HomeMy WebLinkAboutPermit Building 2000-08-02\
Job# 00-01187-01
RESIDENTIAL PERMIT
City Of Springfield
Commu nity Services Division
Building Safety
Page 1 of 2
SPRINGFIELD
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1375 00030th St Spr
AssessorsMap#: 17023034
Lot: Block: Addition:
Job Number: 00-01 187-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 02100
Subdivision:
ctrY oF SPRfiNGFIELq OREGON
Owner: Ron McCain
Address: 1375 30th Street
Scope Of Work: Garage
Phone Number:
Gity/State/Zip:
New
NOTrer.
541 -726-3866
Springfield, OR 97478
Value: $10,564
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Gode:
Bedrooms:
Range:
TH,SPEBM,T
A{ITHOR1ZED
COfulMENCED
IFTHEWOBK
ISNOTOF I$
ANY TSODAY
Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. 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
Shear Wall Nailing
Framing
FinalBuilding
Gonstruction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory:
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Gode: Does not apply
Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Building
Building Permit
State Surcharge For Building Permit
08t02t2000
08t02t2000
2730
2730
$86.50
$6.06
10,564
r l-i 9gul r uy! t
Required
-Before covering sheathing with
- Prior to cover.
-When all required inspections
il,tn!$,:c r inn-4)l!. ..
Job#00-01187-01 Page 2 of 2
Fee Paid On ReceiPt#ValuelQuantity Fee Amount
Building Administrative Fee
Total Building
08t0212000 2730 $2.60
$95.16
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
n6reby 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
Signature Date
$e5.16
CITY OF SPR"VGFIELD, OREGO'U
225 ETrTH STREET
SPRINGFIELD, OREG0N 97477 oarc
1 OF
INSPBCTI0N REOIIBSTz 726-3769-
oFprcE: 726-315, AulRorrzed sisnature
INSTALI.ATION /3O1L- =T-
DEV ELO PM ENT SERVIC E S D E PARTM E NT
SPFt ,FIELD
1000 sq.ft. or less
nach additional 500
sq. ft or portion
thereof
Each Manuf'd Eome or
-Modular DvelIing
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
225 FIFTH STBEET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
The following project as submitted has the
zoning, and does not require specific land useapproval
Zoning rz-PERI{IT APPLICATIONla - ab
ob NumberDO - Olltr7-O /
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems
LEGAL DESCRTPIIONo3L{OZI6O1703 Cost
$ 8s.00
$ 1s.00
$ 40.00
Sum
-r= 7frll:--1-
t1:l{lf-"i+
JOB DBSCRIPIION
Ul t Lq T-+epea<d
Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
2. COI{TRACTOR INSTALI.,ATTON ONLY
Electrical- Contractor
Address
ci ty-
Supervisor License Num
Expiration Date
constr contr. Number
Expiration Date
Sigaature of Supervising Electrician
Over 1000 amps/volts
Reconnect 0n1y
B
200 amps or
201 amps to
40L amps to
601 amps to
less
600 amps
1000 amps
$ s0.00
$ 60.00
$100. 00
$130. 00
s300.00
$ 40.00
$
$
$
s
0wners Name t;
Address l<-{ Sofv-
cit =(
Phone a 7/7
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Orners S
DATE:
P.,yil'C/t
40.00
40.09
20.00J
(]P
Ic3C)13s.FF(=
5
c.
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit J- $ 3s.oo 3{
Each Additional
Circuit or vith Service
or Feeder Permit * $ 2.00 Z
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/OutIine Lighting_
Linited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
7%, state Surcharge
3Z Administrative Fee
TOTAL
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 4b1 to 600 amps
-
$ 80.00
Over 600 amps or 1000 vofts see uBu a66E
RBCETVED
z ze c)o
L.l (=m(=
3. COI{PI TB FEE SCEEDTI,E BBLOIT