The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2009-5-4 ZON LD2- INlTIALS /\)j"V\ DATE .:;)-4-> (')C; SOURCE . . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689, .~ ~/lf ~ ~ " . f 3. !mQjrPiJ!E1iE1F"EEseJ:t:BDrmE;lBEE@;w~'Ir~~:~a .-. " . =:E:.~'fr~~..Jt:j~,=.~-_,^,,~~~~TIff&~~.LZ ELECTRICAL PERMIT APPLICATION " City Job Number L OIAA z..i:>o '7 - c:> c> /-, 0 l/ , 200 Amps or $ 70.00 201 Amps to $ 83.00 401 Amps to $138.00 601 Amps to $180.00 Over 1000 $4 13 ,00 Reconn~ct on/jj' t $ 55.00 ' ATTENTION: Oregon law reqUl/es y l!. ,,0 " . . 13' '1010' "C"les adopted chy th~t€l.Lel!lO~;fil!f\Jtu!~It!Y:_F -A'- "".."'~~~. ~l_'" . '.. Supervisor LIcense Number. C.-N2JY .''1'' mnor t. eSlot.j~:""<l"rs,,,,''"'_. .""",:,. !i~~r.'''' .'. _' ...'." - "-r:ter ThoseJ.' ti15laI,'" ".~-,~,"';~~~J2;~~"~'1:~"mrilir: ':~~u~',-~ , IWllI'vmou" ~-" . h hOAR 952-001- '() WAf R..Q52-001-001 0 t roug , L- 0 I - ~,.,l \"),,, rnov obtain ce~.!i!;I~HQm ~b}bn or Relocation . / --;,iing the center. (NQ'OO !\'illl!tllTllp"gne Constr Contr. Number SG\.O q ~mber for the oregonz!Yf~~jJJ~f49J~t~l1Ps Center IS 1-800;ia1 Amps'Th 600 Amps 5-/G-2D10 g E ctrician /A~ ;; ". I Owners Name /I ~b.... f.1A-Prl ~ ( /S[2.. ,ILul.L ~. L..nTIICE" E. ~'YTi~~l!~.f.i;:~M~b'tli'Jt1\'1'd~d)~EttiMfi't:filfu;T' V",'L.II'T ''l. I'lJ.I-l-1" ""ltt~ll'\llt'lf,:!;\'\lll;ii'!~'~",~,,,,,",,,-~ """,^- ~~,'i!"" , .-, '" '" s~P1 Phone THIS ~~~~6 ~~~ 1fH!ir,~~R~riTf~:O" $ 55 00 ." AU I n ENCED'tWIf~~llo\~~Q!)\g $ 55.00 OWNER lNST ALLA nON . COM~ 80 DA'{4i'E\lI\Gle~ergy/Residenllal $ 28,,00 The mstallatlOn IS bemg made on property I own A~X L,m,ted Energy/Commercml $ 50 00 is not intended for sale, lease or rent. iVlinimum Electric .Pe,rmit Ii1specti~n Fee"is $50.00 t Surcharges. Owners Signature: "': '. ::'''''_1 ~~~~ 4. ~~~~!~!~9~ ~fz ,',:;-:;< .;;;.".~~~'_.~i'~ '.. ~\~c.~~~~~a~~; ~e~ ,., ""0'0 lrispeetion Request: 726-3769 ,_. TOTAL Shared Drive(T:)/Building Fonns/Electrical Permit Application 1~98,doc I. 'ftejJ@€1:rrJ@N@E;,jNS1'~EA7iimN~;("~ ~i~'''''''''''''''~''T"}!~,',t,,,:,,,,,,,,,~v.~~~ 1'5/2 "{ aA- b.L . LEGAL DESCRlPTION: /703. 2t( 3. 2 c>o?cZ JOB DESCRlPTION: AJd Z r",rc.,^~ h Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2 i:.~ffi,~R!:tlE:j7@R$I7~~irfX~(,lN1\liI . ~~;"~""2~+:r~~:i!,oc~"'h"i'U"',;;~,?"::'i"'~ Electrical Contra<l1VEWIRE 1=1 I=(~T.BlC INC. P.O. BOX 11706 FIlGENE. OR 97440 Address City Phone Expiration Date Expiration Date Address CIty Date ~""~~~;~~~~"~~a!-:"'..t-;'~:tt~:t.\'1;1:'4fu"T;r::~%"':*~;;-~ A. ~:~D'i~~~J~i1!t!Lg,~~E!lX,tl!!!!i.fill!!l!ly,?R~t4!)Yi~JJn~g~~!R~~~ Service Included 1000 sq" ft. or less Each additional 500 sq" ft" or portion thereof" Each Manufact'a Home or Modular Dwellmg Service or Feeder $117,00 $ 21.00 $55:00 ". B. $ 5500. $ 76.00 $110,00 D. New Alteration or.Extension Per Panel One Circuit / Each Additional Circuit or with Service or feeder Pennit S1J $~"OO 5:) b 1- $ 4.00 -IItIrSrl\"lQI;I~~' ,< . " . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .I' CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2009-00604 ISSUED:' 05/04/2009 APPLIED: 05/04/2009 'I EXPIRES:' 11/04/2009 VALUE: SITE ADDRESS: 1512 VERA DR ASSESSOR'S PARCEL NO.: 1703243200302 Springfield TYPE OF WORK: Bathroom TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Add 2 circuits and replumb 2 fixtures Owner: GORDON C & WANDA F HAFDAHL REV LlV Address: 1512 VERA DR SPRINGFIELD OR 97477 . I C()NI]1R'J\imn~IlQRMA',(.JfN'-l t vv"J.!' (,It~ aaepte~ hy the 0 you .0 Noti/" t' C regen Utility Contractor . Ica Ion enter. Thesl.j~~~e se[E~I(Aration Date L1VEWlRE ELECTI~~)lJt952-001-0010 thrC5(W9VAR 952-00105/16/2010 PRICE RITE ROOTE~~i~L'tM'Bl~tal~ cOll59Bllothe rules bI/13/30/2010 .- ,-:. ) ''''.~') "0 ''''''pnone I IJHTllDTNQJ}!"FOIRMtT}PI~iW Notification ....,,, "'" 's l-tlUO-332-2344). # of Stories: Lot Size: Height of Structure 'Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: ,. Sq F( Other: Sprinkled Building: n/a Oecnpant Load: Contractor Type Electrical Plumbing # of Units: Primary Occupaney Group: Secondary Occupaney Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setbaek: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone 541-344-4928 541-221-3212 R-3 VB I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: It Total: t{Q:14GETrees R.'1d: \. EXPIRE If ,liE WOtl. T Handicapped: lW:s:t~M\~!ll!\/I.\. lli\S PERMll IS NO Compaet: /l.OfHb~\~f)Ct}igel~; /l.B/l.NOONEO fOR ("r\MMENCEO OR.. " I PUBLro>l.M~MEN'fsl' Sidewalk Type: Downspouts/Drains: Paee I of 3 Status Issued CITY OF SPK1!'1lJFIELD Building/Combination Permit PERMIT NO: cOM2009-00604 ISSUED: . 05/0412009 APPLIED: 05/04/2009 EXPIRES:: 11/04/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construetion if I Valuation Descrintion Iii ., rr II $ Per Sq Ft Square Footage or multiplier or Bid Arrlount il " Value Date Calculated Total Value of Project: j, 1: Fm flW I' $14.28 $5.95 $55.00 $6.00 $38.00 $20.00 II Date pAid ii 5/4/09 " 5/4/09 . i~ 5/4/09 5/4/09 5/4/0'9 5/4/09 Receipt Nnmber Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Fixture Minimum/Adjustment Plumbing Amount Paid 1200900000000000332 1200900000000000332 1200900000000000332 1200900000000000332 1200900000000000332 1200900000000000332 Total Amount Paid $139.23 I Plan Reviews I ii " 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 ~fter 7:00 a.m. will be made the following work day. ' Rw...irp,j In~npf'tI'(LI1<, III ,'~~, ."':, :1 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 eleetrical work is complete. Paee 2 of 3 CITY OF SPRINGFIELD ", Status Issued . Buildil1g/Combination Permit I PERMIT NO: cOM2009-00604 ii ISSUED: 05104/2009: II APPLIED: 05/04/2009 il EXPIRES: 11104/2009 i VALUE: . II 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Ii II 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:lwork perform~d shall be done in aceordanee with the Ordinanees of the City of Springfield and the Laws of the State of Oregon pertaining to the work deseribed herein, and that NO OCCUPANCY will be made of any structure without permission o'llthe Community Services Division, Building Safety. I further eertify that only contractors and employees who are in eompliance :/"ith ORS 701:005 will be used on this projeet. I further ag"ee to ensure that all reqnired inspections are reqnested at the pfoper time, that eaeh address is readable from the ~. . street, that the permit eard is located at the front of the property, and the approved set of plans will remain on the site at all d?~4^ I f'4~9 . Owner or contr~~ ji Date ,i1 ., Paee 3 on $.PRUo'O~ELD 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00604 COM2009-00604 COM2009-00604 COM2009-00604 COM2009-00604 COM2009-00604 Payments: Type of Payment CreditCard cReceinfl - RECEIPT #: 1200900000000000332 Description Add, Alter, Extend Circ Add, Alter,'Extend Cire Ea Add Fixture Minimum/Adjustment Plumbing + 5% Technology Fee + 12% State Surcharge Paid By RICHARD HENIGES Received By djb , Page 1 of 1 " II ii ii 'I Ii II Check Number Batch NiJmb~r " '! City of Springfield Official Receipt Dev~lopment Services Department Public Works Department Date: 05/04/2009 Item Total: Authorization Number" How Received 09645z In Person Payment Total: 9:48:13AM Amount Due 55.00 6,00 38.00 20.00 5,95 14.28 $139.23 Amount Paid $139.23 $139.23 5/4/2009