HomeMy WebLinkAboutPermit Building 2002-05-28Job# 99-01101-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Addition:
Page 1 of3
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Job Number: 99-01'101-01
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1430 00007th St
AssessorsMap#: 17032643
Lot: Block:
Office:726-3759
tnspection Line: 726-3769,fu
h: "i1iazdj.*-'
rax Lot #: oe4o1 tr&
Subdivision:
Spr
aITY OF SPRINGFIELD, OREGON
Owner: Floyce McCall
Address: 1430 7lh Street
Scope Of Work: Single Family Residence
142,066.00
Phone Number:
City/State/Zip:
Addition
541-747-2804
Springfield, OR97477
Value: $0
.1O
ContractorType Contractor
GeneralContr Floyce McCall
1430 7th Street, Springfie
ElectricalContr Floyce McCall
1430 7th Street, Sp
Plumbing Contr Floyce McCall
1430 7th Street, S
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
2RNW
Footing
Foundation
Rough Electrical
Slab
Post and Beam
Framing
Special
Progressive
FinalBuilding
\Date
s
Group:
rce:
requested before 7:00
Phone
541-747-2804
541-747-2804
-2804
\)p'l
\$,oo\
-{,o$
Land Use:
Zoning Code:
Bedrooms:
Range:
{$o \e
To request an inspection call the 24 hour recording at 726-3769. All i
a.m. will be made the same working day, inspections requested after 7:00
working day.
will be made the following
Required lnspections
Transfered Records
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-Prior to cover.
-To be made after all inslab building service equipment, conduit piping, and other equipment iten
-Prior to floor insulation or decking.
- Prior to cover.
-See Plan Review and/or lnspectors Notes, or prior to cover if applicable.
-when all required inspections have been approved and the building is complete
Rough Electrical - Prior to cover,
Electrical
Electrical Service
Final Electrical
Rough Plumbing
Final Plumbing
Rough Mechanical
Gas Service
Final Mechanical
Job# 99-01101-01
Required lnspections
Electrical
Page 2 of 3
-Must be approved to obtain permanent power
-When all electrical work is complete.
Plumbing
- Prior to cover.
-When all plumbing work is complete.
Mechanical
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure tes
-When all mechanicalwork is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check Fee
Building Permit
Electrical Permit
Plumbing Permit
Mechanical Permit
SDC-Storm Sewer
SDC-Sanitary Sewer
SDC-Ad ministrative Fee
Mechanical lssuance
Total Transfered Records
Transfered Records
08/09/1999 35148
08112t1999 35396
08t12t1999 35396
08t12t1999 35396
08t12t1999 35396
08t12t1999 35396
08t12t1999 35396
08t12t1999 35396
08t12t1999 35396
344
530
70
90
15
121
1,014
57
10
$344.34
$529.72
$70.00
$90.00
$15.00
$120.64
$1,013.67
$56.72
$10.00
$2,250.09
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Electrical
05t28t2002 9243
05t28t2002 9243
05t28t2002 9243
05t28t2002 9243
21
$63.00
$63.00
$8.82
$10.08
$144.90
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
Administrative Fee - Plumbing
Tota! Plumbing
Plumbing
05t28t2002 9243
05t28t2002 9243
05t28t2002 9243
05128t2002 9243
$00
$45.00
$3.1 5
$3.60
$s1.75
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Mechanical lssuance
Mechanical
05t28t2002 9243
05t28t2002 9243
05t28t2002 9243
05t28t2002 9243
05t28t2002 9243
$4.00
$29.00
$3.60
$12.00
$10.00
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main: Accessory:
1
I
1
Job# 99-01101-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
State Surcharge - Mechanical
Total Mechanical
Mechanical
05t2812002 9243 $3.15
$61.75
Grand Total
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 701.055 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 alltimes during bonstruction.
^/1Signature Date
$2,508.49
C 3- )$'oa-
225 FIFTH STREET
SPzuNGFIELD. ORECON 97]77
INSPECTION REQUEST: 726-3'7 69
OFFICE: 726-3759
1. LOCATION OF INSTAILATIONlq=o 7t'- s h
b Numbcr
A. Nen' Residcntial-Singlc or
Multi-Family per dl'elling unit.
Sen'ice Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Eirch Mantfd Horne or
Modular Drvelling
Service or Feeder
$ 106.00
B. Serliccs or Feeders
lnstallirtion, Altcnttions or
Relocation:
200 amps or less
. 201amps to 400
ELEL ^,dCAL PERIVTIT APPLICATION
$ 50.00
LEGAL DESCRIPTIONl)o3 Z 6tt3 O 7VO I
JOB DESCRIPTION
LJ,V'SUB
Permits are non-transferable and expire
iflvork is not started rvithin 180 days
ofissuance or ifrvork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical' Contractor
Address
$ 19.00
,
ciry (hone
Expiration
Signnture of Supenising Electrician
OWNER INSTALLATION
The installation is being urade on
propery'I ou'n u'ltich is not intended
for sale, lease or rent.
Orvners Signature
201 amps to
Or,'er .l0l to
Oyer 600
B
9
Panel
$43.00
E. I\Iis
r Extension Per
it Inspc
g€fT Phone 7q 7- zSov Each Additional
or Feeder
B TAL OF ABOVE
77o State Surcharge
8%, Administrative Fce
uith Service? I s:.oo
inclutled)
ction Fee is 545.00 * Surcharges
\76
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TOT..\L lL{q y
Supen'isor License Number
Expiration
Constr Contr.
Orvncrs N c
30 7+L- s h
.lli..*, . - -trt..c"lt
Cit;"7 7- a tt ot -ot
3. COMPLETE FEE SCFIEDIILE BELOW
C. Tenrporary Scrvices or Feeders
Installation, Alteration or Rclocation
$ 75.00 _
$125.00 _
$163.00 _--*
$375.00 _
$ 5000_
$50.00
--$50.00 _
s25.00 _
$45.00
--
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