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Home My WebLink AboutPermit Building 2000-12-18 .;r' , , .. ~ 225 North Fifth Street Springfield, OR 97477 . . I Job# 00.01800-01 I Page 1 of 2 TRANS#:01-0004061 DATE: DEC 18 2000 AMT RECD:2 $ 179.86 CHANGE: CASHIER: 059 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01800-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3961 douglas Dr Spr Assessors Map#: 18020611 Lot: Block: Addition: Tax Lot #: 08700 Subdivision: Jasper Park Owner: Todd Lipkin Address: 3961 Douglas Drive Scope Of Work: Single Family Residence Contractor Type General Contr Electrical Contr Quad Area: # Of Units: Constr. Type: Water Heater: Phone Number: 726-658-9 City/State/Zip: Springfield, OR 97478 Alteration Value: $16,416 Garage conversion to two bedrooms ..,..1' 1.,..._......._ ,......,..._~...--.... .,...... J.,.. ,..-- ~_. ,- Contractor t.-.: Phone Registration #. Expiration Date' Todd Lipkin 3961 Douglas Drive, Springfield, OR 97478 . Todd Lipkin 3961 Douglas Drive, Springfield, OR 97478 . 726-658-9 ,.' \ -j --:~ :, : :~ I, I.' ,:" ," ',,, 'lliel\ ~l, . 726-658-9 11'1,. 1 (VN) Wood Frame Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Dwelling Heat Source: Sq. Footage: 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, will be made the following working day, Post and Beam Floor Insulation Ceiling Insulation Framing Wall Insulation Drywall Final Building Rough Electrical Final Electrical Required Inspections ~~. Buildinll -Prior 10 floor insulation or decking. -Prior to decking. - Prior to cover. . Prior to cover. '" :"':~~:':': . , " ' . ....r: ..:: \\'0'''' ( -Prior to Cover ~.... 'J'C~";TS1-'!)'LLEX"'18r:::1.- ,',1-, J n; . - -.. 1...1-10.. ,I \ -Prior to taping. :-.~, ',;") li,"1Q:;-:-:-j,s"'c:::r::r:1S:\O'; -When all required inspections have been approv~d ~~d}21e,'~gild~~~J~So~e!\lt~'?l Electrical 'I'., ,,,r,, \"'::-JJ .. ,\ 10... Wi" ....' " . - Prior to cover. -When all electrical work is complete, .~- . '-.. . , Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: # Of Bedrooms: Handicap Access? D iArea (Sq. Feet) I Main: Accessory: Fee Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Branch Circuits WIO Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Grand Total ,. I Job# 00-01800-01 I . Accessory Structure # Of Stories: Height (feet): Current Units: Proposed Units:1 Census Code: New SF - detached Total: Paid On Receipt# Buildin!l 12/18/2000 4061 12/18/2000 4061 12/18/2000 4061 Electrical 12/18/2000 4061 12/18/2000 4061 12/18/2000 4061 Page 2 of 2 Value/Quantity 16,416 Fee Amount $122.50 $8,58 $3,68 $134.76 4 $41.00 $2.87 $1.23 $45.10 $179.86 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 slate Ihat only contraclors 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, ...I ,/ 7&4'j} /j./A.. Signat6're !J. (r dOt? Date -- '.,. . 225 FIFTH STREET The tOllowing . SPRINGFIELD. OR 97477 . project 8S sub .,.. 541 7.2 Zoning, and does n ml"ed has the tolJowin ( ) 6-3753 approval. ot require specific land Use g FAX (541) 726-3689 225 FIPTH STREET ELECTRICAL PERMIT APPLICATION SPRINGFIELD OREGON 974)] Zoning lbR... INSPECTION REQUEST: 7t6'..!~7fJ'r \ d - 1<6 - 0-0 City Job Number ('l C>-{) I gno -or OFFICE: 726-3759 Authorized Signature 9'<."'-:;' " rOMPLETE PEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION :5'1 (, I l)o"""L-~ <, ().a., LEGAL DESCRIPTION JOB DESCRIPTION Permits are non-transferable and expire if york is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY 'J / Address City " ",~ne ~ Number, ~ ~ "- Supervisor Expiration Number Signature of Supervising Electrician Ovners Name~.:oo 0 ( _ .It>; ,,// Address 31 {, ( DoC/I. /.--'r- So ,')L , City C!,ffl-(t-r.,F,,;,t.-0, Phone ()t, -t.!:rl OWNER INSTALLATION The installation is being made on property I own vhich is not intended for sale, lease or rent. Owners Si7t:<< -it DATE: RECEIPT 11: RECEIVED BY: 1;;l.'/8".()O ~Ot'i/ Lv";" A. New Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 J:!=1 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL