HomeMy WebLinkAboutPermit Building 2000-12-04SPRINGFIELD
Job# 00-01674-01
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 3
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 202 S 0001Bth St Spr
AssessorsMap#: 17033600
Lot: Block: Addition:
Job Numbe r: 00-0167 4-01
Office: 726-3759
Inspection Line: 726-3769
Tax Lot#: 00500
Subdivision:
ctTY oF sPRtNcFrELD, OREGO^
Owner: Springfield Utility Board
Address: 1001 Main Street
Scope Of Work: Office
lnterior Office changes
Phone Number:
City/State/Zip:
Alteration
541-744-3726
Springield, OR97477
Value: $11,444
Contractor Type
GeneralContr
ElectricalContr
Gontractor
Eldon F Froehlich
28416 Briggs Hill Rd., Eugene, OR
97405-9735
L H Morris Electric lnc
483 Shelley St, Springfield, OR
97477-1966
Registration #
451 95
Expiration Date
5t112002
Phone
541-344-1942
541-747-08111 838 618t2001
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection callthe 24hour recording a1726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Required Inspections
Buildin
Framing
Drywall
Final Fire
FinalBuilding
Rough Electrical
Final Electrica!
Rough Mechanical
Final Mechanical
-Prior to cover.
-Prior to taping.
-When all Fire Department requirements have been met.
-When all required inspections have been approved and the building is complete.
- Prior to cover.
-When all electrical work is complete.
Mechanical
ISNOT
Electricat i2-00i -001 0 through OAH 952'001'
r mav ok tain +opiss cf the rulss by
inr' iunte,. i;ttote: rhetolephone
r{-1i irr$' Orogon Utility Notitication
' --", ., -,: r -rl',.')-*t3?e3A4).
-Prior to cover.
-When atl mechanicalwork is complete.
CITY OF OREGON
1. LOCATION OF INSTALI,,ATION222 4a-r.q /3 k 47.
I,,EGAL DESCRTFTION
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONIY B.
Electrical Contractor L, l+ . fYlarrrs E l€'"'h,ic.
Address
Ci ty 5pr, *?{i.tA Phone rlq'l -o8tI
Supervisor License Number SooAS
Exp iration Date c
Constr Contr Number 6 I a3.a
Expiration Da tee ,/*1at
Siguature of Supervising Electrician
Ovners
Address
Ci ty ' Phone :i ^;
OIINER INST
SPRINGFfELD, OREGON g7^+llorized sisnature
fNSPECf,ION REQUEST:. 7f6-3769
OFPICE: 726-3759
The installation is being made on
piop"tty I ovn which is not intended
for sa1e, lease or rent'
0vners Signature:
!51 cFtEL3;
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps
-
601 amps to 1000 amPs-
0ver 1000 amPs/volts
-
Reconnect 0n1Y
BLEGTRTCAL PERHTT APPLICATION
Ci ty Job Nunber 2d ^2/A 7 y;O/
COHPI,ETE FEE SCMDULE BELOV
Nev Residential-Sing1e or
MuIti-Family per dvelling unit.
Service Included:Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home- or
-Modular DveIIing
Service or Feeder . $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
The tollowing proiect as submitted has the tollowing
rJil"s,l"d ,ioei not require specific land use
?L,o
o0
approval
Zoning
225 ffFTB STREET Date
3
A
Temporary Services or Feeders
Insiallaiion, Alteration or Relocation
200 amps''or less
201 amps to 400 amPs
-
Over 401 to 600 amPs
-
Over 600 amps or 1000 volt
$ s0.00
$ 60.00
$100.00
s130. 00
s300.00
$ 40.00
40.
55.
80.'s see tl a66ve
$
$
s
00
00
00
BN
D. Branch Cireuits
€vr Alteration or Extension Per Panel
E
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAT
one circuit t g 35.00 €
Each Additional
Circuit or vith Service--
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
--Sign/Outline Lighting
Limited EnergY/Res
-
Limited EnergY/Comm
$ 40.00
$ 40.00
$ 20.00
$ 36.00
aa
DATE:
RECEIVED BY:
5
/7 7p42f ,
SPRINGFIELD
Job# 00-01674-01
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 3
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 202 S 0001Bth St Spr
AssessorsMap#: 17033600
Lot: Block: Addition:
Job Number: 00-01 674-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00500
Subdivision:
ctTY oF SPRINGFiELD, OREGOI'
Owner: Springfield Utility Board
Address: 1001 Main Street
Scope Of Work: Office
lnterior Office changes
Phone Number:
City/State/Zip:
Alteration
541-744-3726
Springield, OR97477
Value: $11,444
Contractor Type
GeneralContr
ElectricalContr
MechanicalContr
Contractor
Eldon F Froehlich
28416 Briggs Hill Rd., Eugene, OR
97405-9735
L H Morris Electric lnc
483 Shelley St, Springfield, OR
97477-1966
Marshalls lnc
4110 Olympic St, Springfield, OR
97478-5620
Registration #
451 95
Expiration Date
511t2002
Phone
541-344-1942
541-747-0811
541-747-7445
1 B3B
25790
61812001
1212312001
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 callthe 24hour 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 following
working day.
Required lnspections
- Prior to cover.
Building I
-Prior to taping.
-When all Fire Department requirements have been met.
-When all required inspections have been approved and the building is complete.
Electrical
Framing
Drywall
Final Fire
Final Building
Rough Electrical
Final Electrical
-Prior to cover.
-When all electricalwork is complete
rr'
ISNOl
Job# 00-01674-01 Page 2 of 3
Required lnspections
Mechanical
Rough Mechanical
Fina! Mechanical
Zoning:
FloodPlain?
Journal numbers
1:
Comments:
Planner:
Urban Growth Boundary?
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
- Prior to cover.
-When all mechanicalwork is complete
Wetlands?
Overlay District:
# of Street Trees:
Land Use:
Pave Driveway?
2:3:
Additional Requirements:
tr Glenwood Area? ! Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory Total
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Public Plan Review
Adjusted Public Plan Review
Total Plan Check
11t14t2000
1210412000
3790
3957
10,000
8
$52.33
$7.80
$60.13
Building
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
12t04t2000
12t04t2000
12t04t2000
3957
3957
3957
11,444 $92.50
$6.48
$2.78
$101.76
Electrical
Branch Circuits WO Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
12t04t2000
12t0412000
12t0412000
3957
3957
3957
6 $45.00
$3.1 5
$1.35
$49.s0
Minimum Mechanical Permit
Minimum Mechanical Permit
Administrative Fee - Mechanical
Administrative Fee - Mechanical
10,000 Cubic Feet or Less
Alter/Add to ea Appl Unit or System
Mechanical lssuance
Mechanical lssuance
Mechanical
12t0412000
12t1812000
12t0412000
1211812000
12t1812000
12t0412000
1210412000
1211812000
3957
4058
3957
4058
4058
3957
3957
4058
$.00
$11.00
$.45
$.45
$4.00
$15.00
$10.00
$10.00
1
1
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Job# 00-01674-01 Page 3 of 3
Fee Paid On Receipt# Value/euantity Fee Amount
Mechanical
State Surcharge - Mechanical
State Surcharge - Mechanical
Total Mechanical
12t04t2000
12t18t2000
3957
4058
$1.05
$1.05
$53.00
Grand Total
Plan Check Type Checked By Date Completed Comment
lnitial Review-Cil/P Wendy Stanley 11115t2000
Engineering-C/l/P Pam Ownby 1112812000 No SDC fees or comments
Structural-C/l/P Lorne Pleger 1112812000
Fire Marshal-ClllP AlGerard 11127t2000
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 the proper time, that the project 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
during on
$264.39
plfu-
sig oat/