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Home My WebLink AboutPermit Building 2000-07-17SPRINGFIELD Job# 00-00965-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 3 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2783 00020th St Spr Assessors Map#: 17032442 Lot: Block: Addition Job Number: 00-00965-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 05000 Subdivision: ctTY oF SPRINGFIELD, OREGOI' Owner: Ken & Diana Perkins Address: 2783 20th Street Scope Of Work: Miscellaneous Phone Number: City/State/Zip: Remodel 541-746-0213 Springfield, OR97477 Value: $15,320 Expand kitchen into garage and add laundry room in exisiting garage, no new square footage Contractor Type GeneralContr Contractor Ken & Diana Perkins 2783 20th Street, Springfield, OR 97 477 Registration # Expiration Date Phone 541-746-0213 Quad Area: # Of Units: Gonstr. Type: Water Heater: 5RNW 1 (VN)Wood Frame Office Use - Land Use: Single Family Dwelling Zoning Gode: LDR Bedrooms: 3 Range: # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Electric Sq. Footage: To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 ft 0t1b[ made the followins working day THIS PERMIT SHALL EXPIRE IFTHE WORK Required lnspections AUTHORIZED UNDERTHIS PERMI I IS NU IBuitding I Foundation Framing Walllnsulation Drywall FinalBuilding Rough Plumbing Sanitary Sewer Line FinalPlumbing Underfloor Mechanical Rough Mechanical FinalMechanical -After forms are erected but prior to concrete - Prior to cover. -Prior to Cover - Prior to taping. -When all required inspections have been approved and the building is complete. -Prior to cover. Piuhuing I - Prior to filling trench. -When all plumbing work is complete. Mechanical -Prior to insulation or decking. - Prior to cover. -When all mechanicalwork is complete. . COMMENCED OR IS ABANDONED FOR P'ifrfli06'oAY PERroD. i[l (Jan : 0090. Y, cailir' numbc CerlP 4 (iJ yvt/ Ton Ut or Job# 00-00965-01 Page 2 of 3 tr 00/00/0000 00:00 AM Street Improvement: Curb Gut?[ San Sewer Depth (Ft): Storm Sewer Available? Special Req.: Security Required: Bond Begin DateTime: Specia! lnstructions: Other Utilities: Project Supervisor: Partially lmproved !mprovement Agr.? 00/00/0000 00:00 AM On private septic system Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San SewerTee (in): Bond End DateTime: Types Of Warning Devices Reqd. Zoning: LDR FloodPtain? [ Wetlands? [ Journal numbers 1= 2: Comments: Planner: AlWard Urban Growth Boundary?[ Quantity Of Fil!: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees: Glenwood Area? Land Use: Single Family Dwelling Pave Driveway? f] 3 Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Accessory Structure # Of Stories: 1 Height (feet): 16 Current Units:1 Proposed Units:1 Census Code: Does not apply Area (Sq. Main:Accessory Total: Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Gheck 06/19/2000 2224 15,321 $75.73 $75.73 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 07117t2000 07117t2000 071't7t2000 2596 2596 2596 15,320 $116.50 $8.16 $3.50 $128.16 Plumbins Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing 0711712000 0711712000 07117t2000 0711712000 2596 2596 2596 2596 3 $.oo $30.00 $2.1 0 $.e0 $33.00 Job# 00-00965-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Mechanical Minimum Mechanical Permit Mechanical Administrative Fee Alter/Add to ea Appl Unit or System Dryer Vent Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical 07t17t2000 07t17t2000 07t1712000 07t17t2000 07t17t2000 0711712000 2596 2596 2596 2596 2596 2596 1 1 $.oo $.54 $15.00 $3.00 $10.00 $1.26 $29.80 Residential - Single Family - Storm Residential - Single Family - Storm SDC Administrative Fee Total System Development 0711712000 0711712000 0711712000 2596 2596 2596 $.00 $.00 $.00 $.oo Grand Total Plan Check Type Checked By Date Gompleted Comment lnitial Review-Res Wendy Stanley 0612012000 Engineering-Res Dennis Ernst 0612912000 Structural-Res Wendy Stanley 06/30/2000 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 during construction. of the pro , and the approved set of plans will remain on the site at all times nature Date $266.69 CITY OF SPR OREGOA' SP}*-{GFIELO 225 FIFTE STREBT Zoning g-'-ov CAL PERHIT APPLICATION Feeders Those ru ttroruEo approval Date ,Lyz The tollowing proiect as submitted has the lollowing zonlng, and does not require specific land use AHT RE[D:? $ 53.90 IHANEE:- IASHIER:P59 aEove INSPE(f,ION REQUEST: 7 t{,,y16g",sisnature SPKINGFIEI,D OREGON 97 Job 3. COHPI,ETE FEE SCMDULE BELOS A Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less S 85.00 Each additional 500 sq. ft or Portionthereof $ 15.00 Each Hanuf'd Home- or -Modular Dvelling Service or Feeder . $ 40.00 }.}T]}TECE: n*a". 1o)oo?E 5-C, OFFICE: 726-3759 1 LOCATION OF INSTALI,ATION o JOB Permits are non-transferable and expire if vork is not started vithin 1B0 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALI.ATION ONLY Electrical Contrac tor C 4) address 7O -t S4 pnone 6f2'/A9z-> i iil lr$! effi{l,ffffEut rXngi E I F-rH E wo R K ;;-R;r6la.{araizr,u ui\']DLF rHis PEHIVIIr ls i\oi Sum B F cit z oo a*?t'"t+E\k? c! I 1 $irnt ooUEBSydt ,oi ;D;'' tBoa6'0;-arfin'[-- s 60.oo 401 amps to 600 amps - 91-90.00 601 amps to 1000 amps- E1?0.00over 1b00 amps/vo1ts 5300.00 $ $ $ $ ''lq,-7:T Supervisor License Number 1/ q45 Expiration Dat e 1O -61'dl Constr Contr. Number Z t €lI Expiration Dat e-1 _/3_a/ Signature of Supervising Electrician Owners Name e,V1 C- TemporarY Services or I n s t a 1 lati " 1, U"tlb3fed 200 20L 0ver Over Bran Address 2 7 f20 Jl) Ci ty d Phone OITNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: 8 Yor{oov D ch Circf-ffir Nev, Alteration or Extension Per Panel oneCircuit I S35-00 Each Additional Circuit or vith Service or Feeder Permit J $ 2-00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/Outline Lighting- Limited Energy/Res Limited trnergY/Comm SUBTOTAL OF ABOVE 7% State Surcharge 32 Adrninistrative Fee TOTAT E 00 00 00 00 40 40 20 36 RBCEIVED c 5 ?7.Lt3 I.,EGAL DESCRIFTION _q 3e,1/4a o