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Home My WebLink AboutPermit Building 2000-05-24SPNINGFIELD Job# 00-00651-01 RESIDENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety Page 1 of3 TRANSS:01-000188? DATI:HAY ?4 ?OOO f;HT RE[D:? $ 438.83 CHANEE: [f,SH]ER:059 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 818 00003rd Pl Spr AssessorsMap#: 17033521 Lot: Block: Addition: Job Number: 00-0065't -01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot #: 11413 Subdivision: ctTY oF SPRfiNGFfiELq OREGON Owner: DUANE CLATWORTHY Address: 3255 GATEWAY ST. Scope Of Work: Garage 541-736-0236 SPRINGFIELD, OR 97477 Value: $10,564 Phone Number: City/State/Zip: New construct 'x24'garage/shop Contractor DUANE CLATWORTHY 3255 GATEWAY ST., SPRINGFIELD 97477 Office Reg # Expiration Date Phone 541-736-0236 # Of Buildings: I Occupancy Group: Accessory Structu Heat Source: Sq. Footage: \\ Contractor Type GeneralContr Quad Area: # Of Units: Gonstr. Type: Water Heater: 1 RNW (VN) Wood Frame $ r'V''-) Land ily Dwelling ) --.ii.--- To request an inspection call the 24 hour recording a1726-3769. 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 working day. Required lnspections Buildi Verify Ground Rod Footing Foundation Shear Wall Nailing Framing Final Building Rough Electrica! Electrical Service Final Electrical - lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -After trenches are excavated. -After forms are erected but prior to concrete placement. -Before covering sheathing with finish materials. - Prior to cover. -When all required inspections have been approved and the building is complete. ElectriCal l -Prior to cover. -Must be approved to obtain permanent power -When all electricalwork is complete. Ptumbing I Storm Sewer Line -Prior to filling trench. .1 Job# 00-00651-01 Page 2 of 3 Street lmprovement: Fully lmproved Sidewalk Type:Setback - 5' Jurb Cut?f l lmprovement Agr.?[AdditionalROW? San Sewer Depth (Ft): 6 - 4 Size Of Line (in): 12 Storm Sewer Available? f Downspouts/Drains: To Curb and Gutter Special Req.: Enchroachment Permit: Security Required: San Sewer Tee (in): 6 Bond Begin DateTime: 00/00/00 00:00 AM Bond End DateTime: 00/00/00 00:00 AM Special lnstructions: Field verify sewer lateral location as it may be in building pad vicinity. Other Utilities: Types Of Warning Devices Reqd. Project Supervisor: Zoning: LDR FloodPlain? [ Wetlands? [ Journal numbers 1: Comments: Planner: AlWard Urban Growth Boundary?f] Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees: 3: Additional Requirements: Gtenwood Area? [ Required Attachments: Source Locn: Material: Flood PIain FEMA:nla Land Use: Single Family Dwelling Pave Driveway? Z 2 Construction Types(VN) Wood Frame Occupancy Groups:Accessory Structure # Of Buildings: 1 # Of Bedrooms: Handicap Access? (Sq. Feet) Main:Accessory576 # Of Stories: 1 Height (feet): 12 Gurrent Units: Proposed Units: Census Code: Does not apply Total:576 Fee Paid On Receipt# Value/Quantity Fee Amount PIan Check 05/05/2000 001543ResidentialPlan Check Total Plan Check 10,564 $56.23 $s6.23 Buildins Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 05t24t2000 05t24t2000 0512412000 1 887 1 887 1887 10,564 $86.s0 $6.06 $2.60 $95.16 Electrical Permanent: 200 Amps or Less Branch Circuits With Feeder or Service State Surcharge For Electrical Permit Electric Admin istrative Fee Total Electrical 0512412000 0512412000 0512412000 05t24t2000 1 887 1887 1 887 1 887 1 4 $50.00 $8.00 $4.06 $1.74 $63.80 Job# 00-00651-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Plumbin Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Storm Sewer Footage Plumbing Administrative Fee Total Plumbing 05t24t2000 05t24t2000 05t24t2000 05t24t2000 1 887 1 887 1 887 1887 4B $.oo $1.75 $25.00 $.zs $27.50 Residential - Single Family - Storm SDC Administrative Fee Total System Development System Development 05t24t2000 0512412000 1BB7 1 887 1,036 $240.35 $12.02 $252.37 Grand Total Plan Gheck Type Initial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Lisa Hopper Dennis Ernst AlWard Wendy Stanley Date Completed 05/1 0/2000 05/1 0/2000 0511112000 0512412000 $495.06 J-+/*,z> 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 Date G,'TY OF&.ONEGO'U SPf ''GFIELI) t 225 FIFTE STREET SPRTNGFTELD, OREGON 97 477 INSPECTION REQUEST. 726-3169 OFFICE: 726-3759 1 ON OF INSTALI..ATION3"d P ln Cq- LEGAI DESCRTPTIONi?o 2-q? t tr413 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. COI{TRACTOR INSTALI.ATION ONLY Electrical Contractor Address Ci ty Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of ising Electrician Ovners Name \n*r^rmfi^- Address 8 t I adPt 0NA-g Ci ty-- Phone OVNER INSTALT,ATION The installation is being made on property I ovn vhich is not intended for sa1e, Iease or rent. 0vners Signature: DATE: ELECTRICAL PERHIT APPLICATION Ci ty Job Nunbe, oo-oo 65 t- o I COHPLETE FEE SCEEDIILE BELOS Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular Dwelling Service or Feeder s 8s.00 s 1s.00 s 40.00 3 A Sum B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less I 201 amps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amPs/vo1ts - Reconnect OnlY C $ s0.00 s 60.00 s 100. 00 s130. 00 $300.00s 40.00 =- D Temporary Services or Feeders Insta1lation, Alteration or Relocation 200 amps"or less S 40.00 201 amps to 400 amps - $ 55.00 0ver 600 amps or 1000 voTts see rrB* above Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service. or Feeder Permi t -4- $ 2. oo f, Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/Outline Lighting_- Limited Energy/Res - Limited EnergY/Comm SUBTOTAL OF ABOVE 7% State Surcharge 32 Administrative Fee TOTAT E 5 s s s s 40 40 20 36 .00 .00 .00 .00 oO RECEIVED DT