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Home My WebLink AboutPermit Electrical 2009-4-10 l~t~j%P,~E,-,"i1;A;,~T:M!~Jtu__s,:~191r_iiYB."~, };'I A:1i,'~:h:"".^,.'~";;""'l&.:..''i"L._,~.;jI~_~~'1t4'E.~c;.oCrl!!:;l'.iI;C..e I. COWl eGO 9' - . I' Penn it no,: C) 0 47 g I Date: LfJoh 9 I / I This permit is issned 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. 'Elli~trical Permit Application 225 Fifth Street. Springfield, OR 97477+PH(541)726-3753. FAX(541)726-3689 I~WfmI!O:<:[ALE[GQ.'IZ~BNI\IiENiflfAeJiRoMJ).L~~'11 1_~~I3.EEI:S'QBEl5.l1JlfEff~1\lli~~~; I Z . I'fi d? 0 0 I 1~~!IlI'?.'l!!'~~~~''''\~ii'''''DI'''~I-(t--I'''if'~'lm .._~m_?~ ~p~~?~a _ yen Ie.. '.:-____ ... ." .Yes No ;\~iu.!n~'e~r~f'ii1sp~ctionslp'r~J.i(eIJl'i(:;)~~i Qty: ~.\:Q,~~ ~~o.ta,~~ 1_~;r_;G:4iJiEG0RYir.0F,i!!G0NSj;Rl!)cillI0Nc~.>a:~":"iJ,..j!'q~':!1 ~."',"""i"_'.''',!kJ'dC_'''''''..l'l~'''h''''''g!",k" 2"",~ ~~~~," ~lIlj,~osJ'~ .. -, _.L..... ---,-,,"...-- . --," ,', _..._"_____,_,___,_~~~.'S1,,ltq,., I Residential, per unit, service included: I I ~idential I 0 Governmenl l 0 Commercial I I ' 1_~!J0B]SIj1jEjJNil:i:'5.r{I'.l1J1.mI0Nll'WND"l110lt~ilIQN~~il' 1,000 sq fl. or less (4) $134.00 $ I '-J J b' ddr q I .1'" ' '", .. '" I I Each additional 500 sq, fl, or portion $ I /' 0 site a ess: C> (, '7 I ....... Ihereof $ 25.00 City: '<.:f':"~I'" kI 1 State:OIQ., 1 ZIp,e't7l/7~ I Limited energy (2) $ 32.00 $ I ir=~_'E~g~~~(~~~wJ~~~~~~~ I ~~~~I~:"s~~~~~~r~~ ~~~~r (~rodular $ 63,00 $ I 1 6l r 1.I'l Il~ - ;.1 r- -.. I Services or feeders: installation, alteration, relocation I rJC1 I\. 1J'\..'1:::~1Q . 1/::'",_ I 10,1-) , '; JUN 200 amps or less (2) $ 81.00 $ I ' ^!,..~.~. \IV ru:^_ . C'I_n ~=;:~::~;R~:~;1Rr~0~::~~~~~~~~~:~~'~~~t~~~1~;~;;~~ YOII .. :1:::::: I I Address: Ci"/O S."71 u n,~~lling7;,~nQYo,!,~J060:1.69~(,?60:ain~U!l;~Jtilit~ $205.00 $ 1 1 City: {,!1H""o~I'-c L!. I State:OH, liip'Cf~~t1N;~Ir. "1~~91=l;~P,~~b~;?Jr~) $469.00 $ I I Phone541 ~7q6- , S&J s I FaJ(,','-;,-iG 541- i!l!!rjS",y~gbJ$e,c,~.~,~ecJFl)}'lt7;les hy " $ 63.00 , $ I I E-mail: ., I" "IV' 1 ~~J!~fi<~l;tlyjE?f6l- feeders: installation, alteration. relocation I IV\. U. YO" bl. C" M. I ."iJ.j"jVJ/ This installation is being made on residential or farm property 200 amps less (2 $ 63.00 $ I owned by me or a member of my immediate family. This 201 to 400 amps (2) $ 87.00 $ I property is not inl~n d fOWlS 1 , e hange, lease, or rent. OAR I I I 479,540(1) and 47 041.' , 401 to 600 amps (2) $126.00 $ Signature: lOver 600 amps or 1,000 volts, see services or feeders section above I l!Wli~C:Q/iIm ,:Tcjl[QBIINS)frJ).(jjl!'J).ml(':lNllim'Jj:1i~i~m!l I Branch eircuits: new, alteration, extension per panel I I Business name: {)w AI €Vl ~ I a. Fee for branch circuits w:ith purchase of a service or feeder fee: I Address: _ I Each branch circuit I $ 6,00' I $ I City: I State: J~l!IpICf,' I b, Fee for branch circuits without purchase of a service or feeder fee: I Phone: I Fax: - A:;~?PERMIT" I First hranch circuit (2) I $ 55,00 $ 5'5] ~ '17UR' >..II' 'L'l E-mail: Cn!A ._ lIED "V':..r: "I f>li!1fflild.dltlOnaJ branch ClrCUlt $ 6.00 $ I CCB license no,: I BCD licelM!rr.OfA~~IV_CED OR ~flllifw.se~k'[H[eWI'ftif,e or feeder not Included I 0,", U"Y ,\ A~m~It1'TI ,.,( Signing supervisor's license no,: '1 PERlf D, i _' '.'''~ ,LPJED' tm{5;'fIf11frc1e (2) $ 63.00 $ I Print name of signing supervisor: I Each Sign or otCillk hghtmg (2) $ 63.00 $ I Si~nature of signing supervisor: I Signal. circuit or a li~ited-energy panel, $ 63.00 I $ I alteration, or extensIOn (2) 1_",," E'1'l%"'",,,~~h ad._d"il,,:",_nal i=" :t,,~~n,,"" :;~"1,, )".""",, '''..~"'',,'''',,.~_,,~,,~ $~~_.00)l\;\.$_" '="",, cil~i;liI?RIllI"G~NiI'lli1t1S_E_~i5Y.~ I (A) Entersubtotalofab~ I (Minimum Permit ~ $58~ $ S2> I (B)EnterI2%surchar~12x[A]) $ bibj I (C) Technology Fee (5% of[A]) $ Z FOL I TOTAL fees and snrcharges (A through C): $ 072> r ~'<c]\ ~'f;.~V ~ 440-2584-J (9/08/COM) Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00478 ISSUED: 04/10/2009 APPLIED: 04/1012009 EXPIRES: 10/10/2009 VALUE: $ 1,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3 769 Inspection Line SITE ADDRESS: 910 S 7lST ST ASSESSOR'S PARCEL NO.: 1802022302300 Springfield TYPE OF WORK: Bathroom TYPE OF USE: Remodel Residential PROJECT DESCRIPTION: Remodel bathroom Owner: NEAL MICHAEL P & SANDRA . Address: PO BOX 5281 EUGENE OR 97405 Contractor Type General Electrical Plumbing ATTENTION: l'lflE'0NTR!N@lf0R''IN'F'0RMATlON I follow rules ad.Jt-!....~,.JJ \~".., VI>JHUII vLfttlY co~r.t.i{i8t'H~~n Center. Those rules are set fortiLicense Expiration Date Phone III UM" "02-001-0010 through OAR 952-001- O\M!)l.JY. You may obtain copies of the rules by OW~~~ng the center. (Note: the telephone RS l'i\;1fMP.l~9tIi19~~%~1jU':\!! NQ,tilj"Alinn 103816 01/04/2010 541-461-4714 t,;enter it 1{mtiYiN<ffNroRMATlON I VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: . Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq FI 2nd Floor: Sq Ft Basement: Sq FI Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Sethack: Side 2 Set hack: Rearyard Setback: Solar Setbacks: NOTlc~~erlay Dist: THIS p~1J!inJM~~IRE IF THE WORK AUTHOI%ZfiIU\~~1,WS PERMIT IS NOT COMMENCED OR IS A~ANDONED FOR .'\t.~.\' J.~~. ';J.r:.~1 rH~r2[,. IPUBLlC IMPROVEMENTS' Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Pa2e 1 of 3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-00478 ISSUED: 04/10/2009 APPLIED: 04/10/2009 EXPIRES: 10/10/2009 VALUE: $ 1,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I V alu,~tion D~scrilltion , Description Type of Copstruction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project '. Fpr'.~ Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Building Permit Fixture Minimum/Adjustment Electrical Minimum/Adjustment Plumbing Amonnt Paid Dale Paid Receipt Number $20.88 4/1 0/09 2200900000000000360 $8.70 4/10/09 2200900000000000360 . $55.00 4/1 0/09 2200900000000000360 $58.00 4/10/09 2200900000000000360 $38.00 4/10/09 2200900000000000360 $3.00 4/10/09 2200900000000000360 $20.00 4/10/09 2200900000000000360 Total Amount Paid $203.58 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. Uealli,'ecUm~nectjon~ , Framing Inspection: Prior to cover aud after all rongh in inspections have been approved. Final Bnilding: 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. 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 VI' ~t'KINGFIELD . Building/Combination Permit PERMIT NO: COM2009-00478 ISSUED: 04/10/2009 APPLIED: 04/10/2009 EXPIRES: 10/10/2009 VALUE: $ 1,000.00 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 dOlle in accordance with' the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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 he permit card is located at the front of the property, and the approved set of plans will remain on the site at all timesduri ollstr ction. /1 I" Ownef or Contractors Signature Paee3 of 3 4~/C/ rey ~ Date \ City of Springfield Official Receipt Development Services Department Public Works Department 2.25 Fif'L-h Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00478 COM2009-00478 COM2009-00478 COM2009-00478 COM2009-00478 COM2009-00478 COM2009-00478 Payments: Type of Payment Check cReceintl RECEIPT #: 2200900000000000360 Date: 04/10/2009 Description Building Permit Fixture Minimum/Adjustment Plumbing Add, Alter, EXlend Circ MinimumlAdjustmenl Electrical + 5% Technology Fee + 12% Stale Surcharge Paid By SANDRA NEAL MICHAEL NEAL Item Total: Check Number Authorization Received By Batch Number Number How Received djb 245 In Person Payment Total: Page 1 of 1 II:Ol:16AM Amount Due 58,00 38,00 20,00 55,00 3,00 8,70 20,88 $2U3.58 Amount Paid $203.58 $203.58 4/1 0/2009