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Home My WebLink AboutPermit Building 2001-07-09SPRINGFIELD Job# 01-00599-01 INDUSTRIAL PERMIT City Of Springfield Comm un ity Services Division Building Safety Page 1 of 2 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 483 Shelley St Spr AssessorsMap#: 17032710 Lot: Block: Addition: Job Number: 01-00599-01 Office:726-3759 !nspection Line: 726-3769 Tax Lot#: 08900 Subdivision: ctrY oF SPRfiNGFIEL4 OREGON Owner: L H Morris Electric lnc Address: 483 Shelley St Scope Of Work: lndustrial Exterior building facade remodel. Phone Number: City/State/Zip: Alteration 541-747-0811 Springfield, OR 97477-1 966 Value: $10,000 Contractor Type GeneralContr Contractor John Hyland 1941 Laura St., Springfield, OR 97477 Registration # Expiration Date Phone 541-726-8081 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: # Of Buildings: Zoning Gode: Occupancy Group: AUTHOfiffiED UNDER To request an inspection call the 24 hour recording at726-3769. 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 working day. Required lnspections Buildi Bedrooms: Range: NOT Footing Shear Wall Nailing Framing Lath/PIaster Final Fire FinalBuilding Construction Typesr Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main: -After trenches are excavated. -Before covering sheathing with finish materials. - Prior to cover. -To be made after all lathing and gypsum board, interior and exterior are in place;'but prior to ple -When all Fire Department requirements have been met. -When all required inspections have been approved and the building is complete. I i! # Of Stories: Height (feet): Gurrent Units: Proposed Units: Census Gode: Does not apply Accessory Total Job# 01-00599-01 Page2 of 2 Fee Paid On Receipt#Value/Quantity Fee Amount Plan Check lndustrialPlan Review Tota! Plan Check 07t09t2001 6084 10,000 $52.33 $s2.33 Buildi Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 0710912001 0710912001 0710912001 6084 6084 6084 10,000 $80.50 $5.64 $2.42 $88.56 Grand Tota! Plan Check Type Structural-Res Fire Marshal-ClllP Checked By Tom Max AlGerard Date Completed 0612612001 0611412001 $140.89 Comment Plan review - minor fagade remodel 1. Ensure address #'s are clearly visible from the street and contrast in color with their background 2. Ensure fire extinguisher is within 75'travel distance 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, a approved set of plans will remain on the site at all times construction tf -) oa7e the lollowinf aroi6ct as submitted has the lollowing zoning ^d s not require specific land use approv' 225 FB-TaISTREET iontng SPRINGFIELD, OREqAN INSPECTIoN REoLIEET; JBE#(f&",,,"OFFICE: 726-37si t Supervisor License Number 3 a CL * 9 ExpirationD ^t" lO' e/'a / Constr Contr. Number Expiration o* 1r- t- Ol Signature of Supervising Electrician Owners OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. 1,lQwners Signature: 0l 1000 sq.ft. or less Each additional 500 sq. ft. or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only OF INST,ALLATiON ,T LEGAL DESCRIPTION JOB DESCRIPTION Permits are non-transferable and e4pire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Etectrical CorltactoryLrt!:)ltl 6r& LlHk f Address 9?r'o Phone a47- at! 3. COMPLETE FEE SCHEDULE BELOW A. New Residential-Single or Muiti-Family per dwelling unit. Service lncluded: itO: Hli :]5NUHX !?'ot $ T00i 8r dlg:Ilu0 Bii?il00-I0 : sgl.lulil 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 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Sen ice/feeder not included) -Each installation Pump or irrigation Limited Energy/Res Limited Enerry/Comm 5. SUBTOTALOFABOVE 1Yo State Surcharge 8% Administrative Fee Items Cost Sum $106.00 $ 19.00 $ s0.00 $ 63.00 $ 75.00 $12s.00 $163.00 $375.00 $ 50.00 $50.00 $69.00 $100.00 $43.00 $ 3.00 $50.00 $s0.00 $25.00 $4s.00 43*----5-;r "++ TOTAL 41 'fu ELECTRICAL PERMIT APPLICATION N*rudl-aO571-ol nloo