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Home My WebLink AboutPermit Electrical 2002-2-11 '225 FIFTH STREET SPRlNGFIELD, OREGON 97477 INSPECTION REQ ST: 726-37 OFFICE: 726-375 1. LOCATION OF INSTALLATION :2/5 YV: ~ ew Residential~Single or Multi-Family per dwelling unit. LEGAL DESCRIPTION Service Included: -I-Z~ ~ "2. 7 ~ a/-dCO , The following project as submitted has the follOWing JOB DESCRIPT~ ZOning and does not require sPTOOe ~ft,u6Pless _ h&1~~ ~approval D (L. Each add.it.io. na.1 500 ~ ~ U. .4l>>i L- I - {14 ~ ~~ C41?~dc/,J~ "lj, I, vf pvruOll Permits are non-transferable and l%Rire 1.-' II . 0 \-- "hMO"f' if work is not started within 180 d. ays S' M Each Manufd Home or i' JPI0rJ2.ed Ignature , of issuance or if work is suspended for Modular Dwellmg 180 days, Service or Feeder Items Cost Sm:n $106,00 $ 19,00 2, CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alter, Relocation: ( Address City 24r) ~ -1~71 Over 6 .. "B" abov~o '{ O\) .. 1\.;" ' . 'h" cenl . '.'::3\\\\19 \" ' Qrea .. ". ...... ,.. ')( t\"l8 - D. Branch CIrCUJ~1l1)\)er .' _ 1;'),' r-c ~ ,. \'tc..' : '. New n or'Ex'tension Per - WNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or ren E. MiscellaneoCvTc ' er n~MffIe~ ~;~:,r.E:~~I~~:~i . Limited EnJ1'9~~~ v PERlOO $25,00 Limited EnepwfdJooPA1 $45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges TOTAL 5tJ/ ." ,{,r- 4-CN1 . ~'Z S-O I 4. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fee \..,- r';; "t.J' e Job# 02-00148-01 Page 1 of 2 TRANS#:Ol-Q007983 DfliE: FEB 08 2002 At'lT REeD: 2 $ 51. '75 CHANGE: CA8HIER=011 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00148-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 213 W Centennial St Spr Assessors Map#: 17032744 Lot: Block: Addition: Tax Lot #: 01000 Subdivision: Owner: Address: Dorothy Parazoo 213 W, Centennial Phone Number: 541-746-8084 City/State/Zip: Springfield, OR 97477 New Value: $45 Scope Of Work: Miscellaneous Electrical and plumbing connections for travel trailer )5th wheel) for medical hardship. Office Use Quad Area: Land Use: P.r"(EI\lI-;C,#"QfBJI,i'Amg~qui..es you to # Of Units' Zoning Code: ftiiiOVV rules ~1lipaIrtJwtr:a,cOqiJgon Utility coM.OJiI~: \^~~rfoms: 1\1otification C~i\ftrs1OO8i:rules are set forth' War~8~MIT SHALL EXPIRE IFTHE vYting.e: in OAR 952-0%1:r~6Q~gh OAR 952-001- ,- I--~ TIIIr.rr-r.MIT I~l\lrll n(',i"lrl Vrlllrn""y "''"'tal''::' """I'''S ~f th~ Fl'k'- ...... AUTHUHILl:.U UI\lUCn v. '.... . -" .,~' , - - ..- -:; .. "'...'" -.. .. ...,"'~.., J' To r~ffid~~R9IQ9,,~Ef:@I100cording at 726-3769. All in~p~~ibWst~Gc:Rlm\e8 ~~~.~~eel~~ho~e a.m~ln)'eL...maaell1a..$a.r.Ile working day, inspections requested after 7:tlt:J'1lrrW,rM~f~,rhlmQ.q..RJ.t8h~. Iflcatlon woriA~ djJl DAY PEHIUU. Center is l-BOO-332-2344}. Required Inspections I Building I -See Plan Review and/or Inspectors Notes, or prior to cover if applicable. Special Water Line Sanitary Sewer Line I Plumbing - Prior to filling trench. -Prior to filling trench. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 ~Area (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: \,. Total: Fee Paid On Receipt# Building 02/08/20'02 7983 02/08/2002 7983 Value/Quantity Fee Amount Building Permit State Surcharge For Building Permit 45 $45.00 $3.15 "" Fee 8% Building Administrative Fee Total Building Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage 8% Administrative Fee - Plumbing Total Plumbing ,Grand Total Job# 02-00148-01 I Paid On Receipt# Building 02/08/2002 7983 Plumbing 02/08/2002 7981 02/08/2002 7981 02/08/2002 7981 02/08/2002 7981 02/08/2002 7981 Page 2 of 2 Value/Quantity Fee Amount $3,60 $51.75 75 25 $.00 $7.28 $59.00 $45.00 $8.32 $119.60 $171.35 By signature, I state and agree that I have carefully examined the completed application and do h'ereby certify that all information herein 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. I further state 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 the project 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. YY)D.hm >R\l 'Signature 0~0~ Lb< -Og -6 I Date I.~, ,T ~/,<,:" Job# 02-00148-01 , Page 1 of 2 TRANS#:Ol-0007981 DATE:FEB 08 2002 AMT RECD:2 $ 119.60 CHANGE: C~)SHIEF~: 001 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00148-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 213 W Centennial St Spr Assessors Map#: 17032744 lot: Block: Addition: Taxlot#: 01000 Subdivision: Owner: Dorothy Parazoo 213 W. Centennial Phone Number: 541-746-8084 City/State/Zip: Springfield, OR 97477 New Value: $0 Address: Scope Of Work: Miscellaneous Electrical and plumbing connections for travel trailer )5th wheel) for medical hardship. Quad Area: # Of Units: Constr. Type: Water Heater: Office Use land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: Water Line Sanitary Sewer Line 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. wilnti6'iliIadMl:ltN'orrtl5witr@lequii6z; yo:.; lO working day, I'uliow rules adopted by the Oregon Utiiity I\lotification Center. Those rules are set fOith in OAR 952-001-U01 U tnrougn UAH ~Ot::-U\J i- 0090. You may obtain copies of the rules'by calling the center. (Note: the telephone number for the Oregon Utility Notification Center \S H~OO<~32-2344). I - Prior to filling trench, - Prior to filling trench. Required Inspections Plumbing Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: Accessory: NOTICE: # Of Stories: HeigHtt!&lrijRMITSHALLEXPIRE IFTHEWORK Current Units: Pro~itJItOlitJmD UNDER THIS PERMIT IS NOT Census Code: Does not apply COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERlo"D. Total: Fee Paid On Receipt# Plumbing 02/08/2002 7981 02/08/2002 7981 02/08/2002 7981 02/08/2002 7981 Value/Quantity Fee Amount Minimum Plumbing Permit Fee State Surcharge - Plumbing Water Service Footage Sailitary Sewer Footage 75 25 $.00 $7.28 $59.00 $45.00 ... ~~ .;:~ Fee Job# 02-00148-01 Paid On Receipt# Plumbing 02/08/2002 7981 Page 2 of 2 Value/Quantity Fee Amount 8% Administrative Fee - Plumbing Total Plumbing Grand Total By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein 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. I further state 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 the project 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. '1l\~1])1) ~LC1JJ~hCQ OJ - ():5r - (] / Sign~ture W Date $8.32 $119.60 $119.60