Loading...
HomeMy WebLinkAboutPermit Electrical 2009-5-15 j! This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if~ork is suspended fOf 180 days. II liW''''ib\!i!!"iI!ll!i!1l1!:0CA'''1!G'Q"V' ERN. ME N;>:WiA""'?RQ.V A"'Wi14~Wi0:"0!!C!'. Y0lli;?L.~,,,,~,N. .... L;;.,~ M .,__ ,_ __ _.ilb., liir::.._, , _~ _ ,L;;iL:t\B!d;~<Q9!?:fd!r 1~;:~~;~~~~~~i~~;~Q~[[q~N~~RtJ~mICl~~;'~Yf~II1!lJ~ I I D Residential I [] Government I D Commercial IliHIl!!f:JClBj[SITEibHN'=()Rl'IIA'fI()f\I;IiAN()i'I!QCA'f10111i1~~,3!;i 1,000 sq ft. or less (4) $134.00 $ I I Job site address: I/).J) :S S77ZI!t'7 I ~~~~;?ditionaI500 sq. ft. or portion $ 25.00 $ I I City: Sff!I/V&fit:U~ I State: ();(.... I ZIP: 97'f77 I I Limited energy (2) $ 32.00 $ I i=~~:;.~lc~i~f\li!()~,iWJ~~~~~~~1 I ~~~11~:nS~~~:r~~ re~~:r '(;)"odular $ 63.00 $ I 0-1 - ~ -r.. Ii / c:::.-U A I f' _ 0 _....... , I Services or feeders: installation, alteration. relocation I ~(..,(.r1Xo I ,n,er .'\lj"J3;'.JoU'~ VJr"...L-1YJ~ L,~-,j^!"", G: V1& :'tJ~vrt-1 - I 200 amps or less (2) $ 81.00 $ I 1fu:&02Zili'.Illifi1;~;~&~ilii&n-RQ' "E R~iJ;Q.W NE R' ;~l'ji&iI!ll!:m[!:"!~:Jl;~:P))i:,"!C, Ltjl\(Io 400 amps (2) $ 95.00 $ I '_~""~"~_"_'_"~,"'_H""";;o~,"""~"",r,;;",, ,,1';, ",'lItH?'^-, ",,' ""__,=01f"'!1k1'tih'i,~,G!_,,,'!m~'e..,rP ~ 'f.J I Name: ..JA#.~v /11/1 Mlto.tJ.~6T ,e,Ml~:-r;~:t(e~ orl ~6~1~l!{&oo amps (2) $158.00 $ I I Address: "J.O <; II <;rf'k1:',~:;,;;S adopte~:~s~ tule: ~~~e~~1I\1'000 amps (2) $205.00 $ I I City: 51'.eOJlit'/f,,1:!it) ~~I;:Si~te:<(!).~'~&~~~';f.j\; r\1r&Git;OJJo amps or volts (2) $469.00 $ I I Phone:o;tl/-1'1& - Oeo 8S in oll\F~'?:"'Uv ~ optain CU\"~t\ie .Iel lReaTh~~ct only (2) $ 63.00 $ I \3-"n"lR (t1o""'\p. " \~,,"I.l....r. I I E-mail: . ]~ OOIdU.. tne cef\tel. \. ~ Ut\\\W I ~O 'temporary services or feeders: installatIOn, alteratIOn, relocatIOn . I "'....I\H'(1 ,.......onOll 2.'1 ^ '11 I This installation is being made 'I1\~~i1!Allnlii!1 W1i"'l rn6PeftY"- -. "200 amps or less (2) $ 63.00 $ owned b~ me or a mem~er ofmY'fmmed@te1fa1hi'IY. This I 201 to 400 amps (2) $ 87.00 $ I property IS not mtended .for sale, exchange, lease, or rent. OAR I 1:~~~;~:;;l~~~MI0f\1l~I!II1!lJ~B.t; I ~::::~:::~::~~:.O:/~:'I:;::~e::::j:::e~:::~;::[iOn :bove i .1 Business ~ame: i: I a. Fce for branch circuits with purchase of a service or feeder fee: I I Address: 11 I Each branch circuit I $ 6.00 I $ I City: ,. IIIU,State: I ZIP: I b. Fee for branch circults without purchase ofa service or feeder fee: 1 Phone: \ ~ l:- I Fax: I I First branch circuit (2) II I $ 55.00 I $ S S I I E-mail: () Vj: I Each additional branch c\rculll/1QI( { $ 6.00 $ b I I CCB license no.: 'I I BCD license no.: MOi\Ct: I. _ "~\SeNI,n'l!'l(~}J-rvl?r1~lot mcluded I I Signing supervisor's Iic~nse no.: 1\1\S I'H\~~\ Ii'a.~i;Wlit\\fig~leln{}clf~h I I $ 63.00 $ I I Print name of signing su~ervisor: j:>.U1\-1U~\ .\:1 Jjl~Il:i'I~ <fli'il1/llll>\J_Ji (2) I $ 63.00 $ I 1 Signature of signing sup'e,', rvisor: CONlWIC.r C~~iiW!b;iG'iJ1.or a hmltcd-energy panel_I I $ 63.00 $ I . "~I . Q Q. D ~'lI1t.rIrt13h, or extensIOn (2) :1 t\1'i . "'" I Each additional inspection: (1) I I $58.00 $ I Electrical petmit Application \j 225 Fifth StreettSpringfield"IOR 97477tPH(541)726~3753t FAX(541)726-3689 I, 'I ~-l^. 'D.\~'\J(i. ~c5<. \P 440.2584.J (9/08/COM) pe~~~ZOO?-OO 67]1 I Date: Sf r/o <} I I (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) I (B) Enter 12% surcharge (.12 X [AD I (C) Technology Fee (5% of [AD I TOTAL fees and surcharges (A 'through C): 6(1 $ 7..JZ.1 $ .,?oq $ 7t1 71 $ Status Issued CITY OF ~rKlj~vFIELD Building/Combination Permit PERMIT NO: COM2009-00673 ISSUED: 05/15/2009 APPLIED: 05/1512009 EXPIRES: 11/1512009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line ,. ., SITE ADDRESS: 1120iS ST ASSESSOR'S PARCEL N0.: 1703261400603 . il PROJECT DESCRII'TlOI'i: Bath remodel ii Springfield TYPE OF WORK: Bathroom TYPE OF USE: Remodel Residential Owner: Address: , II JARRED GIBSON 1120 S ST II SPRINGFIELD OR 97477 Ji Phone Number: 541-746-0683 I. CONTRACTOR INFORMATION I CII "., \1). . ontractor , w requireS ""Icense " . 0 gon a n UI\I\W O,WNER ._.-"T'o~t re d by lhe orego Ilorll1 O'WNER .' dople \ ate se ." ....'.\e& a "'h,,~e ru es _ ~c~-"n.j- ','I \ ..,".8\li::BuiLDINmNFORMA;il@N<[bY . - I' ~r\' I I \e hi U,-" ,. '100\(;1.\11 v_,- \.-, te\eplIUI I_gO You me (Nole: Ille .1. lion # of Units; . i Ou.. Il1e .tI,-oIlSjori~s: Ulility Noll Ica Primary Occupancy Group: R-};a'\I~gr lot fJeigi\rtE'~n~cuctU!ll44). Secondary Occupancy Group; num e centnypij df'ffela~"~ ., Primary Construction Typ~ VB Water Type: Secondary Construction Type: Range Type: # of Bedrooms: I! Energy Path: Sprinkled Building: Contractor Type Electrical Plumbing Expiration Date . Phone Lot Size: Sq Ft J'st Floor: Sq Ft 2nd Floor; Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING FrontYllrd Setbllck: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks; Overlay Dist: . Total: # Street Trees Rqd; Handicapped: Paved .Drive Rqd: Compact: % of Lot Coverage: .. il-l\: \NO?'\\. "\Oi\C~:..,,.,-::- ~\.l~\ L.. \:~?lr~~~M" IS ~Oi. I PUBL1fl,IMtiBQ~~l\\I'W1:S'I\rI~~DOW~D rOt' 1'\\ \I ,e . . OK Iv "-\)t'\ . 'A\oJ\E~CED 100. Sidewalk Type: COWl Df\'1 PER . . i\~'1180 Downspouts/Drains; Street Improvements: ' Storm Sewer Available; Special Instruction: Notes: Paee I of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726~3753 Phone 541-726-3676 Fax " 541-726-3769 Inspectio~ [Ape Description , " J! Tvpe of ~onstruction II I Valuatinn Oescriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project I I F"", p~;..J . _ /. ,''' Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ " Add, Alter, Extend Circ Ea Add Fixture " Minimum/Adjustment Pluinbing Amount Paid Date Paid ., II. $14.28 $5.95 $55.00 $6.00 $57.00 $1.00 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 Total Amount Paid ;/ $\39.23 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00673 ISSUED: 05/15/2009 APPLIED: 05/15/2009 EXPIRES: 11/15/2009 VALUE: Value Date Calculated Receipt Number 1200900000000000457 1200900000000000457 1200900000000000457 1200900000000000457 1200900000000000457 1200900000000000457 To Request an inspecti'hn call the 24 hour. recording at 726-3769, All inspections requested before 7:00 a.m. will be made the skme working day, inspections requested after 7:00 a.m, will be made the following work day. \ '1J;>"n'~ 'I , . Rough 1)lumbing: Prior to cover and including required testing. j! Final Plumbing: When all plumbing work is complete. R I EI . P .II C oug 1 eetnc: nor to over Filial Electric: Wheh all electrical work is complete. . ' Paee 2 00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone " 541-726-3676 Fax ii 541-726-3769 Inspection Li.ne J~ CITY OF SPRINGHIi,LD Building/Combination Permit PERMIT NO: COM2009-00673 ISSUED: 05/15/2009 APPLIED: 05/15/2009 EXPIRES: 11/15/2009 VALUE: By signature, I state and ag'ree, that I have carefully examined the completed application and do hereby certify that all information hereon is true ~nd correct, and I further certify that any and all work performed shalj be done in accordance with the Ordinances of the City I;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 strncture without permission of the Community Services Division, Building Safety. Uurther certify thannly c~ntractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure thiat all required inspections are requested at the proper time, that each address is readable from the street, that the permit card lis located at the front of the property, and the approved setof plans will remain on the site at all times during construction. !! . k",///~A /1 II ." woer or Contractors Sign:~ture . , I !I II !~ . Page 3 of3 cr/;r-/t} 9 Dale I I 225 Fifth Streeti Springfield, Oregon 9747~ 541-726-3759 Phone ,:.,~AINa. FIECO.iij..' . .......' -~A - .' IlL.' ..'. _. - ,""~' '-""",.. .,. .......... " Job/Journal Number COM2009-00673 COM2009-00673 COM2009-00673 COM2009-00673 COM2009-00673 COM2009-00673 Payments: Type of Payment CreditCard cRcccintl Ii RECEIPT #: ., 1200900000000000457 " Description Add, Alter, Extend Circ , Add, A,lter, Extend Circ Ea Add Fixtur~' Minimtm/Adjustment Plumbing " . + 5% Technology Fee + 12%!'State Surcharge !i ]1 Paid By il Received By JARRED G!BSON djb , Check Number Batch Number Page I of I City of Springfield Official Receipt Development Services Department Public Works Department Date: 05/15/2009 Item Total: Authorization Number How Received 033822 In Person Payment Total: 9:41:49AM Amount Due 55.00 6.00 57.00 LOO 5.95 14.28 $139.23 Amount Paid $139.23 $139.23 5/15/2009