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Home My WebLink AboutPermit Building 2000-04-11Job# 00-00468-01 RESIDENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety Page 1 of3 AFR 11 2000/3:39 Fl{i$ 5.5? ACCTS : 416-00000-482105 : 01-0001205/ANDREtJ hIEEER J0BS:00-004&E-01 SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 707 00021st St Spr AssessorsMap#: 17033612 Lot: Block: Addition: Job Number: 00-00468-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 10400 Subdivision: crrY oF SPRINGFIELD, OREGON Owner: Lucille Weber Address: 88180 Leola Lane Scope Of Work: Accessory Bldg Phone Number: City/State/Zip: New 541-726-6607 Springfield, OR 97478 Value: $8,803 Contractor Type GeneralContr Contractor Registration # Expiration Date Lucille Weber BB1B0 Leola Lane, Springfield, OR 97478 Phone 541-726-6607 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Single Family Dwelling Zoning Code: LDR (ll) Conc,lron,Stl,Msnry Bedrooms: Range: # Of Buildings: 1 Occupancy Group: Accessory Structu Heat Source: Sq. Footage: 480 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 !nspections Slab Framing FinalBuilding -Tobe,adeafte#equipment,conduitpiping,andotherequipmentiter -Prior to cover. -When all required inspections have been approved and the building is complete. Plumbing Orytve+-away4r1 - Engineered Drywell is required |/ oT f/"hd,A Zoning: LDR FloodPlain? [ Wetlands? ! Journal numbers 1: 2: Comments: Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees: 3: Additional Requirements: tr Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Job# 00-00468-01 Page 2 of 3 Land Use: Single Pave rT ffiildtOOO1205 APR 1r1000.n 6 rl1 C TO./- {, aJ-Lr.J./ IHANEE: IAEHIER:003 Construction Types(ll) Conc,lron,Stl,Msnry Occupancy Groups:Accessory Structure # Of Buildings: 1 # Of Stories: 1 # Of Bedrooms: Handicap Access? Area (Sq Main:480 Current Units: Census Code: Does not apply Totali480 Height (feet): 11 Proposed Units: Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 04111t2000 1205Residential Plan Check Total Plan Check B,BO3 $48.43 $48.43 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 0411112000 0411112000 0411112000 1205 1205 1205 B,BO3 $74.50 $5.22 $2.24 $81.96 Plumbing Minimum Plumbing Permit Fee State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing 04111t2000 04t11t2000 04t11t2000 1205 1205 1205 1 $15.00 $1.05 $.4s $16.50 System Development Residential - Single Family - Storm SDC Administrative Fee Total System Development 0411112000 0411112000 1205 1205 480 $1 1 1.36 $5.57 $116.93 Grand Tota! Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Lisa Hopper Steve Templin AlWard Don Moore Date Completed 03/30/2000 0410312000 04t05t2000 0411112000 $263.82 Accessory: Page 3 of 3 By signature, I state and agree that I have carefully examined the completed application and do n6reOy 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 tne 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. Job# D 0),),*-c/ *t/-* Signature Date r468-01 !-l City of Springfield, Oregon Development Services Electrical Permit Application Statement. Location of Installation: 707 North 21sr Street, Springfield, Oregon 97477' Building Use: Home Occupation Work Shop. A new electric meter, breaker panel and electrical service is necessary for Power to the this newly built work shop. The existing resident electrical breaker panel is loaded. This Home Occupation Work Shop will not be converted to a residence or a commercial business. When this residence is sold, the new owner must comply to the above statement or convert back to a single meter. aS Andrew A. W STATE OF OREGON County of Lane May 8, 2000 Personally appeared the above named Andrew A. Weber, who actnowledged the foregoing instrumenL to be their voluntary acE, before me: Notary Publ of Oregon My Commission Expires: 05-27-2000@ OFFICIAL SEAL BRENDA JONES NOTARY PUBLIC . OREGON coMMlssloN No.054360 MY C0MMlSSl0r'l ilPlRts llAY 27, 2000 LE-I.005 rhe following proiect as submitted has the tollowing ,;;,;;.;;;"i"ei not require specific land use LEfu 225 TIFTE STREET SPFTTIGFIELD PBRI{IT APPLICATION tvJ ob Nunber -oo approval Zoning OFFICE: 726-3759 hrlrtrvlrztiu SlgllaruiL 1 LOCATION OP INSTALI"ATION f'"ll20.1/r 0 JOB DESCRIPTION RK Pe rmits are non-transferable'and expire 1B0 days pended forifvork is not started vithin of issuance or if vork is sus 180 days. 2. CONTRASIOR INSTALLATION ONLY Electrical Contractor Ci tv Phone Supervisor License Number Expiration Date Cons tr contr. Number Expiration Date Signature of Supervising Electrician Ovners Name L**, lle P,l)ra.o Address 1 )/sr sftca? Ci ty P Phone '7e L - /. Lo7 OVNER ALLATION SPRTNGFIEID' OREGON 97477 , ruipscf,roN nrousst z 726|ti The installation is being made on property I ovn vhich j's not intended for sale, lease or rent. 3. COHPI,ETE PEE SCMDULE BELOS A. Nev Residentj'al-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 DveIIing Sertice or Feeder $ 8s.00 $ 1s.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: ess i 00 amps 00 amps 000 amps_ amps/volts - 0nIy c 40.00 s5.00 80.00 s see ilBil a Sove SUBTOTAL OF ABOVE 7% State Surcharge 3Z Admini.strative Fee TOTAL Temporary Services or Feeders lnstallaiion, Alteration or Relocation -fu5-Y d Sum Ho orI to4 to6 toL s s0.00 $ 60.00 s 100. 00 $130. 00 $300.00 $ 40.00 a200 amps 201 amps 401 amps 601 amps Over 1000 Reconnec t 200 amps''or Iessioi "r'p" to 400 amps -Over 401 to 600 amPs over 600 amps or 1000-voTt D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35'00 Each Additional Circuit or vith Service or Feeder Permi t ,/o $ 2'OO N E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/Out1ine Lighting- Limited EnergY/Res - Limited EnergY/Comm 'd,o o $ s $ ;?O: USIHSUX : lSNUH0vngrs Signature: 00'il 000e s 40.00 s 40.00 $ 20.00 s 36.00 OREGONIOF 088 RECEIVED BY: t,Cl*,rl 5 / e Construction Contractur's Board Permit #: Address:(.lt Issued by Date:dD Statement: lnformation Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 70L055(4) requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before a building permit cqn be issued. This statement is requiredfor residentiol 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 3,{ or 38 .4 l. 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 on completion. tr 3,A.. My general contractor is (Name)(ccB #) 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 certiff 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. A,r/-*fQ UJ"* . u-?-ao (Signature of permit applicant)(Date) r700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us S prop-own/fl3-99 (Ilthite copy to issuing agency permit file, pink copy to applicant.)