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HomeMy WebLinkAboutPermit Building 2002-08-29225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 215 Smith Lp Spr AssessorsMap#: 17023231 Lot: Block: Job# 02-00991-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Addition: Page 1 of 3 Job Number: 02-00991 -01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 01910 Subdivision: SPRIi{GFIELD crTY oF SPR7NGF7ELD, OREGON Owner: Steve Schefcheck Address: 215 Smith Loop Scope Of Work: Fire Damage Fire damage Contractor Type GeneralContr Contractor Willamette Valley Restoration I Phone Number: City/State/Zip: Repair lagega 1 1 8870 136547 541- Springfield, OR97477 Value: $15,000 # Expiration Date 6t28t2003 12t1312005 Po Box 5064, ElectricalContr MAG Electric I 2952 Allane 97402 Mechanical Contr WillametteValley Po Box 5064, Eugene,97405 Plumbing Contr Plumb Crazy Plumbing lnc Po Box 901, Creswell, OR 97426 Phone 541-485-0575 541-461-0387 541485-0575 541-895-8864 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use Zoning Bed rooms: Range: { .9 up: r$ To request an inspection call the 24 hour recording at a.m. will be made the same working day, inspections working day. Floor lnsulation Walllnsulation Drywall Fire Damage Final Building requested before 7:00 a.m. will be made the following Required lnspections Building -Prior to decking -Prior to Cover - Prior to taping. -When all required inspections have been approved and the building is complete. Electrical Rough Electrical - Prior to cover \o\ ]o' Source: Sq. Footage:a'a. Job# 02-00991-01 Required lnspections Electrical -Must be approved to obtain permanent power. -When all electrical work is complete. Plumbing -Prior to cover. -When all plumbing work is complete. Mechanical -Prior to cover. -When all mechanicalwork is complete. Accessory: Page 2 of 3 Electrical Service Final Electrica! Rough Plumbing Final Plumbing Rough Mechanical Final Mechanical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main: # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Total: Fee Paid On Receipt# Value/Quantity Fee Amount Build Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building 08t2912002 08t29t2002 08t29t2002 10480 10480 10480 15,000 $146.40 $10.25 $11.71 $168.36 Minimum Electrical Permit Fee Permanent 200 Amps or Less Branch Circuits With Feeder or Service State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical Electrical 08t15t2002 08t15t2002 08t15t2002 08t15t2002 08t1512002 10311 10311 1031 1 1031 1 1031 1 1 2 $.00 $63.00 $6.00 $4.83 $5.52 $79.3s Plumbing Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing 8% Administrative Fee - Plumbing Total Plumbing 08t29t2002 08t29t2002 08t29t2002 08t2912002 1 0480 1 0480 1 0480 10480 7 $.00 $98.00 $6.86 $7.84 $112.70 Mechanical Hood and Exhaust Minimum Mechanical Permit 8% Administrative Fee - Mechanical Vent Fan to One Duct Mechanical lssuance State Surcharge - Mechanical Total Mechanical 08t29t2002 08t29t2002 08t29t2002 08t29t2002 08t29t2002 08t29t2002 1 0480 1 0480 1 0480 1 0480 1 0480 10480 1 2 $9.00 $24.00 $3.60 $12.00 $10.00 $3.15 $61.75 Grand Total $422.16 Job# 02-00991-01 Page 3 of 3 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, and the approved set of plans will remain on the site at all times %,A Signature D?4 / durino construction.-,/%/---_-----' rJt=t.:- J.:,-lJr t .? ; -?crr 225 FIFTII STREET SPRINGFIELD. OREGON Y7477 , TNSPECTION REQIJESTT 72647 6e' OFFICE: 726-37s9 JOB DES Pernrits lrrc non-trlnsfemble aud expire i[ rvork is nol stancd rvitldn lEO da;"s ofissuance or ifrvork is suspended for I 80 days. Eleclrical Plpne UsrscNumtcr Bsgirrbn ELECTIqCAL PERMIT APPLICATION ;;cityJoh xo ao 5e -oC72/ drvelling unil- Items Y .IJl * 6'-0 Cost Sum $r06.00 $ 19.00 $ 50.00 2. CONTRACTOR INSTALL.ATION ONLY B. Serviccsor Fecdcrs sq.ft. or hss t00 sq. fr orportion lhereof Each tvlanufd Hour or Modular Dlelling Scrvicc or Fccdcr 200 angs or lccs 201 amF to i[{D arrpe 401 anps to6(tr anpe 601 aup tri 1(tr0 arqps.: .Orrcr l0{D anps/rolts lscormectOn[r- C: Xcdporery SerYicts c Fccdcrs 'lnstdlit[!t!, a{1edm or lclocetiat .: ' . Z0l .nps.to {m_arps '-* On€r{}l'E 600 aqs ol;6m-hr4r u'romrohs s "B'&l: .;: .. I). Brrmf, Ctuudrs oI I . IlstrlLtior,Altentinosor at{CW 1(-Bdocatioo:(7 Ncm' Alerarion or Brterion Per Patrd ::. OniCiiizit. Eich Aeitiorrl Ctuqrit or uith cFcicdctPeemit $ 63.00 s 75.00 st25.00 3r63.00 _ 3375-00_ 3 50-00 _ sso.oo _ _ $69.00 _ sloo.00 343.(x} "E:rarrarionDa* re'"t Eteclriciea '' J:r: . i,_ /i'1;:*.\- t4'SetviteZ L' .: .. -': :. .. .'..':.' orinmnntsmrierrox. :': . .. l. rfrc insta[atiotr is bciot mdc m .', :pmpcrty I o*n rH is mt irerdc0 . ' for saler' lca*'or rtnt ,.. . . ... ' -.:.Owncrs Sipehrc: ' , : ' N 1 H\S A\)1 E iliscflriif,! -Edctr 4. SUBTOTAL OII ABOVE ?9/o Stilc SurchrtTe 87o Admhistrath'c Fec s 3.00 roR - s50-0o 350.00 s25.00 s.r5.fi) Permit Inspcction Fcc is 545.01) * Surcharycs G7 ua5<_{L TOTAL f 1 3f l. zoning.does LEGAL Date Scnice Included: O ( I oa ocpqt c I FD-016FIRE DAMAGE REPORT OR ELECTRICAL HAZARD TO: FROM: SUBJECT: Building Department Springfield Fire Department Structural Damage to Building Date: ?- zg-<s )a Z_ Address or location of building L/..4t 5leu -s/e,sA--.LLJName of Owner Type of Buitding /.4/ t)a @welling,Warehouse, etc.) Estimated value of building Estimated loss to buitding Date of fire 5-/</- oz- $ $z 2L2O j.), a ,-e o Location of damage to building ro cz-d (Roof,Wall, Exterior, Interior, Structural weakness as a result of the fire @urned rafters, Beams, Joists, etc.) Additional pertinent information ( d ( ),r 4 V:\FD_FOIIMS\FD{ I 6 FIRE DAMAGE REpORT.doc "2t ned k" o*<)6, /-t Electrical Hazdrd.2*z (Wiring, Outlets, etc.) CC:q I