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HomeMy WebLinkAboutPermit Electrical 2009-10-13 " ~, ;, .. '::' .:, ~ t, .< CITy' OF ~nuNGFIELD Building/Combination Permit ': 225 Fiftb S~reet,'Sprjng!ield, OR ':"541-726-3753 PIl,mer,,:::,, "," '" '."L 541-726-3676 Fax ."" 541-726-3769 Inspection Line 't: " PERMIT NO: COM2009-01491 , ISSUED: O,~/09/2009 APPLIED: 10/09/2009 EXPIRES: 04/13/2010 VALUE:' Status ,y ,~ : ' ;, ..(. ,';-,..-, ".' . , r. Issued{',';: " , SITE ADDRESS: 1000 3RDPi:J{, ," " . ". .. ".~. ,"' >,- .". ASSESSOR'S PARCEfiNO:, ",pARKER 3RD PLACE P :~~.,;;~' ,t~ :.." .: '~, Springfield TYPE OF WORK: Electrical Work Only , TYPE OF USE: New, Residential ": PROJECT ))ESCIUPTION: 200 AMP meter cbange ,:~:j,. ,.'.., :');:;!>"'ti:".,;:..t,- " ".;. - ' Owner: Address: .,/ JOHN PARKER " 1000 3RD PLACE SPRINGFIELD OR 97477 Pbone Number: 541-741-1298 ..~ t:~ .:;,:'\1;' 'il ~..~!~;. ", '-;.......,' , :-1 \, . ! 'i',' ' Contractor Type; :"Contractor , Electrical 'tll(i~;;( :~i",BURRELL BROS ENTERPRISES INC Plumbing " , -~ OWNER ':' License 136446 " " I~ , " Expiration Date 08/20(2011 Phone 541-747-2724 I CONTRACTOR INFORMATION I , BUILDING INFORMATION I # of Units: Primary Occupancy Group: d. Secondary Occupancy Group: Primary Construction Type "Secondary Construction'Type: # of Bedrooms: ..; ~. \0;'\ .:,:. ~. . :'" # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: SprinkledBuilding: nla Ii Lot Size: Sq Ft * Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Gllrage/Carport Sq Ft Other: Occupllnt Load: 'r {', ri I,DEVELOPMENT INFORMATION I 0., . ~ ,,,:,~tt' ~ , " Overlay Dist: # Street Trees Rqd: Pllved Drive Rqd: % of Lot Coverllge: REQUIRED PARKING , Total: 'L Hllndicllpped: , Compllct: ~'t ~,.. Frontyard Setbllck: t '/:''', ' Side 1 Setbllck:; , " ," Side 2 Setback"';' '''', ", : Rearyard Setb~~k:'-;' "~ ' Solar Setbacks: ,I PUBLIC IMJ>ROVEMENTS I Street Improvements: " ',~~' ",~:f:: ,. , Sidewlllk Type: DownspoutslDrllins: ATTENTION: Oregon law requires you:to foilow rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952-001-0010 through OAR 952-901- 0090, You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344), , , " .. ~ -..,.. , Storm Sewer Available::-, Speciallnstructi~n: I ~~ \, " H j- f' ~ . Notes: NanCE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS'NOT COf'Af\1ENCm OR IS ,ABANDONED FOR :-,NY 180 DA'lpERIOD, ''':'' .. ;. \ ' " 'J . H' :1 t,i Pllee I of3 ,",,". .~:, '7;--:. , .;'.".;.-...".;.,' Status 'Issued""':~" 225 Fifth Street,Springfield, OR 541-726-3753 Phone . 541~726-3676 Fax , .541-726-3 769 In.sp~coHg~:J,ine,;' , ,~:;:: .:.1.' ~.,:,:;;:::,. -, . ~'-. f;~' ;(... .,.,>,.,.0. TVpe of Construction', ,'., $ Per Sq Ft or multiplier ;.'... Description '", . ~ :' .\, ., It. i: , : .. ,. (H~f~::'.~~ ~~,~~:.1< .. , " I,~ Fee Description + 12% State Surcharge + 5% Technology Fee ' Perm ServlFdr 200 amps or less,.,I., + 12% State Surcharge, .' ..'J~' + 5% Technologyl~e;:' , Water Line - 1st 100' (;'1 ; Water Line - Each Addtl 100' I '~, . ; ~;. ~ ,; \ . , I :t ' ':. Total Amount Paid " . ...., - 01 ",. .':.' . ~r ; r,' I'. ~ ~, , , " CITY OF SPRINGFIELD ji Building/Combination Permit PERMIT NO: COM2009-01491 ISSUED: 04/09/2009 APPLIED: 1'0/0912009 EXPIRES: 04113/2010 I' VALUE:, I Valuation Descrintion , :~, Amount Paid $19.44 . J $8.10 $162,00 $11.40 $4.75 $76.00 $19.00 $300.69 ,) Square Foot~ge or Bid Amount Valu~ Date Calculated, Total Value of Project Fpp., P~irlJ Date Paid 1 Receipt Number 10/9/09 10/9/09 10/9/09 10/13/09 10/13/09 10/13/09 10/13/09 3200900000000000700 3200900000000000700 3200900000000000700 2200900000000001176 2200900000000001176 220Q90000000000ll76 2200900000000001176 .' I Plan Reviews I ,To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00 a,m. will be ni'ad~ th'e same wo'rking day, inspections requested after 7:00 a.m. willi:be made the following wMk~~' . ~'I Rrnllir,p~p,('Jion"'1 '. i ,8~. ' Electr!c ~ervic~; ~App~ov'ai ;~quired prior to utility company energiziug service. e ." I' I Water Line:, rrior to filling trench and including required testin'g, \ t~',. / " . ,,:t'U.l~i'i.:I~}',\ ... \: .,~: }7. ,L'l~~~ ! r '; 1) (.'. . '.r' .' 1 . . ::; .~~, ,:<, '" .1'; ;0' ''.;, i ~ ~I . !f l'lt ,t. ,,.1" tl f j. J~ ! LH ~ Iii' , .) Paee 2 of3 :. .~! ~, ; , ~ \ , , , \ \, \ \ CITY OF SPRING1<lJ!,LU \ Building/Cdmbination Permit PERMIT NO: COM2009-01491 ISSUED: 04/09/2009 APPLIED: 10/09/2009 EXPIRES: 04/13/2010 V ALUE:\ 'I \ I, Status Issued, , ,,' ',," .,-: '/''-' " '" 'i:!t-':L> / , 225 Fiftb StreetrSpririgfield;;'OR'.'(;~S, ,',' 541-726-3753 Phone'~",<'" <( 541-726-3676 Fa~,:' ' :- 541-726-3769 InspectiOli'Line ;.. " .. l"'I,/fl.~. ":' 'J. ' , ,,',:" '~ u , I By signatnre, I state and agree, tbat,~ bave carefully examined the completed application and do h:ereby certify tbat all information bereon is true and corr~ct, and'! further certify that any and all work performed sbal,1 be done in accordance witb , tbe Ordinances "ftb,e<::i,ty o~,SPr.iligfieldand the Laws of the State of Oregon pertaining to tbe w~rk described be rein, and tbat NO OCCUrA,~,sy"villtie mad{of any structure witbout permission of tbe Community Servtces Division, Building Safety. I furtber certify:tba':only contractors and employees who are in compliance with ORS 701.005 win be used on this project. :.:I,furtber agree tiren~u~e_,\bat all required inspections are requested at the proper time, that each address is readable from the ',. , ", ',,'1; "'., "" '.., " I ;'street, thafibe permit ,cli~d isIoca,ted at the front of the property, and the approved set of plans will remain on the site at all , times during constructio'n: : ';";':".:~:>:::~i.~ ' :: " , , /O~'3 {;., / y~ / _/::::/ ~--;-;7 ,,2;":;:::;;;"-::> c,~"..../7'i- _"r C7-~ ~..' Ow~r--m:"'Contr;t~r~ Si~;;ature E" lih ., " ",,:~,*.!.I'-l"'_jr~;' ". .;....:,. .;;.;-~' ,~~ ''''~ j~4::?r.<{-. . ~ .""." . ,. , ' . ':f~' ~ t' ;". ,~ ,.:~r ~ .',: \ '.~ '.:'1r Irj~r ,:~. Date I; " . '-;1; '.' <,:) " ' ,., 1; i! ~ ' rr:., I', j! u. iil-< ~I~ I~I ;...'1,.,- ;~: !{i' ;' ~:' e ; 1.1' .~.~;~" , ""':r. ~'. ..... '10, :, . ,.'1. s-,' . 'f,l ,}, _' I";, ,~,. ~";r I ._~, _ ',~i~~q qi'~H', '! \1.:.~ S' .;; , :.~!,,: ',". ",' :L . -:j~;~ '~\,-',; i~~ ., i ., t :~r.. 'I,;. I .-l. ,- ::~(~ . " " , " ,,', r " .... " rH_' '/,.,,;;- :j' ... , ...;,~ I: " ., ~~.,. I' ' \~. r~j , , . , .. ~ ',') .f. ~';' ~ ' r : ~; .~~:? ..~ :t " Paee j of 3 ~L. ~ ~: ;~ , " .' . .,_.-.~...:;;~:;~\~\ 225 FIfth Street,"-''''';;''<'i'''',' Spri~g'fi~ld,' Or~g~ri'1}7 477 541~726-3759 Phone':;, . ;" - ," : ~ .t;:-.~'.f.';(;)): ,<. ,., RECEIPT#:' 2200900000000001176 Job/Journal Number '~escription,. .,:f:. ',:; COM2009-01491 . q' : ".\\fater Line:;;!s!lOO", ; COM2009-01491' ~~:i,'{:~W~ter i:iii'~2:E~~h'AddtII00' . ~.. ..;P,"\~:.:h,:''','~'., ',. ,."- ',.~ COM2009-01491 '.fS"{+5%'Technology Fee COM2009-0149J;.::;i}; :;+ 12% State Surcharge . ":~ :,~~:;n '. . ' . ;,.. :'t:,:;':'~':,%~':~:~\~,~:-~~~:l-.::~ ' : ' . ,:i;: Payments: Type of Payment Cash Cash Job/Journal Number COM2009-01491. "'..' '.'-'.. COM2009-0 1491 COM2009"0 1491 C0M2009-01491 Payments: Type.of Payment Cash Cash I....! . ,~.,'.; '" :',."1. cReceintl ~, . Paid By c, Description ::,Water Line - 1st 100' i ; Water Line - Each AddtlIOO' + 5% Technology Fee + 12% State Surcharge ,PaidBy_,,_, __, --4 ,!)i.. :! ~ ; ~ '''i !: " .. :~. 't', , ll':,t 10.," .:1 " -,.-.", ..,,-- ." '., -. .' - - , ':.!l. -. ','":'l"':-' ..~~ t.; !;.: ,:: " ~t " ,. , Ii .J .r 1,Ji. ", ~~ 'I." ...::j P :i i ;}' '... --ri.': .\; -.'.' 1!' ~ J: .., .. " ~~. " - ~.,. :~~ ~: " .. , l' f , ., " , ii. ; 1; , . -,: !{:t. ;:. :j , I '. Received By NJM NJM 'Received By NJM NJM .. Page 1 of I City of Spr,ingfield Official Receipt Developm~nt Services Department Public Works Department ( , Date: 10/13/2009 Item Total: Check Number Authorization I~ Batch Number Number How~.Received In Person In Person I Paym~nt Total: Check Number Batch Numher Item Total: Authorization Number Howi~Received In Person In Person Ii Paym~nt Total: 8:13:36AM Amount Due 76,00 19,00 4.75 11.40 $11 1.15 Amount Paid $120,00 ($8,85) $11 1.15 Amount Due 76,00 19,00 4.75 11.40 $11 1.15 Amount Paid $120,00 ($885) $11 1.15 10113/20.09