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Home My WebLink AboutPermit Building 2002-05-28SPRINGFIELD Job# 02-00061-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 3 Job Number: 02-00061-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 04700 Subdivision: 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 462 Springdale Ave Spr AssessorsMap#: 17032242 Lot:25 Block: Addition: crrY oF SPRTNGFTELD, OREGON Owner: Harold Berry Address: 462 Springdale Ave Scope Of Work: Kitchen Adding Dining/Fam.Room Phone Number: City/State/Zip: Addition 541-302-2673 Springfield, OR97477 Value: $25,066 Contractor Type GeneralContr ElectricalContr Contractor Harold Berry 462 Springdale Ave, Springfield, OR 97477 Harold Berry 462 Springdale Ave, Springfield, OR 97477 Registration # Expiration Date Phone 541-302-2673 541-302-2673 To request an inspection call the 24 hour recording at 726-3769. All a.m. will be made the same working day, inspections working day. Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing Wall lnsulation Drywall Final Building Rough Electrical Electrical Service Fina! Electrical 7:00 Rough Plumbing FinalPlumbing \$ -Prior to cover. -Must be approved to obtain permanent power -When all electrical work is complete. Plumbing -Prior to cover. -When all plumbing work is complete. Electrical -After trenches are -After forms are erected -Prior to floor insulation or decking. -Prior to decking. -Prior to cover. -Before covering sheathing with -Prior to cover. -Prior to Cover -Prior to taping. -When all required inspections have the following building is complete. Street lmprovement: Curb Cut?! San Sewer Depth (Ft): Storm Sewer Available? SpecialReq.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: Fully lmproved lmprovement Agr.? 00/00/0000 00:00:00 Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Page 2 of 3 To Curb and Gutter 00/00/0000 00:00:00 Job# 02-00061-01 Types Of Warning Devices Reqd. Zoning: LDR FloodPlain? [] Wetlands? [-1 Journal numbers 1: Gomments: 2: Planner: Sam Gollah Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: X-White 2 3: Additional Requirements : Required Attachments: Source Locn: Material: FIood Plain FEMA:1133 of 2975 Land Use: Single Family Dwelling Pave Driveway? :t) Overlay District: # of Street Trees Glenwood Area? [ Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? Area (Sq Main:336 Accessory: # Of Stories: 1 Height (feet): 15 Current Units:1 Proposed Units: Census Code: Does not apply Total336 Fee Paid On Receip# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check 0111612002 7794 25,066 $149.66 $149.66 Building Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building 02t08t2002 02t08t2002 02t08t2002 7982 7982 7982 25,066 $230.25 $16.12 $18.42 $264.79 Electrical Minimum Electrical Permit Fee Minimum Electrical Permit Fee Permanent: 200 Amps or Less Branch Circuits WO Feeder or Service Branch Circuits With Feeder or Service State Surcharge - Electrical 02t0812002 05t28t2002 05128t2002 02t08t2002 05t28t2002 02t08t2002 7982 9259 9259 7982 9259 7982 1 2 01 $.00 $00 $63.00 $46.00 $30.00 $3.22 -01Job# Page 3 of 3 ValuelQuantitY Fee Amount Fee State Surcharge - Electrical 8% Admin Fee - Electrical 8o/o Admin Fee - Electrical Total Electrical Paid On 05,28/2002 02/08/2002 05/28/2002 ReceiPt# 9259 7982 9259 $6.51 $3,68 $7.44 $1s9.8s Electrical Plumbing Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing 8% Administrative Fee - Plumbing Total Plumbing 05t28t2002 05128t2002 05t28t2002 05t28t2002 9259 9259 9259 9259 1 $31.00 $14.00 $3.15 $3.60 $51.75 System Development Residential- Single Family - Storm SDC Administrative Fee Total System Development 02t08t2002 02t08t2002 7982 7982 336 $91.73 $4.59 $96.32 Plannin 02t08t2002 7982 1Planning Plan Review Total Planning $50.00 $s0.00 Grand Total Plan Check Type Checked By Date Completed Comment lnitial Review-Res Lisa Hopper 0111712002 Engineering-Res Steve Templin 0210712002 Planning-Res Sam Gollah 0112312002 Structural-Res Tom Max 0210612002 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon 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 pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify 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 each address is readable from the street, that the permit card is located at the front of the property, and the a set of pla remain on the site at alltimes during construction $772.37 Date 225 FIFTH STREET SPzuNGFIELD. OREGON 97477 TNSPECTION REQLEST'. 1 26 -37 69 OFFICE: 726-3759 I. LOCATION INSTALLA ON L1 Citl- Job 1000 sq.ft. or less C, 24,, t'7< Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Drvelling Service or Feeder ov Re.sidentirrl-Singlc or Multi-Family per dn'elling unit. Senice Included: Items Cost LEGAL DESCRTPTION IaD3 zz\z 6?7o o JOB DESCRIPTION N Permits are non-transferable and expire if rvork is not started rvithin 180 da1's ofissuance or ifrvork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical' Contractor Address Phone B. Sen'ices or Feeders Instirllation, Altcrations or Relocation: 200 amps or less $ I9.00 Supen'isor License Nurnber \ r_ a/ 201 anrps to 400 amps -101 anrps to 600 amps .60 I urrrlls to 10()0 arnps Over 1000 amps/r'olts 0n Datd Signaturc of Supen'ising Electrician Ol'ncrs Nirntc Arldress L/ 6Z I a- Citl'3lr D phone 3OZ ^ Z' OWNER INSTALLATION The installation is being made on properf.v" I ou'n u'ltich is not intended lor sale. lcasc or rent. Nor Alteration or Extension Per Panel 1\\\g hUil volts D 1 ch CircuitsR One' 61 b) 677 -0O''oe(OI not inclucled) or $50.00 s50.00 $25.00 $45.00 Liglrting ted Energl,/Res Lin"rited Energv/Courm I\Iinimum Electric Permit Inspection Fee is S45.00 * Surchirrgcs c? 4. SUBTOTAL OF ABOVE / '> 7oh Stiie Surchnrge 8%o Administrative Fee 6tt O*'ncrs Si TOTAL $ 106.00 _ $ -50.00 t /1 | $63.00 br $ 75.00 _ $125.00 _ $ 163.00 --$ 50.00(UKExpirationDirte 4 Constr Contr. Number C. Tenrporar.v- Scrvices or Feeders Installrrtion, Alteration or $43.00 $ 3.00 Jo zV'/ lo6 7f SPRINGFIELD Job# 02-00061-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 3 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 462 Springdale Ave Spr Assessors Map#: 17032242 Lot:25 Block: Addition: Job Number: 02-00061-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 04700 Subdivision: ctTY oF SPRiNGFTELD, OREGON Owner: Harold Berry Address: 462 Springdale Ave Scope Of Work: Kitchen Adding Dining/Fam.Room Phone Number: City/State/Zip: Addition 541-302-2673 Springfield, OR97477 Value: $25,066 Contractor Type GeneralContr Contractor Harold Berry 462 Springdale Ave, Springfield, OR 97477 Registration # Expiration Date Phone 541-302-2673 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 Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation Drywall Fina! Building Rough Electrical Final Electrical - Prior to cover. -Prior to Cover - Prior to taping. -When all required inspections have been approved Electrica! Building I NOTICE: -Aftertrenches are excavated. TH'S,ER*IITSHALLEXpIREIFTHEWORK :iH [:Ilnffii:;:'f j."I jJl?lto concrete '''*tn]rro*'ri, ,*DER rHrs pERMrr rs Nor -Prior to decking' OOMIVIENoEDoR IsABANDoNEDFoB -Prior to cover. ANy 180 DAy pERlOD. - Before covering sheathing with finish materials. - Prior to cover. -When all electrical work is complete. and the building is complete. Street lmprovement: Curb Cut?[ San Sewer Depth (Ft): Storm Sewer Available? Special Req.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: Fully lmproved lmprovement Agr. 00/00/0000 00:00 AM Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Page 2 of 3 tr To Curb and Gutter 00/00/0000 00:00 AM Job# 02-00061 -01 Types Of Warning Devices Reqd. Zoning: LDR FloodPlain? [ Wetlands? [ Journal numbers 1: 2: Comments: Planner: Sam Gollah Urhan Growth Boundary?[ Quantity Of Fil!: Supplier: Dra;nage: Floodway FEMA: X-White 2 3: Flood Plain FEMA:1133 ot 2975 Land Use: Single Family Dwelling Pave Driveway? g Overlay District: # of Street Trees: Glenwood Area? [ Construction TypesdVN) Wood Frame Occupancy Groups: Dwelling # Cf Buildings: 1 # C' Bedrooms: Ha licap Access? # Of Stories: 1 Height (feet): 15 Current Units:1 Proposed Units: Census Code: Does not apply A ra (Sq. Feet) M- :n: 336 Accessory:Total:336 Fee Paid On Receip# Value/Quantity Fee Amount Plan Check Rcsidential Plan Check Tc rl Plan Check 01t16t2002 7794 25,066 $149.66 $149.66 Building B ri ling Permit S le Surcharge For Building Permit 8!' 3uilding Administrative Fee Tot:l Building 02108t2002 02t08t2002 02t08t2002 7982 7982 7982 25,066 $230.25 $16.12 $18.42 $264.79 Electrical [t4r^imum Electrical Permit FeeB 'rch Circuits WO Feeder or ServiceSt -. Surcharge - Electrical 89 \dmin Fee - Electrical T rr I Electrical 02t08t2002 02t08t2002 02t08t2002 0210812002 7982 7982 7982 7982 2 $.00 $46.00 $3.22 $3.68 $52.90 Additional Requirements: Required Attachments: Source Locn: Material: Job# 02-00061-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount System Development Residential- Single Family - Storm S l' C Administrative Fee Totrl System Development 02t08t2002 02t08t2002 7982 7982 336 $91.73 $4.59 $96.32 Planning 0210812002 7982 1Plrr-ning Plan Review To':l Planning $50.00 $50.00 Gr: rd Total Pl"n Check Type Checked By Date Completed Comment ln;';-rl Review-Res Lisa Hopper 0111712002 En.'ineering-Res Steve Templin 0210712002 Pl.''ning-Res Sam Gollah 0112312002 Strr':tural-Res Tom Max 0210612002 By' . '3nature, I state and agree, that I have carefully examined the completed application and do hercby certify that all information hereon is true and correct, and I further certify that any and all work pc'rfrrmed shall be done in accordance with the Ordinances of the City of Springfield and the Laws ofth :ltate of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be madeof y structure without permission of the Community Services Division, Building Safety. I furthercc ly that only contractors and employees who are in compliance with ORS 701.055 will be used on thi: project. I fr her agree to ensure that all required inspections are requested at the proper time, that eacha( :ss is readable from the street, that the permit card is located at the front of the property, and the rved set of on the site at alltimes during construction. S ." rture Date $613.67 z.gdL 225 FIFTH STREET SPzuNGFIELD, OREGON 97.177 INSPECTION REQUEST'. 7 26-3',7 69 ELE- ..{ICAL PERIvflT Job Number /- o 3. COT\,IPLETE FEE SCFIEDULE BELO\Y A. Nerr Residential-Single or Multi-Family pcr du'elling unit. Ser"vice Included: Limited Energl,/Res Lirnited Energy/Comm TION Items Cost Sum $ r 9.00 $25.0 $4 5.00 OFFICET .126-3759 e l.L NOF JO B DE$C N Permits are non-transferable if work is not started lvithin 180,davs,r"o Srgnature ofissuance or ifwork is suspended for 180 days. . 2. CONTRACTOR INSTALLATION ONLY Electrical' Contractor Address Srrpe 7-onrng. and does not require spec itic land use pproval Lt>a-1000 sq.ft. or less I 500 -l_u -o>ft thereof Modular Drvelling Sen'ice or Feeder as submitted has the fotlowing or B. Ser-r'ice.s or Feeders Installltion, Alterations or Relocation: $106.00 _ $ 50.00 C, D. L. Exp Exoiration Date_ ofS upervising Electrician lVtinimum Electric Permit Inspection Fee is S45.00 + Surcharges 4. SUBTOTA'OFABOVE 4K AO 7yo State'surcharge t "i rzc- 87o Ailministrative Fee &6-$ rorAl t2% LEGAL DESCRIPTION Constr Contr. Number_ 200 amps or less 201 amps to 400 arnps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only One Circuit -t-t- 5a3.ss 4-<-.t- Each Additional Circuit or l ith Serv'ice or Feeder Permit / $ 3.00 $163.00 _ $5o.oo _ $69.00 $100.00 orvners *o "fuul| t,,@YP/ ttd,"r, 46 L fif D'U.l^,.Q cir:'fipd*!,s-d-Yn on" lf{, lt / // I 2_ OWNER INSTALLATTON The installation is bcing tttadc on propenv I ori'n rvhich is nol irttended lor sale, lease or rent. Orvncrs /1 z/*/a'z fz," F ,oi7f7z