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Home My WebLink AboutPermit Electrical 2010-7-21 225 Fifth Street+Sp<ingfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 ,c ' DERARTMENTUSE ONLY Pennit no.:6'O - G 1(." This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ., '-'Lr0CAL;~GOVERNMEt-lT'MPR.0VAG';::,':J;;'!1';' Zoning approval verified" 0 Yes 0 No ;i}':\;}i_~;":'cATEGORY;!,O~.CONSTR.UCTION~:.\j '. \'. PROPERTY OWNER Name: :f.1/G..f\ () I K Address: 1030 c.~(lt~:(7fll()..1 'blilcL City: .,6<fJ {If! fl' e..( cL State: 0 ( ZIP: crt'!?1 Phone: E-mail: This installation is being made on residential or fann 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). E-mail: CCB license no.: /!JJ.6 BCD license no.: ,}().Jf31 Q.. Signing supervisor's license no.: ~ 9.ll. " :6 Print name of signing supervisor: 'RCYbU -I- C0 VD(i L Signature of signing supervisor: ~ fJ 1C /". 1. -;r/ m . ~Q:\~~ \)JY \:~ <6' S5~v;~ <\ ~c&Q( ~~ 440-2584-) (9108ICOM) f;{;~:'.j'~1t~~1,~~~,yr.~.~E~S;~5~:FEE'%r,S'CAE_[(UlJE~t~~f10~:~fu~ttjI~~i~~~Y -,,', <0"" ,',.. Cost . Total .Number ofinspectio'risper item'(.).. ,:Qiy. .. '-', .', ~,." .'-"".-" '-.' ".r,- ";.,,,.., J~';.i "",I" ',' ",~>'_",:';': '..-', ....' :l',-:ea.::-' . . 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 $ 601 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) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $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 ofa service or feeder fee: Each branch circuit T $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) I $ 55.00 $ Each additional branch circuit I $ 6.00 $ Miscellaneous fees: service or feeder ':lot included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (I) $56.00 $ (2i~~J.;i~~~f~~~f{tt?!~~~YA'R-eiiic)\NT~~:U5-E1;f~Jr~:~y~%:~jk;i1:~.:~rJi~;t:-,;:~'~! (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $ (0 I (B) Enter 12% surcharge (.12 x [A]) $ iJ '3';::- (e) Technology Fee (5% of [A]) $ j~ TOTAL fees and surcharges (A through C): $ '7/3J. '- Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00616 ISSUED: 05/17/2010 APPLIED: '05/17/2010 EXPIRES: 12/07/2010 VALUE: $ 2,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1030 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703264410200 Springlield TYPE OF WORK: Single Family Residence , ' _ , TYPE OF USE: Addition PROJECT DESCRIPTION: bathroom addition (B:W,oP) owner 'disclosed ;': -"".1 ~, . Residential Owner: POLK GWEN M & IV AN B Address: 1030 CENTENNIAL BLVD SPRINGFIELD OR 97477 Contractor Type Electrical 1\ ,-NT/ON' 0 . - . . , regen I"". ..__' fc;;o.v rules adopteel CONTRJ(C~~~~ORMATlON ~ NOdllcatlon Center Th - ,,-. " ' ir '" ^ ,- nee ^ ^ . ose rules are set forth . o <;iontr~actoJ11-0010 through OAR 952-0 License ~~'D~1'IGfEJ<;EC-mRH;)rmfof 01.. 132089 ..";:) .. ..... vC1ilt'I, ( '"~,. ". number for the Oreg, Ul' 'I ORMATION Center is 1-800-332-234;\ . , 11 ofStllhes: R-3 Height of Structure " Type of Heat: W,a!er._Type: Range Type: Euergy Path: Sprinkled Building: Expiration Date 02/0112012 Phone 541-688-5006 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constructiou Type . Secondary Construction Type: # of Bedrooms: VB Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: l~utlCE: , ~,LOPMENTlNFORMATlON' THIS PERMIT SHALL 1-'1, WORK ~UTHORIZED UNDER THled'fe~W:Ojg;:NOT ,OMMENCED OR IS ABAN#,'sUm1'E.ea. Rqd: NY 180 DAY PERIOD. Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: I r:i,~l I . : I ,,j,~: .,!" . f~',':' !, ..~'~ ,"J'~'". \ . ' Sidewalk Type: Downspouts/Drains: Notes: ;,! ,; i I V iIluationDescription I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated "fi~~~4~: \;:&~~~\;l':t ..;,;:: . ',:'.:,,; . Pa2e 1 01'3 ._-{'}\/ir '. ,1'r~.l"t~ ~. ",. '. ~ ' "~;;~~. I ~:~j~:~~:i;':~'\}'f~ '; ; ,'.;. ' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-006I6 ISSUED: 05/17/2010 APPLIED: 05/17/2010 EXPIRES: 12/07/2010 VALUE: $ 2,000.00 ",i':'}",;, :'."':'1 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . </'",.:' " Total Value of Project ~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Building Permit Inspections - Other Plumbing Minimum/Adjustment Electrical + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $30.36 $12.65., ' $79.00c.~'/ ~tl',..l;'.. $58.00 $58.00(,/,:- $58.00::- : $7.32 $3.05 $55.00 $6.00 ~.,~."'~" .;. 5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 5/17/10 7121/10 7/21110 7121110 7121110 2201000000000000506 2201000000000000506 2201000000000000506 2201000000000000506 2201000000000000506 2201000000000000506 2201000000000000851 2201000000000000851 2201000000000000851 2201000000000000851 ~ t '';, . l '''il,j~.~.I".~i.'-\t.}' . " " Total Amount Paid $367.38 Plan Reviews, t I:,' 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. I Reol~i~ed Insnections I ~. ))Ir ',{ .~, Final Building: After all required inspections'liave,6eenrequested and approved and the building is complete. \" ,~.~,.,- .--. , Final Plumbing: When all plumbing workiscomplete.., Final Electric: When all electrical work is c~-~~Iete. Final Mechanical: When all mechanical work is complete. .' J,.-;Y.";/: ,I , , Pa2e 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ';r~;:h';-: . . , ".~~. _. ""'"1 '. ':~~ '~'.i'II: U'.~ \,.1 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00616 ISSUED: 05/17/2010 APPLIED: 05/17/2010 EXPIRES: 12/07/2010 VALUE: $ 2,000.00 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. 1 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 e'nsurc 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 ihe property, arid the approved set of plans will remain on the site at all times during construction. ( t. ',' . ':;th';l 'il{.~;do 'l..i ; t}{..,:~\' ,.. .f ',t; ,"" "; ':: Ji;ll !"j\~ '~1. '. \ , 1:! A.J I )'" ~ " , ...... Pa2e 3 00 7- ') /- / () Date '. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000851 Date: 07/21/2010 2:52:08PM Paid By JAMES HARDING .:(;-~,,:-;- ~:fL 'ff' Check Number Rec~i.ved 'By..... Batch 'Number '"-'cjc Item Total: Authorization "Number How Received Amount Due 55.00 6.00 7.32 3.05 $71.37 Job/Journal Number COM20]0-006]6 COM20]0-006]6 COM20]0-006]6 COM20]0-006l6 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + ] 2% State Surcharge + 5% Technology Fee Payments: Type of Payment CreditCard Amount Paid 05515c ]n Person Payment Total: $71.37 $71.37 , ,- , . ,\ ~ ~ li.~r,! t. .' ~ .~-~_.- ..- --",...'~ ~t:r": ': \~ _ t,J. '. , :~'('dt i Hy' . !1. . ~-,_. ~-",..._... ".' . ""~(;.ic ,. ~ :,: f..ti ;, .__....,_.."'.,..".... . .~;_.}- ':.~ .~ '" ,:'.i >. :,~tt.f.., if!)" ,'. ..-............ ." . .-.. tJ"'~ cRcceintl Page] of] 712]12010