HomeMy WebLinkAboutPermit Building 1997-09-02SPRI,'lGFIELEl
RESIDENTTAL PERMIT APPLICATION
CITY OF SPRINGFIEI.D
COMMI'NITY SERVICES DIVISION
BUIIJDING SAFETY
Page 1
ilob Nu.nber: 9709L7
225 Nort,h Fifth St.reet
Springfield, OR 97477
Location of Propoaed Work: 1825 YE!IfA AVE
Assessors Uap #z 1,7032434
Lot: Block:
Office:
Inspect.ion Line:
726 -3759
726 -37 59
Tax Lot #: 00355
Subdivision:
owner: LINDA/RICIIARD BTRKBY phone #: 747-7493
AddrCSS1. L826 YENTA AVENI'E C1IY/STATE/ZLP: SPRINGFIEI,D, OREGON 97477
Describe Work: PORCH/KITC REM/DECK REMODEL
SPilNGFIEU',OF
General:
Electrical:
Contractor
ZARZYCKI 0L05626
131 MCCLI'RE LA}TE EUGENE OR 974O4OOO
CROW VALLEY OO9591O
PO Box 2220L Eugene OR 974020000
Const.
Contractor #Expiree
04 /26 / e8
oL/ 06 / e8
Phone
688 - 0243
729-5L08
QUAD AREA: 5RNW
-- oFFICE USE --
LAND USE: 1l-1-1
To requegt, an inspection, call the 24 t:o:ur recording at 725-3769.
A11 inspections reguested before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. will be made the following work day.
--- REQUIRED INSPECTIONS ---
ROUGH GAS - after line is installed and capped if not attached to an
appliance
ROUGH IIECIIAI'IICAL - Pri-or Eo cover.
ROUGH ELECTRICAL - Prior Lo cover.
FRAIIING - Prior to cover.
INSULATION - Floor; prior to decking Wal1/Ceiling; Prior Uo cover
DRY$IALL - Prior to taping.
FfNAL PIJITIIBING - When all plumbi-ng work is complete.
FINAL MECIIAIIICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAIJ BUILDING - When all required inspect.ions have been approved and
the buil-ding is complete.
Lot Faces: E
Item
Main
Garage
IMTERIOR REMODEL
Total Va1ue
Building Permit Fee
Surcharge/eamin
--- BUILDTNG PERMIT ---
Sguare Feet x $/Sguare Feet
\t{OBK
\SNO1
FOB
Value
0.00
0.00
3,500.00
3,500.00
44 .50
3 .57
TOTAI, FEE ,ffi:i,,$$ff (A)48.O7
SPFIt.GFIELD
,h,
Job Nuober: 9709L7
OTT OF SPruNGFIEU',
Page 2
(B)34.02
Systems Development Charge is due on alL undeveloped properties within the City
limits and the Citsys Urban Growth Boundry which are being improved.
- -. IIECHA}IICAL PERMIT . - -
Exhaust Hood 3.00
Mechanical PermiL
fssuance
Surcharge/admin
TOTAL PERMIT (D)
15.00
10.00
1.20
26.20
7e(%/rx*
--- BUII.DING VALUE, PIJA.}I CHECK AI{D BUILDING PERMIT ---
This permit is granted on the express condit,ion that t,he said construction
sha]L, in all respects, conform Eo the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construct.ion and
use of buildings, and may be suspended or revoked at any time upon violat,ion
of any provisions of said ordinances.
(Excluding ElecErical )
unlesg otherwiEe noted
--- TOTAL A}TOI'NT DUE ---
(A, B, C, D, and E eombined)108.29
Receipt Number:. 25L8L
OL
27
Plan Check Fee: 28.93 Date paid:
Received By:
Pl-ans Reviewed By: DON MOORE Date:
Building Site Reviewed By: LISA HOPPER
05 /13 / e7
07/08/e7
--- ADDITIONAL COMMENTS ---
SEPARATE ELECTRICAL PERMTT ]S REQUIRED. MIN EOMPONENT PATH
DECK AND OPEN COVER STRUCTURE EXAMPT FROM PERMITS.
By signature, I Et,at,e and agree, that I have carefully exami-ned
Ehe completed application and do hereby certify that al-l informat,ion hereonis true and correcE, and I further certify that any and all work performed
sha]l be done in accordance with t.he Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPAMY will be made of any st,ructure without permission of the
Community Services Division, Building Safety. I further certify t,hat onlycontractors and employees who are in compli-ance with ORS 701.055 wi1l be
used on this project.
r further agree to ensure that all reguired inspect,ions are reguested aE theproper time, Ehat
card
will
si
is locat t
r_n
ure
each address is readabLe from t,he street., that the permit
t.he front of the property, and the approved set of planssite at all- times during construction. /I
Ee
l4
--- SYSTEITIS DEVELOPIIENT CIIARGE (SDC)
SPFIXGFIELD
rTob Number : 97 O9L7
CITY OF SPruNGFIEII',
Page 3
--- VALIDATION ---
Receipt Number:
Date Pai-d:
Amount Received:
Received By:
27?4 /
7
S .IGFIELI)
z"niitg, and
apirroval.
225 FIFTE STREET
SPRfNGI'fELD, OREGON gl{W,|zod sisnature
INSPECTfON REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF TION
I..EGAL DESCRTPTION
JOB DESCRTPTION
Electrical Contractor
Address
Ci ty
Supervisor cense Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature o Supervising Electrician
0vn
Address
Ci ty Phone
OVNER INSTALLATION
The installation is being made onproperty I ovn vhich is not intendedfor sa1e, lease or rent.
Ovners Signature:
DATE:
PT
i5;:f:1ff;,:*xs,#rff followin6
u!o
EI.,ECTRTCAL PERHIT APPLICATTON
Job Number
3. COHPIJTE FEE SCffiDUIJ BELOIT
Nev Residential-Single orMulti-Family per dvelling unit.Service Included:
ftems Cost
A
Sum
Permits are non-transferabl_e and expireif vork is not started vithin 180 diysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI.ATTON ONLY
1000 sq.ft. or less S B5.OO
Each additional 500sq. ft or portion
thereof 'S 15.00
Each Manuf'd Home- or
-
Modular DveIIing
Service or Feeder S 40.00
B- Services or Feeders
,Installation, Alterationsor Relocation:
200 amps or less
201 amps to 400 amps
-
401 anps to 600 amps
-
601 amps to 1000 amps-
over 1000 amps/volts
-
Reconnect OnIy
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less S 40.00
201 amps to 400 amps
-
$ 55.00over 401 to 600 amps
-
S 80.00
Over 600 amps or 1000 voITs see *B* a66v€
D. Branch Circuits
Nev, Alteration or Extension per panel
/<!t
s s0.00
s 60.00
s100.00
s130.00
s300.00
$ 40.00
C
s 3s.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation g
Sign/Out1ine Lighting- S
Limi ted Energy/Res
-
SLimi ted Energy/Comm S
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
Each Addi tionalCircuit or vith Serviceor Feeder Permi t 4---f---
$ 2.00
)Y
o o-O,.9 f
40.00
40. 00
20.00
36.00
7
RECEIVED B
5 Or9
i
I
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