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HomeMy WebLinkAboutPermit Building 2000-12-20 -L 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 ~ m .'''--1 t-fJ (. ~.~ d:,:! \ _ ~-l-..tI-.rr1 0 ~~'-J~ ~~r~88 \ _...~. -.61.(.'-' c;i;. J' ->T...t:o.1..j::~\ ,-c- l ." ..................- cj'o, rr1 /"-.::J 0 co 1--" .. 0" C,l ....0