HomeMy WebLinkAboutPermit Building 2000-6-19
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Job# 00-00864-01
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Page 1 of 3 ,
TRANS#:01-0002218
DATE:JUN 19 2000
AMT'RECD:1 $ 200.00
CHANGE: $ 31.14
CASHIER: 059
RESIDENTIAL PERMIT
CitY Of. Springfield
Community Services Division
Building Safety ,
Job Number: 00-00864-01
225 North Fifth Street '1')' Office: 726-3759
Springfield, OR 97477 " ~~~~J!I!J~/.I': ,,'.-;. , ' Insp~ction Line: 726-3769
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location Of Proposed Site: ~J!3888 :leherQkeeCD~ .&'$P9IJ:'''':'v
." ' " ,.;. 03ij!fj, (>I Ie '1f-lQ
Assessors Map#: 180206 ~ ~'l:':!' ':.; _ 1'):0 i It.Jijo. ~o Ufe1(!lJ&o &1 JY;&qlJ.ll"llJ Tax lot #: 01900
, "'.~ f ' ::'1:::)/ "9' '"1.0/,' '1f".H If
lot: Block: 'r~/' :~bS.ln:'/~ 6>SOi;OL~5!~~!en.?o~!!leo i Subdivision:
Owner:
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Michael Johnsgard "
3888 Cherokee Dr
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Alte'ratlonJ' I
541-736-3777
Springfield, OR 97478
Value: $15,390
Address:
Scope Of Work: Garage Conversion
" .L6~~~~Jil1)~ear 15A~et of garage to family room.
JfHr.A~)'JJt1;. VIVPl V1l:tSc:/ i
Contractor TyPe'v/~~oH'~~ FJ'r7SI&O -1'r7008 Registrati?n # Expiration Date Phone
General Contr' ~6f.{~/~~f6h O~OIV~I1t~:IV'r7: 541-736-3777
3888 Cherak~~~~1.fi1~d,'6a 'I
97478 J.I/t1;&iJ, 'J.n'r7
Electrical Contr Michael Johnsgard '"30 ClS11iJ.541-736-3777
3888 Cherokee Dr, spri~~SVv OR
97478
Quad Area:
#01. Units:
Constr. Type:
Water Heater:
3RSC
Office Use
land Use: Single Family DWelling ,
Zoning Code: LOR !
Bedrooms: I
Rang~: i
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# Of Buildings:
Occupancy Group:
Heat Source:
. Sq. Footage: '300
Dwelling
(VN) Wood Frame
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To request an inspeCtion call the 24 hour recording at 726-3769. All inspe(;tions 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
working day, I '
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Required Inspections
I Building I
- Prior to floor insulation or decking.
-Prior to decking,
- Prior to cover.
- Prior to cover.
- Prior to Cover :
- Prior to taping. I
- When all required in~pections have been apprtved and the building is complete,
. Electrical i
Post and Beam,
Floor Insulation
Ceiling Insulation
Framing
Wall Insulation
Drywall
, Final Building
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Rough Electrical
Final Electrical '
- Prior to cover.
- Whenall.electrical work is complete,
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I 'Job# 00-00864-01
Page 2 of 3
Land Use: Single Family Dwelling
Pave Driveway? D
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Overlay, District:
# of Street Trees:
3:
Planner: AI Ward
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: ,n/a
Glenwood Area? D
Additional Requirements':
Required Attac~ments:
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Source Locn: :
Material: !
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Flood Plain FEMA: n/a
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Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: 30.0. Accessory:
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# Of Stories: Height (feet):
I
Current Units: , ,Proposed Units: ,.
Census Code: Does not apply I
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Total:3o.o. I
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Fee
Paid On Receipt#
Plan Check
0.6/0.2/20.0.0. 20.0.5
Value/Quantity
Fee Amount
Residential Plan Check
Total Plan Check
15,390.
$75.73
$75.73
Building Permit
,State Surcharge For Building Permit
Building Administrative Fee
Total Building
Building
0.6/19/20.0.0. 2218
0.6/19/20.0.0. 2218
0.6/19/20.0.0. 2218
15,390.
$116,50.
$8.16
$3.50.
$128.16
Branch Circuits W/O Feeder or Service
Branch Circuits With Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Electrical
0.6/19/20.0.0. 2218 :
0.6/19/20.0.0. 2218 '
06/19/2000 2218
0.6/19/20.0.0. 2218
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$35,0.0.
$2.00.
$2.59
$1.11
$40.70
$244.59
Don Moore
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Date Completed
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0.6/0.7/20.0.0.
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0.6/14/20.0.0.
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0.6/15/20.0.0.
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0.6/16/20.0.0.
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Checked By
Lisa Hopper
Steve Templin
AI Ward
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I Job# 00-00864-01 I Page 3 of 3
<, By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information hereon is true,and correct, and I further tertify that any and all work
performed shall be done in accordance with the Ordinances of the City of ~pringfield and the Laws of
the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division, B:uilding Safety. I further
certify that only contractors and employees who are in compliance with O~S 701,055 will be used on
this project.' , I
I further agree to ensure that all required inspections are requested at the :proper time, that each
, .a,dd~~.~ ss " rea~,# fro the ~eet, thatt~epermit.card is I?cated at theYont of the property, and the
C app~ ~~I ~all times dUring construc1T ~$~
5iQnaf/,,{ /' /,', , i Date
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Tile following projeCt as submitted has the following
zoning, and does not require specific land use i
approval. ' . ~ i
Zoning A."U) .
225 FIFTH STREET, tC? @7@
SPRINGFIELD, OREGON 974-'7178 , ~"";'U~" "", ~
INSPECTION REQUEST: 746Ji:j~Uj~ Signature q)
OFFICE: 726-3759.
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1. LOCATION OF INSTALLATION ",
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LEGAL DESCRIPTION ' '
/ S?'C3 2...OtL:> I 3, I') /9 CffJ
JOB 'DESCRIPTION
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Permits are non-transferable and expire
if work is not statted within 180 days
of issuante or if work is suspende~ for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrica~ Contractor
Address
City
Phone'
Supervisor License Number
Expiration Date
Coristr Contr. Number
Expiration Date
Signature of Supervising Electrician
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Owners Name .q(~ l~(~ D.,
Address 5~~~ ctft:!.I'2/r..e~,~,
~i ty ~d~ Phone 13(p ";'07777
O\1NER, INSTALLATION
The installatibn is bein~ made on ; E.
property I own which is not intended'
for sale, lease or rent. I'
Ovners Signature:
~_____~________~__________~_______i_____ 5.
DATE:
RECEIPT #:
RECEIVED BY:
3.
ELECTRICAL PERMIT APPLICATION
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city Job Number.1XJ-CO~_:-DL '
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COMPLETE FEE SCHEDULE BELOY
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New Res~dential-Single or
Multi-Family per dwelling unit.
ServicelIncluded:
, ! Items
A.
Cost
Sum
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1000 sqlft. or less
Each adaitibnal 500
sq. ft] or portion
thereof .
Each Mahuf'd Home or
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Modular Dwelling
Servic~ or Feeder
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Servicek or Feeders
Installk~ion, Alterations
or Relota tion:
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200 amps or less $ 50.00
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201, amp~ to 400 amps $ 60.00
401 amp~ to 600 amps $100.00
601 amps to 1000 amps $130.00
Over lobo amps/volts $300.00
Reconnett Only $ 40.00
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C. Tempora~y S~rvices or Feeders
, 'Install~tion, Alteration or Relocation
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200 amps"oT less $ 40.00
201 amp~ to 400 amps $ 55.00
Over 40:1 to 600 amps $ 80.00
Over 60;0 amps or 1000 vol ts see "B" above
$ 85.00
$ 15.00
,$ 40.00
B.
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Branch :Circui ts
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New, AVteration or E~tension Per Panel
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One, cir1cui t
Each Ad;di tional
. Circuilt or wi th Service
or F~~der Permit /
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~iscelllaneous (S'ervice/feeder not included)
-Each ~nstallation
Pump o~ irrig~tion' ' $
Sign/O~tline Lighting $
Limite~ Energy/Res $
Limite~ Energy/Comm $
:?7,~
..- ':2. $"
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10)'0-
-'-
S 35.00 ~~
s
2.00
2-
40.00
40.00
20.00
36.00
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SUBTOT~L OF ABOVE
7% State Surcharge
3% Adm~nistrative Fee
TOTAL t
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