HomeMy WebLinkAboutPermit Building 1997-08-19oTr SPilNGFIELD,
APRI]tlGF!ELE,
RESIDENTIAL PERMIT APPLIEATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUII.DING SAFETY
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Page 1
Job Number: 971135
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225 Nort.h Fifth St,reeE
Springfield, OR 97477
Location of Propoaed Work: 570 WOODCREST DR
Assessors Map #: 17033413
Lot: Block:
Office:
Inspection Line:
726 -3759
725 -37 69
Tax LoE #: O24OO
Subdivision:
Owner: NAI.ICY LEYSON
Address t 57O WOODCREST DRIVE
Describe Work: SITNROOM ADDITION
Phone #: 726-5]-30
city/state/zip: SPRTNGFTELD, oREGON 97477
ADDITION
Generaf
ConUraeEor
RAINBOW VALLEY OO551O7
442 Charnelton Suite A Eugene OR 97
Congt.
ContracEor #Expires
04/04/e8
Phone
342-487L
QUAD AREA: 1RNW
OCCY GROUP: R3
-- OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
ZONING CODE: LDR
SQ FOOTAGE: 1,2O
To requegt an inspection, call the 24 }:.our recording aE 726-3769.
AIt inspections reguested before 7:00 a.m. wil-} be made the same working day,
inspections reqluested after 7:00 a.m. wil-1 be made the following work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavated.
FOIrIIDATION - After forms are erected but prior to concrete placement.
POST AIiID BEAII - Prior to floor insulaEion or decking.
INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved tso obtain permanent power.
FRAIIING - Prior Eo cover.
INSULATION - Floor; prior to decking Wa1l/Ceiling; Prior to cover
DRYWALT - Prior Eo taping.
FINAL ELECTRICAL - When all electrical work is compl'ete.
FINAL BUfLDING - When all required inspections have been approved and
the building is complete.
Total Height: 11
Lot Type: II{IERIOR
Setbk From NPL: 24 Solar Approved: Y
Item
Main
Garage
SURROOM
Total Value
Building Permit Fee
surcharge/edmin
--- BUILDING PERMIT ---
Square FeeE x $/Square reet Value
L20 58.20
.00
.00
.00
.00
0
0
5 ,984
6 ,984
62.50
5.01
TOTAI. FEE (A)67 .sL
SPRINGF!ELD
ilob Nunber: 971135
CTTY SPfrINGFIELT',o
Page 2
(Excluding Electrical)
unleee otherwise noted
--- TOTAI. AIIOI'NT DUE ---
(A, B, C, D, and E combined)67 .5L
--. BUILDING VALUE, PLA.}I CHECK A}ID BUIIJDING PERMIT ---
This permit is granted on the express condition that the said construction
shal1, in aII respects, conform to the Ordinance adopLed by the City of
Springfietd, including the Devetopment Code, regulat.ing the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Pfan Check Fee: 40.63 DaLe Paid:
Received By: DON MOORE
Plans Reviewed By: BOB BARNHART Date:
Building Site Reviewed By: LISA HOPPER
07 /2e / e7
0e/Le/e7
Receipt Number:. 26864
--- ADDITIONAL COMMENTS ---
REQUIRES SEPERATE ELECTRICAL PERMIT
By signatsure, r stsate and agree, that I have carefully examined
the completed application and do hereby certify thaE all information hereon
is true and correct, and I further cerLify that any and aLl work performed
sha11 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 thaE NO OCCUPAIICY wi]I be made of any sEructure without permission of the
Community Services Division, Building Safety. I furtsher certify EhaE onJ-y
contracLors and employees who are in compliance with ORS 701.055 will be
used on this projecE.
I further agree Eo ensure thaE all required inspecLions are reguesEed at Ehe
proper time, that each address is readable from the sLreet, that the permit
card
wiLl
s
isI ted the front of the property, and the approved set of plans
on a al-] Eimes during construcEion.
t Dafe
--- VALIDATION ---
Receipt Number:
DaEe Paid:
Amount Received:
Received By:
s-B -5i>
2
s
6- </
CITY OF OFEGO'V
D E v E Lo P NpHiT fi FRVI ffE P E P,{ nly E N,N 0Tl C E :
., ,, :' ,, i.-..'ii /i. . i r:.,
THIS PERMIT SHALL
SPFtlr- -FIELO
3. COMPLETE FEE SCEBDULE BBLOS
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 ) 726-3753
FAX (s41) 726-368s
EXPIRE IF
Zcn:r:g*\&(AUTHORIZED UNDERTHIS PERMIT IS NOT
7'l COMMENCED OR IS nBANEfHEft[QEr, pERl{rr Appt,rcArroN
180 DAY PERIOD.City Job Nunbe,QT /85INSPECTT
OFFICE: 726-3759
qoo
JOB DESCRIPTION
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. CO}ITRACTOR INSTALI,ATION ONLY
Electrical Contractor
Address 5<t S
Ci ty Pirone to8 L{ -1 ! P, Y
Supervisor License Number q t14 -5
Expiration Date
constr contr. Number I (, 5 L1 -i 5
Expiration Date
Signature of Supervising Electrician
F,\ut \ h-o"rO , rltn
0sners lrame [iA.f0/.l Itt-ttab L:ffi\)
Address C tO \Fcdo cDigf
Ci ty *,flz
A
Nev Residential-Single or
Multi-Family per dvelling unit
Service Included:
I tems Cos t
$ 8s.00
$ 1s.00
$40
40.00
55.00
80.00
see ttBtt aEove-
Sum
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
}lodular Dvelling
Service or Feeder
B. Services or Feeders
- Installation, Alterations
1 iaa, or Relocation:
Rd
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps
-601 amps to 1000 amps_
Over 1000 amps/vo1ts
Reconnect Only
200 amps or less
201 amps to 400 amps
-Over 401 to 600 amps
Over 600 amps or 1000 vofts
One Circuit X-Each Additional
Circuit or vith Service
or Feeder permi, !Ofg.
-Each installation
Pump or irrigation $
Sign/Outline Lighting- S
Limited Energy/Res
-
$
s300
$ s0.
$ oo.
$100.
$130.
$
s
$
00
00
00
00
00
00
D. Branch Circuits
Nev, $lteration or Extension Per Panel
$ 3s.oo 50O
c
Phone
O9NER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
E. Miscellaneous (Service/feeder not included)
s 2-OO002
40
40
20
36
1 o
.00
.00
.00
.00
DATE:
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTALRECEIVED
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5
225 FIFTH STREET
3 , JO -q9
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