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Home My WebLink AboutPermit Electrical 2007-5-3 , ~ SPRINGF~ELD ZON _C!.CI kI: -- , INITIALS LA1. 1_" ~'DATE :5.,,0'1 ~~~";;~~S;;=;:;;Z;;;;;~;3753 .FAX:(541)72~3689 ~., , ~~ 42URCE lA~ City Job Number CCM^7-0o'7- oos5L/ Date S-/l:o~ '7 1. ~L~gS'{t{9.&:O]mSJ.}1:t;1Itqi1i. 3, ie~li~!Ii;f;:~lfi~jLQfu~2~' 11~~~ 2- S-C; 0 vvtA-lIll $".. LEI;DDC33~:l{ ( () looc::> . JOB DESCRIPTION: AM 3 C-l.r C-c.4. ( tt rt~:::~'\itk,~~~,.r,fl?::~;f'~~1;1-~.Pe'i~t,~~,,~~~ A. "iN",. ResidentiaJ'::':Sirigle or,MuIti:Familqier'dw :;,Ig~~!i.,,";;,;;~~ _.~~.""..l.Q.''';i..'k!t.''~''',~,,~,Az:>;.U.i...~ ~ Service Included 1000 sq, ft, or less Each additional 500 sq, ft, or portion thereof $ 106.00 $ 19,00 Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or $50.00 Suspended for 180 days, Feeder 2 rccmTRr'Cr~~~TION'ONfi;~ B, ~~i~-ts'#~~:ii~f'z.:r~~r;~~5~~:~ . ~,~L'~t::a.;~.:/~~.u.t~~,~,,-"^;''''''''-'''~.;.;-,-S"'<l.''-'''~~;'i,E'~b!'t..-'~~'.. . bShi"'-~"'l\"""-'a::..~,;:::~.2U'~~~..Ai4",j;'$."2l;~,{iI~~~~'!.~~ Electrical Contractor f'r. .. Ir: fg r:t'P -ru~?!ENTlON:orl Amps or less' $ 63,00 . . -..\"w fU/& on law f'f49 \Jotlf/estion 8 adop 9~lh t OI~OIJ to $ 75.00 Address :2 >i'to !l'V.4.O-: 0",1 ~f- In 1'4$r 952 Center;4~l18'sel;'tM~)Q)9oW'Utility ms,oo 0090 't'i ~01-o0tiO_~qijo'llrAJualff. $163.00 . City &&.6<<."" Phone L;4 r 'i7dlifrfg~ may Obt8JJv~da9~ ~,N16l52';;; $375.00 nU"'ber f 6 C6nt6r.F(~clti ~r,the rU/as t $ 50,00 orrhe Ore ' II e tel_ L -,-, ~" r:'lt;:Gris JLCof1J!pJJ.li!Y1Yg~ O!!"'~a't;~"'1m'~~'!'X~~j;~ Supervisor License Number J ( 'A J I~~- ~3~:*~ ~~~~ ,:-<l."""':::'~~~.(~~~ 200 Amps or less ' $ 50,00 NiJ1t, 201 Amps to 400 Amps $ 69.00 THIS Cf: 401 Amps to 600 Amps , $100,00 Au I/ERMIT sQ,v,.e[..62? !':,'~:i,?/_IOO? Volts.o~r~:',~bove,. , ";.~. ' '''''",~ COMM~~ZEO 8NYJlJfjMl!JjfE.o/~' s~!~iJ~~H~~~~l1&~ ANy 780 CEO OFfl'!! IfJliffit/Ol'1f el4'@,lfKer Panel l("l OA Y pE19M1!!ra.bDON IT IS Nor '$ 43.00 ~ . 'fl{t& AdditionalFcPrr~r with ~ b Service or Feeder Permit L- $ 3,00 Expiration Date ('0 -0 1-.::>'''' Constr, Contr. Number 141. 74 <,- Expiration Date /- I~-~... Signature of Supervising Electrician -------- 4,~- /Y rr Owners Name IJ IC- ON([ c....LC Address ZS '7 0 .vi ,4(/v SI. St>P~ City Phone OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Installation, Alteration or Relocation ~11(~~~;~t~~~i:~W'~~~~ti',s.o/'rrE;!?/:~r';:~_~;~if$)-t""'t;~:t~~ E, :il\1iScellaneous (ServiCe/fe.eder. not.rncluded):"E:ich :Il1slalla tion:~ ~~,~t"-$~;:is~~~,J.;~',.-'~~:,,~~-f;~:fr<!r.a:.:~\;l-;,t.....~,Z,.""i~ Pump or irrigation $ 50.00 Sign/Outline Lighting $'50,00 Limited EnergylResidential $ 25,00 Limited Energy/Commercial $ 45,00 . Minimum Electric Permit Inspection Fee is $~S,OO + Surcharges 4, ~st1JTOTAL{'Oj;:ABOVE1~tt<<>~~it~j.: I I , Fb;;',2iib~~~i&;~~"'~~~'~~- "'1 8% State Surcharge ~ ') ::r~Z 10% Administrative Fee lot;!./ 1./ 1'..... 5% Technology Fee b' Z" (" TOTAL Shared Drive{T:)JBuilding Forms/Electrical Permit Application 8..Q6.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00554 ISSUED: 04/16/2007 APPLIED: 04/16/2007 EXPIRES: 11/03/2007 VALUE: $ 2,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2590 MAIN ST ASSESSOR'S PARCEL NO,: 1703364101000 Springfield TYPE OF WORK: Interior TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Relocate bathroom wall for ADA compliance Owner: WK ONE LLC Address: 2590 MAIN ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. Contractor Type General Electrical Plumbing Contractor License JA Y CHAMBERS.CONSTRUCTlON LLC 161091 M1TCHS ELECTRIC 1NC \ ~~~~~"~ R J PLUMB1NG~\'Iffit-\~~~~~~~~"~~..... ,~~ 1J\\\\\y ~\\\I"BmE'WNG,I.\",~~..;,rn:fIJIO~",~~' 'N", tal ... II ..'j, '" >tij,,"""''''"' - -, 10 \\\1O",,1I .'1 \" (>>.f\ ~toli In cople~ of ttle ru"s ~Lot Size: 0000, 'ftl'iiWi!h't ll'i av.'t.'itM<a: the telephO~e Sq Ft 1st Floor: cal\l~~qrm9kgon Utility NotificatlonSq Ft 2nd Floor: VB nu"beMQid~~: 0" "32-2344), Sq Ft Basement: R1Ing'e1'yp~:.8 """ Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Expiration Date 08/13/2008 01/18/2009 01/30/2008 Phone 541-968-2817 541-521-5690 541-521-1389 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Fronlyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I NOTICE: n~~fcYMh SHALL EXPIRE IF THE WORK Total:, rreeti'rees RrJ,i1: HandIcapped: ~ElJ~ri~~lRqll:IDER THIS PERMIT IS NOT Compact: OObtiJ!ol\C::O:~rige:IS ABANDONED fOR ANY 180 DAY PERIOD. REQUIRED PARKING I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee 1 of 3 -Wltl!~AI~f,lIl'l~ \ '. - .- Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Tvpe of Construction Estimate Fee Description + 10% Administrative Fee + 5% Technology Fcc + 8% State Surcharge Building Permit + 100/0 Administrative Fee + 5% Technology Fcc + 8% State Surcharge Fixture Minimum/Adjustment Plumbing + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Structural Review . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00554 ISSUED: 04/16/2007 APPLIED: 04/16/2007 EXPIRES: 11103/2007 VALUE: $ 2,000.00 I Valuation Descrintion , $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 2,000,00 Value Date Calculated Total Value of Project $2,000,00 $2,000,00 04/16/2007 !<'pp< P'WU Amount Paid Date Paid Receipt Number 1200700000000000418 1200700000000000418 1200700000000000418 1200700000000000418 2200700000000000568 2200700000000000568 2200700000000000568 2200700000000000568 2200700000000000568 2200700000000000649 2200700000000000649 2200700000000000649 2200700000000000649 2200700000000000649 $4,50 $2,25 $3,60 $45,00 $4,50 $2.25 $3,60 $28,00 $17,00 $4,90 $2.45 $3.92 $43.00 $6,00 4/16/07 4/16/07 4/16/07 4/16/07 4/23/07 4/23/07 4/23/07 4/23/07 4/23/07 5/3/07 5/3/07 5/3/07 5/3/07 5/3/07 $170,97 I Plan Reviews , 04/16/2007 04/16/2007 APP DJB minor non-bearing alteration for ADA bathroom 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. .IRpnll~ Framing Inspection: Prior to cover and after all rough in inspections have been approved, Drywall: Prior to taping, 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, Paee 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00554 ISSUED: 04/16/2007 APPLIED: 04/16/2007 EXPIRES: 11103/2007 VALUE: $ 2,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, 1 state and agree, that 1 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, 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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 will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 3 of 3 225 Fifth Street Spri'Dgfi~ld, Oregon 97477 541-726-3759 Phone . fiiIl' of Springfield Official Receipt _elopment Services Department Public Works Department Job/Journal Number COM2007-00554 COM2007-00554 COM2007-00554 COM2007-00554 COM2007-00554 Payments: Type of Payment Cred itCard cReceint 1 RECEIPT #: 2200700000000000649 Date: 05/03/2007 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ERIC MAHAFFEY Item Total: l:'heck Number Authorization Received By Batch Number Number How Received djb R970S2 In Person Payment Total: Pa!(e 1 of I 1:28:24PM Amount Due 43.00 6,00 2.45 3.92 4,90 $60,27 Amount Paid $60,27 $60.27 5/3/2007