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
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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
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