HomeMy WebLinkAboutPermit Electrical 2009-5-15
City of Springfield
Electrieal Authorization To Begin Work
E-mailedTo:info@think-electric.com
Receipt # F:C551826 <;; J... J<....
5/15/20093:43:54 PM i.\ I
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Check on statu~ of permit
By Phone: (541)726-3753 or Email: permitcenler@ci.springfield.or.us
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I D New.construction [X] Addition/alteration/replacement
~, tJ~,~.::CAfEGi:>~Y ORC6NS!RYS:TIOg~ ;t~"-,,
I (K] 1 or 2 family dwelling D Multi-family D Commercial I Industrial
I' '; "J,9J!. SlltINf<iRMATION:!I~9L()S~iio~:1it12 " ,
IJob no.: 1.lob address: 4162 FORSYTHIA ST
ICily/StaterLlP: SPRINGFIELD, OR 97478-7570
I Suitc/bldg./llptno.:
I Project name:
Cross street/directions to job site:
I Subdivision:
ITax roup/parcel no.: 1802052200404
I tot no.:
~ .. ~
Replace devices in 3 bedrooms and upgmde bathroom wiring. Related 10 plumbing permit
COM2009-0054
SITE'CONtACT
I Name: Sieve Dunna.way
\Phone: (541)232-1212
I Email:
I F,U;
cONfMcrQF'>:;:"'(':",-,~:':
lEI, 1;0, 00,: 20,500C ..,..-EtlT,('\M' nr~kow 1i>lJ1l<fellJ5A\ri6S'Y~:},~,
I 80s'o,,, N"mc: THI~,rMnfiir;i,s adopted by the uregu,~ _. ~~:;h
IContal'!: Stephen Sdva~f!\q~ation Center. -, n.ose (~l~;::~>;' ;~;_'~n1_
IAdd"'s; PO BOX 841\1 OAR 952-0U1-U,u ,_~_u:,u~~ ~i ih~ rules by
I .anon """ rTH:lY uJ.uu, o3pl@
C'ty/S',,',/ZIP; EUO"",,,,,,1 ~fo!,!" ---t-- 1~lnt~. the telephone
JphO"C: (541)2321212 C""',~I~_ .;~~ ;.:-~' (h~~;~I\)$~\it'J6HOlltlCallOn
I IIYU rwvl ,_. ' 332 2;J4'l)
Emai!: info@thillk-electflc.com ~p.nter is 1-800- ~ .
Il\1etro Ik. no.: I City lie. no.:
ISupen'ising electrician's lie. no.: 5382S
I Supen'ising elcctricilln's nJlme: STEPHEN E SCHMJECIIEN
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructio~s on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
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""J I~-"." ,,:.FEg~CHE.~U,~E' ''''' ", ';1
II Description Qty. [a. Totlll
'-:1 1'~~:~hC;Ji:~~~S~~~~ Ol~ :~ti.~~~i~~.d".~!I:n~ ~:~l. Inc~u~es.
1II,OOOSq,ft,OrICSS[4] I I I
Ea. addl 500 sq. ft. or portion
''71 "I
I ~ Limited energy, residential
(with above SQ. n.) .
I-Limited energy, multifamily
residential (with above Sq. n,)
I - Limited'energy. commercia-I not oITered online at this jurisdiction
(with above SQ. ft.) .
I - Sland-alone limited .energy,
residential
I - Stand-alone limited energy.
multi-familv .
I - Stand-alonc limited energy,
commercIal
1~!~;iCJt9R-,fee~er~'!g~!i1IJ€.!ii~'; ~1~r,~t,to~;AN p~~~.!!loc~ion :;:;/ >7
1200 amps or less [21
120] amps to 400 amps [2]
1401 "mps to 599 "mps [2] I
I:TE"~ !)<?Rt~~~':~e,~lce'sQI}'.fee~,~'rS_ i~J~lhttionr~~r~:i!g~1~t~"~. ..;:~ ~I
,Ai'iQ!Ollrclocl!t_i~''-,,"l._~._ -f ~,': "'- 'i- '::_::-~='. ",_:~:\!-,"!",t;._~.'>~~'k~<;" .:--;
1200 amps or less [2]
:'-":~i~11201 umps to 400 amps [2]
I 1401 amps to 599 amps [2]
I 1~~-rullc~~i~uit:"':~"~,F)Y,': 41t~~~oll~ l)I}'~~~i.'nsi~IF!lei-. p!ln.el":.,,2'41" ,.:; ~
I I A. F~e for branch circu!ts with
service or feeder fee, each
branch circuit
lB. Fee for brunch circuits I
I' wilhf1pf'I'I"i" \If feeder fee,
firsltefUcfl f~fI1(r21
I Ica~if'44B>r~~[~Tt SJ /AL J - , .:- . . ',.,',
l~i.J~f);:7r1~~~f;;"
f21 I.
I I
I
I
I
$55,00
$55,00
1 Pump or irrigatiun circle [2J
I Sign or outline lighting [21
I Signa] circuit(s) or limited-
t:n~rgy panel, ulteralion, or
extension [21
I ,-
I Subtotal
I Minimum fee used inslelll.! of Subtotal
I Stale Surcharge (12% of penn it fee)
I City Of Springfield fees ..
I TOTALI)lmJ\llT FEE
" City Of Springfield fees: 5% Technology Fee
{Defalllt number a/inspections allowed]
CC1-5WLi lC~ 5 131m
'",glECT~IcA~PERMIT FE~S.
",~. 'I
;j-.'-t.;
$55,00 I
$58,00 I
$6,96 I
$2,90 I
$67,86 I
, .~
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This Authorization To Begin Work must be posted at the job site Ul1til replaced by a Permit.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00544
ISSUED: 04/2312009
APPLIED: 04/23/2009
. EXPIRES: 11/15/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 4162 FORSYTHIA ST
ASSESSOR'S PARCEL NO.: 1802052200404
Springlield TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Replace tubs with showers - and some electrical related to pluinbing
Residential
Owner: MA]NSTREAM HOUSING INC
Address: 180 E 18TH AVE
EUGENE OR 97401-4160
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Plumbing
Contractor
THINK ELECTRIC
SCHIRMER ENTERPRISES INC
License
154326
169413
Expiration Date
02/11/2011
03/30/2010
Phone
541-232-1212
541-485-1749
BUILDING INFORMATION I
VB
# of Stories:
Height of Structnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
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 Constrnction Type
Secondary Constru,ction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKlNG
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
1-\1 I J:.1'IIIIUI'l: uregon law r~J\~':"f-' ~D....tr
follow rules adopted by,thel",llBl<lti mp'fOVEMENTS I
Street Improv.!'lntti{~;ttion Center, Those rules are set forth Sidewalk Type: .
in qAR 952-001.-0010 through OAR 952-001- NOTICE: .'
Sto,.~ Sewer ~!Jt.~'mu may obtain copies of the rules by THIS PER~rrSW~~~/~ffifE IF THE WORK
SpecIal ]nstructleOJlmg the center. (Note:, the telephone AUTHORIZED UNDER THIS PERMIT IS NOT
number for the Oregon Utility Notlflcalion
Notes: Center is 1-800-332-2344). COMMENCED OR IS ABANDONED FOR
, ANY 180 DAY PERIOD.
Paee lof3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-37531'hone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fees Paid I
Fee Description
,+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Minimum/Adjustment Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Amount Paid
Date Paid
$6.96
$2.90
$38.00
$20.00
$6.96
$2.90
$58.00
4123/09
4123/09
4/23/09
4/23/09
5/18/09
5/]8/09
5/18/09
Total Amount Paid
$135.72
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00544
ISSUED: 04/23/2009
APPLIED: 04/23/2009
EXPIRES: 11/15/2009
VALUE:
Value
Date Calculated
Receipt Number
1200900000000000293
1200900000000000293
1200900000000000293
]200900000000000293
120090000000000046]
]200900000000000461
1200900000000000461
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.
I Reouired Insnections I
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Final Plumbing: Wben all plumbing work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paee"2 of 3
Status
Iss u ed
225 Fifth Street, SpringfieId, OR
541-726-3753 Phone
541-726-3676 Fax
54'1-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination .Permit
PERMIT NO: COM2009-00544
ISSUED: 04/23/2009
APPLIED: 04/2312009
EXPIRES: 11/15/2009
VALUE:
By signature, I state and agree, that] have carefully examined the completed application and do hereby certify that all ,
information hereon is true and correct, and I fnrther certify that any and all work performed shall be done in accordance with
the Ordinances of the City of SpringIield 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 tbat all required inspections are 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 tbe approved set of plans will remain on the site at all
times during construction. -
Owner or Contractors Signature
Paee 3 01'3
Date
225 Fii'th Street
Springfield, Oregon 97477
541-72'6-3759 Phone
Job/Journal Number
COM2009-00544
COM2009-00544
COM2009-00544
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
Description
Add, Alter, EXlend Circ
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
~_"AINQt;I.nD till'....... I :.
~....jA. - ..
~_.'
City of Springfield Official Receipt
Development Scrvices Dcpartment
Public Works Dcpartment
1200900000000000461
Datc: 05/18/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
.KR
ONLINE
Think Online
Electric
Payment Total:
Page I of ]
8:06:48AM
Amount Due
58,00
2,90
6,96
$67.86
Amount Paid
$67,86
$67.86
5/1 8/2009