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HomeMy WebLinkAboutPermit Miscellaneous 2000-8-4 ( J " , . . Page 1 oIffiANS#: 01-0002824 DATE:AUG 04 2000 AMT RECD:2 $ 315.91 CHANGE: CASHIER: 059 I Job# 00-01047-01 I ~ 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: ~ 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 , 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. ( r-, . ! . Project Supervisor: Zoning: LOR FloodPlain? D Wetlands? D Journal numbers 1: 2: Comments: . . 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 , c- , . Job# 00-01047-01 . 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 ( ~ IH ~ M j) I d;h:t A (j 11 )~ ;J - >-; -()() Signature U Date - )" . ,:' , . -....... , 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 Lf) YL '0- LI - IflJ ~ 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 . LEGAL DESCRIPTION 1+0" '2~"I, OF; lOO JOB DESCRIPTION ~, I 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 " :J... 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 , Sl!pervisor Li cense Number ) 9 ? .'i", ~ Expiration Date Constr Contr. Number QI'" ') '7 .;- l: r 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 .~ " " 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 '}7. ~l <>. -=1-0