Loading...
HomeMy WebLinkAboutPermit Miscellaneous 2001-11-26 (2) -- . I Job# 01-01154-01 I . Page 1 of 3 TRANS#:Ol-0007320 DA TE : NOV 26 2001 AMT RECD:2 $ 103.50 CHANGE: CASHIER:061 .~ CITY OF SPRINGFIELD, OREGON PUBLIC PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01154-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 205 Dorris St Spr Assessors Map#: 18030200 Lot: Block: Addition: Tax Lot #: 00802 Subdivision: Owner: Address: Willamalane Park and Recreation 200 South Mill Street Phone Number: 541-726-4335 City/State/Zip: Springfield, OR 97477 New Value: $1,610 Scope Of Work: Miscellaneous Flag pole installation with exterior lighting Contractor Type Electrical Contr Contractor Wi llama lane Park and Recreation 200 South Mill Street, Springfield, OR 97477 Registration # Expiration Date Phone 541-726-4335 Footing Final Building . ''(\ Office Use ~,; o~'" -0.. -E - t> '\. \ \' ~ ",.,. ~O~e#,Of BUilciings: ",,\"',' ;\ er:..~ r J" ""~ PLOS ".. ~- ,\ 'OJ, \,)~"pccupancy_G. roup: '.., ....B.... ~~ ~-',~' ^'\# .:JV ~(,,,> ~r.;, HeafSource:"\ . r. 'c;.\.- ....,. ",'to - -\-:.:,. r,S, Water Heater: Range: ,,~~c",\vC'~\(:,. -\J' .~.q. F?otage: ,,"c,\-..-;;'_"'-:I"(':-';" ~\.c." :~- \\"\.) '.:.: To request an inspection call the 24 hour recording at 726-3769.JAII.inspections requested before 7:00 ,\,. " , ". '".. J_;;';" a.m. will be made the same working day, inspections requested~after,\(j:OO a:ri1?wilhbe made the following k. d ,. c\). "." ,_u- wor 1n9 ay. -lJ- .,\~'" . .\'" -' ~. j3' "r.\.~' Required Inspection~" .- '. . ~ I Buildin!l I ~o~ \\ -After trenches are excavated. . '((~((;:. \ro~o - When all required inspections have been approved_~lh~~&fin~~ complete. r-- ~ .- ~<()-:.v..\ro~ ~\)'( I Electrica~l~~' -lcoy.~ ~\,. ~o~ - Prior to cover. ~O \ I ~~' \:s~,\)~ ~<o~~ -When all electrical work is cOr1]~,?~ ~1f;-\) O<r(o.\ro Ii). , . &.0 ~v~\) ~~O I*-l'~~~ ~~ c,o \~\) ~~-{ Quad Area: # Of Units: Constr. Type: 5PSW Land Use: Zoning Code: Bedrooms: Rough Electrical Final Electrical ... . ......... - ~./ Zoning: PLOS FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: I Job# 01-01154-01 Overlay District: # of Street Trees: . 3: Additional Requirements: Glenwood Area? 0 Required Attachments: Source Locn: Material: Planner: Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 iArea (Sq. Feet: I Main: Accessory: Fee 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 Grand Total Plan Check Type Checked By Initial Review-C/I/P Engineering-C/I/P Planning-C/I/P Lisa Hopper Pam Ownby Liz Miller Structural-C/I/P Tom Marx Flood Plain FEMA: # Of Stories: Current Units: Census Code: Does not apply Page 2 of 3 Land Use: Pave Driveway? 0 Height (feet): Proposed Units: Total: Paid On Receipt# Plan Check 10/22/2001 7032 Building 11/26/2001 7320 11/26/2001 7320 11/26/2001 7320 Electrical 11/26/2001 7320 11/26/2001 7320 11/26/2001 7320 11/26/2001 7320 Date Completed Comment 10/23/2001 11/05/2001 11/01/2001 Value/Quantity 1,610 1,610 1 Fee Amount $29.25 $29.25 $45.00 $3.15 $3.60 $51.75 $2.00 $43.00 $3.15 $3.60 $51.75 $132.75 Reflect lighting away from less intensive use and public rights of way. 11/20/2001 ,I , · I Job# 01-01154-01 I . Page 3 of 3 By signature, I state and agree that J 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 during construction. (>1\. '1lr "J .f'~. ) Signature O.n l O~ It(d-.G(6t i Date "0 225.FIFTH STREET e\ SPRINGFIELD, OREGON 97477 . INSPECTION REQUEST: 726-3769 OFFICE: 726-3759" , .1', I i ELACAL PERMIT APPLICATION 'City Joh Number .1:2/- 0 U S4 :.. 0 I " I' 3. C01vlPLETE FEE SCHEDULE BELOW , , L LOCATION OF INSTALLATION 205 ~RRi" sr- i 1"... - "'.A. ; . New Rcsidenti,.I-Singlc or ' .' Multi-Family per dwelling unit. Service Included: LEGAL DESCRll'TlON r F303 Oz...o-o o080Z. Items Cost Sum Permits are non-transferable and expire if work is not 'started within 180 days of issuance or if work is suspended for 180 days. 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each ManuI'd Home or Modular Dwelling Service or Feeder $106.00 JOB DESCRll'TlON r I Cf (2..c:.lAl"- $ 19.00 $ 50.00 2. CONTRACTOR INSTALLATION ONLY Electrical. Contr'lcto~ ;I//;r B, Sen'iccs or Feeders Installation, Alterations nr Relocation: - /' ~, / ' / ------- 200 amps or less 20 I amps to 400 amps 40 I amps to..600 anips 60 I amps to 1000 amps . Over 10QO amps/volts ,..;.,..... .."......< " .Reconnect,Only., ,'" .' . '. :,;_{:.}Jf:~~,:;~_:'~:';"~1~;~':~~';_' ---,'};~i~~C;'f_ . .: t, Temporary S'ervicesor Feeders '-'~-~;_.,~,:y~~' '. ;-rin';tallatio~,-AItcJ~ation(6rR~loc;ition "-';j'~',~.., ,~:";~;~;.~' '~~ ._:.:~,:, ~ :":;\//:: ~~ ;;;-;',~: '-- ~ :\:-- ;,:>, -' " '::::'~;f;" 200 I ' .., amps or ess . " .. '_, 201 amps to 400 amps . - .':"'Over 401 to 600 amps Ov~r'600 ~mps or .1000 'volts "BI! above -.~. '--( 1'- ! \. Branch <;:il"cui~s f New'Alteration or Extension Per Panel /,f~; O~7: Circuit' .'. Address . City ;~ Phone SupervisofLiceIlse Number I -',' . i ,,>c', ", ,', ~<, Expiration Date ' fi)- / /r' . .,:'::~4r:; ~" . /II'itf ' . L..Constr Contr. Number. --:., .~. "- "'Expiration Date : Sign:iturcof Supervising Electrician .,.,.~,.,'".~~, 'D'~,/,) j 4;1 ". /Yi//V'\.. K'LMtd"d"{ .., ' ,'.. . , . D : Own~rs N~me t)11i4JVlA~ PAtk- Dlrr- . Address :2dO. $h1/I/'-Si-. \ City '5f'RlN6 At:t6 Phone '73'- -'-10 yl / : '$43.00 . ij.;;'.:rV OWNER INSTALLATION The instaIlation is being made on property I o\vn which is not intended for sale, fease ot rent.":< . Each Additional Circnit or with Service' or.F eeder Permit , $ 3.00 Owners Signature: , . .. \ E. MisccIlaneous (Service/feeder not included) . -Each installation . . it. .". .... ";', ,: Pump of'lmgatlOn Sign/Outline Lighting Limited EnergylRes Liinited Energy/Comm $50.00 $50.00 $25.00 $45.00 I\linimum Electric Permit Inspection Fee is S45.00 + Surcharges i ~ ' 4. SUBTOTAL OF ABOVE 'i ~..-c 7% State Surcharge ~ 8% Administrative Fcc .3~ ~ <:;, 7; 3/} ,?6J TOTAL