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Home My WebLink AboutPermit Building 2001-09-18SPRINGFIELD Job# 01-00769-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 3 h, 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 541 00034th St Spr AssessorsMap#: 17023124 Lot: Block: Addition Job Number: 01 -00769-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 10802 Subdivision: ctTY oF SPRfiNGFfiELq OREGON Owner: Luis Martinez Address: 541 34th Street Scope Of Work: Bedroom Phone Number: City/State/Zip: Addition 541-736-0580 Springfield, OR 97478 Value: $50,140 Adding bedrooms, family room, bathroom & moving kitchen Contractor Type Contractor - ROW Contractor Luis Martinez 541 34th Street, Springfield, OR 97478 Registration # Expiration Date Phone 541-736-0580 Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC (VN) Wood Frame Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: Range: # Of Buildings: OccupancyGroup: Dwelling Heat Source: Sq. Footage: 720 To request an inspection call the 24 hour recording at726-3769. 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 Building Footing Foundation Post and Beam Floor Insulation Shear Wall Nailing Framing Walllnsulation Drywall Bolts installed in concrete Final Building Rough Electrical Electrical Service Final Electrical -After trenches are excavated. -After forms are erected but prior to concrete placement. - Prior to floor insulation or decking. - Prior to decking. -Before covering sheathing with finish materials. - Prior to cover. -Prior to Cover - Prior to taping. -To be done by a State Certified Special lnspector. Provide inspection test reports to City Buildir -When all required inspections have been approved and the building is complete. Electrical - Prior to cover. -Must be approved to obtain permanent power -When all electrical work is complete. Underfloor Plumbing Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Rough Mechanica! Final Mechanical Zoning:LDR FloodPlain? Job# 01 -00769-01 Required lnspections Ptu -Prior to insulation or decking. - Prior to cover. - Prior to filling trench. - Prior to filling trench. - Prior to filling trench. -When all plumbing work is complete. Mechanical - Prior to cover. -When all mechanicalwork is complete Page 2 of 3 Wettands? ! Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? I Panel 1 161 ot 2975 Journal numbers ,l: Comments: 3: Planner: Liz Miller Additional Requirements: Urban Growth Boundary?! Glenwood Area? [ Required Attachments: Quantity Of Fill: Source Locn: Supplier: Material: Drainage: Floodway FEMA: Zone X White Flood Plain FEMA: 2 Gonstruction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: # Of Bedrooms: Handicap Aceess? Area (Sq. Main: 720 Accessory: # Of Stories: Height (feet): Current Units: Proposed Units: Gensus Code: Does not apply Total:720 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 07t20t2001 6215Residential Plan Check Total PIan Check 50,141 $185.90 $185.90 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 6733 6733 6733 50,140 $286.00 $20.02 $8.58 $314.60 Electrical Branch Circuits WO Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 0911812001 09118t2001 09t18t2001 6733 6733 6733 5 $43.00 $3.01 $1.29 $47.30 Plumbi Minimum Plumbing Permit Fee 0911812001 6733 $.00 09118t2001 09t18t2001 0911812001 Job# 01-00769-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Plumbi Number of Fixtures State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Administrative Fee - Plumbing Total Plumbing 0911812001 0911812001 0911812001 09118t2001 0911812001 09t18t2001 6733 6733 6733 6733 6733 6733 3 50 50 50 $30.00 $7.35 $25.00 $25.00 $25.00 $3.1s $11s.50 Mechanical Minimum Mechanical Permit Administrative Fee - Mechanical Vent Fan to One Duct Mechanical lssuance State Surcharge - Mechanical Total Mechanical 09t18t2001 09t1812001 09/1 8/2001 09t18t2001 09t1812001 6733 6733 6733 6733 6733 $15.00 $.45 $.00 $10.00 $1.05 $26.50 System Development Residential- Single Family - Storm SDC Administrative Fee Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development 0911812001 09t1812001 0911812001 0911812001 6733 6733 6733 6733 728 $198.74 $23.10 $149.59 $1 13.68 $48s.11 7 7 Planning 0911812001 6733 1 $50.00 $s0.00 Grand Tota! Plan Check Type Checked By Date Completed Comment lnitial Review-Res Bob Barnhart 0712312001 Engineering-Res Steve Templin 0713012001 Planning-Res Liz Miller 0811412001 Structural-Res Bob Barnhart 08/08/2001 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 approved set of plans will remain on the site at all times during construction. Lad*_ $1,224.91 q-ty-ol Signature t7 Date Planning Plan Review Tota! Planning SPF|. .FIELO 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular Dvelling Sertice or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amPS- Over 1000 amps/vo1ts Reconnect OnlY -Each installation Pump or irrigation Sign/Outline Lighting- Limited Energy/Res Limited Ener[y/Comm SUBTOTAL OF ABOVE 7% state Surcharge 32 Administrative Fee TOTAL i! 225 FIFTE STREET SPRINGFIELD, OREGON 97 477 TNSPECf,ION REQUESTz 726-3769 OFFICE: 726-3759 1. LOCETION TALLATION I,EGAL DESCRIPTION JOB DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI.ATION ONLY Electrical Contractor Address Citv Phone Supervisor License Numb Expi ration Date EI,ECTRICAL PERHIT A?PLICATION city Job N. a", O/-P7h? -O/ COHPLETE FEE SCEEDTII.E BETOV3 A Nev Residential-Sj.ngle or Multi-Family per dvelling unit. Service fncluded:Items Cost B Sum s 8s.00 s 1s.00 s 40.00 ee 'rB" aEF $ 40.00 $ 40.00 s 20.00 s 36.00 oa --/ a 1z) $ s0.00 s 60.00 s100. 0o s130.00 s300.00s 40.00 $ s s s Constr Cont r C E Temporary Services or Feeders Insiallation, Alteration or Relocation Expi ration Date Signature of Supervising Electrician 0wners Name /) 200 amps"or less 201 amps to 400 amPs - 0ver 401 to 600 amPs Over 600 amps or 1000-voFs D. Branch Circuits Nev, Alteration or Extension Per Panel one Cireui.t lr $ 35.00 sf,ao Each Additional Circuit or vith Service, or Feeder Permi t ( S 2-Oo -* Miscellaneous (Service/feeder not included) 40.00 55.00 80.00 Address Ci 9A enone ft6; Of,AO --'-7--.-T OVNER INSTALI,ATTON The installation is being made on property I ovn vhibh is not intended for sa1e, lease or rent' Omers Signature: DATE: 5 RBCEIVED B o T /,' l FIFTH OREGON OFFICE: 72 '7 59 I. LOCATI OF INST LEGAL DESCRIPTIO.o ). JOB DESCRIPTION Permits are non-transferable ahdB{f,?s if rvork is not started rvithin 180 davs- -'' \ta ofissuance or ifrvork is susperded for I180 days. Af' INSTALLATION Electrical Address Supervisor Constr Signature Modular Dwelling* lu qLL EXptRtr rE&ffidufF&a.I DAY PER B. SeIr"iccs or Feeders Instirllntion, Altcrttions or Relocirtion: 200 amps or less 201 amps to 400 401 amps to 600 0ver 100 or or Relocation ol the sq. ft or portion thereof $ 19.00 Each Manufd Home or 2 $ 50.00 00 Expi n Date ca of Supen'ising Electrician 00$11-800-3 Over 600 see "B" abot'e D. Branch Circuits Neu Alteration One Circuit Eacli Additional Circuit or l'ith or Feeder Pennit $ 3.00 E. I\Iisccllaneous (Senice/feeder not included) -Each installation Punrp or irrigation $50.00 SigrL/Outline Lighting _ $50.00 _ Limited EnergAes _ $25.00 _ Limited Energv/Comm $+5.00 N{inimum Electric Permit Inspection Fee is S-15.00 f Surcharges or Extension Per PanelOrvners Namc O'rvners Signature: OWNER INSTALLATION The installation is being urade on properfv- I or.vn r.vhich is not intended for sale, lease or rent. 4, SUBTOTALOFABOVE 7oh StNe Surchuge 8% Administrative Fee frbz--t 4.'+ t$ 5.64 TOTAL h.+( -aPProvat 2eninO ELEU- fu CAL PERMIT APPLICATION Citl- Job xo*b., O l- OO'lb,oli I 3. COMPLETE FEE SCF{EDULE BELOW drvelling unit. Items Cost Sum or less $ 106.00 500 I s e:.oofLt $125.00 --_ $163.00 _ $375.00 $ 50.00 less amps to 600 amps