HomeMy WebLinkAboutPermit Electrical 2007-1-16
"I .. I ~GF1EU> ~ ZON LJ:::e..
lDrnnr @[F' ~W~.((DIF'lJ[f~lL[Q)g (Q)!mEOOlNJ ~\A..---../"-I INITIALS Nt'^-
~ DATE 1-\(,,-01
US FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ~ ""'- SOURCE _'" Ih fEr'2/ AS\
ELECTRICAL PERMIT APPLICATION- )
City Job Number C:J.'JY\ 2,JO(P ~ 0 \ tll d-.. Date \ - \ \0 - 201:5/
I. LOCATION OF INSTALlATION:
(())q(J Mr,,{~ O~
LEGAL DESCRIPTJON:
\( O~ ':? 4- Lt I (1(;)) <'TO
JOB DESCRIPTION:
<; "Lt-.orY\LL. -<-\ C).{7f'J j ; 1\
Permits are non-transferable and expire if work is
not started within 180 days ofissnance or if work is
Suspended for 180 days.
2. CONTRACTORINSTALlATIONONLY
Electrical Contractor \'01 1!3 OOl.\mJZ.,V 'r.lAL::h;c
Address \~"f( ~{'"I'~Vl ~
City~
Phone ~
Supervisor License Number !J,ll ~ S
Expiration Date
\0" /0'1
\I\\~
Constr. Contr. Number
EXPiratiOnZJs ., 11..D I D '&
,_. y:,itr
(../ ~t
\~ "
Owners Name. \ r'\<"'\ '~~?AO-It .
.. . r
o
Phone ~L+6 - &J1)S
Address
City
OWNER lNST ALLA nON
The installation is being made on r' _,._ 'J. I own which
, ,is ~~intcn!'ed for sale, lease or rent. " .
. ,'~. . J _ ~ . .' '.' ~ ',' I . ~...." -'
"';';".. . '1,"\ nl,' jI...I~arn~""
'.):Owne..s:Sigrtatuie:' I. ~- '11.....__, ~:J l
01-\.1 'b~-lJUHJOH) IhiUIIC'JtI OM~ J.)<o::
~L:Ju. r~lu ~ildY UUliJlIll,.;UPlf.:ti Ul Ulr~ rUI~J::;
callirln 'n'.' c')nt<lr. (Note: !~" teleIJhc~') .
l'il~'J ::' ,,;.tre '1re>I]'1n Utility I\!Oti'liC:6;;C:-
In_.. ..::._'Reqilesl:' 726-3769": :/..< I
3. COMPLETE FEE SCHEDULE BELOW
A. New Residential- Single or Multi-Family per dwe 109 it.
Service In<luded
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$19.00
$50.00
B. Services or F~'rsi='.lnstallatiou, Alterations or Relocation:
I "": ',-6. ~.
TI-"S "FR"IT
200 Ampsorless '_I'" SHAI I f')(Plf~.6~:O?Hf lA/no"
A., r'ln . . -. -....
201 Amps to 400 AinPS!zro l'i:r1rl'l nHS ~!Z~t~!qIT:: :::;-;-
401 Ampsto6O()'Afl\I"i:CcC C"!e ^""'[J$I2?OOF--
1 .. "_",, UlltLJ un
601 Ampsto.lO!lP AmP~AY PrR'~:; $163.00
Over 1000 AmpsIVolts $375.00
Reconnect Only $ 50.00
C. Temporary Senices or Feeders
Installation, Alteration or Reloeation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Orcuits
New Alteration or E.tension Per Panel
One Circuit I
Each Additional Circuit or with ?
Service or Feeder Permit 'I
$ 50.00
$ 69.00
$100.00
$ 43.00
$ 3.00
~3
9
E. Miscellaneous (Service/feeder not Included) -Each Installation
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum E1eetric Permit I. >. ...:... Fee is $45.00 + Surcllarges
4. SlJmvlALOFABOVE S::l. . I:rV
8% State Surcharge L I . I {.1
10% Administrative Fee 6 . 2.1')
5% Technology Fee 7 . uO
TOTAL 0\. 0;3. CiJl.o
Shan:d Drivc(T:)lBuilcling FormsIEIeclrical Permit Application 8-06.doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-01012
COM2006-0 1 0 12
COM2006-01012
COM2006-01012
COM2006-01012
Payments:
Type of Payment
CreditCard
cReceintl
.
RECEIPT #:
::~~;~
~-
CA of Springfield Official Receipt
_Iopment Services Department
Public Works Department
3200700000000000021
Date: 01116/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DOUG PALMER ELECTRlC
Item Total:
<':heck Number Authorization
Received By Batch Number Number How Received
njm 103932 103932 Fax
Payment Total:
Page 1 of 1
8:41:35AM
Amount Due
43,00
9.00
2,60
4.16
5.20
$63.96
Amount Paid
$63.96
$63.96
1/16/2007
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6790 MAIN ST
ASSESSOR'S PARCEL NO.: 1702344106700
. CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-01012
ISSUED: 08/08/2006
APPLIED: 08/08/2006
EXPIRES: 07/16/2007
VALUE: $ 2,000.00
Springfield TYPE OF WORK: Interior
TYPE OF USE: Remodel Residential
PROJECT DESCRIPTION: Interior remodel and partiton existing room into bedroom. Re sheath roof 082906
Owner: GORILLA CAPITAL INC
Address: 910 LARCH ST
EUGENE OR 97405
Phone Number: 541-915-4062
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Plumbing
Contractor
BENJAMIN DANIEL BAZER
L H MORRIS ELECTRIC
BAXTER PLUMBING & ROOTER LLC
License
149335
01838
169028
Expiration Date
10/03/2007
06/08/2007
03/13/2008
Phone
541-915-4062 ce
541-747-0811
541-935-6696
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
VN
n/a
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
~."'-.. - -
" ~ .. ., . .
\..u ~ ~.,' .. .
DownspoulslDrams: IRE IF THE \"ORK
THIS Pt.1 ::iHALL tM" "
AUTHO~;., - UNDER THIS PERfvilT IS NOT
COMivill.I' lOR IS ABANDONED FOR
ANY 180 l: ,. PERIOD
Street Improvements:
Slorm Sewer Available:
t. IL1'.(.~ <
Special:Instruction:. '.... --' .".~ # ~ 1 .
'~"u'.: I UI"~ c.o~p(8d b~1 ~ r. lA'Jgon Uti!:,'
Notes:'oLlicalicn C:JI~tar. Thus" !-Ules are S2t ic:
;.1 OAR 952-0U1-001 0 through OAR 952-00
J090. You may obtain copies of the rules '-
calHng thG c9nter. (Note: the telephone ~
lumoer 'N the Oragon Utility Notification
Cent~r ie;.', _P"()-"o'J??344)
Page 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Estimate
Estimate
Tvpe of Construction
Estimate
Estimate
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
+ 10% Adminislralive Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
+ 10% Administrative Fee
+ 5% Technology Fee
Reinspection Fee Plumbing
+ 10% Administralive Fee
+ 5% Technology Fee
+ 8% Stale Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Structural Review
08/0812006
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01012
ISSUED: 08/08/2006
APPLIED: 08/08/2006
EXPIRES: 07/16/2007
VALUE: $ 2,000.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
2,000.00
2,000.00
Value
Date Calculated
Total Value of Project
$2,000.00
$2,000.00
$4,000.00
08/08/2006
08/29/2006
Fppo. P1ilLl
Amount Paid
Date Paid
Receipl Number
1200600000000001218
1200600000000001218
1200600000000001218
1200600000000001218
1200600000000001237
1200600000000001237
1200600000000001237
1200600000000001237
1200600000000001237
1200600000000001334
1200600000000001334
1200600000000001334
1200600000000001334
1200600000000001340
1200600000000001340
1200600000000001340
1200600000000001340
2200600000000001608
2200600000000001608
2200600000000001608
3200700000000000021
3200700000000000021
3200700000000000021
3200700000000000021
3200700000000000021
$4.50
$2.25
$3.60
$45.00
$4.50
$2.25
$3.60
$43.00
$2.00
$5.60
$2.80
$4.48
$56.00
$4.50
$2.25
$3.60
$45.00
$4.50
$2.25
$45.00
$5.20
$2.60
$4.16
$43.00
$9.00
8/8/06
8/8/06
8/8/06
8/8/06
8/10/06
8/10/06
8/10/06
8/10/06
8/10/06
8/25/06
8/25/06
8/25/06
8/25/06
8/29/06
8/29/06
8/29/06
8/29/06
11/21/06
11/21/06
11/21/06
1/16/07
1/16/07
1/16/07
1/16/07
1/16/07
$350.64
I Plan Reviews ,
08/08/2006
OK
DJB
Pa2e 2 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01012
ISSUED: 08/08/2006
APPLIED: 08/08/2006
EXPIRES: 07/16/2007
VALUE: $ 2,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
I Rp./luirp.d Tnsnp.~
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections bave been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing 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 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 inspeclions are requested at the proper time, that each address is readable from the
street, that the permit card is located at tbe front of the property, and the approved set of plans will remain on the site at all
times during const"ruction.
Owner or Contractors Signature
Date
Paee 3 of3
Status
Issued
'*
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01012
ISSUED: 08/08/2006
APPLIED: 08/08/2006
EXPIRES: 02/25/2007
VALUE: $ 2,000.00
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6790 MAIN ST
ASSESSOR'S PARCEL NO.: 1702344106700
Springfield TYPE OF WORK: Interior
TYPE OF USE: Remodel
PROJECT DESCRIPTION: Interior remodel and partiton existing room into bedroom
Residential
Owner:
Address:
GORILLA CAPITAL INC
910 LARCH ST
EUGENE OR 97405
Phone Number: 541-915-4062
Contractor Type
General
Electrical
Plumbing
. ._.. ........,..lIlirp.s VOU to
f>TTi=NTIUN: UI"\j~': ,- "._ _ r\.onnn utility
1(1"CONiI'RAGJ10R\INFORMATlON"I.lorth
Notilication cent"l. " 'v__ hOAR 952-001-
Contractor . OAo 952-001-0010 throug'Licenseules Jj}ypiration Date
In n. . p\e~()lllll;J' r
BENJAMIN DAN;%!tv~t}l-JRlay obtaIn co ,~1n~Pdphone 10/03/2007
L H MORRIS ELECJa~A~-J the center, ~Note"Rtlll~,8vtilication 06/08/2007
BAXTER PLUMBI~~,~,RQ9.'IER<M5eo~ ~":)~~J!7.!l, 03/13/2008
- .--.. ,~. .-...... ---
I BUILDING INFORMA TlON I
Phone
541-915-4062 ce
541-747-0811
541-935-6696
VN
# of Slories:
Height of Structure
Type of Heat:
Waler Type:
Range Type:
Energy Palh:
Sprinkled Building;
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPMENT INFORMATION I
.
Frontyard Setback:
Side 1 Setback:
Side 2 Selback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Pavt~lPH~lRqd: EXPIRE \F 1HE W(€.rinpact:
% Ofr~%<t~Uge:SHflLL HIS PERMIt IS NtH
AUiHOR\ZE~_ U~.?~! :Q~NnnNED FOR
I PUBLIC IM~{{~\!E'i\:tkkiS:~\OD.
,....
Sidewalk Type: ,
Street Improvements:
Slorm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
Paee 1 of 3
.
. CITY OF ~rKH~~FIELD
Building/Combination Permit
PERMIT NO: COM2006-0I012
ISSUED: 08/08/2006
APPLIED: 08/08/2006
EXPIRES: 02/25/2007
VALUE: $ 2,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion J
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
2,000.00
Value
Date Calculated
Descriplion
Estimate
Tvpe of Conslruction
Total Value of Project
$2,000.00
$2,000.00
08/08/2006
~
Fee Description Amount Paid Dale Paid Receipt Number
+ 10% Administrative Fee $4.50 8/8/06 1200600000000001218
+ 5% Technology Fee $2.25 8/8/06 1200600000000001218
+ 8% State Surcharge $3.60 8/8/06 1200600000000001218
Building Permit $45.00 8/8/06 1200600000000001218
+ 100/0 Administrative Fee $4.50 8/10/06 1200600000000001237
+ 5% Technology Fee $2.25 8/10/06 1200600000000001237
+ 8% State Surcharge $3.60 8/10/06 1200600000000001237
Add, Alter, Extend Circ $43.00 8/10/06 1200600000000001237
Minimum/Adjuslment Eleclrical $2.00 8/10/06 1200600000000001237
+ 10% Administrative Fee $5.60 8/25/06 1200600000000001334
+ 5% Technology Fee $2.80 8/25/06 1200600000000001334
+ 8% State Surcharge $4.48 8/25/06 1200600000000001334
Fixture $56.00 8/25/06 1200600000000001334
Total Amount Paid $179.58
I Plan Reviews I
Structural Review
08/08/2006
08/08/2006
OK
DJB
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
~irprll~p..tin"i.l
Framing Inspection: Prior to cover and after all rough in inspections bave been approved.
Final Building: After all required inspections bave heen requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all eleclrical work is complele.
Rough Plumbing: Prior to cover and including required testing.
Final Plumhing: When all plumbing work is complete.
Paee 2 of 3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-0IOI2
ISSUED: 08/08/2006
APPLIED: 08/08/2006
EXPIRES: 02/25/2007
VALUE: $ 2,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the compleled application and do hereby certify that all
information hereon is true and correct, and 1 further certify thaI 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 Ihe work described herein, and
Ihal NO OCCUPANCY will be made ofany 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 Ihis project.
I further agree to ensure that all required inspections are requesled 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.
mJ?~~ V~J-~-{)6:.
, - { ~..,..,.
Owner or Contract,!. Signature Date
Paee 3 of 3
225 Fifth Street
Springfie~d, Oregon 97477
541-726-3759 Phone
,I
· iii~
<aof Springfield Official Receipt
_Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-01012
COM2006-01012
COM2006-01012
COM2006-0 I 0 12
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Fixture
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
BAXTER PLUMBING AND
ROOTER
1200600000000001334
Date: 08/25/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
96
In Person
Payment Total:
Page I of I
11:21:14AM
Amount Due
56,00
2.80
4.48
5.60
$6M.MM
Amount Paid
$68,88
$6UM
8/25/2006
· CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01012
ISSUED: 08/08/2006
APPLIED: 08/08/2006
EXPIRES: 02/28/2007
VALUE: $ 2,000.00
-it:4'i
.
Status
Issued
*
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6790 MAIN ST
ASSESSOR'S PARCEL NO.: 1702344106700
Springfield TYPE OF WORK: Interior
TYPE OF USE: Remodel Residential
PROJECT DESCRIPTION: Interior remodel and partiton existing room into bedroom. Re sheath roof 082906
Owoer: GORILLA CAPITAL INC
Address: 910 LARCH ST
EUGENE OR 97405
I CONTRACTOR INFORMATION'
Contractor Type
General
Eleclrical
Plnmbing
License
149335
01838
169028
Contractor
BENJAMIN DANIEL BAZER
L H MORRIS ELECTRIC
BAXTER PLUMBING & ROOTER LLC
I BUILDING INF:ORMAlfION I
non la'll ItCI':' on \j\\\lW
# of Uoits: -;C;,'.;\OI't O(C, ,~ ~,ofISlqies~,e 5e\ 10(tll
Primary Occupancy Group: ,,1 ~..: ,!}-} ,,~:..,~ TI!!<:!ght!of~~rl'(c~!',r."001-
Secondary Occupancy Group:- '.:,', 0L'''';~, 1\p}_oJH~a,t:~ (\1',35 bY
Primary Construction Type I,,;. " VN -c J I -Co' 0 Wate~"T~. pe:I,~ \ One
- . ''''\''' (;v,'" .. lutyi '
Secondary Construction Type: L' "',: \ ',;," 0\"'<> Ra,nge..1,ype:e, .' \'On
, \ \-\ \ J (I,'\......~V "'\ ~,hca \
# of Bedrooms: Cu~". ".,,, ce.,',J. Energy,Path:,O"
.,. , ...,1'- ~n!\ ~'-"'-J "
0',,' '~, '1\80('Sprinkled:BiJilding: n/a
....._ 1.;\ \'J\ l . _ 0\ _~\)U~,jv'- -
C','DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
_d
..- . n" ., \l ~
Streel1mprovements:
Storm Sewer Available:
Special Instruction:
. C\:.' I PUBLlC.IMP,ROWEMEl'!TS,lil
!-tQ1\ 'R\'fI\\ 'S\'It'I.-~ 1\'11S ?t\'ll''' , '-I'>
\\'IIS ?l:ol1l:D \.\I'lDI:R B1\I'lDOI'lI:D 1'0
1'0\.\\\'101' D OR \S 1\
CO\'fl\'flI:W:JI:~ ?I:I'>IOD.
1\\'\'( '\50 Djl.
Sidewalk Type:
DownspoutslDrains:
.....,
.
Notes:
~
Paee 1 of 3
Phone Number: 541-915-4062
Expiration Date
10/03/2007
06/08/2007
03/1312008
Phone
541-915-4062 ce
541-747-0811
541-935-6696
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
_S,P"'INCI,~_ ~. .'
~~[7 .
......'Ii .'
-
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-0IOI2
ISSUED: 08/08/2006
APPLIED: 08/08/2006
EXPIRES: 02/28/2007
VALUE: $ 2,000.00
Status
Issued
225 Fifth Slreet, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541- 726-3 769 I nspeclion Line
I Valuation Descriotion J
Estimate
Estimate
$ Per Sq Ft
or multiplier
$1.00
$1.00
Sqnare Footage
or Bid Amount
2,000.00
2,000.00
Value
Date Calculated
Description
Estimate
Estimate
Tvpe of Construction
Total Value of Project
$2,000.00
$2,000.00
$4,000.00
08/08/2006
08/29/2006
F....., p.,yu
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Eleclrical
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcbarge
Building Permit
Amount Paid
Date Paid
$4.50
$2.25
$3.60
$45.00
$4.50
$2.25
$3.60
$43.00
$2.00
$5.60
$2.80
$4.48
$56.00
$4.50
$2.25
$3.60
$45.00
8/8/06
8/8/06
8/8/06
8/8/06
8/10/06
8/10/06
8/10/06
8/10/06
8/10106
8/25/06
8/25/06
8/25/06
8/25/06
8/29/06
8/29/06
8/29/06
8/29/06
Receipt Number
1200600000000001218
1200600000000001218
1200600000000001218
1200600000000001218
1200600000000001237
1200600000000001237
1200600000000001237
1200600000000001237
1200600000000001237
1200600000000001334
1200600000000001334
1200600000000001334
1200600000000001334
1200600000000001340
1200600000000001340
1200600000000001340
1200600000000001340
Total Amount Paid
$234.93
I Plan Reviews I
Structural Review
08/08/2006
08/08/2006
OK
DJB
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
I ]?ponill4Jnsnections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections bave been requesled and approved and the building is complete.
Paee 2 of3
-~....::~
-.. It .'
.
.
CITY OF SPRIr~lJNELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-01012
ISSUED: 08/08/2006
APPLIED: 08/08/2006
EXPIRES: 02/28/2007
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeclion Line
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rongh Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
By signature, I state and agree, tbat I have carefully examined the completed application and do hereby certify Ihat all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
tbe Ordinances of tbe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
thaI NO OCCUPANCY will be made of any structure withoul permission of the Community Services Division, Building Safety.
I further certify Ihat only contractors and employees wbo 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, thaI the permit card is located al the front of the property, and the approved set of plans will remain on Ihe site at all
times during construction.
4;tl:-Lf)/
8 12q l't:l.?'
I
Date
Paee 3 of 3
225 Fifth Street
Spri'ng'fi'elil, Oregon 97477
541-726-3759 Phone
~
~
. of Springfield Official Receipt
Development Services Department
Public Works Department
.
RECEIPT #:
1200600000000001340
Date: 08/29/2006
Job/Journal Number Description
COM2006-0 I 0 12 + 5% Technology Fee
COM2006-0 I 0 12 + 8% State Surcharge
COM2006-01012 + 10% Administrative Fee
COM2006-01012 Building Permit
Item Total:
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Cash GORILLA CAPITAL INC djb In Person
Change GORILLA CAPITAL INC djb In Person
Payment Total:
Job/Journal Number Description
COM2006-0 I 0 12 + 5% Technology Fee
COM2006-0 I 0 12 + 8% State Surcharge
COM2006-0 I 0 12 + 10% Administrative Fee
COM2006-0 I 0 12 Building Permit
Item Total:
Payments: t.:heck Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Cash GORILLA CAPITAL INC djb In Person
Change GORILLA CAPITAL INC djb In Person
Payment Total:
eRece!otl
Page I of J
9:38:53AM
Amount Due
2,25
3,60
4.50
45,00
$55.35
Amount Paid
$60,00
($4,65)
$55.35
Amount Due
2,25
3,60
4,50
45.00
$55.35
Amount Paid
$60,00
($4.65)
$55.35
8/29/2006