HomeMy WebLinkAboutPermit Building 2000-11-21
'v
..
225 North Fifth Street
Springfield, OR 97477
.
.
I Job# 99-00342-01 I
Page 1 of2
TRANS#:01-0003850
DATE:NDV 21 2000
AMT RECD:1 $ 5.00
CHANGE:$ 0.60
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 99-00342-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1580 W Quinalt St SPR
Assessors Map#: 17032732
Lot: Block: Addition:
Owner:
Address:
Scope Of Work: Dry Rot
$5300.00
Contractor Type
General Contr
Tax Lot #: 00113
Subdivision:
Thomas Hanford
1580 West Quinalt
Phone Number:
City/State/Zip: Springfield, OR 97447
Repair Value: $0
'~vriji1'oor;:,
~ /J \..'-1(1;;.
TH:S PER' .
Contractor AU""" 1V/ITSHALLE~Registration # Expiration Date
,nORIZ<::O /l1-'1,'fE IFTH'<'
Thomas Hanford C:)'" ~ UNDeR THIS c WOR;{
1580 West QUinalt'lsi1iM~tieTd;i0!3,(~7M7,A' PER/lr.:7'fS NO'/'
A \'V' 1 0" .... r~ rlt1 l\/T"r'\, ,.... .
--...,"", tJJ-R'r"'! -.''''urUH
Office Us81,
Phone
Quad Area: 1RNW Land Use: # Of Buildings:
# Of Units: Zoning Code: Occupancy Group:
Constr. Type: Bedrooms: Heat Source:
Water Heater: R~,~~e: Sq. Footage:
To request an inspection call the .24 houde,~~-r~';;;~;ai:'7,2!l.;~7~~r All inspections ~equested before 7:00
a,m, Will be made the same worklDg day, Inspections requested after.7:00 .a,m. Will be made the followlDg
. -no.. ., "'.', 'I.,r> '1
working day, 1-\f-,:;1,,;,J_)G' " ,." < ,[I", '
0090 v. I 1'-,1/1", ", ',,', '
. !11/, "...... . ' :' ,J II., . .~ ~
Celli, ReqUlfed~lnspect!,<?,n,~. " '.
r--~~rTri"""- .....1;)'.".
'lU"'lb. Transfere'd Records , II' ..
-After trenches are excavated. "
-After forms are erected but prior to concrete placement.
- Prior to cover.
- Prior to cover.
- Prior to cover.
- Prior to cover.
- Prior to taping.
Footing
Foundation
Rough Electrical
Rough Mechanical
Rough Plumbing
Framing
Drywall
Rough Electrical
Final Electrical
Final Mechanical
I - Electrical
- Prior to cover.
- When all electrical work is complete.
I Mechanical
-When all mechanical work is complete.
'-
.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
I Main: Accessory:
Fee
Plan Check Fee
Building Permit
Building Permit
Electrical Permit
Plumbing Permit
Mechanical Permit
Mechanical Issuance
Total Transfered Records
Branch Circuits With Feeder or Service
Branch Circuits With Feeder or Service
State Surcharge For Electrical Permit
State Surcharge For Electrical Permit
Electric Administrative Fee
Electric Administrative Fee
Total Electrical
Minimum Mechanical Permit
Mechanical Administrative Fee
Dryer Vent
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Grand Total
I Job# 99-00342-01 I
# Of Stories:
Current Units:
Census Code: Does not apply
Total:
Paid On Receipt#
Transfered Records
07/16/1999 34887
03/15/1999 33136
07/16/1999 34887
07/16/1999 34887
03/15/1999 33136
03/15/1999 33136
03/15/1999 33136
Electrical
06/05/2000 2014
11/21/2000 3850
06/05/2000 2014
11/21/2000 3850
06/05/2000 2014
11/21/2000 3850
Mechanical
06/05/2000 2014
06/05/2000 2014
06/05/2000 2014
06/05/2000 2014
06/05/2000 2014
.
Height (feet):
Proposed Units:
Page 2 of 2
Value/Quantity
Fee Amount
33
15
51
50
30
15
10
$32.83
$15,00
$50.50
$50,00
$30,00
$15.00
$10,00
$203.33
5
2
$10,00
$4,00
$,70
$,28
$.30
$.12
$15.40
1
$12.00
$.45
$3,00
$10.00
$1.05
$26.50
$245.23
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.
.,...J./A~--Ic/A'vi
1;/2.I/tm
Date
.
.
LEGAL DESCRIPTION
/703 ;;2..;>-3 Ol. OQ//:3
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726,3753
FAX (541) 726-3689
PERKIT APPLICATION
9"t-OO),,;.:J._O(
City Job Number
COKl'L1m~ FEE SCHEDULE BELOII
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
o/lTr;::i ~ Q J~F@ch addi tional 500
v I '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
The tollowino prajee! as s. .
zoning and ~does nOI utlmltted has the fOllow;n
225 FIITH STREET approval require specific iand use ~LECTRICAL
SPRINGFIELD, OREGON 97477 ZOning i~
INSPECTION REQUEST: r?~6-3769 /.., .., .
OFFICE: 726-3759 a p , <></ ~
Aul/lOr/zed Signature cK~. J 3.
1. LOCATION OF INSTALLATION ----I r-
/580 tv ~'", 04 A.
JOB DESCRIPTION
?- C,'/Cl..l,'+,;,
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address, ~
City 1 ~ Ph~
! . \ ~b
:::;::::::/~~e um er
con~ntr. Num~~
Expiration Date
Signature of Supervising Electrician
Ovners Name
-j't,o""",~ .fl., d.-.d
I 5,5"0 l-v ~U' M a. H
Address
City
5 (Io{
Phone
OlINER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease o~ rent:
Owners lignature: ~ /; _
0,_j~f/l-,...~. _r~ !fC.P!"~ )
-~-------------~ , -~~-~-------
DATE: jr/?-I/D1f-/ II
l\b"".li'i it: \1
RECEIVED BY:
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
unit.
It ems
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 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
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~
$ 35.00
$ 2.00
t
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00"
$ 20.00
$ 36.00
J.{, o.e..
.'.).};?
, ,::..
'7. 'P-