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,
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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
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nun iltitr.- trl lnltul- .
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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
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