HomeMy WebLinkAboutPermit Building 2002-8-6
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I Job# 02-00912-01 I
Page 1 of 3
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225 Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
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Job Number: 02-00912-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3987 Douglas Dr Spr
Assessors Map#: 18020613
Lot: Block: Addition:
Owner:
Address:
Tax Lot #: 01900
Subdivision:Jasper Park
Wayne Reposa
3987 Douglas Dr
Phone Number: 541-741-4070
City/StatelZip: Springfield, OR 97478
Alteration Value: $8,000
Scope Of Work: Garage Conversion
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-AO~$~~, 541-741-4070
~0<;' ~ ~~ l::\" ~
^.s' ....0 .<;,0n>5 .'0"
Office Use ,l'''' 00':<;,'1>':t-DY ...~'<J0~0 ~
Land Use', S' I F '1 0 --"'II' ,.:s' <'#~O"f B '-:S10d.;s:; ~O
Ing e ami y we Ing 0 .' UI mgs:,
e:'!J 0.... P..i :--.Q)" _ \,Y ..0' .~,..-
Zoning Code: LOR O~ "....0 ~v,o <'Occunancv.(Group: Dwelling
..>:, ,'( .,'" l<" ()" !:'...,- ... ,.
Bedrooms: ,('....- ~oo ,,0~' .~'1 Heat,Source:~Forced Air Electric
~~ v ...... t"O.' ~... ;-...- ~". ('j..J
Water Heater: Range: ~ 0<;' 0<:' ~" ~ S<i~Fo'otage:
...~... _,.~ C; _'" ~ ~ '-= _" ~~
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To request an inspection call the 24 hour recording at 726-376~~0t.W~~p7ict!8n'\}~~~te~fbefore 7:00
a.m, will be made the same working day, inspections requeste'ej' afte~:005a.m?wIII(l:ie:made the following
~~ ~~~# ~
'",- l::\OS ~ 0 C;0 <"\~"
R . d I . N ..'Ii;$J .,,\~ -~
equlre nspectlons ~';;" -x---<- - ~v
I Buildinq I ~~~ ~{o~
. Prior to floor insulation or decking. fJ,1:I- ~~~~y.:\) ~\5
-Prior to decking. ~\, V; '\~S f:!'\:)~
-Prior to cover. . S~~ &.~ ':?-~
-Prior to cover. !V~. #- '\:,~\5 S '?-~
-Prior to Cover ';:)'\'\ ~~~ x.-'\:) '\:)~ '\ ~'\:).
-Prior to taping. ~ ~S f:!~~ r..,~'\:) ~~~
-When all required inspections have been appi-bYeO~d;tli~.hI:;i\ding is complete.
,?,V .~;' ~v
I Electrical I ,,\5 ~ ,~
- Prior to cover. ~
-When all electrical work is complete.
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Quad Area:
# Of Units:
Constr. Type:
Post and Beam
Floor Insulation
Ceiling Insulation
Framing
Wall Insulation
Drywall
Final Building
Rough Electrical
Final Electrical
Contractor
Registration # Expiration Date
Phone
541-741-4070
Wayne Reposa
3987 Douglas Dr, Springfield, OR 97478
Wayne Reposa
3987 Douglas Dr, Springfield, OR 97478
Wayne Reposa
3987 Douglas Dr, Springfield, OR 97478
541-741-4070
3RSC
(VN) Wood Frame
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I Job# 02-00912-01
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Page 2 of 3
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Zoning: LOR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? D
3:
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq, r ,.1)
I Main: Accessory:
Dwelling
# Of Stories:
Current Units: 1
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Plan Check
07/29/2002 10079
08/06/2002 10196
Value/Quantity
I
Fee Amount
Residential Plan Check
Additional Plan Check
Total Plan Check
4,000
25
$39.39
$25.35
$64,74
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Buildinll
08/06/2002 1 0196
08/06/2002 1 0196
08/06/2002 1 0196
8,000
$91.80
$6.43
$7.34
$105,57
Minimum Electrical Permit Fee
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Grand Total
Plan Check Type
Electrical
08/06/2002 10196
08/06/2002 10196
08/06/2002 10196
08/06/2002 10196
4
$.00
$52.00
$3.64
$4.16
$59.80
$230.11
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Virginia Jurasevich
Ashley Deforest
Don Moore
07/30/2002
08/01/2002
08/01/2002
08/05/2002
Engineering-Res
Planning-Res
Structural-Res
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. I Job# 02-00912-01 I . Page 3 of 3
By s.ignature, 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 701.055 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 I
appro(0~'::~ will rem:~~e site at all times during construction. <Rf (~ GT
S;,",wro '---'2) oJ, -"
T~ foHowing prajee! a!= ~11~,~~it!ed has the followin.g
JOB DESCRlPTIQ ,a does nol re' .de specific land use 1000 sq.ft. or less
~ ' Each additional 500
Zoning CT) re.-"1. ft or portion
Pennits are non-transferable and expire '0 - l.>' 0 2- th~reof
if work is not staitl!llewltlnn I~U days ~ J Each Manufd Home or
of issuance or if workq~~for-- I.!odular Dwelling
180 days. Service or Feeder
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION O~ALLATION,., _
. 3i~ 7. '&"4ttr IY~
LEGAL DESCRJPTIO~
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2, CONTRACfORINSTALLATIONONLY
Electrical Contractor
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Address
City
~ne
Signature of Supervising Electrician
ownersName_!lJAyJ.r~ .f~'4-
Address 3r~7 ~u~ ~.
City ~ Phone z:l./~107D
O~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent
Owners Signature:
T.C;~3IH~~l\ ~ --
'38~~HJ .
ZL'06T. $ G:aJ3~ i~~
~OOG 90 ~JntJ: 3HJa
96T.OT.00-T.0:#SNtJ~1
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ELEcrAr. PERMIT APPLICATION
CityJobNumber-,~2 -!>(J9/2 -0/
3, COMPLETE FEE SCHEDULE BELOW
A. New Residential-Single or
Multi-Family per dwelling unit
Service Included:
Items Cost Sum
$106.00
$ 19.00
$ 50.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 63.00
201 amps to 400 amps $ 75.00
401 amps to 600 amps \0 _ $125,00 _
601 amps to 1000 amps '" '\o\) ~\{I.~ $163.00 _
Over 1000 ampslvoltsol.\)\~0 0<:- \j \ ~o~": . S375.00_
Reconnect Only n~ ~0 o~eg .0 ",0,. !0\l' _ $ 50.00_
~~v 0 ~'~~... '" '"
.c!::,O, ,,^'\~ ,;:,.0'i> ~~ ~J.0 0
C. TemporatyJ!;Mces.orF~ers,O oIS'0 o~ ~
InStalla~on.:~tioii'6r\~~~ti~n0\0~~ c;?f,.\O
\~~ '0",a; <:-\0\' \f;:)~ 0~\0 ,^0'1 o~{\~ ..
\ -,,, r,0 ",\) ,^v ,'\). ~
I'- "o>t200()amps.orles. Sn\" _"0\0' .~\\'\ ""Ih\" S50.00
o~ tr~. _ i'\V 'V'..V l\...... ~\'" -J.- -
\I .{\\!l01c.,app~tg.140~\'Hllpso<:- ~7:7- _ $69.00 _
~O'lQ9Ye~~!!I'.!?i.9O ~aePs1f;:)f;:)''O _ SIOO.OO _
\<:- Qyer ,600\amp~;or .1000 volts see
""r;;cB" aJj" \\'('''0 \0" :\ \'::1
V C. OVM :(\'0
~:O~ (/3 .
,,\S.
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit ~ $43.00 ..f:0.1'O
, Each Additional Circuit ~~ ~
or Feeder Pennit 'l\~~ 'I. ~'*'~ ~ S 3.00 L
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Minimum Electric Pennit Inspection Fee is $45.00 + Surcharges
$50.00
S50.00
$25.00
$45.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
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TOTAL
5'7.80