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Home My WebLink AboutPermit 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