HomeMy WebLinkAboutPermit Building 2000-12-18 (2)
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225 North Fifth Street
Springfield, OR 97477
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1 Job# 00-01800-01 1
Page 1 of 2
TRANS#:01-0004061
DATE: DEC 18 2000
AMT RECD:2 $ 179.86
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01800-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3961 douglas Dr Spr
Assessors Map#: 18020611
Lot: Block: Addition:
Tax Lot #: 08700
Subdivision: Jasper Park
Owner: Todd Lipkin
Address: 3961 Douglas Drive
Scope Of Work: Single Family Residence
Contractor Type
General Contr
Electrical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Phone Number: 726-658-9
City/State/Zip: Springfield, OR 97478
Alteration Value: $16,416
Garage conversion to two bedrooms
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Contractor
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Phone
Registration #. Expiration Date'
Todd Lipkin
3961 Douglas Drive, Springfield, OR
97478 .
Todd Lipkin
3961 Douglas Drive, Springfield, OR
97478
. 726-658-9
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~l, . 726-658-9
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(VN) Wood Frame
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group: Dwelling
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections 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,
Post and Beam
Floor Insulation
Ceiling Insulation
Framing
Wall Insulation
Drywall
Final Building
Rough Electrical
Final Electrical
Required Inspections
~~. Buildinll
-Prior to floor insulation or decking.
-Prior to decking.
- Prior to cover.
-Prior to cover, ". :".':~~:';': ,
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-Prior to Cover ~.... .J'C~";TS1-'!)'LLEX"'18'::1.- ,-,..... J n;
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-Prior to taping. :-,~, _,;""\ li,"1Q:;-:-:1,S"'C:::r::r:1S:\O';
-When all required inspections have been approv~d ~~d}21e"~gild~~~J~So~e!\lt~.?l
Electrical '1'.. ,,,r,, \"'::-JJ
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- Prior to cover,
-When all electrical work is complete.
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Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
iArea (Sq. Feet)
I Main: Accessory:
Fee
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Grand Total
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I Job# 00-01800-01 I
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Accessory Structure
# Of Stories: Height (feet):
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:
Paid On Receipt#
Buildin!l
12/18/2000 4061
12/18/2000 4061
12/18/2000 4061
Electrical
12/18/2000 4061
12/18/2000 4061
12/18/2000 4061
Page 2 of 2
Value/Quantity
16,416
Fee Amount
$122,50
$8.58
$3.68
$134.76
4
$41,00
$2,87
$1,23
$45.10
$179.86
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
during construction. ../' ,/
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Signat6're
!J. (r dOt?
Date
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225 FIFTH STREET
The tOllowing . SPRINGFIELD, OR 97477
. project 8S sub .,.. 541 7.2
Zonmg, and does n m1ued has the tolJowin ( ) 6.3753
approval. ot require specific land Use g FAX (541) 726.3689
225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD OREGON 974)] Zoning lbR..
INSPECTION REQUEST: 7t6'..!~7fJ'r \ d - 1<6 - 0-0 City Job Number ('l C>-{) I gno -or
OFFICE: 726-3759 Authorized Signature <K"'-:;'
" rOMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
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LEGAL DESCRIFTION
JOB DESCRIFTION
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 ONLY
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Address
City
'. ',.~ne
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Number,
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Supervisor
Expiration
Number
Signature of Supervising Electrician
Owners Name~.:oo 0 ( . .IoK '(//
Address 31 {, ( DoC/I. /-..,.. So ,JI- ,
City C!,ffl-(t-r"F,,;'t.-D Phone r)(,-t.!:rl
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Si7t:<< -it
DATE:
RECEIPT II:
RECEIVED BY:
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A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
.!::1=1 $
2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL