HomeMy WebLinkAboutPermit Building 2000-07-10SPFINGFIELD
Job# 00'00982-01
RESIDENTIAL PERMIT
Caty Of Springfield
Community Services Division
Building Safety
Page 1 of 3
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 548 S 00034th St Spr
AssessorsMap#: 17023134
Lot: Block: Addition:
Job Number: 00-00982-01
Office:726-3759
!nspection Line: 726-3769
Tax Lot#: 03203
Subdivision:
ctTY oF SPRTNGFIELD, OREGOTV
Owner: Scott Hernan
Address: 548 S. 34th Street
Scope Of Work: lnterior
Phone Number:
City/State/Zip:
Alteration
Springfleld, OR 97478
Value: $16,672
Garage conversion and add a 112 bath in a bedroom
Contractor Type
GeneralContr
ElectricalContr
Plumbing Contr
Contractor
Dunwright Home lmprovement
x, Eugene, OR
Dells Electric
PO Box 25707, Eugene, OR 97402
A & P Plumbing
Po Box 22753, Eugene, OR 97402
Registration #
98264
Expiration Date
41112001
Phone
541-484-5542
688-254-9
541-463-80071 36326 811012001
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RSC
(VN)Wood Frame
Office Use
-
Land Use: Single Family
Zoning Code: LDR
Bedrooms:
Range:
o*1!{mi Buildings:
THISP PYF{H"te,onx
THISPERMITISNOT
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To request an inspection call the 24 hour recording a1726-3769. All inspect,proq,ffigfl?SEgfgt@Z:OO
a.m. will be made the same working day, inspections requested after 7:00 a.ni.-ivill-be made the following
working day.
Foundation
Floor lnsulation
Ceiling lnsulation
Shear Wal! Nailing
Framing
Walllnsulation
Dryrvall
Final Building
Underfloor Plumbing
Rough Plumbing
Required lnspections
Building i
-After forms are erected but prior to concrete placement.
-Prior to decking.
- Prior to cover. ir l
-Before covering sheathing with finish materials.
-Prior to cover.
- Prior to Cover
-Prior to taping.
-When att iequired inspections have been approV€d and-lh9-b.yildiSg.ig complete.
Plumbins
-Prior to insulation or decking.
- Prior to cover.
Jr- l.
Itilit
Job# 00-00982-01 Page 2 of 3
Required lnspections
Plumbing I
FinalPlumbing
Rough Mechanical
FinalMechanical
Street lmprovement:
Curb Gut?[
San Sewer Depth (Ft):
Storm Sewer Available?
SpecialReq.:
Security Required:
Bond Begin DateTime:
Special lnstructions:
Other Utilities:
Project Supervisor:
-When all plumbing work is complete
Mechanical
-Prior to cover.
-When all mechanicalwork is complete.
Partially lmproved
lmprovement Agr.?
6-4
Sidewalk Type:
AdditionalROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
B
To Culvert-Provide Drainage F
6
00/00/0000 00:00 AM00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? [ Wetlands?
Journal numbers
Planner: AlWard
Urban Growth Boundary?
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Overlay District:
# of Street Trees:
Additional Requirements:
tr Glenwood Area? [ Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:nla
Land Use: Single Family Dwelling
Pave Driveway? I
1: 2= 3:
Comments:provide two 9x18 paved off-street parking spaces
Gonstruction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
Main:Accessory:
Accessory Structure
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
06t20t2000 2257Residential Plan Check
Total Plan Check
16,672 $7e.63
$79.63
Building
Building Permit
State Surcharge For Building Permit
07t10t2000
07t10t2000
2493
2493
$122.50
$8.58
16,672
Job# 00-00982-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
Buildin
Building Administrative Fee
Total Building
07t10t2000 2493 $3.68
$134.76
Plu
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Tota! Plumbing
07t10t2000
07t10t2000
0711012000
0711012000
2493
2493
2493
2493
2
$.00
$20.00
$1.40
$.60
$22.00
Mechanical
Minimum Mechanical Permit
Mechanical Administrative Fee
Vent Fan to One Duct
Dryer Vent
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
0711012000
07t10t2000
07110t2000
0711012000
07110t2000
0711012000
2493
2493
2493
2493
2493
2493
1
1
$9.00
$.45
$3.00
$3.00
$10.00
$1.05
$26.s0
System Development
Residential - Single Family - Storm
Sanitary Sewer
SDC Administrative Fee
Total System Development
0711012000
0711012000
0711012000
2493
2493
2493
5
$.oo
$241.35
$12.07
$2s3.42
Grand Total
Plan Check Type Checked By Date Completed Comment
lnitialReview-Res Lisa Hopper 0612612000
Engineering-Res Dennis Ernst 0612912000
Planning-Res AlWard 0612912000
Structural-Res Wendy Stanley 0710312000
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.
Signature
$516.31
o
225 FIFTB STREBT
SPRINGFIELD, oREGoN
INSPECTTON REQTIEST:
OFFICE: 726-3759
fir
97 477
726s|fr
Zoning
the tottowina
't" m&prcal
-Each installation
Pumo or irrigation
Sisn/outline Lightitg-
t,iilitea EnergY/Res .-
iimited EnergY/Comm
SUDTOTAL OF ABOVE
T;"i:il:
"=t":li'":"'
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TOTAL
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Autharized Signature
1 LOCATION OF
5 t/{/ 5.
IJGAL DESCRTPTION
+
Peruits are non-transferable and expiif sork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COIITRACTOR INSTALI,ATION ONLY
Elec t t
eaaress/ A ,6Npf rya\
Ci ty €Phone ')
Supervisor License Number 0 ro.5
Exp iration Date 0 o
PERHIT APPLICATION
Job l{ulber 00 - 00 g3A- D
FBE SCffiDTILE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:Items Cost Sum
rfr -".>I
A
ricar contracto, [)<f('S tK)
rililach additional 500(6,,'$,1. ft or portion
thereof
Each Hanuf 'd llome. or
-Hodular.'DvelIing
Service or Feeder
c.
$ 1s.00
$ 40.00
.8. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs
-
601 amfs to 1000 amPs-
Over 100C amPs/volts
-
Reconnect OnIY
Each AdditionalCircuit or vith Service
or Feeder Permit $ 2.00
E.Hiscellaneous (Service/feeder not included)
s 8s.00
<'7;
ZC;
a
oqrt /
$ s0.00
$ 60.00
$100.00
$130.00
$300.00s 40.00
)
Constr Contr. Number I
OVNER INSTALT,ATION
Expiration Date,
s ture of Supe rvising Electrician
Osners Name nf{//a It7zrt
Address d;*
ci Phone
Temporary Services or Feeders
Installaiion, Alteration or Relocation
200 amps"or less $ 40'00
over abr to 600 anps
-
$ B0'oo
0;;; 600 .tp" ot-'i6oo *ft" see rrBrr aE66
Branch Circui ts ; .'
Nev, ilteration or Extension Per Panel-
one circuit
-|_
$ 35'oo 55 -
D
-(/r
The installation is being made on
oiooerty I ovn vhich is not intended
iorl sal., Iease or rent'
0vners Signature:
40
40
20
$
s
$
$
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DATE:
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