HomeMy WebLinkAboutPermit Electrical 2009-6-11
.city of Springfield
Electrical Authorization To Begin Work
E-mailedTo:kwschafer@aol.com
\y
~~ceipt # EC5534911 ~/'i \
6/11/2009 10:55:32 AM \j
Check on status of permit
'By Phone: (541 )726-3753 or Email: permitcenter@ci.springfield.or.us
200 amps or less [2J
Ii' 120] am"ps to 400 amps f2]
I Name: Evans Bowen I 1401 amps to 599 amps [2]
I Phone: I FllX: I H'Pr.lE~~l~,ltfU~~;:NE\Y')!lc!ali~€.}:)l~!eit~~'~j2!'ip_etp-a-l~e(:~~'t::\:..!~1
:~::::~~{P{~.;:;UOUBQ1I;:;~k'~M~i:~jb~~:ir;~~j}sfq~QYt~.?r~11 ~~~:;;~ ;,;;rf?e',hf~;~':;~:' w,th
I EL Ik. no.: 20,289C 8uoqd8181 8ql :1l.1Q1lk,h.l!J~GMijql bU!IIB~ I I B. Fee fo' bmn,h ,;rco;lS
a.' flU UoUU I without service or feeder fei:',
'Bos;ness Nam" KS 1!l'i1(~iRilcl&leI:l,NsJi.~!';1R'S 1111'140 ^~W _ , ,^.. . _ ... n,st bmnch ,;,,0;tI21
I Contact: KevinW SchJrk'rU-G:to t1VU YUIIU.lI..HUj..UV-J.-VU"c.:::m avv~: IrU@:fJ~~canchcircuit 2 $6.00 $12.00
IAddress: .PO BOX' 24~~~1~~:~1~~~ ~~l:~ 1~~~~~A~~~~:.~~~~V::~~;I~i! l11t~,{lfifU~~Jm::s'~AI:'l~::~~rtS'~ 1~'TQ'f:~,\^'aQY:;::"':~' 'W<=\
IClty/State/ZII>, EUGENliplidJ~4!l&Jlj~8J MBIU068JO :NnLLN3U\f Ijlll~;1~~~1'l'j~~lri11J;1, nJIS PER~, I':-IE "J'::T' I
Ipho~" (541)6866236 IFa" None Icd.wllll~~~~!1:JJff~~BI\NDONEI) FOR I
I EmaH, kwschaf',@aol.com lI\ ~~J i SO D.^.Y P!]\IR~'
I Metro lie. no.: I City lie. no.: I Pump or irrigation circle [2 I
ISupen'ising ell'ctrician's lie. no.: 34975 I I Sign or outline lighting [2] I
I Signal circuil(s) or Ilmited- I
I Supervising electrician's name: KEVIN W SCHAFER I energy panel, alteTlltion, or
extension [21 .
,.. . ~
10 New construction
[KJ Addition/alteration/replacement
I.
" '--::~:1:*-J;_
j [K] ] or 2 family dwelling D Multi-family D Commerci<ll / ]ndustri<ll
[4+\,,~,'~:;~:=:':~~f1B~SIT"~!iN_E2[r!~Tlq~/A~[):~~.rq~]!~~_'~~;~:'~]~~-f:~~,~~~
I Job no.: I Job address: 586 WQQDCREST DR I
I City/State/ZIP: SPRINGFIELD, OR 97477.3675 I
I Suite/bldg.!:lpt.no.: I
I Project name: I
Crossstreet/direetions to job site:
Subdivision:
ITax map/parcel no.: 170334]302900
jLot no.:
bllthroom remoi.:ld
Upon review and approval by your local jurisdiction, your
permitwill be e-mailed or faxed within one,business day,
with instructions on how to sche.dule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a pennit is-not obtained.
The local'building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws a~ordinances.
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I Description l Qty. I Ea. I Totul
I~. ..eS,.i~~~t.i~(S.J~~.2~~Plt~n1.l1U.i~.r~.~.!Ji~~.;ell~n.:g U~i!:!5-f~~'~~s. ' . t '$~
.:ttt~ts~g~ragc~,''t'~~~~~7!.., ,'''''r4l:~;- -. '.'f_.'';'~''
11,000 sq. fl. or less [4] I I
Ea. addl 500 sq. ft. or portion
I
I
'-,'I
I
I -Limited energy, residentilll
(with above Sq, ft.)
I-Limited energy. multifamily
residential (WIth llbove Sq. ft,)
I . Limited enerb')', commercia-I not offered online at this jurisdiction
(with above SQ. ft,)
I - Stand-alone limited energy,
residential
- Stllnd-alone limited energy,
multi~family
- Stand.alone limited energy;
commercial .
r~'~if~s-."2~~'e_~~ijjj,Ji~-(~!ml?~~~!t~r~/i~~Z1j~~~:i%~f8iign:t: -';:~t I
1200 amps or less [2J
120] amps to 400 amps [2]
1401 amps to 599 amps [2]
$55.00
$5500
Subtotal I
State Surcharge (12% of permil fee)
City or Springfield fees'" I
I TOTAL PERMIT FEE
'" City Of Springfield fees: 5% Technology Fee
[Default number afinspections allo)t'edj
Cq-BILP '~
$67.00 I
$804 I
$3,351
$78.391
loll/!eA
This Authorization To Begin Work must be posted at the job site until repla~ed by a Permit.
CITY OF SPRINGFIELD
Building/Combination Permit
, .
Status
Issued
PERMIT NO: COM2009-00816
ISSUED: 06/09/2009
APPLIED: 06/09/2009
EXPIRES: 12/11/2009
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 586 WOODCREST DR
ASSESSOR'S PARCEL NO,: 1703341302900
Springfield TYPE OF WORK: Bathroom
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Bathroom remodel
Owner: BOWEN EVAN S
Address: 586 WOODCREST DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ,I
Contractor Type
General
Electrical
Plumbing
Contractor License
GRAVELINE ANDERSON CONSTRUCTION 45238
KS ELECTRIC 70889
DOUGS PLUMBING INC 110163
BUILDING INFORMATION 1
Expiration Date
02/13/2011
12/30/2010
11/24/2009
Phone
54 J -484-6314
541-686-6236
541-688-3385
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Siz~,:
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
nla
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Setback: Overlay Dist:
Side 1 Setback: '(vvCZ-ZCC'OOS' ~ S! J8lUa8 # Street Trees Rqd:
Side 2 Setbtt'tlneCllll\ON Al!I!ln u06aJO aLII lOI laqLL!:I\<ed Drive Rqd:
Rearyard Se~BtC4kJala\ aLII :aloN) 'Jaluao aLII 6u!!ldA/ of Lot Coverage:
Solar Setbll&~illnJ aLII 10 sa!doo u!elqD Aew no}, 0600
~__"I''''''''I'\_I''''''_7C~\..l.\1()UI ...-."r-, --\'
~~~~l-~:Su a~~~8~J aso'4i..ja\ua~ ~PUBI'il~~rMPROVEMENTS I~~~ ';ERMIT SHALL EXPIRE IF I HTt \~vNOT
~"'''f'\ 1I068l0 aLlIAq paldope ~'. .. ' '.,~ .j.{~ln~R THIS PERMI
Street Impl'Ovemenrs: nb8J Mel U068JO :NOllN311\f , AUT\~ll\~w.allll-Ype,.. , NDONED FOR
0\ no^ S8l! . 1 ~n oals' ABA
Storm Sewer Available: COMDlfJnQpdiJ~,~ai'/f .
Special Instruction: ANY 180 DAY IV.
Total:
Handicapped:
'. Compact:
Notes:
Paee I of 3
_6P,RI~QI1iIl.\.lil,
.t
.
. Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I V aluation DescriDti~n I
Description Type of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
2,000.00
Total Value of Project
Fees Paid I
. Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Building Permit
Fixture
Sanitary Sewer - Improvement
San.itary Sewer - Reimbursement
SDC SanitarylStorm Admin
Vent Fan
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$28.92
$12.05
$79.00
$58.00
$95.00
$84.15
$110,66
$9,74
$9.00
$8.04
$3.35
$55.00
$12.00
6/9/09
6/9/09
6/9/09
6/9/09
6/9/09
6/9/09
6/9/09
6/9/09
. 6/9/09
6/11/09
6/11/09
6/11/09
6/11/09
Total Amount Paid
$564.91
I Plan Reviews I
CITY OF SPRINGFIELD
Building/C~mbination Permit
PERMIT NO: COM2009-00816
ISSUED: 06/0912009
APPLIED: 06/09/2009
EXPIRES: 1'2/11/2009
VALUE: $,2,000.00
Value
Date Calculated
$2,000.00
$2,000,00
06109/2009
Receipt Number
2200900000000000634
2200900000000000634
2200900000000000634
2200900000000000634
2200900000000000634
'2200900000000000634
2200900000000000634
2200900000000000634 .
2200900000000000634
2200900000000000660
2200900000000000660
2200900000000000660
2200900000000000660
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
11111111111
Framing Inspection: Prior to cover and after all rough in inspections have been approv,ed.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Page 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Electric: Prior to Cover
Final Electric: When aU electrical work is complete,
CITY OF SPRINGFIELD
Building/Combination Permit
"
PERMIT NO: COM2009-00816
. ISSUED: 06/09/2009
APPLIED: 06/09/2009
EXPIRES: 12/11/2009
1. .
VALUE: $,2,000.00
By signature, [ state and agree, that 1 have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with
the Ordi!1ances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO 'OCCUP ANCY will be made of any structure without permissiou of the Community Services Division, Building Safety.
[ 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 reqnired inspections are reqnested 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.
Owner or Contractors Signatnre
Pa2e 3 of 3
Date
225 Fifth Street
Sprjngfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Developmen! Services Department
Pubiic Works Department
Job/Journal Number
COM2009-00816
COM2009-00816
COM2009-00816
COM2009-00816
Payments:
Type of Payment
ONLINE CHGS
cReceinll .
RECEIPT #:
2200900000000000660
Date: 06/11/2009
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
,~ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received'
KR
Page I of I
1:43:3IPM
Amount Due
55.00
12.00
3.35
. 8.04
$78.39
Amount Paid
$78.39
$78.39
6/11/2009