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HomeMy WebLinkAboutPermit Building 2002-8-5 /. ~ CITY OF SPRINGFIELD, OREGON ~ Page 1 of 3 TRfiNS#: 01--0010179 DA iE : AU[, 05 2002 AMT RECO:2 $ 1289:97 CH{~NGE : CASHIE~;; 061 1", ~ Job# 02-00884-01 I 225 Fifth Street Springfield, OR 97477 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00884-01 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 1941 Carter Ln Spr Assessors Map#: 17032532 lot: Block: Addition: Owner: Address: Tax lot #: 16200 Subdivision: ) Robert Erick 1941 Carter Ln Phone Number: 541-744-8136 City/State/Zip: Springfield, OR 97477 Addition Value: $47,594 Scope Of Work: Bedroom 9/25/2002 \\\t.~p~ -9409 t.~~\'?-.t. \t'?-.~\\ \<:> ~ C~. <:>\\~\,\.. ,\\\<:> ~t: ~t.~~44-8136 ~()"\~ ~'?-.~\' ~~~t.'?-. ~~~~fJ 1~~\)'?-.\t.~~~1J~~. ,I 541-463-8007 ~~\ ..\t.~C; ~ llt.'?-.~ "'/\ \J\ \'1\ '\ t'\ ~ lJ~ '\ l)\J - Office Use po..~'{ , Quad Area: 2RNW land Use: Single Family Dwelling # Of Buildings: ' 1 # Of Units: Zoning Code: LDR Occupancy Group: Dwelling Constr. Type: (VN) Wood Frame Bedrooms: Heat s~~Gcte:;:~~all Heat Water Heater: Range: ~~&.d~~~.e.)~~~8~~\ , ~. ~~~e~-~\ To request an inspection call the 24 hour recording at 726-3769. All insp~ctl0A~~~~~~~Dgf~~~?6~,:> 'Q'I 'a.m. will be made the same working day, inspections requested afte[\7~00~,rp,\~1I h""rr-rt~c;:l~f~.fQII6~ln~ . d ""\ \ OOY '\"(\~ ~9>\ , \'<'''' 0" working ay. ,-\~.Y" \e':>~ ~e'(' \~'(O. SO' \e~~ 'O~ p.. \ '(\}\ re'(\\; :\ (.) \; (\,e \e\ . c-o.\'1. R "d I ''f'\N ,/,\ v . (\() - - (".0" ~'(\e : -,,\\'1. eqUlre nSP\@.c'K.(.g.~.v;2:(.)\) \ 0'O\-o.\"1~0\'6' :~,\'1 '"'O-I.l.'" I B 'Id" "0\.'; <l. ~r,J "'-'I '(. \: U\'i. nn.b. n UI mg. _ ~'" \} ~v ~\e O~ 2:v~ - After trenches are excavated. \~ ~9(.)''t 0 \~e ce e o'\e~\)(),~~ - To be made after all inslab building s&'rvL~\'e'c?u~Roie\%, '~_&rauit piping, and other equipment iterr - Prior to decking. \}(i\'Oe Ce'(\\e\ - Prior to cover. '(\ - Prior to cover. -Prior to Cover -Prior to taping. -When all required inspections have been approved arid the building is complete. Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr Footing Slab Floor Insulation Ceiling Insulation Framing Wall Insulation Drywall Final Building Contractor Robert Erick 1941 Carter Ln, Springfield, OR 97477 David Lawler 2157 Ohio Street, Eugene, OR 97402 Robert Erick 1941 Carter Ln, Springfield, OR 97477 A & P Plumbing PO Box 273, Eugene, OR 97402 Registration # Expiration Date Phone 541-744-8136 146149 ..# I Job# 02-00884-01 I Required Inspections Electrical Page 2 of 3 Rough Electrical Electrical Service Final Electrical - Prior to cover. , -Must be approved to obtain permanent power. - When all electrical work is complete. I Plumbing - Prior to filling the trench. - Prior to cover. -When all plumbing work is complete. Mechanical Underground Plumbing Rough Plumbing Final Plumbing Rough Mechanical Final Mechanical - Prior to cover. - When all mechanical work is complete. Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: 'Comments: Overlay District: # of Street Trees: land Use: Single Family Dwelling Pave Driveway? 0 3: Planner: Urban Growth Boundary? 0 Glenwood Area? 0 Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? 0 -Area (Sq. Feet) Main: 638 Accessory: Additional Requirements: Required Attachments: Source locn: Material: Flood Plain FEMA: zone x-white # Of Stories: 1 Current Units: 1 Census Code: Does not apply Height (feet): 13 Proposed Units: Total:638 Fee Paid On Receipt# Plan Check 07/24/2002 10026 Value/Quantity Fee Amount Residential Plan Check Total Plan Check 47.594 $233.32 $233.32 Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building Building 08/05/2002 10179 08/05/2002 10179 08/05/2002 10179 47,594 $358.95 $25.13 $28.72 $412.80 Minimum Electrical Permit Fee Permanent: 200 Amps or Less Branch Circuits With Feeder or Service State Surcharge - Electrical Electrical 08/05/2002 10179 08/05/2002 10179 08/05/2002 10179 08/05/2002 10179 1 4 $.00 $63.00 $12,00 $5.25 ,I Fee Job# 02-00884-01 Page 3 of 3 Paid On Receipt# Value/Quantity Fee Amount Electrical 08/05/2002 10179 $6.00 $86.25 Plumbing 08/05/2002 10179 $.00 08/05/2002 10179 5 $70.00 08/05/2002 10179 $4.90 08/05/2002 10179 $5.60 $80.50 Mechanical 08/05/2002 10179 $39.00 08/05/2002 10179 $3.60 08/05/2002 10179 1 $6.00 08/05/2002 10179 $10.00 08/05/2002 10179 $3.15 $61.75 System Development 08/05/2002 10179 902 $254.36 08/05/2002 10179 $28.27 08/05/2002 10179 8 $176.72 08/05/2002 10179 8 $134.32 $593.67 Planning 08/05/2002 10179 1 $55.00 $55.00 $1,523.29 ~ . 8% Admin Fee - Electrical Total Electrical Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing 8% Administrative Fee - Plumbing Total Plumbing Minimum Mechanical Permit 8% Administrative Fee - Mechanical Vent Fan to One Duct Mechanical Issuance State Surcharge - Mechanical Total Mechanical Residential - Single Family - Storm SDC Administrative Fee Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC Improvement Total System Development Planning Plan Review Total Planning Grand Total Plan Check Type Checked By Date Completed Comment Initial Review-Res Lisa Hopper Virginia Jurasevich Ashley Deforest Tom Marx 07/25/2002 07/31/2002 07/30/2002 07/31/2002 Engineering-Res Planning-Res Structural-Res 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. I further certify that only contractors and employees who are in compliance with ORS 701.055 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 appro~~ set of pla~swill remai~ on t~e~ite at all times during construction. ,Nri;~Aytf41f34(1]) Signature U 'g /5/ CYL- . , Date .. k 225 FIFTH STREET SPRlNGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 CDl ELECTRICAL PERMIT APPLICATION City Job Number ();J - nu88t/- () I 3, CONWLETEFEESCHEDULEBELO\V 1. LOCATIONr?F INSTALLATION .1!1!:L1 ((1 r-M;:X ( Gt~ Spv lAC\-h'eJ:.o\ OR 1703 Z5JZ LEGAL 'DESCRIPTION 10+ 3 Blo~ 5 . I N 0 I'~U ocR Se.umri Add ,+ivy) -fo ~()V'I,.,(}~dJ j tA..~ fll(.+~'14 teLo..-Md tv.. Book. 20 r'~ 't, ~~ Lo'VltTj JOB DESCRIPTION Or~cVl Pl.L\- ~ec..vn::ll~ '-'I. 1000 ~~~ er less t+ome~ o..r1d'; t-fDl) ~e... ~~s's~;itted h~~n~Jt~tional 500 'og PIUI"Vl 'peclflc Ian . T\1e folloWI not require 5 sq. ft or portIOn , ' and does Permits are non-transferable ime1re?tJa.\re v<- thereof ~ if work is not started within l~~Pd~ys zoning _ ~-:> 1: cac1iManufd Home or of issuance or if work is suspended for <3~<)"""-~ ~l\J~~~ar ~:ling 180 days, Date - Se J P Q der , d S' gnature - ^ "thnnze I 2, CONTRACTOR INST ALLAT'ioN ONLY B. Services or Feeders () L {- Installation, Alterations or Electrical' Contractor ,,01'} > E.{c' /-;-1 (. Relocation: (f){fj() sf, Phone (; 1" - s'lrlf A. New Residential-Single or / bw-o Multi-Family per dwelling unit. Service Included: Items Cost Sm:n $106,00 $ ]9,00 $ 50,00 Address Z I r) City '[ '^1eJlli,.. 200 amps or less 201 amps to 400 amps 40] amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only ( $ 63.00 $ 75.00 $125.00 $163,00 \~~~,.3;~.'gg '\~~ '<, (\ ,'~\'\ .. \\"'" l,., '(\oJ" \~:..;,) 6> Supervisor License Number L/ 7 V t.( J Expiration Date It> --/) I - () y Constr Contr. Number I tf b 1'17 Expiration Date () l7"'1. r ~vz... C. Temporary Services or Fe Installation, Alterati --\ Signature of Supervising Electrician $50.00 $69,00 $100.00 '#.2~ '~~, I~~~O\% D. Branch Circuits .,.- t:'r~c.k New Alteration or Extension Per Panel R' j -~j^ ' - Owners N amc _",ol:1P ~"..+" 7' ',' :;wpCO f" ',(,l 1"'\ I, AddrcsslC)iH ( OJ--te...r- J Of)F . c:.~ C' I \ ..., City ...."'FVH"lO/,p 1. d Phone {SI'~I}lll(4 - 5?1?{P ....~ OWNER INSTALLATION The installation is being made on property I o\vn which is not intended for sale, lease or rent. One Circuit $43.00 ~ ,", >' J Owners Signature: ,i14ph (UU prfr <e~t) Ea. ch A?diti?I~,~I, Citcl;it~'?r. !yitti,~eS~."'i~O \ or'Feeder PermIt, .. ,'~,,~ ' ,':1:;"" $ 3.00 . . '.':'~,~l ~" . :~-~\'t~ .:\:~.~,.~' \ ' "E. \1\'iiscellaneolls (Servicelfeetlel' nQt.incluiled) ~. "" -' . . " " -Each instqcllation '-. \ ~~ ' . . ;, , ,~" ," '. '.' 1-' . '_.'~-. ',." ~ .,' ,."Pllmp,orirrigati,iJf! .;, "" $50.00 Sign/Outli'neLigl*ti!lg .', $50.00 ,:_:'\:1Al1litccfEnergy/Res $25,00 . , 'Umited:E:i1etgy/Col1un $45,00 12- .. I' l',_,t \:' :Minimum Electric Pumit Inspection Fee is 545.00 + Surcharges 7~ S-zs boO ,- <66~ 4. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fce 'I i.-' I 1),lf TOTAL LEGAL DESCRIPTION 170~ ZS-33 0 9200 , 1 ~ !:,"T1itted has the following The following prolAC', a, SlI , ' , nd use JOB DESCRIPTION zon~ inn d~ no. t6\.!LlllC "..ec'%6~ sq.ft. or less '..t] ~ :s:t;::'-4../~r'$~aIu...&T 1- Q {l, Each addition~l 500 r p~mg - j L"'O sq. tt or portion , Permits are non-transferable a~ae€'{~__ <;5_ r if work is not started withinlS'O liays Each l\A::lnllfd..Home or of issuance or if work is suspent'i'eU'flHbU ::.,gnawlb Modular Dwelling ISO days, Service or Feeder t.; " 225 FIFTH STREET SPRINGFIELD, OREGON97477 ';" INSPECTION REQUEST:726~3 ~69 ,OFFICE:.V726..;3 759;:: 1. LOCATI9N.oFINSTALLA.TI6~ : ~< \^it>" C-~ r:~ ~ 2. CONTRACTO~lifG6Ilt~tEe~~le~RVICE Electrical" Contract~O. BOX 2237 t:tJGENt, OR 97402 Address .' City ;1'-' ~hon~:{b SuperVisor Licen~e Number (.3q~.:s ~>\;,':\'< ,,'..., it; ',,: <.,,:'., ~> ':\:\t';'- ~~~iration Date 10:- I",~ 0$ 'Constr Con,:!.~umber;. "~~ ~,n61 "Signature of ,Supervising Electrician Address' City , Phone~ . , OWNERINSTALLATION' The instaIlationis being Il1ade on . property) o\vn which is ngt intended for sale, . lease 6r rent. " ., '/ ~ ,t~ .'. Owners Signature: TgO: \.13THCijJil" l-- ," 1.J~ ^_~ WV*<.:J : 39 Nt1H:J, 06"ZS $ G:G:J3H lWl;j 600G'i::O'8ftti:3J.l;jQ lc-c,yr,(\ -rr"i+'''''.lW' I , o~L ,~UU-~J~*~~v~l ~ ELECTRICAL PERMIT APPLICATION . ,< "., . , City Job NumbcrO'Z .. 00 tf.2; '} -0/' ,3.' COMPLETE FEE SCHEDULE BELOW " , A. NewResidenti:ll-Singie or Multi-Family per dwelling unit. Service Included: Items Cost Sm:n $106,00 $ 19.00 $ 50.00 B. Sel-vices or Feeders ., Installation, Alterations 6T Relocation: 200 amps or less' 201 amps to 400 aniffis 401 amps to 600 amps 601 amps t6 1000 anlps (Ner 1 000 arnps/v91~ R~connect Onl)' /;;,,; $ 63,00 $75.00 $125.00 $163.06' $375.00 $50.00 ' 200 amps or less .,' " .' ,201 amps t6 400 amps ~Over 401 to 600 amps . " (NeT 600 amps .or 1000 voltssee/' "B" above ..,,, , D. Branch dr~~its .. , New Alteration orE~tension Per Pane . ... ~~\.\. ~~~~\\~~, ~~<~ DC J~~ *\1e~i~ tea ,,~\1n o\\\S ~e~\'i~$ 3.00_~ it() , , ...' "', ~ct: 'o~.P"\QU. ." " ' ' E. Miscen~ ."'. I~!f~l!'dcr not inc~g~1b .' -E~~'lllqlatIOn'i'" !eqUi~eS . t;\il\l, ' PU,.mp os,tr~<!t..'\!)1f\la~1l ,."o~.agon U. : ~,$.s\~.00 -\'(,f". 'b"t\,":i s~.,;',)I' , I $jgID'OuLlitlfQ'htglltHlg u'ec:. ~Je ~ ~b'i{lOO . , ;~~\~J;>~Jti,i:f[<PJ!1u \-' ~~ose f h O{\f\ 9tit:P !2~DO "'-'.,ILij1i;it8', ~~w-m1ffioU~l ~ ~ne "U\"'$45~OO \'~,,;:;\\ ,~J" ."I'l",./ "COpieS 0 > hof\G .,;, Qj.\iii 9....'\.......'1 ob\~lf\, ,;,,: t:~ te\~?' .,... +'an MlnIl1J.\lm E1ee..tIllerp.ermltrIn~p'Cctro~ Fee",s\$;4,:'I~~O + Surcharges CYJt.lu. . " .' heC&lfll'61" , U\~\\W ,'4~' , ('.;\\\\'09 ~,. dhl" !1re~on t'j"'? '/3tJ~::)' 4 L ~ 4. SUBTO,[A,bi.()t'''J\'BOYEI'''O~0..J-u-~ \Q ""\X~"J""" +r" \5 ~"'U" . _"'\..D 7% S'tlite Su.t:1ha1r:ge ' '- ~ ..-- 8% Administrative Fee 03- b1S' TOTAL ~cro