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Home My WebLink AboutPermit Building 2004-9-16 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00584 ISSUED: 09/16/2004 APPLIED: 05/1412004 EXPIRES: 03/16/2005 VALUE: $ 70,000.00 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount Use Bid Amount $1.00 70,000.00 $70,000.00 $70,000.00 05/1412004 Total Value of Project ~ Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit , Dryer Vent Exhaust Hoods Fixture Minimum/ Adjus,tment ,Mechanical Vent Fan + 10% Administrative Fee + 7% State Surcharge Residence Wiring 1000 Sq Ft ," Amount Paid Date Paid Receipt Number $291.62 5/14/04 1200400000000000745 $10.00 8/11/04 2200400000000001033 $56.37 8/11/04 ,2200400000000001033 $39.46 8/11/04 2200400000000001033 $448.65 8/11/04 2200400000000001033 $6.00 8/11/04 2200400000000001033 $9.00 8/11/04 2200400000000001033 $70.00 ' 8/11/04 2200400000000001033 , $24.00 8/11/04 2200400000000001033 $6.00 8/11/04 2200400000000001033 , $10.60 9/16/04 3200400000000000249 $7.42 9/16/04 3200400000000000249 $106.00 9/16/04 3200400000000000249 Total Amount Paid $1,085.12 I Plan Reviews I Initial Review Structural Review 05/18/2004 05/18/2004 05/18/2004 OS/24/2004 , OK, APP RJB TCM To Request an inspection call the 24 hour recording at 726~3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. ' . Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Firewall: Located and constructed according to plans. Final Building: After all r~quired inspections have been requested and approved and the building is complete. Underslab Plumbing: Prior to fIlling the trench and including r:~quired testing. Rough Plumbing: Prior to cover and including required testing. ' , Final PluDlbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Pal!e 2 of 3 ._~~Bmg,f;J!,~,~, ~. T ~e.' ' , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00584 ISSUED: 09/16/2004 APPLIED: 05/14/2004 EXPIRES: 03/16/2005 VALUE: $ 70,000.00 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 701.005 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 plans will remain on the site at all , times during constru~tion. ;vu j ~~r~~Lli::or~ Owner or contra~rs Signature L fI\CllQ..} Pal!e 3 of 3 Qlt&f04 I Date ~r 225 fifth Street , Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00584 ~;~,COM2004-00584 COM2004-00584 Payments: Type of Payment Check Cash Job/Journal Number COM2004-00584 COM2004-00584 COM2004-00584 Payments: Type of Payment Check ~~i Cash 9/16/2004 RECEIPT #: Description Residence Wiring 1000 Sq Ft + 7% State Surcharge + 10% Administrative Fee Paid By CITY & SUBURBAN ELECT. CITY & SUBURBAN ELECT. Description Residence Wiring 1000 Sq Ft + 7% State Surcharge + 10% Administrative Fee Paid By CITY & SUBURBAN ELECT. CITY & SUBURBAN ELECT. ~'ty of Springfield Official Receipt ___evelopment Services Department Public Works Department 3200400000000000249 Date: 09/16/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 5061 In Person nJm In Person Payment Total: Item Total: ' Check Number Authorization Received By Batch Number Number How Received nJm . 5061 In Person nJrn In Person Payment Total: Page 1 of 1 4:14:30PM Amount Due 106.00 7.42 10.60 $124.02 Amount Paid $121.90 $2.12 $124.02 Amount Due 106.00 7.42 10.60 $124.02 Amount Paid $121.90 $2.12 $124.02 ~ ELECTRlCAL PERMIT APPLICATION . .. 'GtYJObriumb~cf.~0a:S~Y 3.:, COMPLE;E FEE'<~cfITl~ULE BE~OW " ~" " L"~^,';: . :'\...,,"~i;~ . rii- A,;;,~;y": . . .....l:;\;;#~; A:'New'Rcsid~d~Singie or', ,- ,,' , >"';"':".~~l:J.: , \'(\0 '~~i-Family per dwelling unit. .;':!' '. \\\06 '(\~~(j \'O~ervice Included: ;:::~9~. .s s"",;. sO. Hems Cost S.~,w) '0(';' ~0~ JOB DESCRIPTION , ~~~o~s (\0\ . '...1 . ~(\ 600 w. a, N(,r F~.n. \)o-\v\..T~ _ F~'n ~ DbJlh~Jd~ tJ-V\'f' \:'lJ.'?~.~\-), (\ .A~O ' ')..0 o-.J (\\(\,::> rA \ .:l Pennits ace non-transferable ana oojl\re 1.0 v,' . $ 19.00 ifwo,k is nol~taned witbin 180 days . .Iv'. E.c1. Manufd Home OL es you to of issuance o,r, ;if wo,k is suspended f~l. . e6 S'~o A JTENTIOfq~Qloe~_ reqUlt 'n. Utility 180 days. ;.;. 000< ... .Seli'd_dldalIalie Orego ... h $ 50.00 .";~j, >v' lollow ruleo up h se rules are set fP~~ ' 2. CONTI<.,\gOR [~ST ALLA TION ONLY Nojj!i~~~';l~\~roug'h C)t.n9S2-v~~.;, .'r .. ;n OAR 95'1nsT,illiIliSlh~,Hlll/s~rules~; :'~ , Elec'"c,l' Co~';aclo;":'" y .. ""-""'" '" "'10090, Vou fflf:tcaW8P.' 'NoW:.1i1l! WlephO~~.,. >' ; '. . .'>c" . .'.'''' - ~aIling Ih0 cen e, \ontililili(\ll6tificaij~..~ c;:.;, .i.. Add,,,, f~~ ; 4~y n""", mymbemm- lI1ll!P'i~),.. ,. $.63.00 ,',: ~;. !iY" . -".. ie;. emllIf~~.o~ amps: .. . . ... ,', $ 75.00' City ,L<< 1b;';"""""'i:i~4:Phone !; '4 k<t&'~; '.:~;~,/ 401 ampsto 600auij;('" , . ';'$ [z;. 00 ~'<''''';".,'', ~'",.:.~"".' ,....':..601 '1000"";,,,:, '$' , '>;\':-'O.,',~:,,~:;\ ::";:"LI~~'i'l;;c.!-::<j:<,~'r;.,-:", amps to. . aIllRs,',:-..' '. 163.00. Supen';sor Licei.se Numb" i;?;:S.I=,.: '. "i.... "'..<.. Om 1000 ampSlvolts ... " .' . .$375.0.0. .,. . . ': :\;~;\~:G:f?;'I '. '" .. :';" :J;,~;/;~,:;;?'::~nn~ ,o~iy~: :~';{.(::\~:;; . .. ~:5QQ~ ,. . ., Expnahon Date .' -' .Zn"-,, . . h , '"' .A.. . "'.,. ._., ..' "', ....., ,", .' .. .., .., '. .' .. .. . . """.. '..,.. . ..' ';.". ,."...',."'..'. ,e..... ", .,,,, ',. , '. .', '.."_. ",' ; , ).,~;. ";', ,: ,.. ' ,. ,. ,,,' ,. " "';.1':.:' ., .'re -- :,~ ., '. . ,. ,.: , .:C; r.; ,T cmporary Sc""ccs or Feedcrs .' ..' " ; ',', ,.. " ,~, '. '_ , . . .. Const, Contr: N";;;&,,: .,. ttllif;;,&, '.'."',; ,( ;\"<" ;;1ins.tallation:Alte..a',iou' ';fReiocatia;; -' ",.. 'f,.; ",;:',;;..: ;', ': ,c, .;~; EXP;"tion D~;::' '1;O;;';;WJ.Jf;}Jii1Ji~":~0;:f~:\'fJ.i~' ";;~$K;ij~:l;;~ i~~ ;~it::::1o. ...... ./:;;i~i.,~~*,:'.:f'. >:. ::.he>....... '." .".':'>:.';'.,,>i' 'I'E_Tt<S#lIlWlnM<l?IIiIEIF TIi!:JNjjfjl!i9. QQ., .,.... ;,1:.; ,::f':;~Siin~'tu,rc ~f. SUPCTV;,;n g Elcctriclan -, .., .tl't9uYtflllJo'\ll'llJ!J!lptHIS:~'P~RMIIJS!N131Qo.op: ,,'. : ...':'i!.;~;,rY#Sl%> co~~Ne~il"/l'Il~SI~D f,(jR':':'~'{~~':k,~;:.}\;;;.y</:: i('::;~~;;ft~~:f;j: . ANY"l8'8'llAY PERIOO,'~r;< L'z'~~]J'j)i,~:~;; -"'~ ..;.,....CUy ~'*1f1,)!i.\"'i'bOnew. 'l! - 'i<>'1o Each'Additinnal c;'C.i.", with Service;.; ; .' ?r Fee~~r"P~rmit , '. " ,e":,:'$}PO ~,; "~;':,\>>:, ",":,,,,:,):~ : .i;\':/ '/:' E. Miscell;lneo.u~'(Service!f~e~~r not include~X'<~g,~ i> ' t f!:'%~ d;:~~:;~~~fi,:';$;6';~:; . i S~gn!6iltline Li'ghting: $~O,PO:. , i; LjI11itedEnergy/Res<.. $25,00' :Liinited Energy/Conml I" $45.00 . " ~. . ,., " ~. . '- " ,<.-,;- '" ;' -. ~.'2<_:.<~>'::,':.'.'~' >.' .. '., . '". .. ~ v :ro~ \ ~ 0 S '225 FIFTH STRE~ ',' '.': :.,. '_ , SPRINGFIELD, OREqoN 97477 ,~:',: " INSPECTION REQ,UEST:" 726~~769.",; ;:OFFI~~2e~W;il i,~ ~:~ 1. LOCATI()N OF !NSTALLXTION " \5 ~ S ,"",' .e'f:',....~ST.; ~.t"lIifb~T ~~~\W~~~~L~~ 8 QH/~ LEGAL DESCRlPTION ., $106.00 \Qb,.Oo --; '<'.:~. .,<l:.\r:y~ .. ;..>;,.,~. ,'" , " . " " " , " , " MinimuniElectrk Permit Inspection'Fee is 545.00 + Surchai.ges . ....y., . ,. ~'-,,' - . . ',' . ''',' :,:':;'" }.', ; ,.V '.~ ~ 4. SUBTOTAL: OF ABOVE 7% State SUl~charge Adniinistratiye Fee /OCo .~~ I .-{ /0 . Gt 0 -- tD-~ ~'2L~Q I ?Jj. tDtO .;bo f, 14:t, 8 . l.I,fJ TOTAL