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HomeMy WebLinkAboutPermit Building 2005-01-03ITY Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01590ISSUED: 0110312005APPLIED: 1212912004 EXPIREST 0710312005VALUE: $ 1,075.00 SITE ADDRESS: 201 S 18TH ST Springfield TYPE OF WORK: Interior ASSESSOR'S PARCEL NO.: 1703360000500 TYPE OF USE: Alteration PROJECT DESCRIPTION: Enclose storage area with door at top of stairs for map room. Owner: Address: SPRINGFIELD CITY OF 201 SOUTH 18TH STREET SPRINGFIELD OR 97477 Expiration Date 08/18/2006 Public Phone 541.935-2860 Contractor Type General Electrical Contractor RICKHUNTER OWNER License 1444t7 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: THIS PERMIT IS NOT ,BANDONED FOR $ Per Sq Ft or multiplier REQUIRED PARJilNG bi B VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Square Footage or Bid Amount DEVELOPMENT INFORMATION Description Type of Construction Page I of2 Yalue Date Calculated rc I'U ILI,'I,I\ U TN I UruYTryJ the the center. for I of the ru,es Valuation Description I Building/Combination Permit Status Issued 225Pifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01590ISSUED: 0110312005APPLIED: 12129/2004 EXPIRESz 0710312005VALUE: $ 1,075.00 Bid Amount Use Bid Amount Fee Description + l0Yo Administrative Fee + loh State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Plan Review Comm/Ind/Public Total Amount Paid $1.00 1,075.00 Total Value of Project Date Paid u3t05 u3t05 u3t05 u3t05 u3l0s u3t05 Receipt Number 1200s00000000000001 r200s00000000000001 1200500000000000001 1200500000000000001 1200500000000000001 1200500000000000001 $1,075.00 $1,075.00 1212912004 Amount Paid $163.80 Plan Reviews Structural Review t2t29t2004 1212912004 APP DLM No plan review comments. To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wilt be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Reouired Insnections By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon 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 pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each 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 Signature Kn Pase2 oI2 Date /-Z-c5 r ees ralo I $11.50 $8.0s $43.00 $27.00 $4s.00 $29.25 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^ity of Springlield Oflicial Receipt evelopment Services Department Public Works Department RECEIPT #: 1200500000000000001 Date: 0110312005 9:35:25AM Job/Journal Number coM2004-01590 coM2004-01590 coM2004-01590 coM2004-01590 coM2004-01590 coM2004-01590 Description Plan Review Comm/Ind/Public Building Permit Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + l0% Administrative Fee Amount Due 29.25 45.00 43.00 27.00 8.05 I l.s0 Item Total:$163.80 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid INT CHGS 6l l-6225 l-61 1008 llh-Ri INT CHGS In Person Payment Total: $ 163.80 -$16-3-80-'- v3/2005 Page I of I lEa lt 4 225 FIFTH STREET r SPRINGFIELD, OR97477 o PH:(541)726-3753 r FAX: E LE CTRI CAL P ERMIT AP P LI CATI ON City Job Number Date 1.3 LEGAL DESCRIPTION A. o_o1o .00 ss0.00 $ 63.00 $ 7s.00 $125.00 $ 163.00 $375.00 $ s0.00 '&iljtl #,* 2?oo 9e JOB DESCzuPTION Permits are non-transferable and expire if work is "" not started within 180 days of issuance or if work is Suspended for 180 days. ) Electrical Contractor Address ^^5 S-E-s -- Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only One Circuit Each Additional Circuit or with Service or Feeder Permit Pump or irrigation SigrriOutline Li ghting 7% State Surcharge l0% Administrative Fee TOTAL ,Lr-2/*/t 7. B.' Seryices or Fbeders r InStallation, AlteiationS or Relocationl,' ;l: : : :..' : Ciry ,f^ Yrc"e 728-.a752 Supervisor License Number Z.g I <c. Expiration Date Constr. Contr. Number Expiration Date Electrician D. Owners Name Address E. Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 or 1000 Volts see "B" above. New Alteration or Extension Per Panelfrr q $ 43.00 $ 3.00 ci'y fl42 Phone V2L-3799 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: $ 50.00 $ s0.00 Limited Energy/Residential $ 2s.00 Limited EnergyiCommercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges @ ___43',_ Inspection Request: 726-37 69 4. Shared Driv(T:)/Building Forms/Electrical Permit Application l-03.doc ftlll' ? n <21