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Home My WebLink AboutPermit Building 2000-10-23 " , "" '-. . . I Job# 00-01358-01 I Page 1 of 3 TRANS#:01-0003560 DATE:QCT 23 2000 AMT RECD:2 $ 875.61 CHANGE: CASHIER: 061 ~ 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON PUBLIC PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01358-01 Office: 726-3759 Inspection Line: 726-3769 . Location Of Proposed Site: 3957 Hayden Bridge Rd Spr Assessors Map#: 17021900 Lot: Block: Addition: Owner: Address: Tax Lot #: 03300 Subdivision: EWEB 500 East 4th Ave Phone Number: 541-484-2411 City/State/Zip: Eugene, OR 97440-2148 Remodel Value: $139,000 Scope Of Work: Interior LockerRoom Facilities Contractor Type Arch itect General Contr Electrical Contr Mechanical Contr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor LA Kersh 1209 Pearl Street, Eugene, OR 97402 Gale M Roberts Co" Inc, 338 W 11 th Avenue, Eugene, OR 97401-3030 Registration # Expiration Date Phone 541-334-6408 49237 10/21/2000 541-485-4253 Builders Electric Inc 4296 195 Madison St, Eugene, OR 97402-5030 ATIENTION,()r"(l0n I'll'" reqUires y.ou II Harvey & Price Co 77 II I d'lO/3e1/2000ne Oregc;5i4,,1,,7.j4, 6-1621 fo owruesa Olll uuy. ' ~, ') Po Box 1910, Eugene, OR 97440-1910 Notification Center, Those rules are set for' Twin Rivers Plumbing Inc 1'?iee.5~A952-00'\3/_1:1'I20b10ughOAR54'1~Ef8a~1444 Po Box 40397, Eugene, OR 97404-0064 0090, You may obtain copies 01 thz rules b __II:........+hl"\ ....o.nto' tf\l(\t~. fhplp.laohone - Office Use ,,~~ilberfortheOregon Utility Notilicatior rDntr'.;,:- ...or:~.':l~')_")q44) Electric/Power Companie # Of Buildings: ' PLOS Occupancy Group: Heat Source: Sq. Footage: 12/10/2003 541-485-0922 3PNW Land Use: Zoning Code: Bedrooms: Range: To request an inspection call the 24 hour recording at 726-3769, All insr,Jections reCluested before 7:00 a,m, will be made the same working day, inspections requested after 7:0'OJti1m,~QiiEbe made the following working day, THISPERMITSHALLEXPIREIFTHEWORK Framing Drywall Ceiling Grid SUB - InsulationNapor Barrier - Prior to cover, - Prior to taping, Required Inspections ~~-;-; ;~;-I;::~~; ~:::-;7: ::: :--:~:.~~:: ~~~~ Buildinll I COMMENCEDORISABANDONEDFOR ANY 180 DAY PERIOD. - To be called for at the same time as the SUB framing inspection, ~. . ..., SUB - Final Final Fire Final Building I Job# 00-01358-01 I Required Inspections Building . Page 2 of 3 .-When all Fire Department requirements have been met. - When all required inspections have been approved and the building is complete, Electrical Rough Electrical Final Electrical - Prior to cover. - When all electrical work is complete, Plumbing Rough Plumbing Final Plumbing - Prior to cover, - When all plumbing work is complete, Mechanical Rough Mechanical SUB - Mechanical Final Mechanical -Prior to cover. -When all mechanical work is complete, Zoning: PLOS FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: Overlay District: # of Street Trees: Land Use: Electric/Power Companie~ Pave Driveway? 0 3: Additional Requirements: Glenwood Area? 0 Required Attachments: Source Locn: Material: Planner: Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 iArea (Sq. Feet) I Main: Accessory: Fee Commercial Plan Check Adjusted Public Plan Review Total Plan Check Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Flood Plain FEMA: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Paid On Receipt# Plan Check 09/07/2000 3135 10/23/2000 3560 Value/Quantity Fee Amount 74,500 106 $232,70 $105,79 $338.49 Building 10/23/2000 3560 10/23/2000 3560 10/23/2000 3560 139,000 $520,75 $36.45 $15,62 $572.82 . . ~ . Job# 00-01358-01 Paid On Receipt# Electrical 10/23/2000 3560 10/23/2000 3560 10/23/2000 3560 . Page 3 of 3 Value/Quantity Fee Amount "- Fee Branch Circuits W/O Feeder or Service State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical 8 $49,00 $3.43 $1.47 $53.90 Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing Plumbing 10/23/2000 3560 10/23/2000 3560 10/23/2000 3560 10/23/2000 3560 10 $,00 $100,00 $7,00 $3,00 $110.00 Minimum Mechanical Permit Mechanical Administrative Fee Vent Fan to One Duct Alter/Add to ea Appl Unit or System Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical Mechanical 10/23/2000 3560 10/23/2000 3560 10/23/2000 3560 10/23/2000 3560 10/23/2000 3560 10/23/2000 3560 2 1 $,00 $,63 $6,00 $15,00 $10,00 $1.47 $33.10 $1,108.31 Grand Total Plan Check Type Checked By Date Completed Comment Initial Review-C/I/P Engineering-C/I/P Structural-C/I/P Fire Marshal-C/I/P Lisa Hopper Pam Ownby Lome Pleger AI Gerard 09/11/2000 09/27/2000 10/10/2000 09/13/2000 extinguisher 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 durp~( t1Jdv:- J{)/v:S/()() Srgnature Date : .' 1UIIOwmg project 8S submitted h~.S the following '.. - d does not require specific land use lOnmg, an 225 FIFTH STREET approval, "p l 0 I1LECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zoning o1l INSPECTION REQUEST: 73~e3769 /Dr '-~,'" .:ity Job Number~~/?~~ / OFFICE: 726-3759 . ~uJ '''Jt"onz,ed Signature j. COMPLETE FEE SCHEDULE BELO\l 1. LOCATION OF INSTAL. LAT~ -=3"9'~7 //1'''''7).&:,''-/. ,~. LEGAL DESCRIPTION .....I7d2./~ _" ~;J~~ JOB DESC~:~ON z::.. ~~~~ , ~ / -rv/l../?./~ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 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 Contractor Builc\el"S Et-dric.. Supervisor License Number ~LqO-'S Expiration DateJO':/,-O J Constr Contr. Number 42Q(P ExpiJ:ation Date 12-IO"o~ 1Z;7;'/.'; """'d,, Owners Name ~~~~ Address 'J>CJ~x /G'/~~ Ci ty ~"f'Jf!F, ~.Phone L./~-.2~// . /9~/ r. O\INER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: RECEIPT #: RECEIVED BY: 10 Z>o-C> ~.,(f,o 'i).('r 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 Relocation: It ems Cos t Sum $ 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 D. Branch Circuits volts $ 40.00 $ 55.00 $ 80.00 see "B" above " New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Add i t ional Circuit or with Service or Feeder Permi t 7 E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL I =Jr:;" $ 35.00 $ /q 2.00 not included) $ 40.00.... $ 40.0~ : $ 20.0o...:S1~ $ 36.0~~ l~~<:Jr;=;c;.,!:, 7_ .N~~ I o /. ....0 ~-<':"'_ U1~~ . cr-.rT1cr-.OCl' ~.. ~OO