HomeMy WebLinkAboutPermit Building 2001-09-28SPRINGF!ELD
Job# 01-01013-01
RES!DENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 2
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 33BB Yolanda Ave Spr
AssessorsMap#: 17021934
Lot: Block: Addition:
Job Number: 01-01013-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 00100
Subdivision:
ctrY oF SPRTNGFiELD, OREGOTV
Owner: Oneida Dial
Address: 33BB Yolanda Ave
Scope Of Work: Fire Damage
Fire damage
Phone Number:
City/State/Zip:
New
541-746-4811
Springfield, OR97477
Value: $15,000
Contractor Type
GeneralContr
Electrical Contr
Contractor
Mckenzie Taylor Restoration Llc
5729 Main, Springfield, OR 97478
Burrell Brothers
40159 Both Kelly Blvd, Springfield, OR
97477
Registration #
137171
Expiration Date
51612003
Phone
541-747-5413
541-747-2724
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording a1726-3769. 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
- Prior to cover.
Building I
-Prior to cover.
- Prior to taping.
-Before covering sheathing with finish material
-when all required inspections have been approved and the building is complete.
Electrical I
N01
Ceiling lnsulation
Framing
Drywall
Roof Sheating/Nailing
Fire Damage
FinalBuilding
Temporary Power
Electrical Service
-Approval required prior to SUB energizing pole.
-Must be approved to obtain permanent power.
S
rQ
Rough Mechanical -Prior to cover
Mechanical
-.rO\REl
ABAND
Entt" '
ON9D
\J
^C
Job# 01-01013-01
Required lnspections
Mechanical
-When all mechanicalwork is complete.
# Of Stories: Height (feet):
Gurrent Units: Proposed Units:
Census Code: Does not apply
Accessory:Total:
Page2 of 2
Final Mechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
Main:
Fee Paid On Receipt# Value/Quantity Fee Amount
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
0912812001
09t28t2001
09t28t2001
6848
6848
6848
15,000 $146.40
$10.25
$11.71
$168.36
Electrical
Minimum Electrical Permit Fee
Temporary: 200 Amps or Less
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
09t18t2001
09118t2001
09118t2001
09t18t2001
6721
6721
6721
6721
1
$.00
$50.00
$3.50
$4.00
$s7.50
Mechanical
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
09128t2001
0912812001
09128t2001
09t28t2001
09t28t2001
6848
6848
6848
6B4B
6848
1
$33.00
$3.60
$12.00
$10.00
$3.15
$61.75
Grand Total $287.611;'--?r*- l, ,,.L--
Signatuie
L Date
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97477
OFFICE: 726-3759
I. LOCATION OF INS
o orc)a
, J-I
Permits are non-transferable and expire
if work is not started lvithin i80 days
ofissuance or ifwork is suspended for
180 days.
s submitted has the lollowing
require specific land use
City Job Nu
ELEL ,ICAL
o/ j" o{
""t"+"o'tiqT,7'.
Multi-Family per drvelling unit.
Ser-vice Included:
Items Cost Sum
I$106oo (06{JOB DESCRIPTION- -- G..,, U,i*. -nIk"C.,.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Drvelling
Senice or Feeder
225 FIFT}I STREET
INSPECTION
Authorifed Stgnaturc
Supen'isor
Expiration
Licerrse Number t-lf Z t I
Constr Contr.
Expirarion oate lU "Ol -OZ
Signnture of Supervising Electrician
B. Services or Feeders
Installation, Alterations or
Relocittion:
200 anrps or less
201 amps to 400 arnps
-10i amps to 600 amps
(r0i an4ts to 1000 anlps
Over I(t00 amps/r'olts
Reconnect Only
.
C. Tcmponrrl' Sen'ices or Feerters
Installation, Altcration or Rclocation
SCHEDIILE BELOW
1'
t $ re oo lgj'
$ 50.00
$ 125.00
$163.00 _
$375.00
$ 50.00
$50.00
$69.00
$100.00
200 amps or less
201 amps io 400 amps
Over 401 to 600 amps
Ovcr 600 amps or 1000 volts see
"B" above
Branch Circuits
Neri' Alteration or Extension Per Panel
E. Ntisccllaneous (Sc rviceit'eeder n ot i n clu rlett)
-Each installation
Pump or irrigation
Sign/Outline Liglrting
Linrited Energl,Ees
Lirnited Energv/Comm
4. SUBTOTALOFABOVE
7oh Stile Surcharge
87o Administrative Fee
)
*
{9s{
, - q8(/
OWNER INSTALLATION
The installation is being nrade on
properry" I olvn which is not intended
lor sale, lease or rent.
Oryncrs Signature:
One Circuit $43.00
Each Additional Circuit or rvith Service
or Feeder Permit $ 3.00
$5o.oo _
$50.00
$2_5.00
$45.00
ilIinimum Electric Permit Inspection Fec is S{5.00 * Surcharges
\if:
TOTAL tLl3 ,t
225 FIFTfl STREET
SPRTNGFTELD, oREGoN 97 477
INSPECTION RIQUEST: 726-3769
oFFICE: 726-3759
1 ON
ELECTRICAL PERHTT APPLICATION
Ci ty Job Nurnber ()t-olo13 ol
3. COHPIJTE FEE SCHEDULE BELOg
Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:ftems Cost
I
LOCATION OF3's r8 {€d
LEGAI DESCRIPTIONtf o Lt73 q ool oo
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
180 days
2. CONTRACTOR INSTA-LT,ATION ONLY
Electrical Contractor
Address
Ci ty phone 1\+TnZq
Supervi-<or License Number
Expiration Date 0-0
1000 sq.ft. or less
Each additional 500
sq. ft or portion
t hereo f
Each Hanuf'd Home. or
Modular 'Dve1ling
Service or Feeder
s 8s.00
s 15.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
--60L amps to 1000 amps-
Over 1000 amps/volts
-Reconnect 0n1y
Temporary Services or FeedersInstallation, Alteration or Relocation
2oO amps"or less I S ,ffoo >7)
20J. amps to 400 amps * t'SS.OOOver 40L to 600 amps
-
$ 80.00
0ver 600 amps or i000 voT[s see ttgtt uffi![-
Branch Ci rcui ts . .-
Nev, Alteration or Extension per panel
One Circuir $ 35.00
Each Addi tionalCircuit or vith Serviceor Feeder Permit $ 2.OO
JOB DESCRIPTION
-lg,ul f /a-t*<--
Sum
not included)
t
C
B
C
D
s s0.00
s 60.00
$100. 0o
$130.00
$300.00s 40.00
Constr Contr. Number
Expiration Date i [\ - [\(\/
Signature of Supervis Electr an
WVLL
rs Name
c
/
M
Add ress
Ci ty
't 0
-(,Fb Phone
OVNER TNSTALTdTTON
The installation is being made onproper ty I ovn r,,hi ch is no t in tendedfor sale, lease or rent.
0rners Signature:
DATE:
Miscel-laneous (Service/feeder
-Each instal_lation
Pump or irrigation SSign/Out1ine Lighting- SLimi ted Energy/Res
-
$
suBTorAL oF ABovE t-u
7% State Surcharge
3Z Admini.s trative Fee
TOTAI
E
5
40.00
40. 00
20. 00
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