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Home My WebLink AboutPermit Building 2001-09-19SPRINGFIELD Job# 01-00884-01 RESIDENTIAL PERMIT Gity Of Springfield Community Services Division Building Safety Page 1 of 2 Job Number: 01-00884-01 Office: 726-3759 !nspection Line: 726-3769 Tax Lot#: 01900 Subdivision: 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 355 00022nd St Spr Assessors Map#: 17033613 Lot: Block: Addition: crTY oF sPRtNcFrELD, OREcOn' Owner: Lewis Hill Address: 5385 F Street Scope Of Work: Fire Damage Fire damage Phone Number: City/State/Zip: Repair 541-747-5953 Springfield, OR 97478 Value: $22,000 Contractor Type GeneralContr Electrical Contr Contractor Ehlers Construction lnc 2066112 Roosevelt Blvd, Eugene, OR 97402-2536 Crow Valley Electric PO Box 21705, Eugene, OR 97402 Registration # 4231 Expiration Date 1111912004 Phone 541-689-6177 541-683-837320317c10t112002 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 \NoRK Required lnspections \5 B foBCeiling lnsutation Framing Walllnsulation Fire Damage FinalBuilding - Prior to cover. - Prior to cover. -Prior to Cover R \\\5 0u orOD -When all required E - Prior to cover. -Must be approved to obtain permanent power -When all electricalwork is complete. approved and the building is complete. I Rough Electrical Electrical Service Final Electrical I Rough Plumbing - Prior to cover Plumbi nq Job# 01-00884-01 Required lnspections -Whenrllplr.bi#] Accessory: Page 2 of 2 Final Plumbing Construction Types Occupancy Groups # Of Buildings: # Of Bedrooms: Handicap Access? (Sq. Feet) Main: # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Total: Fee Paid On Receipt# Value/Quantity Fee Amount Buildi Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 08t15t2001 0811512001 0811512001 6438 6438 6438 22,000 $'193.20 $13.s2 $15.46 $222.18 Electrical Minimum Electrical Permit Fee Minimum Electrical Permit Fee Branch Circuits WO Feeder or Service Miscellaneous Electrical State Surcharge - Electrical State Surcharge - Electrical Administrative Fee - Electrical Administrative Fee - Electrical Total Electrica! 0811512001 09/19/2001 0B/1 5/2001 0911912001 08t1512001 09t19t2001 0811512001 0911912001 6438 6738 6438 6738 6438 6738 6438 6738 6 4B $.oo $.00 $58.00 $48.00 $4.06 $3.36 $4.64 $3.84 $121.90 Plumbing Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing Administrative Fee - Plumbing Tota! Plumbing 08t1512001 0811512001 0811512001 0811512001 6438 6438 6438 6438 2 $17.00 $28.00 $3.15 $3.60 $s1.7s Grand Total 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 is located at the proper time, that the project address is readable from the street, that the permit card of the , and the approved set of plans will remain on the site at all times during co $395.83 qln)o\ Signature ;i{--7 CITY OF SPF D, OREGO'V approval. Zoning Date 225 YIFTZ S"mBEf Authorized Signature SPBDTEIE|D, OREGOT{ 97477 II{SPBCffOil RBOUEST: 726-3769 OPEICE: 726-3759 1 rcCATION OPf s-.r zoning, and does nol require specific land use VD o.l SP' IFIELt, 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each t{anuf'd Home or -llodular Dne1ling Sertice or Feeder Services or Feeders . Installation, Alterations One Circuit - Each Additional INSTALI.ATIZZ,'A t- IXGAT DBSRTPTIOII(7Q3'3Q3 6t ?oo JOB DBSCRIPIION ib C-, (Z<---il< / a rz. Mt G 0n 5 PERITT APPLIC.ATTON City Job tfunbe\ Ol -O O %/ -o/ 3 @I{PI.ETB PEE SCEEIX'I.E BBIOS A. Nev Residentlal-Single orllulti-Faully per dvelling unit. Service fncluded:Itees Cost Sun -/ Pernits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CGtm,ACroR INSTAUATTOI! OIILT $ 85.00 s 1s.00 $ 40.00 ELectrical Contractor lddressh enos Ci ty [',taeno**one;glls\2.8373 Srp.*i* f,or Relocation: '200 aops or less 201 anps to 400 anps - 401 amps to 500 anPs - 601 anps to 1000 amPs- Over 1000 amps/volts - Reconnect OnIY B. E s s0.00 $ 60.00 s100.00 s130.00 $300.00 s 40.00License Number tl'|Ll AS c. Expiration Date Signa of Blectriclan D. Omers Name Address s38{ tr S Ci ty < fnJ Phone 7?7 -5>13 Teuporary Services or Feeders Insiallationr Alteration or Relocation 200 amps"or less S 40.00 over 401 to 600 anps - S 80-00 or"i eoo amps or rboo=il5Es see uB' a56E Branch Circuits Neu, Alteration or Extension Per Panel I/ s 35.00 fS OI,I.IER INSTALI.ATION The installation is being uade on piop"ttv I oun vhich is not intended ior sa1e, Iease or rent' 0mers Siguature: Circuit or vith Service , {or Feeder Perni t S- $ -22€O / ) Miscellaneous (Service/feeder not included) -Each installation PuuD or irrigation - Sidr/0utline Light itg- Lirited EnergY/Res - Linited EnergY/Coun ST'BTOTAL OT ABOVE 7% state Surcharge 3Z Administratlg: Fee '' 'lTlfi\r _ b, s s s s 5 DATE: 40 .00 LI:i Expiration Oate I O- l- Ol constr contr. nuaaer 30- 3l1U fr.J5 t-.1[(]Ll\ ti-."1 !aJ (: LJ SPRINGFIELD Job# 01-00884-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 2 Job Number: 01-00884-01 Office:726-3759 Inspection Line: 726-3769 Tax Lot#: 01900 Subdivision: 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 355 00022nd St Spr AssessorsMap#: 17033613 Lot: Block: Addition ctTY oF SPRINGFIELD, OREGON Owner: Lewis Hill Address: 5385 F Street Scope Of Work: Fire Damage Fire damage Phone Number: City/State/Zip: Repair 541-747-5953 Springfield, OR 97478 Value: $22,000 Contractor Type General Contr ElectricalContr Quad Area: # Of Units: Constr. Type: Water Heater: Gontractor Ehlers Construction lnc 2066112 Roosevelt Blvd, Eugene, OR 97402-2536 Crow Valley Electric PO Box 21705, Eugene, OR 97402 Registration # 4231 Expiration Date 11t19t2004 Phone 541 -689-61 77 541-683-837320317c10t1t2002 ,NOBK ngs: pancy Group: Heat Source: Sq. Footage: To request an inspection call the 24 hour recording a1726-3 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 Building I Rough Electrical Final Electrical Rough Plumbing Final Plumbing -Prior to cover. - Prior to cover. -Prior to Cover -When all required inspections have been Electrical - Prior to cover, -When all electricalwork is complete. PIumbi - Prior to cover. -When allplumbing work is complete. It, 1- Ceiling lnsulation Framing Walllnsulation Fire Damage FinalBuilding the Oerrter ,,9 Job# 01-00884-01 # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Total: Page 2 of 2 Gonstruction Types: Occupancy Groups # Of Buildings: # Of Bedrooms: Handicap Access? (sq.F Main:Accessory: Fee Paid On Receipt# Value/Quantity Fee Amount Buildi Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 6438 6438 6438 22,000 $193.20 $13.s2 $15.46 $222.18 Electrical Minimum Electrical Permit Fee Branch Circuits WO Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 0811512001 08t15t2001 0811512001 08t15t2001 6438 6438 6438 6438 6 $.00 $58.00 $4.06 $4.64 $66.70 Plumbing Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing 08t15t2001 0811512001 08t15t2001 0811512001 6438 6438 6438 6438 2 $17.00 $28.00 $3.15 $3.60 $51.75 Grand Total 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 is located at the proper ti that the project address is readable from the street, that the permit card , and the approved set of plans will remain on the site at all times during Date $340.63 a 5 6 I 0811512001 08t15t2001 0811512001