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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/