HomeMy WebLinkAboutPermit Building 2000-06-02SPRINGFIELD
Job# 99-01506-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
Job Number: 99-01 506-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00700
Subdivision:
TRANS*:01-0001001
DATE:JUN 0t 1000
AHT RE[D:2 $ ]3.00
IHANGE:
IASHiER:05?
t
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 7967 Thurston Rd Spr
Assessors Map#: 17023620
Lot: Block: Addition:
ctTY oF SPRfiNGFfiEL4 OREGON
Owner: Mike Accocello
Address: 7967 Thurston Road
Scope Of Work: lnterior
$10,000
Phone Number:
City/State/Zip:
Remodel
Springfield; OR 97478
Value: $0
Contractor Type
GeneralContr
Electrical Contr
Plumbing Contr
Contractor
Clearwater Construction Company
6141 Sw Orchid Dr, Portland, OR
97219-4980
Antone Electric
27514 Snyder Road, Junction ,
97448
Eugene Plumbing Co
325 Dellwood Dr, Eugene, OR
97405-4909
NOI,C
ANY 1
Registration #
62163
Expiration Date
12t29100
Phone
503-245-9672
541-688-4444
541-484-7440
E
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Gode:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
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 followihg
working day.
Required !nspections
Transfered Records
Foundation
Rough Plumbing
Framing
Walllnsulation
Rough Electrica!
Final Electrica!
-After forms are erected but prior to concrete placement.
- Prior to cover.
-Prior to cover.
-Prior to Cover
Electrical
-Prior to cover.
-When all electricalwork is complete.
J
l\)
Job# 99-01506-01
Required lnspections
Plumbin
-When all plumbing work is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Page2 of 2
Final Plumbing
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? [
Area (Sq
Main:Accessory:Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Transfered Records
Plan Check Fee
Building Permit
Total Transfered Records
1110211999
1110211999
36070
36070
52
B1
Electrical
M iscellaneous Electrical
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
06t02t2000
06t0212000
06t02t2000
2003
2003
2003
15 $15.00
$1.05
$.4s
$16.50
Plumbing
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
06t0212000
06t02t2000
06t0212000
06102t2000
2003
2003
2003
2003
$15.00
$.00
$1.05
$.45
$16.50
Grand Tota!
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 allwork
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 at the front of the property, and the approved set of plans will remain on the site at alltimes
during
sig re Date
$165.83
L Z. EA
$52.33
$80.50
$r32.83
CITY OF SPF"VGFIELD, OREGON
225 FIFTE STREEf,
SPRTNGFTEID, oREGoN 97477
INSPECf,ION REOIIESTt 726-3769
OFPICE: 726-3759
1 LOCATION OT
*
I.AGAL DESCRTFTION
EIJCTRIC,AL PBRHIT APPLICATION
City Job Nunber qq- rio6 - ol
COHPI,STE FBE SCEEDT'LE BELOS
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cos t
$ 8s.001000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home- or
Hodular 'DveIIing
Sertice or Feeder
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
3
A
sl ...{GFIELr,
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect 0n1y
SUBTOTAL OF ABOVE
7% state surcharge
3Z Administrative Fee
TOTAL
DATT:JUN O? ZCIOO
Al'1T RECD:? $ 13.00
- IHANGE:
IASHIER:059
rlo a)62e a-o Sum
JOB
m
DES(RTPTION
Address
Ci ty r\ Phon e
isor License Numbe, J a \
B
$300.
s 40.
$
s
$1
$r
00
00
00
00
00
00
50
60
00
30
Su perv
Expi ration Date
Constr Contr. Number -2 a/rc_
Expiration Date
Signa of 1 trician
c
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder rmi t $ 2.00
E. Miscellaneous Se rvice/feeder not included)
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps'"or less $ 40.00
over 4b1 to 6oo amps
-
$ 8o.oo
0ver 600 amps or fbOO vofts see uBu a6i6
Branch Circui ts ; ..
Nev, Alteration or Extension Per Panel
-Each installation
Pump or irrigation _Sign/0ut1ine Lighting_
Li;ited Energy/Res
-Limited Energy/Comm
t
D
s Name C C,e)
Address
Ci Phone
OITNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sa1e, lease or rent.
0vners Signature:
DATE:
s 40.00
s 40.00
$ 20.00
s 36.00
t
RBCEIVBD
5
@
r:-hga-
^1
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
L80 days.
2. COMRACTOR INSTALI,ATION ONLY
Electrical Contrac ,., frnGrl e