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HomeMy WebLinkAboutPermit Building 2002-11-12 " 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 " \)\)"!)l.. ~\~"!) ,\0\ @ ~ \'-:. ' 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 djb djb djb djb djb djb djb 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