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.)
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