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Home My WebLink AboutPermit Building 1995-12-28OTTOF ONEGON SPFINGFIELD RESIDEIITIAI, PERMIT APPLICATION CITY OF SPRINGFIEI.D COMMI'NITY SERVICES DIVISION BUII.DING SAFETY Page 1 ilob Number: 95L872 225 North Fifth street Springfield, OR 97477 Location of Propoeed Workz 624 N 28TH ST Assessors MaP #: 17033511 Lot: Bfock: Office: Inspection Line: 725 -37 59 726 -3"7 69 Tax Lot #: 11700 Subdivision: Owner: RALPH WELLS AddrESS Z 624 NORTH 2BTH STREET Describe Work: GAP-AGE Phone #: 747-5L28 city/state/z]-p: SPRTNGFTELD, OREGON 97477 NEW Contractor General:MICHAEL PATRICK Conet. Contractor # 0054036 Expires 02/ot/91, Phone 7 42 - 9350 QUAD AREA: 2RMI ZONING CODE: LDR \IN SQ FOOTAGE: 832 -- OFFICE USE .- LAND USE: 1111 OCCY GROUP: M # OF BLDGS: 1 CONSTR. TYPE: To request an inspecEion, caLl the 24 }:otr recording aE 726-3769. A11 inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. witl be made the following work day' --- REQUTRED TNSPECTTONS --- FOOTING - After trenches are excavated. FRAIIING - Prior to cover. STORM SEWER LINE - Prior Lo filling trench. DEMOLITION - After demolition is complete and all debris is removed from the site. FINAL BUILDING - When all required inspections have been approved and the building is comPlete. Total HeighE: 14 Lot Type: INTERIOR Garage Setbk From NPL: 18 Sol-ar Approved: Y N 7 Setbackssw t7 E Item Main Garage Total Value Bui-Iding Permit Fee Surcharge/admin TOTAI. FEE --- BUILDING PERMIT --- Square Feet x 936 $/Square Feet L4.1, (A) Vafue 0.00 13,198.00 13, t_98.00 104 o 50 5t L12.87 - - - MISCELI,AIiIEOUS PERMITS Surcharge/admin Demolition Surcharge/aamin PLAN REVIEW AD.]I,ST 0.00 18.00 t .44 7 .80 TOTAL MISCELI.AI{EOUS PERMITS (E)27 .24 SPRITGFIELD .fob Nnsrber: 95L872 CITY OF onEcotv Page 2 (Excluding Etectrical) unlees otherwise noted .-- TOTAI. AMOI'NT DUE --- (A, B, C, D, and E combined)140.1r_ --- BUILDING VALUE, PI.A}i[ CHECK AI{D BUII,DING PERMIT -'- Received BY: Plans Reviewed BY: DON MOORE Building Site Reviewed By: LISA HOPPER Date: L2/27 /95 --- ADDITIONAI. COMME}irTS --- VERIFY CONTRACTOR INFORMATION PRIOR TO ISSUANCE. UNABLE TO F]ND CCB NUMBER ELECTRICAL EXTENSIONS OR INSTALLATIONS WILL REQUIRE A SEPARATE ELECT. PERMIT By signature, I state and agree, that f have care fully examined the completed applicatsion and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed sha1l 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 SafeLy. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this Project. f further agree to ensure that alf 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 properLy, and the approved set of plans will remain on the site at all times during construction. Signa Date .-- VAI.IDATION --- Receipt Number: Date Paid: Amount Received: Received BY: /z/zeAr-7 (,u This permit is granted on the express condition that the said construction shaI1, in all respects, conform to Ehe Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspend.ed or revoked at any time upon violation of any provisions of said ordinances. C,ITY OF OPEGO'U 225 PIFTE STREET sPRTNGFTELD, oREGoN 97tFI'v b 7aft#e63 sisnature spnrxcrJBlD 200 amps or less 20L amps to 400 40L amps to 600 601 amps to 1000 qstrTx h, LT,,i?,'Xl'. 5;$1 ffi;l:S*#L'# Jg. Zonins*t a_BLECTRICAL PERHIT APPLICATION INSPECTION REQTIEST; OFFICE: 726-3759 1 tOCA TION OF INSTAII.^ATION Ci ty Job Number .,COfiPLETE FEE SCEEDTIIJ BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost t A LEGAL JOB DESCRIPTION Permi ts e non-t erable and expire if vork is not started vithin 1B0 days of issuance or if uork is suspended for 180 days. CONTRACTOR INSTAII,ATION ONLY E1 rical Contractor Addres Ci ty Supervisor Li r Expiration Date Constr Contr.ber Expiration Da te S ignature of Supervising trrcr.an Ovners Name AT h Address Ci ty Phone ALI.,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0vners Signature: DATE: RECEIPT 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home- or Modular Dvelling Sertice or Feeder Services or Feeders Installation, Alterations or Relocation: Sum B C amps _ amps _amps_ s 8s.00 s 1s.00 s 40.00 $ 3s.oo s 2.00 s s0.00 s 60.00 s100.00 s130.00 s300.00 s 40.00 s40 $ss $80 see 5D Over 1000 amps/voIts Reconnect 0n1Y Temporary Services or Feeders InstaLlation, Alteration or Relocation 200 amps''or less 201 amps to 400 amps -0ver 40L to 600 amps over 600 amps or 1000-7ofTs Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Servicgn or Feeder Permit $ E. Miscellaneous (Service/feeder not included) -Each ins tal-la t ion Pump or irrigation - Sign/Out1ine Lighting_ Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3% Administrative Fee TOTAL .00 .00 .00flBil aEOVe- D s $ $ s 00 oo 0o 'bD= 40. 40. 20. 36. se Nu Phon RECETVED BY: 5