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Home My WebLink AboutPermit Building 1996-03-15SPFIiTCF!ELD RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUII,DING SAFETY Page 1 ilob Nrurber: 960253 225 North Fifth Street Springfield, OR 97477 Location of Propoeed lilork: 2999 WAYSIDE LP Assessors ttap #: L703224a Lot: Block: Office: Inspection Line: 726 -37 59 725 -37 69 Tax Lot #: 03400 Subdivision: CITY OF SPilNGFIELD, ONEGON Owner: DUAI{E KNOLL Address:. 2999 WAYSTDE LOOP Describe Work: ENCLOSE EXISTING CARPORT Phone #: 725-OlL4 city/state/zrp: SPRINGFTELD, OREGON 97477 REMODEL Contractor General:OWNER Electrical-: OWNER Const. ConEractor #Expires Phone -725 - 0L1,4 QUAD AREA: SRNW ZONING CODE: LDR VN -- oFFrcE usE -- LAND USE: L111 OCCY GROUP: M # OF BLDGS: 1 CONSTR. TYPE: To requeats an inspecEion, call the 24 hour recording aL 726'3769. A11 inspections requesEed 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 --- SPECIAI. FRAIIING - Prior to cover. ROUGH ELECTRICAL - Prior to cover. DRYWALL - Prior to taping. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: E So1ar Approved: Y Garage Total Height: 14 Lot Type: INTERIOR SetbacksswE 50+ Setbk From NPL: 8 N 8 Item Main Garage Total Value Building Permit Fee surcharge/aamin --- BUILDING PERMIT --- Square Feet x 456 $/Square Feet Value 0.00 L, 000 . 0o 1, 000 . 0o 17.50 L .41, TOTAL FEE (A)18.91 SPRINGF!ELD ilob Nunber: 950253 CITY OF SPruNGFIELT', ONEGON Page 2 --- }IISCEIJIJAI{EOUS PERMITS --- Surcharge/admin PLAN REVIEW FEE TOTAI, MISCELI,A.I{EOUS PERMITS (E) 0.00 11.38 11.38 (Excluding Electrical) unlesE otherwise notsed --- TOTAII AMOI'I T DUE --- (A, B, C, D, and E combined)30.29 --- BUILDING VALUE, PIJA}I CHECK E}ID BUILDING PER}TTT This permit is granted on t,he express condition that the said construction shall-, in alL respects, conform to Ehe Ordinance adopted by Ehe City of Springfield, including the Development Code, regulating the consLruction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: 0.00 DaEe Paid: Received By: Plans Reviewed By: DUANE HUSSEY DaEe: Building Site Reviewed By: LISA HOPPER 02 /26 / e6 03 /Ls / e5 Receipt Number: 000000 --- ADDITIONAI. COMMENTS EXTSTING CARPORT ENCLOSIIRE By signature, I Etat,e and agree, that I have carefully examined the completed applicaLion and do hereby cerEify that att information hereon is true and correct, and I further certify that any and al-L work performed shaII be done in accordance with the Ordinances of the City of Springfield, and the Laws of t.he State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure wj-thout 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 Ehis project. I further agree to ensure that aL1 required inspections are requested at the proper time, that each address i-s readable from the sEreet, that the permit card is Located at the fronE of the property, and the approved set of plans will remain on the site at all- times during construction. t/3 ?a si gnature Date -.- VALIDATION --- Receipt Number Date Paid Amount Received ,--f 39, o2 ,4:/^.8Received By /7 SPFI.. GFIELO The lollovrlng proioct ac ettbmltt ,..i:t*. uno?ies nct requito s;' :;;;"i;i: Zor ! 225 FIYTE STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3159. OFPICE: 726-3759 1. LOCATION OF INST I^EGAI DESCRIPTION JOB DESCPJPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI.ATION ONLY Electrical Contractor Address city- Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Ovners Name Address ELECTRICAL PERHIT APPLICATION Number 3. COHPI..ETE FEE SCEEDUI^E BELOV A. Nev Residential-Single or Multi.-Family per dvelling unit. Service Included: I tems Cos t 1000 sq.ft. or less S 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or -Modular Dvelling Service or Feeder S 40.00 Services or Feeders Installation, Alterations or Relocation: Sum B 200 amps or l-ess 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- Over 1000 amps/voIts -Reconnect 0n1y One Circuit Each Addi tionalCircuit or vithor Feeder Permit 200 amps"or less S 40.00 201 amps to 400 amps - S 55.00 Over 40L to 600 ampsr- $ 80.00 Over 600 amps or 1000-voTTs see uBu a56IE- s s0.00 s 60.00 s100.00 s130.00 $300.00s 40.00 Ci ty Phon OIJNER The installation is being made onproperty r ovn vhich is not intended for sale, lease or rent. Osner Signa ture: DATE: C- Temporary Services or Feeders Instal-1ation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension per panel -< $3s.oo 2f Er Service s 2.00 MiscelLaneous (Service/feeder not included) -Each installation 40. 00 40.00 20. 00 36.00 SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL "?^ ,t;7 Pump or irrigation Sign/Ou tline Lighting- Limi ted Energy/Res - Limi ted Energy,/Comm S s $ s RECETVED BY: t/ =* 5 a Permit #: Issued by: 4-Address: Date:7\/S>F-_- Statemeht: lnformation Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before abuilding 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 B 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3A. My general contractor is (Name) Contractor regis. # 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, I 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 notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. permit applicant) (White copy to issuing agency permitfile, pink copy to applicant) W 3 (Date)