HomeMy WebLinkAboutPermit Building 2002-11-12
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2002-01246
ISSUED: 11/12/2002
APPLIED: 10/2912002
EXPIRES: 05/12/2003
VALUE: $ 250.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 637 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703264312100
Springfield TYPE OF Miscellaneous
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Repair framing, drywall and electrical revisions
Contractor Type
General
Electrical
Owner
Owner: ROB RITZDORF \0
Address: 88041 TIKI LANE SPRINGFIELD OR 97478 5'\0\}.~{\,\ '
,)\"<.0 ." -U\'\ "r~\
I CONTRA~~~~~~~~'i
.O"<''</'!) 0~,\\)\f! O~'< e '<. 0~0
Contractor ~\O~. oo~~ ~~0C:)~0\}~~ &.~~ ~o\:xpiration Date
ROB RITZDORE,\~~ ~0C:>'lj ~\0'(' t\\)~' O~\0C:> ~0\0 o~\C
PAUL & PAT~~~Ii'~~~0\0'~~~~~bt,. 07/30/2003
ROB RITZDOI@'-' ~l"\C~"r.~7:~_",-~ o~"p',\'~ 0~ -U~f)'7,"!)
~~ <o~U{gDI~~~~ltTfuN I
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c'ljf\'~~(:re\~
~~eight of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Phone Number: 541-747-8239
Phone Number: 541-747-8239
Phone
541-747-8239
541-895-3496
541-747-8239
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
VN
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Imp..~rvious Surface Area:
~ \r\V\'t'
I DEVELOPMENT INFORMATION..~~ \~'t. \~ ~~\
\.i-~\'" r.c.~~~ f{~~ REQUIRED PARKING
Ove.!l~ist:~ ~~t>-~~~ \~\~~~~~'\)
~~i~~ ~~~ \~ t>-~~
\~~\)~~~ \)~~\\)'\).
% ~~~Wt~~:~'"
C{J ~"-l \'O~
Jt.t.t
IPUBLIC IMPROVEMENTS I
Total:
Handicapped:
Compact:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains
Notes:
I Valuation Description I
Desc ription
Type of Construction
$ Per Sq Ft
Square Foota2:e
Value
Date Calculated
1 of 2
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01246
ISSUED: 11/12/2002
APPLIED: 10/29/2002
EXPIRES: 05/12/2003
VALUE: $ 250.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Proj ect
I Fees Paid'
Fee Description
+ 7% State Surcharge
+ 8% Administrative Fee
Building Permit
+ 7% State Surcharge
+ 8% Administrative Fee
Add, Alter, Extend Circ Ea Add
Add, Alter, Extend Circ
Amount Paid
Date
Receipt Number
Received By
$3.15
$3.60
$45.00
$3.64
$4.16
$9.00
$43.00
10/29/02
10/29/02
10/29/02
11/12/02
11/12/02
11/12/02
11/12/02
1200200000000000146
1200200000000000146
1200200000000000146
1200200000000000219
1200200000000000219
1200200000000000219
1200200000000000219
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djb
djb
djb
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Total Amount
$111.55
Total Fees Paid Prior to 9/30/02
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 Reauired Insnections I
1 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
2 Drywall: Prior to taping.
3 Final Building: After all required inspections have been requested and approved and the building is complete.
4 Rough Electric: Prior to Cover
5 Final Electric: When all electrical work is complete.
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 ofany structure without permission of the Community Services Division,
Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 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
2 of 2
....
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELE,- _.DCAL PERMIT APPLICATION
City Joh NumberCoP'1-1 "Z..cO l...-O/Zi./. b
3. CO~LETEFEESCHEDULEBELO\V
1. :s,O~A'!'lON OF INSTALLATION
{r'J'::::' 7 C&v'rt7V/Y/~e r!lv.n A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
-1703 Z-b4J
12iOU
Items Cost
SUl~l
JOB DESCRIPTION
vJ j <2...(;:" fk:,fr{L:frTlo;V ,
.
1000 sq.ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106.00
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
$ ]9.00
$ 50.00
2, CONTRACTOR INSTALLATION ONLY B.
Electrical' Contractor-ft1{U;~ C IV s-7i.-vc ~
Addres<<2.~I,'I !lv4/ !u:! LtJ/ I
City .ckst.:/e 7/ Phone ?r9; 52:2.'
, - -~- -
Services or Feeders
Installation, Alterations or
Relocation:
Supervisor License Number
Expiration Date ~f /
Constr Contr. Number
200 amps or less
20 1 amps to 400 amps
401 amps to 600 amps
60 I amps to 1000 amps
Over lOOO amps/volts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Expiration Date 7/,] CJ 0
, . .
ectrician
Owners Name ~(J (!.
D. Branch Circuits
atT;z.. ~\;,)YL\;::::- New Alteration or Extension PerJrt9-el
reC\U\fes'JO 'rw
/; IC{ LJ4,-V(!' ,taN~~\,\a~"eOfe90nU~ $43,00
, o.A \ \ \:::.\~ I S adO?ted b)l 0 fU\eS afe se 01-
Phone 70/ 7 - gz~ ~o\\o\]l) f~~lP.w~W~fMl~rcgW(9IPttlfit~~~~
NO\\'iCa\\QJt ~11~~{)6t\~rou so, \\le fU\e~ $ 3.00
Op..R 952.- ob\a\fI CO?\~ \e\e?\lor~~
'~59G':~Mlmf3c~~1f\~f.l~)~'e~\~' ~<tl\,ue~~lD
\, ca\\iflg.\Th~I~llls~\le~Qt(\ U\\ \)1 ~44).
Ul1'\bel'[f~p~'irJi~?~PJi\f\'32-2v $50.00
n Srg~fttllhe Lighting $50,00
Limited Energy/Res $15,00
Limited Energy/Comm $45,00
Y'3
Address ~<{ (
City "'5PF~
<7
OWNER INSTALLATION
The installation is being made on
property I o\Vll which is not intended
for sale, lease or rent.
Owners Signature:
:Minimum Electric Permit Inspection Fee is 545.00 + Surcharges
TOTAL
S2
----;J (;8
!.fIb
57 B.:!-
4. SUBTOTALOFABOVE
7% State Surcharge
8% Administrative Fee