HomeMy WebLinkAboutPermit Building 2000-12-20
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Job# 00-01815-01
",.' Page 1 of 2
TRANS#:01-0004089
DATE:DEC 20 2000
AMT RECD:2 $ 96,26
CHANGE:
CASHIER:061
225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01815-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1049 Centennial Blvd Spr.
Assessors Map#: 17032644
Lot: Block: Addition:
Owner:
, Address:
Tax Lot #: '13000
Subdivision:
Buck, Jones
1049 Centennial Blvd
Phone Number: 541-747-1694
City/State/Zip: Springfield, OR 97477
Repair Value: $5,000
Scope Of Work: Fire Damage
# Of Bu. ildif.1gs:,,,"'::>r::.~'outo
ONI.f'''~~C':1I~'.!v ,,",~""'''''''''' :J '
AnENTI "O'ccupancy GrouQ:)O utmty
le~ar.iDm9'-iJ.}'\I:...ll:iv,~..., 'h
follow ru .., ( f1eat,Sourceules are set 'iOr~
Notification ceg\f.~F,~I~~~g~~\1 OAR 952-001-
,_I"'\I\OQl;?-OOI-I:/U VUIi-.... ..L_,...I^"'h\l
........, .. v- I btain COpI6:) UI UiCi .:""---"
To request an inspection call the 24 hour recording at 726-3769, AII(j'Rs~~cti8~krp;~!J~stE1d;~~Ell9Jelil',O'O~lepnOl~e
a.m. will be made the same working day, inspections requested after 7:@'@1'~\,fM1\QilJ,ID~rn:a$.edhEtf.<jl.l.l~Wili1gificatlon
working day,. numbertOl t~1~'~'i)'","\_r::r.'?_2344).
Centt:I tE, , c-",U .......-
, Required Inspections
Building
Contractor Type
General Contr
Electrical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Ceiling Insulation
Wall Insulation
Drywall
Fire Damage
Final Building
Rough Electrical
Final Electrical
fire damage
,Contractor
Ehlers Construction Inc
20661/2 Roosevelt Blvd, Eugene, OR
97402-253,6
Bear Mountain Electric L1c
Po Box 912, Creswell, OR 97426
Expiration Date
11/19/2000
Registration #
4231
Phone
541-689-6177
136298
8/6/2001
541-895-8833
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
J
. - Prior to cover.
- Prior to Cover
- Prior to taping,
- When all required inspections have been ai;\~Po~~~~rid the building is COITlP,lete'VORK
"THIS PERMIT SHALL EXPIRE IF I Ht. V
I Electrical I DUNDERTHlsoERMITISNOT
- Prior to cover. AUTHORIZE I
-When all electrical work is complete. GOMMENCEDORISABANDONEDFOR
ANY 18Q DAY PERIOD.
Job# 00-01815-01
Page 2 of 2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Building,
12/20/2000 4089
12/20/2000 4089
12/20/2000 4089
Value/Quantity
Fee Amount
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
5,000
$50.50
$3,54
$1,52
$55.56
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
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,
9 . ,D-J. ~ \2 -UJ -00
Electrical
12/20/2000 4089
12/20/2000 4089
12/20/2000 4089
2
$37.00
$2.59
$1.11
$40.70
$96.26
Signature
Date
DEVELOPMENT SERVICES DEPART1l~tlJing project as submitte citic land USE 225 FIFTH STREET
ille. 0 d does not require spe
, zoOlng, an ,,,,1') SPRINGFIELD, OR 97477
approval. \'d-. - 10 -~ (541) 726,3753
zoning - rf-. \ _ - FAX (541) 726,3689
Date .J..P ~;J ELECI'RICAL PERMIT APPLICATION
97477 ,5 nature...;:::J } --- - ,A--
726_37~thOnzed Ig City Job Number {)()- u J 81':> -0> (
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTALL4TION (
i f'1 L..( c., ~ h v1 '-^-. I tA--
LEGAL DESCRIPTION
17d ~ 2bC(c.f
( '3 oc> c:::,
JOB ,DESCRIPTION ~
Z c ( Ic-L'-A.. (' 'i'S;;.,
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY B.
:::::::C#i;;;;)1z A . ~~
City~~/( Phone~s-.7C;-0qL
Supervisor License Number7l~~L?_S;
Expiration Date /0-0/--0 I
Cons t r Con t r. Numbe,r 2o-1f LI?(2
Expiration Dat~ /O-ol-D/
Sign!t)~1jng El~ctdcian . D.
Owners Name (J<J-.--C ~, JOeA.. ~
Address (0'1 ,c;. C&-v'-~ ~/l
C;;;(~() Phone 7C(7 -/6 :;C/
Ci ty
OWER INSTALLATION
Th~ installation is being made on
property I own .which is not intended
for sale, lease or rent.
Owners Signature:
" DAT~~---------!-Z-20:;;-a-----------
RECEIPT :jj::
RECEIVED BY: ,1\!fK
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential~Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cos t
.1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
'201 amps to 400 amps
401 amps to 600 amps
601 amps td 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
'$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps'
,Over 600 amps or 1000 volts
Branch Circuits
--' ,- ~'--\
$ 40.00 \/-._, '
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
3~
One Circuit f $ 35.00
Each Additional
Circuit or with Servi~~~-~\
or Feeder Permi t ,/ r.---c $ 2.00
-r
E.
Miscellaneous (Service/feeder
-Eacp installation '
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL '
t? \.'
'\~---
not included)
$ 40.00
$ 40. OOD
$ 20. oo=i 9 2P
$ 36. O(}O =::i ~
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