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HomeMy WebLinkAboutPermit Building 2001-11-06l'4"e,/ ( Jb \r 1of 3 SPRINGFIELE, Job# 01-01 150-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety I f '2 I/-/70x h, 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2484 00035th St Spr AssessorsMap#: 17021942 Lot:00700 Block: Addition Job Number: 01-01 150-0'1 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00700 Subdivision: ctTY oF SPRINGFIELD, OREGOI' Owner: Sue Bishop Address: 2484 35lh Street Scope Of Work: Garage Conversion Garage conversion Phone Number: City/State/Zip: Remodel 541-747-3537 Springfield, OR97477 Value: $7,000 Contractor Type GeneralContr Electrical Contr Contractor Jerry Bishop 2484 35th Street, Springfield, OR97477 Chris Mille/s Electric lnc 33338 ldyllwild Rd, Creswell, OR 97426-9368 Sue Bishop Registration # Expiration Date 62377 Phone 541-747-3537 1 -895-3660 1-747-3537MechanicalContr 2484 35lh Street, Springfield, OR To request an inspection call the 24 hour recording at a.m. will be made the same working day, inspections req working day. Required I Buildin ,re 7:00"following Foundation Post and Beam Floor lnsulation Ceiling Insulation Framing Walllnsulation Drywall Final Building Rough Mechanical Final Mechanical ct' \s1 -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking. - Prior to decking. - Prior to cover. -Prior to cover. -Prior to Cover -Prior to taping. -When all required inspections have Mechanical ,P.\ZED ,\oEo UNDER oB\g ABhT \FIHE \t{OBK Bts'Po rlhrbt6. I tri - Prior to cover. -When all mechanicalwork is complete.L rr)DhY P \CD lDgl{ED FOB Page 1 to Job# 01-01 150-01 Page 2 of 3 Land Use: Single Family DwellingZoning: LDR FloodPlain? [ Wetlands? [ Journal numbers 1: 2: Comments: Planner: Sam Gollah Urban Growth Boundary?[ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: X-Gray Overlay District: # of Street Trees:2 Pave Driveway? 3 Additional Requ irements : Required Attachments: Source Locn: Material: Flood Plain FEMA 1153 of 2975 Gtenwood Area? [ Gonstruction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? (sq.F Main Accessory: # Of Stories: 1 Height (feet): Gurrent Units:1 Proposed Units: Census Code: Does not apply Total: Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check 1011912001 7020 7,000 $s4.60 $54.60 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 11t06t2001 1110612001 11t06t2001 7182 7182 7182 7,000 $84.00 $5.88 $6.72 $96.60 Minimum Mechanical Permit Administrative Fee - Mechanical Alter/Add to ea Appl Unit or System Mechanical lssuance State Surcharge - Mechanical Total Mechanical Mechanical 1110612001 1110612001 1110612001 11t06t2001 11t0612001 7182 7182 7182 7182 7182 1 $15.00 $3.60 $30.00 $10.00 $3.15 $61.75 Planning 1110612001 7182 1Planning Plan Review Total Planning $50.00 $50.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Lisa Hopper Steve Templin Sam Gollah Tom Max Date Completed 1012212001 1012612001 1110112001 10t2612001 $262.9s Comment Job# 01-01150-01 Page 3 of 3 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 non the site at alltimes duri ng construction tt /a /o/ natu DW-7 will The tollowlng proiect as submitted has the lollowing zoni'--- ancl dogs not require specific land useapr I I ELEu' R.ICAL PERNIIT APPLICATION rrNumrrer 0i- ott;o -cl $ l 06.00 _ 1. LOCATIONzl dt/TIONsr u Tvto Ct (Zce\, O A.Neu' Rcsidentirrl-Single or Multi-Fnmily per drvelling unit. Sen'ice Includetl: Items Cost 1000 sq.ft. or less Etrch additional 500 sq. ft or portion tliereof $ 19.00 - Each Nllrnufd Hotnc or lvlodular Drvelling Sen,ice or Feeder s 50.00 LEGAL DESCRIPTION l7o z llLtZ OoTo<> CRIPTIONJOB DES/+\ .) Permits are non-transferable and expire ifrvork is not started lvithin 180 davs ofissuance or iftvork is suspended for 180 days. CON]RACTOR Electrical' ration Date INSTALLATION ONLY B. Serryices or Feede Instirllation, ,24 ///& &tffirL Relocation irturc Supen'ising Electrici an L. 7 D. Branch Circuits Neu'Alteration or Extension Per One Circuit Each Additional Circuit or uith or Feeder Permit E. i\I iscellaneous (Ser-vice/feetler n ot i n clu detl) -Each instrllation Pump or irrigation $50.00 -- Sign/Outline Lighting $50.00 -Lirnited Energ,v/Comm $45.00 I\Iinimum Electric Permit Inspection Fee is S{5.00 + TAL OF ABOVE Surchitrge Surchirrges \b 4 q o "h st 80 TOTAL strative Fee L 225 FIFTH STREET SPzuNGFIELD. OREGON TNSPECTTOX neqU*T: OFFICE: 726-3'759 Ar.rthonzed Signaturr FEE SCHEDULE BELOW3. 200 amps or less 201 arnps to 400 amPs -101 anrps to 600 amPs (r01 antps to 1000 amPs Over I()00 amps/r'olts Recontrect Only C. Tenrporary Scrvices or Fceders Installirtion, Alteration or Relocation $ 75.00 _ $125.00 _- _ $ 163.00 -- $50.00 --$69,00 ___ $100.00 ,+aaress 33?,3* : /2 i'tzrc rz D,/)/,' Cit(VE<uD^z--Pttonc 52 s- - 3 6 6 a Sr-rpen'isor Licensc Number 3:z-E: >- Expiration Dut" /d :, O I : Z aa Constr Contr, Nrrrrb"r-- / EllZ- Orvners OWNER INSTALLATION The installation is being ntade on property I olvn rvhich is not intended for sale. lease or rent. Zq 3r+'- Ot'ners Signature: