HomeMy WebLinkAboutPermit Building 1997-01-31SPruNGFIELT',
SPFINGFIELD
&
RESIDENTIAL PER}IIT APPLTCATTON
CTTY OF SPRINGFIEIJD
COMMT'NITY SERVTCES DIVISION
BUII,DING SAFETY
Page 1
ilob Number: 97 OL42
225 North Fifth Street
Springfield, OR 97477
LocaEion of Proposed Work: 3548 VIRGINIA ST
Assessors tutap #t L7023L43
LoL: Block:
Office:
Inspection Line:
726 -37 59
726 -37 69
Tax Lot #: 03105
Subdivision:
OwneT: DAREN ENGEI,
Address: P.O. BOX V
Describe Work: REPAIR FIRE DAtr{,AGE
phone #:
city/state/zip: SpRINGFTELD, oR 97477
REMODEI,
General:
Contractor
CIRCLE E OO42OO5
PO Box V Springfield OR 974770000
Const.
Contractor #Expires
04/1-e/e7
Phone
726 -7389
QUAD AREA: 3RSC
-- OFFICE USE --
LAND USE: 1111
To request an inspection, call t.he 24 hour recording aE 726-3759.
A11 inspections reguested before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. will be made t,he following work day.
--- REQUTRED TNSPECTTONS ---
ROUGH EIJECTRICAL - Prior to cover.
ELECTRICAT SERVICE - Must be approved to obtain permanent power.
FR.AIIING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior Lo cover
DRY$IALL - Prior to taping.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL PLIIMBING - When all plumbing work is complete.
FfNAL BUIIJDING - When all required inspections have been approved and
the building is complete.
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAI, FEE
--- BUILDING PERMIT ---
Square Feet x $/Square Feet
335
Val-ue
0.00
24 ,487 . OO
24,487.00
170.50
13.55
184 .15(A)
PII'MBING PERMIT ---
Item
Fixtures
Plumbing Permit
Surcharge/aamin
TOTAL CHARGE
Fee
10.00
15.00
L.20
16.20(c)
200.35(Excluding Electrical)
unless otherwise noted
-. - TOTAIJ AIIOUI{T DI'E .. -
(A, B, C, D, and E coubined)
rlob Number : 97 01,42
SPilNGFIEI-O,
Page 2
--- BUII,DING VALUE, PLA.I{ CHECK A}ID BUIIJDING PERIIIT
This permit is granted on the express condition Ehat the said consLruction
shaII, in all respects, conform to the Ordinance adopted by the City of
Springfield, including Lhe Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Pl-an Check Fee: 110.83 Date Paid:
Received By:
PLans Reviewed By: DON MOORE Date:
Building Site Reviewed By: LISA HOPPER
01,/28/e7
01,/30/e7
Receipt Nurnlcer z 24430
--- ADDITIONAI, COMME}.IITS ---
MINIMUM COMPONENT PATH
]NCLUDES TRUSS REPLACEMENT OVER PART OF HOUSE
By signature, I Etate and agree, that I have carefully examined
the completed application and do hereby certify that all informat,ion hereon
is true and correct, and I further certify that any and all work performed
shall be done in accordance wj-th the Ordinances of the City of Springfield,
and the Laws of t,he State of Oregon perLaining to the work described herein,
and that NO OCCUPANCY wiLl be made of any structure without permission of the
Community Services Division, Building Safety. 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 j-nspections are requested at the
proper ti-me, 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
wil-l remain on the site at all times during consLruction.
Signa Da
.-- VATIDATION ---
Recej-pt Number:
Date Paid:
2r'y'?7
Amount Received, ? P-
= f,
Received By:-7
SPRIilGFIELD
SPFTII\lGFIELO
lii..,!).1i ,a&,
zz5 FrwH STREET " ' r "i" ri '" r':
SPRINGFIELD, oREGoN 97 477
INSPECTION REQUEST:' V26-3769
OFFICE: 726-3759
1 LOCATION OF INSTALI,ATION
I,EGAI DESCRIPTION
JOB DESCRT
ar non- t r er d exp 1re
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners Name
Address
Ci ty Phone
OIiNER INSTALI.,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:?
City Job Nr Uu, ?2e/72*
COHPI,ETE FEE SCffiDTILE BELOIT
PERHIT APPLICATTON
Nev Resj.dential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or fess
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home- or
Modular Dvelling
Service or Feeder
s 8s.00
s 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
A
3
B
C
Sum
t
200
201.
401
601
2 amps or less
0ver l-000 amps/vo1ts
Reconnect Only
/'s 50.00 7namps to 400 amps
arps to 600 amps
-amps to 1000 amps
s 60.00
s100.00
s130.00
s300.00
$ 40.00
cttvaffi? Phone a2/,/ '22=6
Supervisor Llcense Number 5/64
Expiration Oate /2, ./-??Temporary Services or Feeders
Insiallation, Alteration or Relocation
200 amps"or less --4 $ 4q.99
201 amps to 400 amps
-
S 55-00
over 4b1 to 600 amps
-
$'80.00
Over 600 amps or 1000-voTts see "B"
/a,fr
aSove
D. Branch Ci.rcui. ts
Nev, Alteration or Extension Per Panel
one circuit $ 35'00
Each Addi. t ional
Circuit or vith Service-
or Feeder Permit I $ 2.00 3
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Out1ine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
tf
(
s
$
$
40 00
00
00
00
40
20
36
.E
RECEIVED BY:
5
{r,TFrovel,
Zoning_l-Dt-
tlob* ?tAL{t'u,73)ltLlb3tie
S('l'1 - 0t72 Ct
,,,.,., -l<1k41_
Authorized Sign IUM
FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE -{f
TO:
FR0tl:
SUBJECT:
Building Department
Springfield Fire Department
Structura'l Damage to Bui 1di ng
7
Address or location of bui'lding
I,{ame of ot/ner
Type of buiiding
V
7
(1 I i ng , Store, t{arehouse, etc. )
Estimated value of building
Est'imated I oss to bu'i I di ng 0c)
Date of fire i -lr -t:
Location of damage in building
Roof, hlall, Exterior, Interior, etc.)
Structural
Brt*.
weakness as a
.^Q\.*
resu'lt of the fire
- Yn^*+*
(Burned rafters,Beams , ,-)oists, etc.)
Addi ti onal i nent
s
Electrical Hazar
formation
\
?w t- /?'rZ
(iring,0u
Sign
i-r
CC: