HomeMy WebLinkAboutPermit Electrical 2009-6-16
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:info@think.;;electric.com
Receipt # RC553790
6/16/2009 II :53:47 AM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I [K] ] or2 family dwelling
o Multi-family
o Commercial! Industrial
I Description l Qty. Ea. Total
liRE~i~Ciitial:~LNGTIELqJfin~~ti-fUpiil.KdF~lIlng'i1~it.'iln'~IU~cs.~: J
r~tt~f~~d,g~r~~lT~:; ~~'~,i.'~~~f~~'tff,s~~,r~', 0:~ ~~'%: ;'~~.~ ~.:~
11,000 sq. ft, or less [4] I
500 sq. ft. or ponion
I 0 N~w construction
lliJ Addition/alteration/replacement
I Job no.: I ,Job address: 4162 FORSYTHIA ST
I City/State/ZIP: SPRINGFIELD, OR 97478-7570
I Suite/bldg./apt.no.:
I Project name:
Cross street/directions to job site:
I-Limited energy, residential
{with above SQ. ft)
I-Limited energy, multifamily
residential (with above Sq. ft.)
I . Limited energy, commercial
(wilh above Sq, fU
I . Stand-alone limited energy,
residential
I - Stand-alone limited energy,
multi-family
I ~ Stand-alone limited energy,
COmmercia)
Ir~e:~.~,~;'g~t€€i~r~Y(nitaj!~~j.i~~:~~l~~rt_!~~~,:~~~_<?:~rfeliea.ti.~I!~.:?"';\
1200 "mpHde" [2] I
120] "mp",o 400 "mpq2] I
1401 amps to 599 amps [2] I
1;;~~i\Jr<?~~}:\~~yS~rtiC~.()R'!ee~.~~",~~i,st~!!.a.t~Q.~r,li!.i~r~t!on,_:- - )=;":j.:~
Y..\NPLOJi~r~~tl!>lll"&:j.;O:~.".'/'::'::Ff; ";""~~'>t~ 7:::' )',,:>;;~,~'o"'-~ ::....' !-' -'?~,
1200 amps or less [2] I I
'1201 amps to 400 amps [2] I I
I 140] "mp<to 599 "mp' [2] I I
,I 1~)j~~nc~~~i~~ujJs};~~E\~ka!t.~_~:t~:'~i_eX!Cnstg~~p'e-rp;an~_I' -, """. <' ;;-1
I I A. Fee fo' bmoch ,;ccu;" w;th b ~
service or fee'A~acl1
bmnch c;ccu;tIII:N liON: reaon I w r"nllia.o 1'C"1 to
B. fee foc brlfilj~ca\ttLl!\:lleS ac.opted b the 'l?Jt@~ on l!I\ill1O
wJthou"e1i!tlJ~~i6\1'Cer t Th ' "l
r,,,t bmnch,fI''''; '_~ _ _ er. 0 e rules al e set fort I
each "ddl bRfl ," o~."'~~\J t ~u.] U m~o/ugn StlMl952l6ll<t.
I;~I'.~W".~'~"~--' . ~~,,, ""'N~.:T"'.'" vVj,J1t'~.OTme t. UJ(:i~
i~~~~!i~:1~rr?::~1
I Pump or irrigation circle [2] I
Sign or outline lighting [2] I
Signal circuit(s) or limilcd- I
energy panel, altcratlOn, or
extension (21
10~~~?;.~r"::~.t :;,~~.~g~t~19=~~'?:E'R'MIT.'F.EE;:;_,t< t':,
I Subtotal
J State Surcharge (12% of penn it fee)
I City Of Springfield fees *
\~ 1 I TOTAL PERMIT FEE
"- ~'" ...C,," * City Of Springfield fees: 5% Technology Fee
~ U -.... [DeJolllrnllmberoJinspeclionsafloll'edJ
\g~ CCl -5Y,Y-
~~
not offered'online at thisjurisdictiol1
1 Subdi"ision:
ITax map/parcel no.:
I Lot no.:
]802052200404
install 2 can lights, new bath fan and replace outlest with TR type.
I Name: Forrest Castile
I Phone: (54l) 554-6974
\Email:
IF""
I CI. fico no.' 20.500CTU']~ 'r~n~ll (' JCCB lie. no.: ]54326
I Bn,;n", N"mc: THNi~;ijr,~tt T U~_:l ti\I-'IKJ: IF THE WORK
ICon,"c', St'Phens'l"~f:~;;;t.} Uf~ucl1 I HI::; I-'ERMIT IS NOT
IAdd"" PO BOX ~h lag,g~ ~En.I." AtlANDONED FOR
jC;ty/Statc/ZIP, EUGENE OR 7 nlUU.
I Phone: (541 )2321212 I Fax: (541 )3593065
I":mllil: info@think-electric.com
I Metro lie. no.:
I Supervising electriCian's lie. no.: 53825
1 Supervising eleetriei:m's name: STEPHEN E SCHMIECI-IEN
I City lie. no.:
Upon review and approval by your local jurisdiction"your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
$61.00 I
$7.32 I
$3.05 I
$71.37 I
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.
~~\j:~"
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00544
ISSUED: 04/23/2009
APPLIED: 04/23/2009
EXPIRES: 12/16/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726"3769 Inspection Line
SITE ADDRESS: 4162 FORSYTHIA ST
ASSESSOR'S PARCEL NO.: 1802052200404
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Replace tubs with showers - and some electrical related to plumbing
Residential
Owner: MAINSTREAM 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
Expiratil!n Date
02/1112011
03/3012010
Phone
541-232-1212
541-485-1749
BUILDING INFORMATION.
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
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
, DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback: Overlay Dist:
Side 1 Setback: # Street Trees Rqd:
Side 2tsl;}iHfIf: Paved Drive Rqd:
RearY/ii;~S>~~!'I1~lT SHALL EXPIRE IF THE WORK" of Lot Coverage:
Solar ~Gt~iWJ~:IZED UNDER THIS PERMIT IS NOT _ ___ In'" ,pnllires yOU to
L,UIVIIVltNL:tU UK /S ABANDONED F,il>lIBLlc IMPROVEMENT~"..1 I C:I' "V". ~ -led by the Oregon UlImy
ANY 180 DAY PERIOD. '1low ~u~es an op Those rules are set forth
Street Improvements: . NotlfICaSili'eW~\~~~eihrOu9h OAR 952-001-
in OAR 952-0U - . ni of the rules by
Storm Sewer Available: 0090. 'tQQ."'nspa1ltsrorffils:~she telephone
Special Instruction: calling the center. (Note..~ t Notification
number for the or1e8g00~_~~~~i344).
Center IS -
Total:
Handicapped:
Compact:
Notes:
Page 1 of 3
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i
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fees Pair! ~
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee.
Fixture
Minimum/Adjustment Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$6.96
$2.90
$38.00
$20.00
$6.96
$2.90
$58.00
$7.32
$3.05
$55.00
$6.00
4/23/09
4/23/09
4/23/09
4/23/09
5/18/09
5/18/09
5/18/09
6/16/09
6/16/09
6/16/09
6/16/09
Total Amount Paid
$207.09
I Plan Reviews I
CITY UJ:i :')rRINlJl'mLD'
Building/Combination Permit
PERMIT NO: COM2009-00544
ISSUED: 04/23/2009
APPLIED: 04/23/2009
EXPIRES: 12/16/2009
VALUE:
Value
Date Calculated
Receipt Number
1200900000000000293
1200900000000000293
1200900000000000293
1200900000000000293
1200900000000000461
1200900000000000461
1200900000000000461
3200900000000000462
3200900000000000462
3200900000000000462
3200900000000000462
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.
Reouired Insnections I
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Page 2 of3
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00544
ISSUED: 04/23/2009
APPLIED: 04/23/2009
EXPIRES: 12/16/2009
VALUE:
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 toensure that 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 the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
'--
Paee 3 of 3
Date
225.Fifth Street
Springfield, Oregon 97477
54P726-3759 Phone
Job/Journal Number
COM2009-00544
COM2009-00.S44
COM2009-00S44
COM2009-00S44
Payments:
Type of Payment
ONLINE GIGS
cRcccinll
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200900000000000462
Date: 06/16/2009
Description
Add, Alter, Extend Circ
. Add, Alter, Extend Circ Ea Add
+ S% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE THINK Online
ELECTRIC
Payment Total:
Page I of I
I :50:59PM
Amount Due
5S.00
6.00
3.0S
7.32
$71.37
Amount Paid
$71.3 7
$71.37
6/16/2009