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HomeMy WebLinkAboutPermit Building 2000-03-14SPRINGFTELD Job# 99-01511-01 Paoe 1 ol2- TRT1NES:01-0000?i1 DATE:I{AR 14 t000 AHT RE[D:2 $ ]78.52 IHANEE: IASHiER:059 RES!DENTIAL PERMIT City Of Springfield Gommun ity Services Division Building Safety 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 305 00025th St Spr AssessonsMap#: 17033614 Lot: Block: Addition: Job Number: 99-0151 1-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 7100 Subdivision: ctTY oF SPR1NGFIELD, OREGON Owner: Richard & Carla Basi Address: 305 25th St Scope Of Work: Single Family Residence LIVING ROOM ADDITION Phone Number: City/State/Zip: Addition 541-726-0695 Springfield, OR97477 Value: $40,948 Contractor Type GeneralContr ElectricalContr MechanicalContr Plumbing Contr Contractor Richard & Carla Basi 305 25th St, Springfield, OR 97477 Antone Electric Registration # Expiration Date 82835 1/10/99 27 51 4 Snyder Road, Junction CUp*|CE, ;f gff ff :lJ,i.lffi :HaT#?ffi ffi f lfl::yT,rlFili'f fi ,o,* 3;;::JJilJ,:T,i:n",,=,,"."&?ffi Hflrff} j'ffi :HEH*'J" Phone 541-726-0695 541-6884444 541-338-8334 541 -688-1 931 Quad Area: # Of Units: Constr. Type: (VN)Wood Frame Water Heater: 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 a.m. will be made the same working day, working day. Gonstruction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: # Of Bedrooms: Handicap Access? (Sq. Feet) recorQing at726-3769. All inspections requested before 7:00 i n s pepttiOl'S i€U u e Sted"afte r.7 S 9.a,lrrewil Lhe mad e th e fo I I owi n g ;!,1':iil[3:ffi,'?iH:"i31'f,:iSlillr -194R e52-001-00r 0 through Onn-gilbo,;0!!,,you may obtarrr.opi6* of tnr"r"rG n # oflHer&fi center. t rrtot., t Jftnpt tinet[t cilll,J1mlfltjfre oreson utitittntolid.iiunits: census c;fi?bd;, iti i661r' o'',. Main:Accessory:Total: tr Page2 of 2 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Fee Total Transfered Records 11/01/1999 36060 158 $157.63 $157.63 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 03t14t2000 03t14t2000 03t14t2000 931 931 931 40,948 $242.50 $16.98 $7.28 $266.76 Minimum Mechanical Permit Mechanical Ad ministrative Fee Alter/Add to ea Appl Unit or System Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical Mechanical 03t14t2000 03t14t2000 03t14t2000 03t14t2000 03t14t2000 931 931 931 931 931 $.00 $.45 $15.00 $10.00 $1.05 $26.50 Residential- Single Family - Storm SDC Administrative Fee Total System Development 03t14t2000 03t1412000 931 931 350 $81.20 $4.06 $85.26 Grand Total Plan Check Type Checked By Date Completed Structural-Res Don Moore 03/10/2000 By signature, I state and agree, that I have carefully examined the completed application and do hereSy certify that all information hereon is true and correct, and I further cgrtify that any and all work perforhed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Build!1g Sqlety. I further certify 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 each 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. %Yt,, $536.15 Signature Date Job# 99-01511-01 1 5 -r/i-Zd SPR FIELI) ty Job Number FEE SCEEDTILE Jt DATE: Hf;Y 1.4 ';ilt)i ^MT tr'trfln.n d. ,r.fi T/1nlll I\LUU.a + r+tJ,lU nun iltitr.- trl lnltul- . n/\AUTtrf' ( no?tJndl ll.Ll\. UUJ qYrl I BELOV Sum s 1s.00 s s0.00 s 60.00 s100.00 s130. 00 s300.00 s 40.00 .00 .00 .00 il8il aEove 225 FIFTE STREET SPRINGFIEI.D, OREGON INSPECTION REQTIEST: OFFICE: 726-3759 1. LOCATION OF the loltowin9 Z11fltng and apProv al 97 477 Zoning 1 D ELECTRICAL PERHTT APPLICATION Autnorlzed Signature 3. COHPLETE TT o!r. A LEGAL DESSRTPTI JOB DESCRIPTION Permits are non-transferable and expire if vork is not 'started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTAILATION ONLY Electrical Con tractor Address Ci ty_ Phone Supervisor License Numb Nev Residential-Single or Multi-Family per dvelling unit. Service Included: I tems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion t hereo f Each Manuf'd Home. or -Modular Dvelling Service or Feeder $ 8s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: B. C 200 amps or less 201 amps to 400 amps -401 amps to 600 amps --60L amps to 1000 amps over 1000 amps/voIts -Reconnect Only Expiration D Cons tr Contr ate ber Temporary Services or Feeders Installation, Alteration or Relocation Expi ra t Date S ure of Supervising Electrician Ovners Name Add ress Ci ty 200 amps"or less $ 20L amps to 400 amps - S Over 401 to 600 amps $ Over 600 amps or 1,000-7ofTs s 55 BO 40 ee The installation is bei proper ty I ovn r,,hich is for sa1e, lease or rent Signature: DATE: RECEI E. Miscell-aneous (Service/feeder not included) -Each instal-lation Pump or irrigation Sign/Ou tline Lighting- Limi ted Energy/Res -Limi ted Energy/Comm SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAL Ao n20 _fuA_._vhone Z2/, - OZ2.{ OVI.TER INSTALT,ATION D. Branch Circui ts Nev, Alteration or Extension Per Panel /,// one circuit / $ 35.00 TfooEach Additional Circuit or vith Service or Feeder Permi t I S 2. O0 _Z.o o ng no made on t intended s 40.00 $ 40.00 $ 20.00 s 36.00 5 RECETVED BY:7 .>