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Home My WebLink AboutPermit Electrical 2010-4-12 , Electrical Permit Application ~,~\\ .. #.i" '..'" ',...! .~~'t . -,-."'....~~ ~~ '!;'-, , '", ....~-}ii .~. ~~ " ., '\,':.'t J ~m~I::rYi~Q.If,~R~,~~!~ftP~9~F:GQ~'~~, 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 DEPARTMENT USE ONLY .:. . Cv/l"" kr 3~ Permit no. '. ~ " ~ Date: 4-12-- Z--&- J...-&- . This permit is issued under OAR 918-309-0000. Permits are nontraI;1sferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 'LOC~L gOVERNMENT APPROVAL ','" Zoning approval verified? 0 Yes 0 No .'CATEGORYiOFCQNSTRUCtION ""'- PROPERTY OWNER Name: Address: City: Phone: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479,540(1) and 479.560(1), ZIP: Fax: Signature: c. ~ ~ C\:$) t><~~\Y ~~ 440-2584-J (9/08/COM) ~.~ ' 'ci'~\h~(#.(~,1tn:~;;I.~';;~';~'fE:~~SOH~pJi13'E:r.::~'~;:'FI'~_~!'~~i2t~f~ns~~~~~F~~ .,.. '. .... Cost .Num~er ofinspectjons peri.t~D,'q Qty. ,.. e~. Totar I cost. Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 60 I to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) 201 to 400 amps (2) 40 I to 600 amps (2) $ 63.00 $ $ 87.00 $ $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit I $ 6.00 $ b. Fee for branch circuits without purchase ofa service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ .>S- $ 6.00 $ {,- Miscellaneous fees: service or feeder ~ot included Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or a limited-energy panel, alter8;tion, 9r extension (2) $ 63.00 $ $ 63.00 $ $ 63.00 $ Eaeh additional insp~ction: (I) tl1,1ti,;;}{~t~':i~J'ii~,'i!kAeF?ET()A:N'i'~'USEW~\. (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) (C) Technology Fee (5% of[A]) TOTAL fees and sureharges (A through C): $58.00 $ ;:;.';'~::;.i;f:_~~;~;(j :'::~< '... k"".,":. $ $ * 3?-. $ 3.ey $.1-', ;;1- 'If(l;-]) 1'-] 2-- .t e-- CITY OF SPRINGFIELD Building/Combination Permit Status OK to Issue PERMIT NO: COM2010-00370 ISSUED: APPLIED: EXPIRES: VALUE: 03/26/2010 10/09/2010 $ 12,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 117 S 14TH ST ASSESSOR'S PARCEL NO.: 1703363204401 . .... Springtield TYPE OF WORK: Commerci'al Miscellaneons .:. , TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Convert Storage Room to (I) unisex accessible restroom and (I) unisex r.estroom Owner: DRENNAN TRUST Address: 33328 HOWE LN CRESWELL OR 97426 Owner: STREITZ STEVEN K Address: 33328 HOWE LN CRESWELL OR 97426 Owner: HANAGAN TIMOTHY G Address: 33328 HOWE LN CRESWELL OR 97426 Owner: LENTFER HENRY P Address: 33328 HOWE LN CRESWELL OR 97426 Owner: ALASKA FINANCIAL COMPANY III LLC Address: 33328 HOWE LN CRESWELL OR 97426 ATTENTION: Oregon law requires you 10 follow rules adopted by the Oregon Utlllty Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 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). I CONT~CTOR INFORMATION ~ Contractor Type General Electrical Mechanical Plumbing Contractor OWNER BIRCH CONSTRUCTION OWNER OWNER ';'dj"! 1'1. License Expiration Date Phone 165702 08/0112011 541-895-5721 ..' ; :.,,;.;. < (:~",;,;"'~:')' ',- NOTICE: " THEWORl< ~~H~~r~ ~~~~~ ~~~~J~M: ::OT COMMENCED OR IS ABANDONE, ,,' ANY 180 DAY PERIOD. ,,' .'~ '1') . ."'~"~;;o;, ~~~~~~.' :.J~~,;, ;, - ~ i' ~ Page I of 4 Status OK to Issue 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line # of Units: Primary Occupancy Group: Secondaf)' Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction : See parcel tag Notes: SDC credit given for existing fixtures Description Tvpe of Construction Estimate Estimate Fee Description Plan Review Comm/Ind/Public + 12% State Surcharge + 5% Tecbnology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea 'Add Total Amonnt Paid A2 VB 1.> , \'C;,'{ ,j,..' BUILDING INFORMA EON ~ # of Stories: Heigbt of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: ".' '. \;. . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00370 ISSUED: APPLIED: EXPIRES: VALUE: 03/2612010 10/0912010 $ 12,000.00 No Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS ~ I Valuation Description I $ Per Sq Ft or multiplier ':1 ""'~. t ' "$1;00'" "", 't,. " ,,~: Total Vi.lue of Project Amount Paid $113.75 $7.32 $3.05 $55.00 $6.00 $185.12 Square Footage or Bid Amount 14,000.00 ~ Date Paid 3/26/10 4/12/10 4/12/10 4112/10 4/12/10 Paee 2 of 4 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: Value Date Calculated $14,000.00 $14,000.00 03/26/2010 Receipt Number 2201000000000000281 2201000000000000343 220]000000000000343 220]000000000000343 2201000000000000343 CITY OF SPRINGFIELD Building/Combination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ',',un PERMIT NO: COM2010-00370 ISSUED: APPLIED: EXPIRES: VALUE: 03/26/2010 10/09/2010 $ 12,000.00 Status OK to Issue I Plan Reviews I Structural Review 03/26/2010 Structural Review 03/26/2010 03/26/20 I 0 WI KLK Plannin2 Review 03/26/2010 03/30/2010 APP EMM Structural Review 04/02/20 I 0 '04/0212010 WE KLK Public Works Review 03/29/2010 04/09/20 I 0 APP LKW Planning and Public Works Provide Signed Electrical Permit Application Structural Review 04/09/2010 04/09/2010 APP KLK Per inspection of Plumbing Inspector on 4-7-2010 No new added fixtures. Sdc credit given for removal and replacement of fixtures Provide signed electrical permit application. .,1,.li "-r'\'. 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. ~e(]lIiredJ nsnections ~ 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. 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. ! ,,, .. ".. (: ~ Pa2e 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status OK to Issue . i~" PERMIT NO: COM201O-00370 ISSUED: APPLIED: EXPIRES: VALUE: 03/26/2010 10/09/2010 $ 12,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line 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 co....ect, and I further c~rtify'that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws ofthe State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of anystructure~ithout 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 will remain on the site at all times during construction. Owner or Contractors Signature Date . I... . . ,'\:.\.~i' . ".' . t ~ , . :."):,. ''; ., . '.' i!-. ,,-,,: ..'. Page 4 of4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000343 Date: 04/12/2010 9:55:52AM Job/Journal Number COM20 I 0-00370 COM20 I 0-00370 COM20 I 0-00370 COM2010-00370 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By PAUL H BIRCH Item Total: Check Number Authorizntion Received By Batch Number Number How Received Amount Due 55.00 6.00 7.32 3.05 $71.37 Payments: Type of Payment CreditCard Amount Paid KLK KLK 219338 In Person Payment Total: $71.3 7 $71.37 ,~ (':." ;.,..., i~ ; '~'/;: cReceintl Page 1 of 1 4/12/2010