HomeMy WebLinkAboutPermit Building 2000-12-5
'-
~ ~
.(,,,
..'
..
"
Job# 00-01754-01 I
Page 1 of 2
TRANS#:01-0003974
DATE:DEC 05 2000
AMT RECD:2 $ 81.40
CHANGE:
CASHIER:061
SPRINGFIELD
~.
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01754-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Sit~: 889 Aspen St Spr
Assessors Map#: 17033422
Lot: Block: Addition:
Tax Lot #: 00220
Subdivision:
Owner:
Address:
Paul Bastinelli
889 Aspen St
Phone Number: 541-747-7757
City/State/Zip: Springfield, OR 97477
Alteration Value: $2,000
Scope Of Work: Garage Conversion
garage conversion
Contractor Type
General Contr
Electrical Contr
Contractor
Mallard Construction & Development*
30 Seward Avenue, Springfield, OR
97477
Burrell Bros Electric
40159 Booth Kelly Road, Springfield, OR
97478
Registration #
88420
Expiration Date
1/21 /0 1
Phone
541-747-9311
136446
8/20/03
541-747-2724
Office Use
# Of Buildings:
Occupancy Group:
Heat s~'Mij~A'Va08~ANV'
80~a3NOSq~oo.~g~a30N3~~OO
.LUI\! ~1.LlVlJt:I.::Id ~IH.L C:I::IUNfl 03ZI~OHln'v'
To req~est an inspection call the .24 hour ~ecordi~g at 726-3769. Allj~J3~v~~!H'Tl~r~~r~~~-?rJ<g5 7i~~=td SIHl
a.m. Will be made the same working day, inspections requested after 7:00 a.m. Will De maae Hie follb~ln"g
working day. :30110N
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Land Use:
Zoning Code:
Bedrooms:
Range:
Required Inspections
Electrical
Rough Electrical
Final Electrical
- Prior to cover.
- When all electrical work is complete.
ATTENTION:bregcn law reqUIres you ~o
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-00"j ~
0090. YOU may obtain copies of the rules by
calling the center. (Note: the telephone
nU1t'lberforthe Oregon Utility Notification
Center is 1-800-332-2344).
;~
l>t>')
I Job# 00-01754-01 I
Page 2 of 2
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Building
12/05/2000 3974
12/05/2000 3974
12/05/2000 3974
Value/Quantity
Fee Amount
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
2,000
$33.00
$2.31
$.99
$36.30
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Grand Total
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 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
app.roved set of PlajS wrlmain on the site at all times during construction.
ctJJct3b7J~' . /2_f'-{)0
Signature Date
Electrical
12/05/2000 3974
12/05/2000 3974
12/05/2000 3974
4
$41.00
$2.87
$1.23
$45.10
$81.40
..,
DEVELOPMENT SERVICES DEPARTMENT . h f lIowin.
, t submitter! has t e 0
The following pro)ec ~s qUire sp'ecifiC land use
zoning, and doeE no, re
approval Lp(L.._
225 FIFTH STREET Zoninp.. .-::;:,;..-
1,.. "'~,v'"
SPRINGFIELD, OREGON 9741-"k, ,--...-...-....'7.\
INSPECTION REQUEST: 72fi-.J769 ;v.-v
OFFICE: 726-3759 Authorized Slgn2l1ulc
LEGAL DESCRIPTION
f 703 3L{ ZZ 002.Z0
JOB DESCRIPTION ~ . 1000 sq. ft. or less
~ L~t::-4-Slen.-..-~/H 0 c.,ec.....,CS Each addi tional 500
/ sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
1.
LOCATION OFJ1 INSTALLATION ,-J-
'8"~ 7 /1S fJ G--... "5
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~U}t I ~.
Address tlOts<) '~~f'lrH-.Julfv i.rl
City ~rCLJ Phone ,41-27l..4
Supervisor License Number LDI I S
Expiration Date lo .0 I -0 I
Constr Contr. Number 70 ~lI4 ZL
Expiration Date to -0' -OJ
Sr. ature of SUpervij~ Elect-ifian
. . (flMAlL . AAM.JJJ.
~rs Name VA-"'- '((J-shlAl5"1 /;
h(J~ :31-..
I
Phone 74 7 '-7757
Address
252'7
-==sf I?!)
City
OVNER INSTALLATION
The installation is being made on.
property I own which is pot intended
for sale, lease or rent:
OWners Signature:
. . .
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
I Z 0 0:;-0.' P
"3 'f7.L-f
'<bi(
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
ELECTRICAL PERMIT APPLICATION
.r::-?.t:-y Job Number DO -0/75'-(-01
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cos,t
Sum
$ 85.00
$ 15.00
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or.less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders.
Iristallation, Alteration or Relocation
200 amps or less
. 201 amps to 400 amps
Over 401 to 600 amps
Over6QO amps or' 1000
$ 40.00
$ 55.00
$ 80;00
volts see "B" above
D. Branch CircUits
New, Alteration .or Extension PerP~nel
One Circui t . ( $ 35.00 )S
Each Addi donal
Circuit or with servic~ .fo
or .Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each insta.llation' .
Pump or irrigation $ 40.00'
SignlOu'tline Lighting $ 40.~ -i
Limited 'Energy IRes . $ 20. W ~ ~
Limited Eriergy/Comm $ 36.Offlrri~
r:;J1 (B o'!;
5. ,SUBTOTAL OF ABOVE ::t::I .. rn 0
7% S h ..,.n.", ,....,-,1--'-
. 0, tate Surc arge 2E,-, ."" ...-" 6
3% Administrative Fee. Im~....;..,(..J1 g
TOTAL .:$9-: ~~ (A
'&.Fri~o::3
f-L..oo..j:::-..
~
1';\ ~;;<
"
~'
225 FIFTH STREET
SPRINGFIELD, OR 97471
(541) 726-3753
FAX (541) 726-3689
Residential Plan Review/
Permit Application
Job Number: 00- O\7~'i-O (
Please fill out the following information to the best of your ability Comple.te information will assist
in efficient plan review.
Location of Proposed Work:
Map and Tax-lot Number:
Lot: Block:
~~q 4()~J ST
I 17f, '"33. I.-( 2..Z-
Subdivision:
D:> ZZQ
Owner: .p"'1J L f J I1coue J '1)./ r1~hl1t/! . Phone: 7 </7 - 7 75 7
Address: 1>3 q If:sb,E:N' 5'T
City: s'9(; ,/)t?Ae / d I State: (!) iZ. Zip Code: 97</77
y /
Describe Work: (;M-ItCtE CvAlV8,'25iv/J
Check One: /
.DNew DRemodel DAddition DDemolish o Other
Contractor's Name
General: d.4fiu- L ~"-<--5 f
Plumbing:
Mechanical:
Electrical: r:f:,IA4-ttE/( '{Sr1-<5S
CCB # Expiration Date
'0<6 t{ 2-0 rt(/c"
I f
Phone #
7cr7- '73/(
13bCfl{6
~/20~3
7'-(7 -2.72.LI
, Structure Information
SQUARE FOOTAGE
x
$/SQUARE FOOT =
VALUE
Main
. Garage
I Carport
r ~A/Y~/o--....
/9YI'7 06/~/)
2-L-J'-"-":"::>
Total Value
Plan Check Fee
Received By:
2- O"C.>-=:>
Heat Source: t::1..J:: c:.......(
Power Source: Water Heater
Energy Path
Range .
....---'
---- .
Does this property require any of the following?
Land Drainage Alteration Permit DYes t]No
Over-width or second driveway . . DYes ~o
Do you need temporary power? DYes esJNo
Plan Review and Remit Application. Shared Drive(T:).Building Forms. word.06/28/00
D
:::s:: -j
-j I:::' ;::0
D I>
;::0 -j Z
rl1 rr1 ClJ
CJ aa **
CJ I:::' I:::' .u
D .. fTlO
ClJ "'..J t-:J I--'-
=c ,
I-i CJ -€:I? 0 (:.:)
rl1 ::c c..n ,::;,
;;oDCO 0
." Z 1-..... r'..J (..,J
om. 0',0
ct'. rn ..j:..'-.. 0 -.-J
f.........OO.+::--.
Notes/Comments: Validation:
. ~
,
Where do my residential plans go when
I turn them in?
u
u
u
U
FINAL APPLICATION FOR
BUILDING~" I"KOVAL:
Notification to applicant of estimated
time to completed review is given.
U
u
PERMIT MI'-KOVAL: Applicant is
notified of approval and fees due.
=>
~
=>
~
=>
~
=>
~
Plan Review Flow Chart. Shared Drive(T:).Building Forms.word.06/28/00