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Home My WebLink AboutPermit Building 1997-12-15ATTOF ..iFFTilCiFIELE' RESIDE}flTIAL PERMIT APPLICATION CTTY OP SPRINGFIEI.D COMMI'NITY SERVICES DIVISION BUILDING SAFETY Page 1 .Tob Nnmber: 97 L632 225 North Fifth SLreet Springfield, OR 97477 Location of Proposed Work: 904 SITMMIT BLVD Assessors l,tap #: 17033411 Lot: 8 Block: Office: Inspection Line: 726 -37 59 726 -37 69 Tax Lot # Subdivision 05308 FERNCREST Owner: K.RON BALLESTEROS AddTESS: 904 SUMMIT BLVD Describe Work : BALCONy/ENCt CARPORT Phone #: 485-8847 City/State/Zrp: SPRINGFIELD, OREGON 97477 REMODEL Contractor Conat. Cont,ractor #Expires Phone General OWNER Elect.rical: OIINER QUAD AREA: 1RNW -- oFFICE USE -- LAND USE: 1111 To requeats an inspection, call the 24 hour recording aL 72G-3769. A11 inspections reguested 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. --- REQUTRED INSPECTTONS --- FOOTING - After trenches are excavated. FRAIIING - Prior to cover. FrNAL BUTLDTNG - when all reguired inspections have been approved and the building is complete. Item Mai-n Garage CONVERT CARPORT ELEVATED DECKS (REAR) Total VaLue Building Permit Fee Surcharge/admin TOTAL FEE --- BUILDING PERMTT --- Sguare Feet x $/Square Feet Val-ue 0 0 400 00 00 00 1 3 , 0L9.00 ,419 . OO 44 .50 3 .57 48 .07(A) (Excluding ElectsricaI) unleeg ot,herwiee noted --- TOTAIJ AITOI'I\I1T DUE --- (A, B, C, D, and E combined)48 .07 --- BUILDING VALUE, PI.AIV CHECK A}ID BUILDING PERITIT --- This permit is granted on the express condit.ion that the said constructionshaII, in all respects, conform to the ordinance adopted by the city ofspringfield, including the Development code, regulating the construction anduse of buildings, and may be suspended or revoked at any time upon violatj-onof any provisions of said ordinances. SPIIIi.GFIELD Job Number: 97].632 SPilNGFTELD,OF Page 2 PIan Check Fee: 28.93 Received By: Pl-ans Reviewed By: DON MOORE Building Site Reviewed By: LISA HOPPER Date Paid ? LL/1-4/97 Dare: L2/L2/97 Receipt Number: 28019 --- ADDITIONAI, COMMENTS --- ENCLOSING CARPORT AT 14' SETBACK APPROVED BY KITT] GALE/SARAH SUMMERS/,JIM DONOVAN LT-24-97 CARPORT ENCLOSED AS A NON-HABITABLE SPACE ONLY, SEPARATE ELECTRICAL PERMIT IS REQUIRED. By signature, I Etate and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I furt,her certify that any and al-I 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 wj-t.hout permission of the Community Services Division, Building Safety. I further certify that onlycontractors and employees who are in compliance wit,h ORS 701.055 wil-] be used on this project. f further agree Eo ensure that all required inspections are reguested at theproper 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 pJ-ans wj-11 remai-n on the site at all times during construction. Si I e --- VALIDATION --- Receipt Number Date Paid Amount Received Received By: 17. - lS-175.ry 1CJ ?*a It Ia St,rltNGFlELl) trt, EI,ESIRICAL PERHIT NPLICATION SHALL eXptRflff ff,e$bfifiE FEE ScBEDULE BELoIT R THIS EERll,tliElS NQti d en t i a1-s i ngle or COMMENCED OR IS ABAN oorur{gp.3i -FamiIy per dvelling unit. ce Included: I tems Cos tI8O DAY PEFIOD. DE cI JOB DESCRTPTTONt frr ( itr\ rl-t- 2. CONTRACTOR INSTALLATTON ONI,Y zonin6, a appioval, 225 FIFTB STREET SPRTNGFTELD, OREGON 97477 INSPECTION REQTIEST: oFPLCE: 726-3759 1 ON OF trb'ft'CB, c . I..EGALi inlz I Supervisor Li Number Expiration e Constr Co r. Number Expi ra t Da te Signature of Supervising Electrician Ovners Name e Add ress a So* Ci ty Phone 485 * OVNER INSTALLATION The installation is being made onproperty I ovn vhiclr is not intendedfor sale, lease or rent. Xo"n ers Signatu DATE: RBCE 1"000 sq.ft. or less Each additional 500ft or portion eof Manuf'd Home orular Dvelling vice or Feeder s or Feeders t ion, AI terat ions t ion: or less 200 amps''or less 201 amps to 400 amps Over 401 to 600 amps _- 0ver 600 amps or 1000 voft D. Branch Circui ts SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL Temporary Services or Feedersfnstallation, Alteration or Relocation a Sum $ 8s.00 $ 1s.00 s 40.00 40.00 55.00 80.00 ee I'B* aEove Permits are non-transferable and expireif vork is not started vithin LBO daysof issuance or if vork is suspended for 180 days. h d r sq. ther Elec Addr Ci ty ess caI Contractor one 201 amps to 400 amps - 401 amps to 600 amps - 601 amps to 1000 amps-over 1000 amps/volts - Reconnect On1y $ s0.00 s 60.00 $100.00 s130. 00 $300.00s 40.00 c $ s $ SSr Nev, Alteration or Extension per panel oneCircuit , $35.00Each Addi tionalCircuit or vith Serviceor Feeder Permit S Z.OO E. Miscellaneous (Service/feeder not included )-Each installation Pump or irrigation SSign/OutIine Lighting- $Limi ted Energy/Res - SLimited Energy/Comm S 5, 40.00 40.00 20.00 36.00 s3sT-re-I oS-'3'l, voRBCEIVED D Y:- -+vv\-L- city. Jeb numuer ?l I b3 2- Permit #: Address Issued by Statement: lnformation Notice to Property Owners About Construction Responsibilities Note; Oregon Law, ORS 701.055(1), requires residentiql construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and2, and either box 3A or 38 1. I own,reside in, or will reside in the completed structure n 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale | ' I before or upon completion. 3A.. My general contractor is' ' Contractor regis. #(Name) I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 38. I will be my own general contractor. If I hire subcontractors,l will hire only subcontractors registered with the construction contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notii/ the office issuing this building permit of the name of the contractor. I hereby certi$that the above information is correct and that I have read and do understand the Information Construction Responsibilities on the reverse side of this form. (s of permit applicant) (White copy to issuing agency permit file, Pink coPY to aPPlicant) (Date) Date: Notice to ProPertY ( .1!.: ,: .t. .'. , I .. .: ri...-.."1'::r;;,,: iiliii. iilr:]::,'l',,,,,. f',:1.1;;1,:1,:. r:! 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