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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 .^-^ Ah rn AEIAl\lnnr\ltrntrnFl L''-tlv''lVlEI\\'E'LJ LJn lo r1unlrsv! rbY ' 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 $516.31 o 225 FIFTB STREBT SPRINGFIELD, oREGoN INSPECTTON REQTIEST: OFFICE: 726-3759 fir 97 477 726s|fr Zoning the tottowina 't" m&prcal -Each installation Pumo or irrigation Sisn/outline Lightitg- t,iilitea EnergY/Res .- iimited EnergY/Comm SUDTOTAL OF ABOVE T;"i:il: "=t":li'":"' " " TOTAL /,,'y/l ffi'rxr,:":#{:;!!r; Autharized Signature 1 LOCATION OF 5 t/{/ 5. IJGAL DESCRTPTION + Peruits are non-transferable and expiif sork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COIITRACTOR INSTALI,ATION ONLY Elec t t eaaress/ A ,6Npf rya\ Ci ty €Phone ') Supervisor License Number 0 ro.5 Exp iration Date 0 o PERHIT APPLICATION Job l{ulber 00 - 00 g3A- D FBE SCffiDTILE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service fncluded:Items Cost Sum rfr -".>I A ricar contracto, [)<f('S tK) rililach additional 500(6,,'$,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 $ $ oo oo 5 36 5 t'f(3OO oos--{ (:, 5> DATE: f t-l RECEI VED B l(oo >C (f, c1'.FJ Lrlrj} 9tt