HomeMy WebLinkAboutPermit Building 1996-04-23SPRITGFIELD
a
RESIDEIiITIAt PERUTT APPI,TCATTON
CITY OF SPRINGFIELD
COMMT'NITY SERVICES DTVISION
BUII.DTNG SAFETY
Page 1
Job Nnmber: 960235
225 Noreh Fiftsh street
Springfield, OR 97477
Location of Propoaed Work: 307 N 19TH ST
Assessors tttap #: 17033513
LoE: Block:
office
Inspection Line
726 -37 59
726 -37 69
Tax Lot #: 13700
Subdivision:
OwDer: dIIM SNYDER
Address: 307 N 19TH ST
Describe Work: REBUILD FIRE DAll ROOD!
phone #:
city/sLate/zi-p: SPRINGFIELD, OR 97477
REMODET
Contractor
Const.
Contractor #E:rpires
oe/03/96
L2 /to / e6
Phone
836 -21,L6
48s - 0922
General
Electrical
BRUCE RESTORATI 0076209
1485 Laurel Hil-L Drive Drain OR 974
BUILDERS ELECTR 0004296
PO Box l-0021 Eugene OR 974OLOOOO
QUAD AREA: 2RNW
-- oFFrcE USE --
LAND USE: 1111
To request, an inspeclion, call_the 24 hour recording at 726-3769.
A11 inspections requested before 7:00 a.m. wilL be made the same working day,inspections reqFlested after 7:00 a.m. will be made the following work day.
FoorrNG - Afrer rrenches-;;.-:::lH:":T',"crroNs ---
FoIIllDATroN - After forms are erected but prior to concrete placement.UNDERFLOOR IIECHANICAL _ prior to insulation or decking.POST AIID BEAII - prior to floor insulaE,ion or decking.rNsurJATroN - Froor; prior to decking wa,l/ceiling; prior to coverROUGH PIJIrIr{BING - prior to cover.
ROUGII MECIIAIIICAL - prior to cover.
ROUGH ELECTRfCAL _ prior to cover.
FRAMfNG - prior to cover.
TNSULATT.N - Fr-oor,' prior to decking waIl/ceiling; prior to coverDRYWALL - prior to taping.
FINAL pLUltBINc - When all plumbing work is complete.FINAL UECIIANICAL _ When all mechanical work is compJ_ete.FfNAL EIJECTRfCAL _ When a1l_ electrical work is complete.FrNAL BUTLDTN. - when all required inspections have been approved and.the buil-ding is complete.
Lot T1rye: fNTERfOR
ftem
Total Value
Building permit Fee
Surcharge/Admin
--- BUILDTNG PERMTT ---
Square Feet. x $,/Square peet Value
18, 500 . 0o
134.50
1,0.77
TOTAL FEE
(A)L45.27
SPFINGFIELD
Job Nnnber: 950235
a SPruNGFIELD,t
Page 2
PLUI{BING PERMIT ---
Item
Fixtures
Plumbing Permit
Surcharge/Admin
TOTAIJ CHARGE
3
Fee
30.00
30.00
2 .40
32 .40(c)
--- MECIIAI{ICAL PERMTT
Exhaust Hood
Vent Fan
Dryer Vent
5 WALL HEATERS
Mechanical Permit
fssuance
Surcharge/Admin
TOTAL PERMTT
a
4
6
3
22
.50
.00
.00
.50
(D)
36.00
r_0.00
2 .88
48.88
(Excluding Electrical )
unless otherwise noted
--- TOTAL A}IOT'}iI]I DUE ---
(A, B, C, D, and E combined)226.55
--- BUILDING VALUE,PI,AI{ CHECK AI{D BUTI.DTNG PERMIT
This permit is granted on the express condition that the said constructionshall-, in all respects, conform to the ordinance adopted. by the city ofspringfield, including Ehe Development code, regulating the construct,ion anduse of buildings, and may be suspended or revoked at any time upon violationof any provisions of said ordinances.
PIan Check Fee: g7.43 Date paid.:
Received By: LORNE pLEcER
Plans Reviewed By: DON MOORE Date:Building Site Reviewed By: LfSA HOppER
04 /Ls / e6
04/22/e6
Receipt, Number: 2tLO1,
PATH 1
--- ADDTTTONAL COM}IEMTS
By eignature, f atate and asrree, that I have carefu 1ly examinedthe completed application and do hereby certify tha t all information hereonis true and correct, and f further certify that any and alL work performedshal-L be done in accordance $/ith the ordinances of the City of Springfield,and the Laws of the State of Oregon pert.aining to t he work described hereinand that NO OCCUPAI{CY wil-l be made of any sLructure without permission of t heCommunity Services Division,Building Safety.contractors and employees who are in complianceused on this project
I further agree to ensure that aII reguired inspections are requested at theproper time, that each address is readable from the street that the permitcard is l_ocated at the front of the property, and the approved set of planswil-I remain on Lhe site at all t
I further certify that onlywith ORS 701.055 will be
Signature
imes du ring construction.
te
SPFIltGF!ELE,
Job Number: 960235
aTr SPruNGFIELD,
Page 3
,l
--- VALID.A,TION --.
Receipt Number . 2127 Z
Date Paid 4.-7-?€
Amount Received, 226 59
Received By:
SPrlI. ,FIELO
m
;9
ae i,3lio!.ti!ng prci+ct a6 6ubnnhed hrs tho
, hDnuYD aDpt YcATT0N
-lt\
SPFIINGFIELO
ELECTRTCAL PERHTT APPLICATTON
rrg, and dces nol roguire epecffic hnd uee
Zoiring OL
225 FIFIE STRXET
SPRINGFTELD, OREGON 97477
TNSPECTTON REQUEST I . 726-3769OFFICE: 726-3759
(!
LOCATTON OF 'ALLATTON COIPIJTE FEE SCMDULE BELOV
Nev Residential-Single orMulti-Family per dvilling unit.Service fncluded;
)
b-
t /*( $ 1s.oo
s 40.00
s s0.00
s 60.00
$100.00
$130.00
s300.00
s 40.00
$ 40.00
$ ss.00
$'80.00
see rrBrr aEvE-
s 40.00
s 40.00
$ 20.00
$ 36.00
o Nrrm[91 Qr,
1 rNST
{//i
3.
A.E/l
DE SCRT/1 PTION
0.),b /</ <-7
/)
_€''),/f tems
(
Cos t
s 8s.00
Sum
Electrical Contractor
Address PO - K,c2/
Services or Feedersfnstallation, Alterationsor Relocation:
200 amps or less
201 amps to 400 amps _-
401 amps to 600 amps
-
60i. amps to i.000 ump"_-over 1000 amps/volt!
-
Keconnect Only
Temporary Services or Feedersfnstal1ation, Alteration or Relocation
200 amps' ,or 1ess201 amps to 400 amps .-
over 40L to 600 amps .-
over 600 amps or ibOO-IofTs
1000 sq.ft. or l_ess
Each additional 500sq. ft or portion
thereof
Each Hanuf,d Home. orModular Dvelling
Service or Feeder
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
trt,,D
Permits are non-transferable and expireif vork is not started vithin-i8O diys-of issuance or if uork i" ;;;p;;ded for180 days.
2. COIYTRACTOR TNSTALI,ATTON OT.ILY B
(. I
Ci ty /
Supervisor Licen
Expiration Date /ro -,,
se
Constr Contr. Number 0 - 10-r c-
Expiration Date (
Signature of Supervis ing Electriciaa
Ovners Name J
addresse3 07 r)/q Sl-
Ci Phone
OITNER TNSTAILATION
The installation is being made onproperty f ovn vhich is not intendedfor saIe, lease or rent.
0mers Signature:
D. Branch Circuits
Nev, Alteration or Extension per panel
One Circui t
Each Addi tionalCircuit or vith Serviceor Feeder permit
s 3s.00
s 2.00
C
I
E Miscellaneous (Service/feeder not included)-Each instaLlation
Pump or irrigation
_Sign/0u tLine Light irg_--Limited Energy/Re
Limited Energy/Comm
5
CITY OF OREGON
.JCEIVED
/6b.oz
lL JOB
E
SPRINCFI El-D FIRE DEPAi".TIIENT
FIRE DAI{P.GE REPORT
OR
ELECTRICAL HAZARD
Si1t -o'1 z'i
QtoOa35
TO:
FR0l.1:
SUBJECT:
Building DePartment
Springfield Fire DePartment
Structural Damage to Building
DATE:Z-tj *etb
r9
Addres s or I ocati on of bu'i 'l d i ng 3c,l N iri
Name of o\',ner tt,^ S.^c.a
Type of buiiding [:
1i ng, Store, I'Jarehouse, etc.
Est'imated val ue of bui 1di ng $5l 0oo
Estimated loss to buiiding s 3o. ooa
Date of fire z - ts--1a
Location of damage in building 5 E /?oo,'n ,, 5,* "'L. flr,outl "uf -
c-t c 14 o.l) "- -,
)
c.c,f, I,Jall, Exterior, Interior, etc.
Structural weakness as a result of the fi re Puss )Gle i^ S F Eo"r'-',
(Burned raf ters, Beams, "lo
'ists, etc.
Additional pertinent information
()
Electrical Hazard Pr,u" n <h n{{
(l,li ri ryq , 0uti ets , etc .
-)-CC LU 2-A
S'iq ned
,l
)