HomeMy WebLinkAboutPermit Building 2001-11-06l'4"e,/ (
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SPRINGFIELE,
Job# 01-01 150-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
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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
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- Prior to cover.
-When all mechanicalwork is complete.L
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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
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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: