90 $19.00 $39.00 $7,32 $3.05 $55.00 $6,00 1/7/09 1/7/09 1/7/09 1/7/09 1/12109 1/12/09 1/12/09 1/12/09 Total Amount Paid, $139,23 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00025 ISSUED: 0110712009 APPLIED: ' 01/07/2009 EXPIRES: 07/1212009 VALUE: Value Date Calculated Receipt Number 1200900000000000003 1200900000000000003 1200900000000000003 1200900000000000003 2200900000000000034 2200900000000000034 2200900000000000034 2200900000000000034 To Request an inspection ,~all 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. . ~n~rlln~nections _, 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 afl electrical work is complete. Pa2e 2,of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00025 ISSUED: 01/07/2009 APPLIED: 01/07/2009 EXPIRES: 0,7/12/2009 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, and , tIiat NO OCCUPANCY will be made of any structure withont permission of the Commnnity Services Division, Building Safely. 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 properly, and the approved set of plans will remain on the site at all times during construction.. Owner or Contractors Signature Page 3 of3 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 COM2009-00025 COM2009-00025 COM2009-00025 COM2009-00025 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200900000000000034 Date: 01112/2009 8:10:39AM . Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Amount Due 55,00 6.00 3.05 7.32 $71.37 Paid By RICHARD GROSHONG Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid nJm 083533 In Person Payment Total: $71.37 $71.37 Page I of I 1 II 212009