HomeMy WebLinkAboutPermit Electrical 2009-3-19
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541,726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-00364
ISSUED:
APPLIED:
EXPIRES:
VALUE:
Status
In Review
03/19/2009
10/28/2009
SITE ADDRESS:, 4162 FORSYTHIA ST
ASSESSOR'S PARCEL NO,: 1802052200404
Springfield TYPE OF WORK: Miscellaneous
TYPE OF USE: Remodel
PROJECT DESCRIPTION: Fire Alarm System and Electrical Permit for Service/Circuits
Overlay Dist:
# Street Trees Rqd:
Paved Drive-Rqd: '.
% of Lot Coverage:
NOTICE:
PUB;";~' &m~'Kt It- I HI: WORK
1.1 IS PERMIT IS NOT
COMMENCED OR IS ABAND~Wma/!bRype:
ANY 180 DAY PERIOD. Downspouts/Drains:
Owner: MAINSTREAM HOUSING INC
Address: 180 E 18TH AVE
EUGENE OR 97401-4160
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Fire Contractor
Mechanical
Contractor License
JIMCO ELEC.if~lgt'1icS1~I't~~t.<q1!~~Gll<l'1l-(jfel3l!16U to
OMLID & S'Yc!!lt~.E~J!tI~~~0",E1iln0Nlregm:iotility
FERRELLG~Sl(jeation Center, Those rule.l! ~;!'l)t~jlp!~h
In UAH ,,- "....,., '" '.', Ill'.' ',...., ",-"', ,~~- :;{ ,
0090, LBUILDIING'INOORMNR'Iil~I'es by
calling the center" (Note:tM telepnone
number fo~I1!l&YInl$~n Utility Notlflcallon
R-3 CerlMtigbt1DtlSO'OO:iI00344).
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback: ",
Solar Setbacks: "
" '
"
Street Improvements:
Storm Sewer Available:
Special Instruction:
. Notes:
Paee I of 3
Residential
Expiration Date
06/30/2009
12/15/2011
, OS/23/2010
Phone
541-258-6111
541-741,1775
541-688-8155
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
, Compact:
Status
In Review
225 Fifth Street, Springfield, OR
541,726-3753 Phone
541,726-3676 Fax
541-726-3769 Inspection Line
Descriotion
Tvpe of Construction
Fee Description
+ 12% State Surcharge
+ 5% Technology Fcc
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Total Amount Paid
Initial Review
03/19/2009
Fire Deourtment.Review
03/1912009
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00364
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/19/2009
10/28/2009
Value
Date Calcnlated
Total Value of Project
Fpp<, P~i" I
Amount Paid
Date Paid
Receipt Number
3200900000000000178
3200900000000000178
3200900000000000178
3200900000000000178
1200900000000000310
1200900000000000310
1200900000000000310
Plans submitted by Omlid and
Swinney for Fire Alarm and Access
'Control System, Replace existing
security panel and keypod, Plans
forwarded to Gilbert Gordon,
,
PI~ns submitted by Omlid and
Swinney for Fire Alarm and Access
Control System, Replace existing
security panel and keypod
See attached document for Fire
Department Plans Review
Comments for the fire alarm system,
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,
Rough Electric: Prior to Cover
$21.24
$8,85
$96,00
$81.00
$9.48
$3,95
$79,00
3/23/09
3/23/09
3/23/09
3/23/09
4/28/09
4/28/09
4/28/09
$299,52
I Plan Reviews I
03/19/2009
APP LLH
04/01/2009
APP GRG
I I? m.lra..l J nonae':nn< ~
.~"I~
Paee 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
In Review
PERMIT NO: COM2009-00364
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/19/2009
10/28/2009
225 fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
final Electric: When all electrical work is complete,
Electric Service: Approval required prior to utility company energizing service,
Rough Gas: After line is installed and required testing and capped if not attached to an appliance,
final Gas: When all gas 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 Springlield 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 Commnnity 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 arc 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
timxgconstrul:!n,.~ Jj/g.g/o'1
\~- - ,
Owuer or Contractors Signature Date
Pa2e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009,00364
COM2009-00364
COM2009,00364
Payments:
Type of Payment
CreditCard
cRcceintl
RECEIPT #:
Description
I st Appliance
+ 5% Technology Fcc
-+- 12% State Surcharge
Paid By
FERRELLGAS
~",AINc;~IBLD'~,"',;,""m, :,.
'~ '11
'IIilIbt,-----"" " 'a&;,,' :
~ ~ ",
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000310
Date: 04/28/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 442091 In Person
Payment Total:
Page I of I
10:42:47AM
Amount Due
79,00
3,95
9.48
$92.43
Amount Paid
$92.43
$92.43
4/28/2009