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Home My WebLink AboutPermit Electrical 2009-8-4 . ~1~~i~lfffi~!!~ii~~!!:~1i~ Date ,~?F1.'NG.;=ic:..!...CI _~_.,-'~'---"_:.:_?: l~M:~~%{~i~ '( -~-v \. 225 FIFTH STREET. SPRINGFIELD,OR97477 . PH:(541)726-3753 ELECTRlCA/t PERi., 'YIlT APPLICATION City Job Number l frv'l'UJJ'Pt -' 0 I 0 I Cj \ ;~31AIT(::or;;;~F:'( , , LEGAL DESCRIPTION I'Jn3. 3~ 2\ I Z-CoOO JOB DESC PTION rlcL~i~ Permits ~ on-transferable and expire if work is not start d w thin 180 days of issnance or if work is S~spende or 180 days. ,.of"'" '_~'''''"__,,,,':_'_ .~.',:_~.,.. " C(JNtRACrORiNST.Ar'"fitTI()i'{Q'ilLY: 2. ','", ,. .,__ .,' ,< """',_,'.'",',.""...",..,J,,. . ",'.'.., Electrical Contractor ~ ~'f/li:J(rlS ;;(Qf~ W k td P1-r.IQ.. Address 2("'1'" , , ;,' CityG.1L ~ 0 - ,; Phone ,3(,f.1,-7.:J-'i7 Supervisor License Number 1..5'20-.;' . Ex.piration Date 10 I, I'LJJ ,;.. Constr. Comr. Number l'i L.'f2. Expiration Date 2.11110<1 Signature of Supervising Electrician i.,' , . '. ~A'2~/_,~~~ o ners Narne~Gm:: ~~ Addres; IAneSf (~ .:5t'"'", City.55rJ d,.. , Phone ,3<':' -':;7&0 OWNER] ~TALLAT]ON The insmilation is being made on propeny I own which is nOI"intended for saie. lease or rem. Owners Signarure: ~~J~ . ~~ '""~~~ ".m'~ 1~' .~ ,"0' ~ \:' 3. C01y!PLETE FEESCHE/J[;~\BELOW , . . ,."... - ., . . , '.~' ,'.. -.' ; ". '" .. "'.:: "- :. ,.', , :"iew Residcn~ar-:- ~j,~,g~~.~~,,~:I.~lt:}~~~~~~y-~.er '~~~~,~!liI}g:,~'ni.i:::~:;:/ . , . ". . . Service Included A. 1000 sq, ft. or less Each additional 500.sq. ft. or portion thereof $106,00 $ 19.00 Each Manufact' dHome or Modular Dwelling Service or Feeder $50.00 . .. . , B. SCryi~~~brF~~d~~i:i'r;ki,~ii~ti,;J~_4i~;,r;;tio~s. ?i~~;?igd~~:!',;l 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amp's to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $]25.00 $163.00 $375,00 $ 50,00 c. Tempor:lr~' Se&~~'~';:bT~~'~~~r.~;. i:' " Insrallation. Alteration or Reloc.:uion 200 Amps or less, 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B""above. ,... ". "., D. Branch Circuits, " :," $ 50.00 $ 69,00 $]00.00 New Alteration or Extension, Per Pa~el " \ One Circuit Each Additional Circuit or with ): 4, Servic~ or Feeder Permit ... $9flO $)40 5J6C;::> 1.AF=V "r... ., , E. :\'IisceJlaneous: (S~rviCe/feedcr. not~jnciudcd) -Each' Installation Pump or irrigation $ 50.00 SigniOUlline Lighting $ 50,00 Limited Energy/Residential S 25.00 Limited Energy/Commercial $ 45,00 Min~mum Electric Permit Inspection Fee is 545.00 + Surcharges , , "\C\.bO a..A!O Qf:~ 4. 'S[JBTOTAL OFABOVE \ ~Sta[e Surcharge ~"d~~ TOTAL Shareci DrivelT:':/Buiiding FonnSlE!ec~c:l.i Pemi.i,.-\ppiic:Hion t-06.d.oc 1'.- CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01019 ISSUED: 07/15/2009 APPLIED: 07/1312009 EXPIRES: 02/04/2010 VALUE: Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1637 G ST ASSESSOR'S PARCEL NO.: 1703362112600 Springfield TYPE OF WORK: Bathroom PROJECT DESCRIPTION: Convert laundry to bathroom TYPE OF USE: Alteration Residential Owner: Address: THOMAS EDMUNDSON 1637 G ST SPRINGFIELD OR 97477 I, Phone Number: 541-736-5760 I CONTRACTOR INFORMATION I ATTENTION: Oregon law requires.you to Contractor follow rules adopted by the OrL!ceiiSelity Expiration Date Phone OWNER Notification Center. Those rules are set forth . REYNOLDS El'lEG'1fRtG:2-001-001 0 through OI~849fi2-001- 01l02l20I I 541-343-7297 OWNER, 0090. You may obtain copies of the rules by ROBINSON PLt!MB.fNd;J~~_n~:~!~~t,~;},~~ jllt}~'?'~:~ 07/13/2011 541-345-6909 Contractor Type General Electrical Mechanical Plumbing ..-...- -. -. -- - -..... . BUlliDlNG INEOWMM'JeNl,. # of Units: Primary Occupancy Group: Secondary Occupancy Group:. Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a R-3 VB I DEV~LOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Availahle: Special Instruction: Notes: Pa2e I 01'3 Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occup~nt Load: REQUIRED PARKING Total: Handicapped: Compact: . CIT\1: OF SPRINGFIELD Building/C~mbination Permit PERMIT NO: CQM2009-01019 ISSUED: 07/1512009 APPLIED: 07/1312009 EXPIRES: 02/0412010 VALUE: ' _~l!I~~!:,I~L9r1. ~i~' ';V ~~. 't 'r Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project J/pp<, P~irl , Fee Description + 120/0 State Surcharge + 5% Technology Fee 1st Appliance Fixture Minimum/Adjustment Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin 'Amount Paid Date Paid , $16.44 $6.85 $79.00 $57.00 $1.00 $110.23 $144.97 $12.76 7/15/09 7/15/09 7/15/09 7/15/09 , 7/15/09 7/15/09 7/15/09 7/15/09 Total Amount Paid $428.25 I Plan Revie~s 'I Value Date Calculated Receipt Number 1200900000000000809 120~900000000000809 1200900000000000809 1200900000000000809' 1200900000000000809 1200900000000000809 1200.900000000000809 1200900000000000809 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 7:0.0. a.m. will'be made the following work day. I Rpflllirpr\. Tn~nections I , 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. Rough Electric: Prior to Cover / Final Electric: When all electrical work is complete. Paee 2 of 3 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line JI: CITY OF SPRINGFIELD Building/Combination Permit !: PERMIT NO: <tOM2009-01019 ISSUED: 07/1512009 APPLIED: 07/1312009 EXPIRES: 02/0412010 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do h"ereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be 'done in accordance witb the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the w~rk 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 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 win remain on the site at all times during construction. ,,')CCHV--v rr~~ O;ner or contrt Irs Signature Pal!e 3 of3 V4/()Q Date 225 Fifth Street Sp~iiigfieid, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01019 COM2009-01019 COM2009-01019 COM2009-01019 Payments: Type of Payment CreditCard cReceintl RECEIPT #: City of Springfield Official Receipt Developmertt Services Department " Pu~lic Works Department 2200900000000000873 Date: 08/04/2009 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By TRACEY L EDMUNDSON Received By Item Total: Check Number. Authoriziltion Batch Number Number How'Received , 083113 In Person Paym~nt Total: Pal!e 1 of I 10:32:0IAM Amount Due" 55.00 24,00 3,95 9.48 $92.43 Amount Paid $92.43 $92.43 , 8/4/2009