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Home My WebLink AboutPermit Building 1999-12-2 .. ,.' , SPRINQFIELD . . . . , . Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 991626 225 North Fifth Street springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 1822 INLAND WAY Assessors Map #: 18030233 Lot: Block: Tax Lot #: 02500 Subdivision: Owner: TROWBRIDGE TRUST Address: 1866 HARBOR DR Phone #: 747-6733 City/State/Zip: SPLFD OR,97477 Describe Work: MANUFACTURED HOME NEW Contractor Cons t . Contractor # Expires Phone General: GEOTECH CONST 0087392 19700 SW TETON TUALATIN OR 97062000 12/09/97 692-6400 QUAD AREA: 5RSW OCCY GROUP: R3 OFFICE USE LAND USE: 1111 CONSTR. TYPE: VN # OF BLOGS: 1 SQ FOOT~GE: 1344 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 work day. REQUIRED INSPECTIONS --- SITE - To be made after excavation but prior to setting forms. FOUNDATION - After forms are erected but prior to concrete placement. MANUF HOME/MOBILE HOME SET UP - When all blocking is complete. MANUF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and plumbing inspections have been approved and home is connected to panel MANUF. HOME/MOBILE HOME PLUMBING - After home has been connected tc. water and sewer. STORM SEWER LINE - Prior to filling.trench. FINAL SET UP - After all required inspections are approved and porches skirting, decks, venting, house numbers, etc. have been installed. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces; N Item Main Garage FDN. FOR M.H. Total Value BUILDING PERMIT --- Square Feet x $/square Feet Value 0.00 0.00 4,500.00 4,500.00 Building Permit Fee Surcharge/Admin 50.50 5.06 TOTAL FEE (A) 55.56 " 'n , SPRINOFIELD . Job Number: 991626 Page 2 --- PLUMBING PERMIT --- Item Storm Sewer Mobile Home Fee 25.00 15.00 Plumbing Permit Surcharge/Admin 40.00 4.00 TOTAL CHARGE (C) 44.00 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE --- (A, B, C, 0, and E combined) eLc-c.TI€/~ /J~/r 99.56 to"" _ /43,!;b --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: Received By: Plans Reviewed By: DON Building Site Reviewed 32.83 Date Paid: 12/02/99 Receipt Number: 36326 MOORE Date: 12/15/99 By: BOB BARNHART - - - ADDITIONAL COMMENTS - - - BLDG MUST MEET SETBACK REQUIREMENTS, INCL VISION CLEARANCE. SEPARATE ELECTRICAL PERMIT IS REQUIRED. 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 request.ed 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 approved set of plans will remain on the site at all times during construction. . ~re~r Date . - , SPRINOFlELD Job Number: 991626 --- VALIDATION Receipt Number: ~ Y'''::;&.,/ Date Paid: / 2-/6- 9"9> Amount Rece~ved: / .7"-1. 56 Received BY:I'l~ . . . , Page 3 The following project es submiMed has the foliowin loning, and does not require specific land use approval.. ~(2.. Zomng 97477Jate 11.-1 (" -~ 726,;tltfb?lZed Signature 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION J~?_?_ IN!-./"<< 10 WAV ~. ( LEGAL DESCRIPTION Je,I'J~- ~~ 3 ('J.'?.e;1"HJ _ J~BA p~SC~PTION ~ m.-Ji, 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 Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name 7/!;uWlMt? .F71fv. 7}euAT Address /fJtb~ ~. Ci ty ~,(}FO Phone '147-"-(013 ~ OYNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~. ~~ ;fi~9 ---------------------------~----------- DATE:j? '/~l~ RECEIPT 11: tt;/ RECEIVED BY: //~~~ ~~CTRICAL PERMIT APPLICATION ~ Job Number_9iJ/~~ 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Mul ti-Family per dwelli.ng uni t. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 . Each addi tional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular 'Dwelling Service or Feeder ~.$ 40.00 ~ 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to. 600 amps 60l 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 Installation, Alteration or Relocation $ 40.00 $ 55,00 $ 80.00 vol ts 'see "B" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Addi tional Circuit or with Service or Feeder Permi t E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ .36.00 4Q.DO . ? cil() -, ).0 111J~