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Home My WebLink AboutPermit Building 2001-4-23 " . 225 North Fifth Street Springfield, OR 97477 . . Job# 01-00301-01 Page 1 of 2 TRANS#:01-0005020 DATE: APR 23 2001 AMT RECD:2 $ 496.76 CHANGE: CASHIER:061 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00301-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1641 Harbor Dr Spr Assessors Map#: 18030232 Lot: Block: Addition: Owner: Address: Tax Lot #: 02200 Subdivision: Nancy L. Quinn 1641 Harbor Drive Phone Number: 541-741-0021 City/State/Zip: Springfield, OR 97477 Repair Value: $47,000 Scope Of Work: Fire Damage Contractor Type General Contr Quad Area: # Of Units: Constr, Type: Water Heater: fire damage Contractor Ehlers Construction Inc 2066112 Roosevelt Blvd, Eugene, OR 97402-2536 Registration # Expiration Date 4231 11/19/00 Phone 541-689-6177 Office Use Land Use: # Of Buildings: Zoning Code: NOTICE' ' Occupancy Group: Bedrooms: T " Heat Source: Range: ^ ~~ ~:R~T SHALL EXPI!'!!l",F9P,~9~ORI( , --., ,~, "L.CU UI~Ut:H THIS PER~1IT I!:: ~IGT. To request an inspection call the 24 hour recording at 726~37.69ErA,.ni!.n..;>pl;9\!g\Wl~~.u,r;;.t,T}l'"'tiet~e '7:00 a.m. will be made the same working day, inspections requeste~afte[y7:00 a.m. will be'maaefihelfollowing working day. ...,,, I r U WI t-'E.RIOD, Floor Insulation Ceiling Insulation Framing Wall Insulation Drywall Fire Damage Rough Electrical Electrical Service Final Electrical Rough Plumbing Final Plumbing 1 - Prior to decking. - Prior to cover. - Prior to cover. - Prior to Cover -Prior to taping. Required Inspections Buildin!l ATTENT'ON:~reQ(':; !a''''-~qt':r3S taU 10 fO!lo~~Ule!: '1dnPi~:::1II ;11: GraDon UliIit' ~~1(;all~r; Can'-;.ll. I nOSf :ulas clrs sat fO~h 001:1(\ ~~,2'001-00'1~ lhro~gh OAn 952-001- I ElectricaE':;';)!'. o,Vlal? ::OpISS of the rules by -Prior to cover. .nUfnbtl~i~;t~;n~':: \IIJO~d:.(~atel~~hOl~e -Must be approved to obtain perm~nent,Rower.gor, u!llity Nolll/cat/on -When all electrical work is complete':IHc.ros l-dCO-:J82-2344). Plumbin!l - Prior to cover. -When all plumbing work is complete. .. . . . 1 Job# 01-00301-01 I Required Inspections Mechanical I Page 2 of 2 Rough Mechanical Final Mechanical - Prior to cover. - When all mechanical work is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D ,Area (Sq. Feet) I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Building 04/23/2001 5020 04/23/2001 5020 04/23/2001 5020 Value/Quantity Fee Amount Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 47,000 $269.50 $18.87 $8.09 $296,46 Permanent: 200 Amps or Less Branch Circuits With Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Electrical 04/23/2001 5020 04/23/2001 5020 04/23/2001 5020 04/23/2001 5020 1 4 $50.00 $6.00 $4.06 $1.74 $63.80 Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing Plumbing 04/23/2001 5020 04/23/2001 5020 04/23/2001 5020 04/23/2001 5020 10 $.00 $100.00 $7.00 $3.00 $110.00 Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical Issuance State Surcharge - Mechanical Total Mechanical Mechanical 04/23/2001 5020 04/23/2001 5020 04/23/2001 5020 04/23/2001 5020 04/23/2001 5020 1 $9.00 $.45 $6.00 $10.00 $1.05 $26,50 $496.76 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 th; p~r' and the approved set of plans will remain on the site at all times duringconst io ~ ~)2>)D '\ Signature Date V ( .., . . . Date . . ed Signature - Authont 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION 9F INSTALLATIOp /tfll lf~e(5"tL Dr<... A. New Residential-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION UW3.02.32 02200 JOB j2ESCRIQ"ION h (2 € Di!rfVI tfu-~ 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 Electrical contractorCrr--.1 '"")\_}~a Address \.\ tr> () () (" 0 nA't S' - , ' Ci ty <; LV;, <..L~J> Phone b,e.,'-3, -Q'3 "13 J Supervisor License Number \...l-=rq?.s Expiration Date \D-O I Constr Contr. Number q.sq I a Expiration Date 12 -0 \ ~;~~f ~i':::;',".O"iOi" Owners Name AIL '-/ G'^}"".......... /# r{, ""'- 2) Q , Phone 7f1-C,(Jz..J Address I G'I ( Ci ty 5 P ,?0, OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: Ocr - 2:3 - 0 / RECEIPT 11: RECEIVED BY: 'nil ELECTRICAL PERMIT APPLICATION , , City Job Number t';> 1-00'50/- 0 I COMPLETE FEE SCHEDULE BELOV 3. Sum Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular-Dwelling Service or Feeder ,B. Services or Feeders ,Installation, Alterations or Reloca t ion: 200 amps or less { 20l amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over lOOO amps/volts Reconnect Only $ 85.00 $ 15.00 .$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 50 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or lOOO volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" a~ .' New, Alteration or Extension Per Panel One Circui t Each Additional Circuit or with Service or Feeder Permi t l-/ E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 S? not included) :0 $ 40.0~ ---='-- $ 40.09,~~ $ 20. OlXl n:l1a.- $ ~9' 09? ;.; !!' ~~~~~ fT1::I:.p..l'..N 0 .................... a .. z: 0-. r-.J: trr bf:~@ OWNER' 'tV P<~,^" k... ~u.r:.."" ADDRESS' t <;:<::\ \ t+A....bo.... b~l<. CITY: ---.s 1'>\.(":) c... \~ ~"""- \2.~~I.... . <'" RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ASSESSORS MAP' LOT: ;' .' DESCRIBE WORK' NEW REMODEL CONTRACTOR'S NAME GENERAl' PLUMBING' MECHANICAl' ELECTRICAl' . ~",r~", , BLOCK: -+c. STATE:' Dl.~~ lAoWllt.. . JOB NUMS~R(JI ~OO >0/ - 0 I 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBOIVISION' C) 2.. zc> c.) Q.'II.\I..1-<"\ DEMOLISH ADDITION OTHER PHONF' 'lq \ ""':<:-c2. \ ZIP: CM4 'Y1 I-.>t. h-t~ rfJv.fr(C ~t.ft 'I - Yz. -t.u..~S.r . CON ST. CONTRACTOR' 0<\2.>), REQUIRED INSPECTIONS C8J Rough Mechanical - Prior to cover. 00 Rough Eloctrtcnl - Prior to cover. ~ Electrical Service - Must be . approved to obtain permanent electrical power. I o Fireplace - Prior to facing materials and framing Insp. [Zl Framing - Prior to cover. ncsof -t.u....1.l: ~ Wail/Ceiling Insulation - Prior to cover. 10 Drywall - Prior to taping. o Wood Stovo - After 'nstallatlon. O Post and Beam - Prior to floor 0 Insulation or decking. - Insert - After fireplace approvel . and Installation of unit. , o Curbellt & Approach - After ~.::". .-. forms are cmcted but prior to o Sanitary Sewer - Prior to pllln~' ' placemont of concrete. trench. o Sidewalk & Driveway - After excavation Is compiete, forms andsub.base material In place. o Fence - VVhen ccmpleted. o .Street Treeo - Whtm all required trees are planted. EXPIRES .;'" PHONE GBH\'17 - OFFICE USE - QUAD AREA- LAND USF' , .. FL:OOD'PLAIN' · OF SLOGS' . OF UNITS' ZONING CODE:_ OCCY GROUP' CONSTR. TYPE: . OF BDRMS: . OF STORIES: HEAT SOURCE: SECONL>ARY HEAT: WATER HEATER: RANGE:_ SQUARE FOOTAGE: To request an Inspection, you must call 726-3769. This Is a 24 hour recording. 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 work day. [0 Flnst Plumbing - When all plumbing w9rl< Is comp/et.c. [Kl FInal Electrical - When all electrical work Is complete. r77'1 Final Mechanical - When all LA.J mechanical work Is complete. [R] Final Building - When all required Inspections have been approved and building Is completed. OOlher MOBilE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o PlumbIng Connections - When home has been connected 10 water .'1nd sewer, o Electrical Connection - When blocking, sel.up, and plumbing Inspections have been approved and Ihe home Is connected to the service panel. o Final - After all requi,ed Inspections are approved and porches, skirting, decks. and venting have been Installed. J; . ADDRESS FM(.K.\, U....~l.t-ot""...' bc~ ~cl. N..w,.h~\ ~Y4""'~~ AN... r.j(O~ \J~~ ~~ o Temporary Electric D Site Inspection - To be mado after excavation, but prior to setting forms. o Undarslab Plumblng/Elaclrlcal/ M~chanlcal - Prior to cover. o Footing - After tranches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placemont. o Underground PlumbIng - Prior to filling trench. o Undarlloor Plumbing/Mechanical - Prior to Insulation or decking. o Floor Insulation - Prior to decking. , o Storm Sewer - Prior to filling trench. o Waler Line - Prior to filling trench. , o Rough Plumbing - Prior to cover. ./ -- '. Lot faces Lot Type Lot sq. ftg. Interior Lot coverage Corner Topography " Panhandle .' Total height Cul.de.sac BUILDING PERMIT:~ ;,1; .~ ITEM Main sa. FT. \00;6 x s/sa. FT. = Garage Carport , I " "~.J , "_i Total Value Building Permit Fee State S~rcharge , , \ " Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) Systems Development Charge Is due on all undeveloped . .' \ .' '. properties.~lthin tho City limits which are being improved. Ii ' (B) PLUMBING PERMIT ITEM Fixtures I 0 -(""I+~l Residential Bath(s) N' Sanitary S~wer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit Slate Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood .3 Vent Fan N' Wood Stove/lnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition Slate Surcharge Tolal Miscellaneous Permits (E) \, "\ TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) .~: \:r '-i:~ : ," ., . ~ ~ ,'; l' '~".,~ ::,J,' '. ~\.l'l' r .~ '[I . ~ 'T'l'ii" "" 1 " .~'. "'.:(~ ;';t . . -.., . . ., .,.', ~. Setbacks ' HSEIGAR I IS THE PROPOSED WORK IN THE. ....HiSTORiCAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed alld approved by the Historical . Coordinator prior to permit Issuance. i , I'P.L. IN Is Iw I~ ACe' I I I I I' . .~ I.. APPROVED: BUILDINh VALlk PLAN CHECK AND BUILDING PERMIT VALUE '. This permit Is granted on the express condition that the said construction' shall, In all respects, conform to1the Ordinance adopted by the Cilyo.!, Springfield:, including the Dovelopment COde,~regUlatln'g'the C?onstructlon c!pd'use of buildings, and may be suspende9 or revOkesL-'at any time upon Vio,latlon O.f any pr VISiO~S of sal~rtfinances. Plan Check Fee: ,/ 0" , " " " L{ 70~ --- Date Paid: ~ Receipt Number' Received By: , " , . " Plans, R.c,vlewep By ..- rl Date ADDITIONAL COMMENTS FEE .' " 1,./ t-/ By signature, I stale and agree, that I have catelully examined the completed appllcallon and do hereby certify that all informatIon hereon Is true and correct, and I further certify that any and all work performed shall be don~ In accordance with the Ordinances 01 the City of Springfield, and lhe Laws of the Slate of O,egon pertaining to tho work described herein, and that NO OCCUPANCY will be made of any .;' s~ruc~~re without permission of the Building Safety Division. I further certify that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. v 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 properly, and the approved set of plans will remain on the site at2?tlmeS/d~l~nstructlon. Slgnaturp ~ Date' '4/21> }C>\ /~ VALIDATION: ~ -f 0:;0 ;::ODD [Tl-l;Z: Grn~ ("') ;.:D" :D t-..)-OO rJ:' -;n ..... ::I: ... I ~("'J I"JO ""'=-"''-''0 :;;:d :..L::>....u '-' .. ZCJ"".t<lU1 oen- DD RECEIPT NUMBER DATE PAID 0<.(;;;:'3 t!) ( AMOUNT RECEIVt;D RECEIVED BY --:.~ ~ ....~; .........._.~- r.