HomeMy WebLinkAboutPermit Miscellaneous 2000-8-4
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Page 1 oIffiANS#: 01-0002824
DATE:AUG 04 2000
AMT RECD:2 $ 315.91
CHANGE:
CASHIER: 059
I Job# 00-01047-01 I
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225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01047-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 648
Assessors Map#: 17032343
Lot: Block:
Owner:
Address:
McKenzie Crest Dr Spr
Tax Lot #: 06100
Subdivision:
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Addition:
Christine Hathaway
848 McKenzie Crest Dr
Phone Number: 541-747-8118
City/State/Zip: Springfield, OR 97477
New Value: $24,000
Scope Of Work: Swimming Pool
Contractor Type
General Contr
Electrical Contr
Outdoor Inground Swimming Pool NOTICE: ., , ~"nIOt: II'THEWORK
TI-IIS Pf:MIV\l1 "r'n~~ -, . ~ nCCl' ~IT Ie:: NOT
Contractor TI-IORegistratlo:-n,#fI-lExpii'atlon Date
AU hit.:_'-'~".' "n"~lt:D FOR
Inner Warmth Inc COMMt.q~llb OR IS ABA~O/19/01
3509 Mahlon Ave, Eugene, OR 974~~y 180 DAY PERIOD.
Bob Fisher Electric Inc 96275 1/25/02
180 Kingsbury Ave, Eugene, OR 97404
Phone
503-342-7511
541-689-7973
Office Use
Quad Area: Land Use: Single Family Dwelling # Of../luildin.l!;;:'
# Of Units: Zoning Code: LDR"IE;''i1IUI,.U'''Il'''' '<>~pl(rlC'Y'G~Wilp:
Constr. Type: Bedrooms: iollow rules adOPtedhbYctleat<SolIPc~t to',
., t' ncentel,T o~, ('\I'>Clq,.,2-001
Water Heater: Range: 'lotl'Ica 1~?-OO'_OO10thIS~"ootaae. las b\
"\^Cl Q." _ 'rt: ....4 th~ ru .
'.' elll v.r may omall I VV"'-;... 'Itl.P-llone
To request an inspection call the 24 hour recording at 726-3~tj9"' ~ 'lti\P1!G1iWs ~~I!lB \\WiIl;:7tiQ,O
::k~~1 ~:y~ade the same working day, inspections reques~r~B~'}~~~;~~,;?~~~.~l~~~r,^a\l following
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Requi~7d Inspections
I 13uilcli'nq I
- To be made after excavation but prior to setting forms.
-After forms are erected but prior to concrete placement.
-Prior to cover,
- To be done during construction by State Certified Special Inspector, Provide inspection test re!
-When all required inspections have been approved and the building is complete,
Site
Foundation
Framing
Structural Welds
Final Building
Rough Electrical
Final Electrical
Electrical
- Prior to cover.
-When all electrical work is complete,
I Job# 00-01047-01 I
Street Improvement: Fully Improved Sidewalk Type:
Curb Cut?D Improvement Agr.?D Additional ROW?
San Sewer Depth (Ft): 6 4 Size Of Line (in):
Storm Sewer Available? D Downspouts/Drains:
Special Req.: Enchroachment Permit:
Security Required: San Sewer Tee (in):
Bond Begin DateTime: 00/00/00 00:00 AM Bond End DateTime:
Special Instructions: No changes to sanitarty sewer proposed
Other Utilities: Types Of Warning Devices Reqd.
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Project Supervisor:
Zoning: LOR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
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Page 2 of3
Curbside - 5'
D
8
6
00/00/00 00:00 AM
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? D
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Planner: AI Ward
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Residential - Single Family - Storm
Flood Plain FEMA: n/a
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt#
Plan Check
07/05/2000 2444
Value/Quantity
Fee Amount
24,000
$106.93
$106.93
Buildin!l
08/07/2000 2424
08/07/2000 2424
08/07/2000 2424
24,000
$164,50
$11,52
$4,94
$180.96
Electrical
08/07/2000 2424
08/07/2000 2424
08/07/2000 2424
2
$37.00
$2.59
$1,11
$40.70
System Development
08/07/2000 2424
374
$89.76
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Job# 00-01047-01
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Page 3 of 3
Value/Quantity Fee Amount
i
Fee
Paid On Receipt#
System Development
08/07/2000 2424
08/07/2000 2424
374 $89.76
$4.49
$184.01
$512.60
Residential - Single Family - Storm
SDC Administrative Fee
Total System Development
Grand Total
Plan Check Type Checked By Date Completed Comment
Initial Review-Res Lisa Hopper 07/21/2000
Engineering-Res Dennis Ernst 08/01/2000
Planning-Res AlWard 08/02/2000
Structural-Res Don Moore 08/03/2000
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
dUr~g co~structi?n. \ L::t) n
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Signature U Date
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The, fOllowing projectss submitted has the fOllowing
zoning, and does not require specific land use
approval.
Zoning
225 FIFTH STREET
SPRINGFIELD, OREG@IIrE974+.~
INSPEctION REQUES'liOlhO'?zt~- '\769
OFFICE: 726-3759 STgnefure
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3.
ELECTRICAL PERHIT APPLICATION
City Job Number 00:" OW tll..r:r - Of
COMPLETE FEE SCHEDULE BELOV
1.
LOCATION O~INSTALLATION
514)? 1"...t."^":'.Q. rn..d:-Or
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LEGAL DESCRIPTION
1+0" '2~"I, OF; lOO
JOB DESCRIPTION
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Permits are' non~transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRActOR INSTALLATION (JNLY
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Electrical Coritractor..8.a..h...E.i.~pf /'1.tJ. r"c..
Address _' R () Ki."<j (' &"1" Joo/ ./e...
CitY;:'",."ne. Phone t:.~9'?973
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Sl!pervisor Li cense Number ) 9 ? .'i", ~
Expiration Date
Constr Contr. Number QI'" ') '7 .;-
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Expiration Date
Signature of Supervising Electrician
~~~;/-;p .:J-~
Owners Name Gb:.x-~NL +1.~...J
Address ~
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, leas~ or rent.
Owners Signature:
------------~---------------------
DATE:
lU..\#.c....."ii i:
RECEIVED BY:
, A.
New Residential-Single or
Hulti-Family per dwelling unit.
Servi ce Included: '
Items Cost
Sum
1000 sq.ft. or less
Each additional 500, '
sq. ft or ,portion
thereof
Each Hanuf'd Home. or
Modular 'Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 4b.00
B.
..........
Services or Feeders
Installation, Alterations
or Relocation.
200 amps or less
201 amps to 400 amps
401' amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 ampS' "OT less
./ 201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
VOlts see "B" above
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New, Alteration or Extension Per Panel
One Circuit -J
Bach Additional
Circuit or with Service
or Feeder Permit
')s
$ 35.00
$ 2.00
1.
B. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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