HomeMy WebLinkAboutPermit Building 2001-11-26
~ "~~ j,
'.
.
Job# 01-01153-01
Page 1 of 2 ..
PUBLIC PERMIT
City Of Springfield
Community Services Division
Building Safety
TRANS#= 01-00073i9
DATE~NOV26 2001
AMT RECD;2 $ 197c47
CHANGE;
CASHIEr\ ~ 061
Job Number: 01-01153-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6100, Thurston Rd Spr
Assessors Map#: 17023421
Lot: Block: Addition:
Tax Lot #: 00400
Subdivision:
Owner:
Address:
Willamal",ne Park and Recreation
200 South Mill Street
. Phone Number: 541-726-4335
City/State/Zip: Springfield, OR 97477
New Value: $2,578
Scope Of Work: Miscellaneous
Flag poleinstallatiori with exterior lighting
Contractor Type
Electrical Contr
Contractor
Willamalane Park and Recreation
200 South Mill Street, Springfield, OR
97477
Registration # Expiration Date
Phone
541-726-4335
Footing
Final Building
',0
J"~>;~ ,\
, 'i-' , \; . .
Quad Area: 4PNW Land Use: ~(,?J.) ~ '0~"'''O~~# Of BUlldmgs:
# Of Units: Zoning Code: . ,~\<I,,0~O~e~Oe6e\ ~\)l\Occupancy Group:
\rz>:l~ ,\ :\ ~:z: 'M~
Constr. Type: Bedrooms: . 0"'.,', 'is'e ~0S'lt~,;;'O ,-..ros~eat Source:
Water Heater: Range: .CKe<::J, 0. \;>'\, e "oS O~_e '\\):~Sq. Footage:
,.-,~. _('.\0 A,."O'O ,\~'{\ _\~ f\f:o.O .,,(',,\
. '" "''oJ'. V ~v- ,~ e''''''' rA~'
~'X", ~v l?~' '\S", ":;:,-,;;; "," ,,_\\Cv
To request aninspettion call the 24 hour ree6rdirg,~af'7-?_6~~I@9?,AlI:i~~l?eCtiO\li)s'{equested before 7:00
a,m. will be made the same working day, in~Re.itiol'lsfre-i:1uestedfafter~~7:0Qra~1n~Jwill be made the following
\0" ~'-'~ n:>l1~ 0""" V' 't-~
working day. ' :..,~\(j oJir;' A'\~'J .4\\0"\' ~,..:..,'f\ rors{;
, ~O-,,, ~~- ~ ",. Co"., ("....,0"-' n\)-
'\ - :r ~,o "e,',.J cc.'V
,,< Reg u ired~lnsp'ettio'rns
('\(','!J '\,,\'\,\~ '" . _:$''\:>
I 'OJ C;<>-:eyiiClJlJg"\'-'"
\.~~. .;..
:"After trenches are excavated. . , ___
- When all required inspections have been approved and the bU~~'4s complete,
, ". I Electrical I /, ~~~~~'S~O~
- Prior to cover. ,~~ ''X<(,((..~ xO((..
- When all electrical work is com~~~o Sy..~\.\. ?:~~S O~f(.:\)
" ~O ':..((..~~ 'U~\J€ ~~~~\j
~~\S ~ ~'tf(..\J 0((.. ,S
~O ~~Cf(..\J ~~O\J'
O~~ \J~~
o N \'OC)
~~
Office Use
Rough Electrical
Final Electrical
~
.
'';'
"
Job# 01-01153-01
Page 2 of 2
,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories: Height (feet):
Current Units: proposed Units:
, Census Code: Does not apply
Total:
Fee
Paid On Receipt# Value/Quantity Fee Amount
Plan Check
10/22/2001 7031 2,578 $34.32
$34.32
Building
11/26/2001 7319 2,578 $52.80
11/26/2001 7319 $3.70
11/26/2001 7319 $4.22
$60.72
Electrical
11/26/2001 7319 $2,00
11/26/2001 7319 1 $43.00 .
11/26/2001 7319 $3.15
11/26/2001 7319 $3.60
$51.75
Public Works I
11/26/2001 7319 $85,00
$85.00
$231.79
Public Plan Review
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Encroachment Permit
Total Public Works
Grand Total
Plan Check Type'
Checked By
Date Completed
Comment
Initial Review-C/I/P
Engineering-C/lip
Planning-C/I/P
SUB - Comm/lnd
Lisa Hopper
Pam Ownby
Liz Miller
10/22/2001
10/31/2001
11/01/2001
11/19/2001
Tom Marx
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
durinQ. construction.' . '
II,} r./
y (\:y)-(~ 01. '>
Signature
_ J-c.Q~..Jl--
\ \ r:J C, (0 t
Date
1. LOCATION OF INSTALLATION
~ I Do I"'l-1lAR-S'Tr> ~ -g D.
ELEL_dCAL PERMIT APPLICATION
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
LEGAL DESCRIPTION
IIOr.. 3YlI
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
ObCfCrD
Items Cost Sum
JOB DESCRIPTION
I c. ( (Leu L I'
1000 sq. ft. or less
Each additional 500
sq, ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106~00
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or jf work is suspended for
180 days,
$ 1 9.00
$ 50.00
tv/A
B. Services or Feeders
Installation, Alterationspr
Relocation:
2. CONTRACTOR INSTALLATION ONLY
Address
City
D. Branch Circuits
PARK:..J)6I"- New Alteration or Extension Per
One Circuit
Each Additional Circuit or with Service
or Feeder Permit
OWNER INSTALLATION
The installation is being made on
property I o'\.vn which is not intended
r sale, lease or rent.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$50.00
$50,00
$25,00
$45.00
Minimum Electric Permit Inspection Fee is S45.00 + Surcharges
'1~
4. SUBTOTAL OF ABOVE 6f 3 ;;z:JD
7% State Surcharge 3-erl 3'';-
8% Administrative Fee ..3 'I :/3 bO
TOTAL $~ '15
_5(~