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Home My WebLink AboutPermit Building 2001-06-13Job# 01-00603-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 ot 2 SPRINGFIELD TEnlio{+ ' nJ --fli-ir!Efir-!r-}I l\nllLJtt. Ul- LIUUJLIUL, lIIlIL. illii f r: '-!lll!lUnlL.drJl'( l-J LUVI- nlJT tr'f nil. n $ 1 flry Ennlll l\Ltru.L + ItJa,-JL, L,l Inl lUL. nnfiltTrr:-ni{ Undl lLLll. ' ULJ-I 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1658 00017th St Spr AssessorsMap#: 17032531 Lot: Block: Addition: Job Number: 01-00603-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 03900 Subdivision: ctTY oF SPRiNGFTELD, OREGON Owner: Alvord Taylor lnc Address: 315 East 13th Avenue Scope Of Work: Bathroom remodelbath Phone Number: City/State/Zip: Remodel 541-485-1270 Eugene, OR 9740'l Value: $2,000 Contractor Type GeneralContr ElectricalContr Plumbing Contr Contractor Jeffries & Company lnc 1060 E 28Th Ave, Eugene, OR 974054132 Builders Electric lnc 195 Madison St, Eugene, OR 97402-5030 John Riley Plumbing 25900 Hwy 36, CHESHIRE, OR 97419 Registration # 17455 Expiration Date 311612002 Phone 541-683-6128 541-485-0922 541-998-2812 4296 551 73 1211012003 121112002 Quad Area: # Of Units: Constr. Type: (VN) Wood Frame Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: OccupancyGroup: Dwelling Heat Source: Sq. Footage: To request an inspection call the 24 hour 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 lnspections Building Framing Drywall FinalBuilding Rough Electrical Final Electrica!-When all electrical work is complete. -Priortoinsrlatio# -Prior to cover. - Prior to cover. -Prior to taping. -When all required inspections have been approved and the building is complete. - Prior to cover. Electrical I Underfloor Plumbing Rough Plumbing Job# 01-00603-01 Page2 of 2 FinalPlumbing Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: # Of Bedrooms: Handicap Access? Area (Sq. Main: Required Inspections Plumbi -When all plumbing work is complete. # Of Stories: Height (feet): Current Units: Proposed Units: Census Code: Does not apply Fee Paid On Receipt# Value/Quantity Fee Amount Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 0611312001 06t13t2001 0611312001 5800 5800 5800 2,000 $33.00 $2.31 $.ee $36.30 Electrical Branch Circuits WO Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 06t13t2001 06t13t2001 06t1312001 5800 5800 5800 1 $35.00 $2.45 $1.0s $38.50 Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing Plumbing 0611312001 0611312001 06t13t2001 06t13t2001 5800 5800 5800 5800 $.oo $30.00 $2.10 $.e0 $33.00 3 Grand Total 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 sig Date $107.80 Feetl Accessory: Total: I use 200 amps or less 201 amps to 400 amps -401 amps to 600 amps --601- amps to 1000 amps-- Over 1000 amps/volts -Reconnec t On1y SUBTOTAL OF ABOVE 7% State Surcharge 3Z Admini.s t ra t ive Fee TOTAL SPFII' IEL!) LECTRICAL PEIUTT APPLICATION225 FIFTE STREET SPRINGFIELD, OREGON 9 INSPECTION REQI.IEST: OFFICE: 726-3759 1. LOCATION OF INSTALI.TTION16g8 i7ft" LEGAL DESSRTPTTONt7o3 zS 3 r JOB DESCRIPTION-E&rrt @aa Cr tlcc+t " 0) Permits are non-transferable and expire i f vork is no t 's tar ted vi thin 1"80 days of issuance oL if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATTON ONLY Etectrical contracto.BuildefS 6EC-lfrC ltrC Address lQ5 (,,hCliSOn cityfl;QfnP ()rl _ Phone 4\3:91A) -!r---Supervi-sor License Number 31 90-S Expiratiorr Dare /0-t -C / Ci ty Job Number 3. COHPLETE FEE SCtrEDULE BELOII A. Nev Residential-Single or MuIti-Family per dvelling uni t. Service fncluded: I tems Cos t 1000 sq.ft. or Iess S 85.00 Each addi tional 500 sq. ft or portion thereof S 15.00 Each Manuf'd Home or -Modular Dvelling Service or Feeder S 40.00 Services or FeedersInstallation, Alterationsor Relocation: 6 03,90C Sum B s s0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 Constr Contr Nunrber 4ag V Expir:ation Da r. l)-lO-Cj Si of Supervising Electrician 0wners Name Address lOS ,l-= Ci ty Phone OIINER INSTALLATION The installation is being made on property I oun r-,hich is not intendedfor saIe, lease or rent. Ovners Signature: DATE: RECEIPTTI RICEIVED B Temporary Services or Feeders Installation, Alteration or Relocation C 200 amps''or less 20L amps to 400 am1>s -Over 401 to 600 amps -0ver 600 amps or 1000-vo-ITs I'liscellaneous (Service/feeder not -Each installarion Pump or irrigation S aO. Sign/outline Lightirg- $ AO. Limited Energy/Res $ 20. Limited Energy/Comm S 36. $40sss $so see .00 .00 .00rB,' a66tE- ihcluded ) -i'! N D. Branch Circui ts Nev, Alteration or Extension Per Panel onecircuir / S35.00 3a Each Addi tionat Circui t or vi th Service or Feeder Permit S 2.00 I 00 00 00 00 fr:)=7 3 5 r-l .. # t'J C (3 ?LL€+lf-r'(:)H.L"I fj) :E (f o.H EOCO F-T ftl (= oG/7 o /-sEFc, 3-o/