HomeMy WebLinkAboutPermit Substandard Building 2008-10-17
Status
Issued
CITY 0.. ~nuNGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01173
ISSUED: 10/17/2008
APPLIED: 08/07/2008
EXPIRES: 04/1712009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 3920'E 15TH AVE
ASSESSOR'S PARCEL NO.: 1703344309800
Eugene
TYPE OF WORK: Use Initials
PROJECT DESCRIPTION:
I'
II
,II
Owner: HUNT TIMOTHY PATRICK
Address: 1703 S CONCORD AVE
"' .
EUGENE ORii97403
TYPE OF USE: Alteration
Possible Substandard Structure - 2nd Unit on property, Illegal service, propane,
plumbing installed
Residential
Contractor Type
Electrical
,I
,
Contractor
RALPH W BROWN
I CONTRACTOR INFORMATION 1
License
63137
BUILDING INFORMATION I
Expiration Date
02/15/2010
Phone
541-729-1500
,
. i:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Prima,'y Occupancy Grout!::
Secondary Occupancy Group:
Primary Construction Typ~
Secondary Construction Type:
# of Bedrooms: ..
n/a
I DEVELOPMENT INFORMATION ,I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Stree(Trees Rqd:.
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS 1
Sidewalk Type: .
'les yOU to
Storm Sewer Available: " Down.sffu~~'1ti\\Srequl Utility
Spec~6'\'1Cf!ion: I vl'IRE If ,\-IE WOR\{ ,..1iENiION. d~~ted by the ore~~nset iorth
RM\1 S\-l(>.\.l E^ MI' \S NOT folloW rules a tel ,hOse rules a 952-001-
Notes!\-II$ PiRIlED UNDER 1\-11S PE~ED fOR Notilicatio~_~~~_Q(i1 0 th10U9~ ~ft~e rules by
I\U,\-I -t:, 30 Ie: ARI\NDO In Ofl-R 95 ." ^h\~in cople- , ""'~nh,,ne
COM\IJ1tl~""\f DERIOO. I . .. r'09U.. IW '~'-center. .(NOl"".':;~ No~iiic,l';ion
"'NY 180 0/'\, r ValuatIon DescrmtlOn calling t~ I the Oregon U~~'_h44).
numbel .0 . 1_800-30"
center IS
$ Per Sq Ft Square Footage V I D C I I
. .. a ue ate a cu 3ted
or multiplier or Bid Amount
Street Improvements:
Description
Type of(const"ruction
Page 1 of2
il
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01173
ISSUED: 10/17/2008
APPLIED: 08/07/2008
EXPIRES: 04/17/2009
VALUE:
Status'
Issued
225 Fifth Street, Springfiel4, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Li~e
"
. ,
Total Value of Project
I, Fees Paid I
Fee DescriPti,on J
+ 100/0 Administrative Fee ii
+ 12% State Surcharge 'I
+ 5% Technology Fee
Add, Alter, Extend Circ Eo Add
Manufactured Home Servi'~e
"
Perm Serv/Fdr 200 amps or less
Amount Paid Date Paid Receipt Number
$22.70 10/17/08 2200800000000001525
$27.24 10/17/08 2200800000000001525
$11.35 10/17/08 22008000000UOOO1525
$32.00 10/17/08 2200800000000001525
$55.00 10/17/08 2200800000000001525
$140.00 10/17/08 22008UOOOOOOOOO1525
Total Amount Paid
ji
$288.29
I Plan Reviews I
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To Request an inspecti~n call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the s:~me working day, inspections requested after 7:00 a.m. will be. made the following
work day.
lJ~l;l~i~~ct., !n~p~ctj?,~,~ I
By signature, 1 state and a~~ee, that I hav~ carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City l'Of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
. .
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
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I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure th~t all required inspections are requested at the proper time, that each address is readable from the
street, that the permit cardl~is located at ,the front of the propert~, and the approved set of plans will remain on the site at all
times during construction. ;1
~J4JA- ,: ~
~ - - I .
Owner or Contractors Signature
Iv I ( 7/0 f
/
Date
Page 2 01'2
'. CITY OF S'eRJ'NGFIELD, OREGON
~~.
ZON . L()~
INTIlALS \U~
DAlE IOWI \ U'I;
SOURCE -\ ~
'C
225 FIFTH STREET . SPRl.N~FIELD, OR 97477.. PH:(S41)726-J75J . FAX: (541)726-J689
ELECTRICAL PERMIT APPliCATION
City Job Number
"
1. e~~~~~~~~~~~;t~IIft~~ 3.
39d-D :: ~ l<;;~
,
Ln~~~T~
'I
JOB:S:::: ~ M
Permits are non-transfer~bIe and ex~re ifwork is
not started within 180 daYs of issnance or if work is
Suspended for 180 days. j:
"
2 It{qQe~Qi~t.Biqii!~1
E~ecUic~con~ctor""f~ ,.~
/0 cr-zL 7~.:fl-r<-~
City ~CfpvJ- Phone tlZ?, '-I.$W
rJ
Address
Supervisor License Number
1t(.:; -S
/O/Z-O /0
rf, 5('57
Expiration Date
Constr. Contr. Number
/0 I Zo ~i>
ii /,
Signature of Supervising Electrician
~,iW..~
.~~I
U ./ J
Expiration Date
Owners Name
Address
City
. Phone 521- t?6/b
OWNER INSTALLATION
The installation is being made on property! own which
is not intended for sale, le:ise or rent.
Owners Signature:
."
InspeCtion.Request: 726-3769
. . ,~
"
Date
iiiif'"""riib10""IW,i~'''~'!'W~'f'[r'''I0'tfi[f"I!<m.~"'',]~'"'''''"~'''''il'9,",f1\PA*1"101E;tO"':C'"'~'''':'''!.'l,''',"'''''AiQif\ff''0''''-::'l~~",'''h#''JjJ'''tto:'I'''''-i_:"
A. ~"'~Resilleniial'1r21Sr""lerO'i'M~Iti:1i'8milv, errdwelli~..jllDitJjili'"
~~:-,"1,'&""'="'#:m""""~","'''"^~1''"i",~..,:",~"&ll"'''i-J~''''''~Wt,..~,,,,,,,m""";;""""''''''''_'''~';'''",",.~:",A''Y1 ,"
Set"vice Included
1000 sq. ft. or less
Each addjtional500 sq. ft. or
portion thereof .
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$121.00
$ 22.00
/
$57.00
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/V olts
Reconnect Only
&-
$ 73.00
$ 86.00
$143.00
$186.00
$426.00
$ 57.00
~01~1j)M@$fMl'i1:1ifuttMfir"'rLijffiR#4<iITiS%!~~""$~*"41it~o;w~~y .
C. 1",~""'J!2l;;!J'Y:;~~c~,or!'l!'<;t;d.ers~," .
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
. 401 Amps to 600 Amps
Over 600 Amps or iooo Volts see ''B'' above.
'0<"i;tjil_i;r\'~."i1Ilii\1Wi;i:.",'i!l0','>":t.i'~'~i4"l!0>.,
D. ; ,1'!l!lcli,~J!'I'II,\ts!',,";l!l!',~P"
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with I"l
Service or Feeder Permit ~
-
$ 57.00
$ 79.00
$114.00
$ 50.00
$ 5.00
E~ "sMrmiiif~~t~~~~Tltal~flWt:Jffi'~_d'Etctiif~mllftfu""
""~","' ",", < "'""'l'e,'''''1-'';'"tJ."",,,",,":M''"'''~t.'''''"".z'",,,mt;;::J\'~'l.W''h,j~iiW&I*'''''~"'~'~"""""=;'=""""'''''''''''''''''''';';''''i"",,;~&,!.
Pinup or irrigation $ 57.00
Sign/Ontline Lighting $ 57.00
Limited EnergylResidential .$ 29.00
Limited Energy/Commercial $ 52.00
Minimum Electric ~ermit Inspection Fee is $52.00 + Surcharges
4. r'YJjmT,m!01!l~!HQJm;_III.'
#'~~ ","i","1,","',', ' ,','~*,'}J'Wito/r>','",0f'I", iP.%',\ ,';", ,,~,"" .;
12% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
Shared DtWc(T:)IBuildiIig FormsIElectrica1 Permit Application 7.j)8.doc
[:(:YY\3\)Of;- 0 III 5
loln\o'l\ ~.iL
225 Fifth Street
Springfield, Oregon 97477
541- 726-3759 Pho"e
Job/Journal Number
COM2008-0 1173
COM2008-0 1173
COM2008-01173
COM2008-0 1173
COM2008-0 1173
COM2008-0 1173
Payments:
Type of Payment
Check
cRcceint I
,
RECEIPT #:
Descripti?"
Penn Serv/Fdr 200 amps.or less
Add, Alter, Extend Circ Ea Add
Manufactured Home Service
:r
+ 5% Technology Fee
)I
+ 12% State Surcharge
,I .,
+ ] 0% Administrative Fee
" :
P.id By
RALPH W BROWN
11
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City of Springfield Official Receipt
Development Services Department
Publie Works Department
2200800000000001525
Date: 10/17/2008
12:26:14PM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
. Amount Due ,
140.00
32.00
55.00
11.35
27.24
22.70
$288.29
Amount Paid
KR
2541
In Person
Payment Total:
$288.29
$288.29
Page J of J
10/17/2008