HomeMy WebLinkAboutPermit Building 2002-8-29
.
I Job# 02-01042-01 I
.
v
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 3
TRANS#:01-0010474
DATE: AUG 29 2002
AMT RECD:2 $ 687.52
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
Job Number: 02-01042-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 693 Cloverleaf Lp Spr
Assessors Map#: 17032231
Lot: Block: Addition:
Tax Lot #: 11100
Subdivision:
Owner:
William Hines
Phone Number: 541-686-1765
Address:
160 Julia Way
City/State/Zip: Brookings, OR 97415
Value: $55,000
oU. ,,'"
eo.Il11es ~ \.I\i\i\~
n \a.-:J I la90n \\01\"
ArP.O.,o ""neO _...C\se _",,\..
,\\U\~.-; :o\eo\-" Illle~:.",,9\)'"-v "
Contractor ,,\~~~ Regist;:atiOn\#)SE'ExPiratiOI1DateS'O J Phone
r' tll'V ~ n\6" :I'I10Il\;' _\ \rlv . - 13
Ehlers Construction Inc \0\\0~~\~31'~...00' 0 ~ cdV/,19/20\Q,43?~0~iO(541-689-6177
2066 1/2 Roosevelt Blvd, EUgene,\0R\\~~ 9fJ'2.-Q ~ o'OW\~~o\6,,\~e ~o\\\\c~
97402-2536 ,nO 'iol.l((\~ 1311\131,\ n\.l\\\\\~ "44),
<,>090, ...,p. c 011390 _^".?"
MAG Electric Inc \J a.\\l!19834, \ne ol!~11'3/2005
c 1\01 '5,.0
2952 Allane Lane, Suite C, Eugene, ORIIIl((\'Oe cen\ell .
97402
Repair
Scope Of Work: Fire Damage
Fire damage
Contractor Type
General Contr
Electrical Contr
541-461-0387
Mechanical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Ehlers Construction Inc 4231 11/19/2004 541-689-6177
2066112 Roosevelt Blvd, Eugene, OR r.1"'~ ~O~.,.
97402-2536 ~'. ti-?\~~ \T NI\1 \S ~01
Rs Plumbing Contractor Inc "Q~~~~"'\1 S"'~'t<<_ ?~~~\) fO\\l-461-4714
2234 Dakota St, Eugene, OR 97402-101~\-\\S,,()o\1t.O U~ 1"- t>.~t>.~OO
'J)1" " " -:3 (\0. \iJ
r(,-CJ'.~J~t.~"(. :i ~t.~\O\).
t>.~'/ YoO O~ # Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
Plumbing Contr
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.
Required Inspections
Building
Framing
Wall Insulation
Drywall
Fire Damage
Final Building
- Prior to cover.
- Prior to Cover
- Prior to taping.
-When all required inspections have been approved and the building is complete.
.
,
Rough Electrical
Fire Damage
Final Electrical
- Prior to cover,
I Job# 02-01042-01 I
Required Inspections
Electrical
-When all electrical work is complete.
Plumbing
Rough Plumbing
Final Plumbing
- Prior to cover.
-When all plumbing work is complete.
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq, Feet:
I Main: Accessory:
Fee
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Vent Fan to One Duct
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
Paid On Receipt#
Buildinll
08/29/2002 10474
08/29/2002 10474
08/29/2002 10474
Electrical
08/29/2002 10474
08/29/2002 10474
08/29/2002 10474
08/29/2002 10474
Plumbing
08/29/2002 10474
08/29/2002 10474
08/29/2002 10474
08/29/2002 10474
Mechanical
08/29/2002 10474
08/29/2002 10474
08/29/2002 10474
08/29/2002 10474
08/29/2002 10474
.
Height (feet):
Proposed Units:
Page 2 of 3
Value/Quantity
I
Fee Amount
55,000
$390.15
$27.31
$31.21
$448,67
10
$.00
$70.00
$4.90
$5.60
$80,50
6
$.00
$84.00
$5.88
$6.72
$9.6,60
3
$27,00
$3,60
$18.00
$10.00
$3.15
$61.75
$687.52
"
· I Job# 02-01042-01 I . Page 3 of 3
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 ~~h:te r;:;yrty, and the approved set of plans will remain on the site at all times
during con~~ (~ ./ & )24,)D U
signaturef - , Date I t
Dec-19-01 04:46P
P.02
.
i'
225 FIF1li STREET
'.., SPRlNG~, OREGON 97477,
INSPECTION REQUEST: 726-3769 .
,OfFICE: 726-3159 .
n.,'
E~CAL PERMIT APPLICATION
,:-, City Job Nam~r 0 Z - C I 042;' 0 {
3,~O~FEESCHEDULEBElOW
A: Ne.. Rc.s.idClltinl-Slngle or
Multi-Family per dm,lIing onlt.
Semee IDduded:
I. LOCATION OF INSTALJ.i\TI~ ,).:.,
b93 C/OI/Ht..kAt- "
LEGAL DESCRIPTION
I 703.7-Z-:; /
1//00
Items Cost Sum
<nIIe",i"g
JOB DESCRIPTION ' o\\as\\1OOUJijllft, or less SJ06.00
-hClJr :0~A-6r ,,_j&utlll\\\\:ooeilie ~ladditiOIlllI SOO
'Il\"9 ?,O\9G 0\ tSq\J\fe sq. It or 'on
Pem';t. arc oon.t",,,sferntlJe ,lI/lll'i\'JIi1l9os" I.."W(Z... S 19.00 _
if work is nol slancxl witlrin(r8~,J/II~'S '11 Eae Home or
orissuanccorjrworkisSU!pl!hdedr2b"\"~ /" ~~~ng
180 days, D ~;~ or Feeder $ 50,00
, fJ,a\O \O,b
2, CONTRACTOR INST ALLA T\9~J>>IE\~ B, Services or Feeders u_
EJeclricar<?mrnlClDr(,~":;'~'I~\-tdr iCJt":''':: Alleratlons Dr o~ \~.
.. ~A\\Q~n I_/, .' ",'\ .\'i.~~.'"
A~ 11'_ '=:1\ . \:.-.- 200 lIIIlJlS or less , ,:. 'c.~\~0 o~S6~,JlO_
~'" .-'.':7': 20Iampslo400~-ll~0 ~~F~ :c,0"~J1S,!l.~_
City 'fJ: Phonc&lI.I/IiI'~ _ 401 nmpsI0600A~~,~00 0"'~~ -.o.~'~L~..5:00_
. .. .' -. ~,P"-' ." ~ - , - 601 Dmps tcHOOO lII!lPS ~~ O'i'--' _ "SI63.00 . .
Superv. LiOCllSl:Nilmbc:r 1./--;'I::t::J:' .:.. .:,:." . avc.- lOOOY~\O",0 .,,,'(\ ,~'- ,S375.00'-
- . -:L-L-t - '." ..' ",\,,_ (" I' . \.. "ov"tJ C-.... -:\'~-
. _: -.... ; '_'. - _' ~'-: ...-.- : .' 'R..._':'___on~0~" ~\ '0'" .0\~ S\SO.OO
E.~~Datc'1{) -iO/~,I):Y.>- ,"'/ .- . ..'. (y......\~"'~Cl,\~'r::J~\f;)'^C'O~~0',~v ~o\" '.-
, - -' . -- c." "- .'~ ~~-,,-'-' ~-=:.o.:.."O~ ",\~ ~". .
.... - .--' - ''-/9C~' --q"'y-' ,'0:"." '.- .1.1...,.. T1;""'.~or.~~. "\"
. /. - t... . .4'" ." ..' ....\.-.;;:......~..>,; .,...... 'J'" '"'-' \1" n', .
- ConstrContr,Numbc:r .-. _ __- :....::', .,-'-JIIS1lllJIiuOD,AIl. ,,:,:.or~R.tkic:atian~'2:"" . .
. . .' '-7 ,,:';'--~"'-<,",' '. '."'()~~1'-1c'.:{0\.~:~C.~:-'-O';0~~f;)f;)''5 '.
- E.~ration Dale_I'? ~ 1.-:1 ,,"-/J...~,?.-~:,- :: ''-' .;"2llp~1lJ!IPS or}... ~0 - V~ ~ SSO,OO
. '.... . ',:" ','- ,:.., _201P '''1O'4OiI~t ,\'" . $69.00
.'..... ""'~'''''''''~ _.-
_ ,,',.-:,-;'SiiM~ of Supervising Electrici.. " .-.- ~ 4!l.ltlD 6OO:;r~ . SIOO..oo _
;- ;:'U~~:' :'<.;_:.;~I.. '. / __ / .c:'abo~iimpsorl000:wIlssec .- :'.F:i:: .'-
, .".. " t4""'.vc..1t"' ~
":::::~~9;~'.~e.jtil~d,~~~,:1Y ~-(1c.-S, D. B~=ODO~Per~'::'~'- ..' '.
'.':"~'::~d~~/bo,~ ~L.{ii;::_:.iJA-; o~:~~,\\~,\c;,~\} ~-~4~,OO Iff,
. . '.-:' '<'? -' r." . ,- .. '-/'.d r.;u' ~ i~~~V~~ ~~~ ' . '. .
. ...,.";.-Cit)' V'I",ol6...;",..,' PI10ae -',~b:;!!.v-p ..c;,\'.\>I .. 'or"itlls:t - ~7
- , -- n\," .t.,\\ ..\' . , S 3 00 v
.-...:; .-. '.' " :.,...\\" ~~\~' ~\, y,,(r..-. - '-
. ";~::-"'''';'""RnisTALLAnON''-.->-_.. ,\\'.\c;,V ~\1.~\}~~.., , .
. ~'-'.,Thc ~notinnis!'<i~~Oll ~,\\'.\J ~~ ~_ ~eeckrnollnduded) '.
,::.p~lownwhiclllsnoL"_~..L,J, \>l ~~~~ \}~ :_e_ .'nstlIIlation. .
.: 'rDr sale, 'Iease'or ICIIl. C; ... \ 'Q\} Pl~lIi'-or irrigation - S5O,OO
.~ " ..... "'~, ~dillllLighlillll $50.00
.,';,O..D.... Slgnatare: " '. .'- Umitcxl EriergylRcs S2S,OO
....'. :' ~tcxI EDergy/CCIIIIIIl $45.00
, .
MinimUm Electric Permit In......;QD Fcc i> S~5,OQ + Surcharges
T90:~3IHS~:J
:39N~H:J
Zg'L89 $ Z:a:J3~ lW~
ZOO~ 6Z 9n~:31~a
vLvOTOO-TO:~SN~~l
TOTAL
70
1./ )'V
5bO
go~
-. .-'"
~. SUBTOTAL 01' ABOVE
70/0 StAte Surcharge
8% AdnilniJlratn'e Fee