HomeMy WebLinkAboutPermit Building 1997-02-19SPF!rlGF'ELE,
RESIDENTIAI. PERMIT APPLICATION
CITY OF SPRINGFIEI,D
COM}TI'NITY SERVICES DIVISION
BUII.DING SAFETY
o
office:
Inspection Line:
Page 1
ilob Number: 97O2LL
726 -37 59
725 -37 69
225 North Fifth Street
Springfield, OR 97477
Location of Proposed work: L222 34TH ST
Assessors Map #: L7023Q34
Lot : Bl_ock:
Tax Lot #: 07900
Subdivision:
SPruNGFIELD,
Owner: MARR SUE IIARRIS
Address: L222 34TH STREET
Describe Work : II,AI.IUFACTITRED HO![E
Phone #: 746-61a9
city/state/zrp: SPRTNGFTELD, OREGON 97478
NEW
General:
Plumbing:
Electrical:
ContracEor
M&ACONSTRUCT 0088928
9l-6 Prescott Lane Springfiel-d OR 97
M&ACONSTRUCT 0088928
915 Prescott Lane Springfield OR 97
HERITAGE ]NV 0063137
l-042 Harn Lane Eugene OR 974040000
Const.
Contractor #Expires
02/tt/e8
02 / L1,/ eg
1,2/27 /e7
Phone
747 -5504
747 -6504
588-l-500
QUAD AREA: 3RNC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
-- oFFrcE usE --
LAND USE: 1150
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
To requeat an inspection, call the 24 hour recording at 726'3769.
AIl inspections requested before 7:00 a.m. will- be made Lhe same working day,
inspecLions requested after 7:00 a.m. will be made the following work day.
--- REQUIRED INSPECTIONS ---
MAI{UF HOME/MOBILE HOME SET UP - When all- blocking is complete.
!{AI{UFAETURED HOME SERVICE
I4AI{UF. HOME/MOBTLE HOME ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home is connected to paneL
l[,A]iluF. HoME/MOBILE HOME PLITMBING - After home has been connected to
water and sewer.
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been install-ed.
Lot Type: fNTERIOR
Setbacks
SW
47 L00
28 72
House
Garage
N
30
5
E
10
66
fLem
Main
Garage
FTG/PERIM FOUNDATION
Total Value
Building Permit Fee
surcharge/admin
--- BUII.DING PERI{IT ---
Square Feet x $/Square Feet VaIue
47 , O4O.OO
0.00
2,700.00
49,740.00
38.50
3.09
TOTAL FEE (A)4L.59
SPF!NGFIELE'
Job Nurnber: 97 02LL
a
Page 2
--- SYSTEMS DEVEI,OPMENT CIIARGE (SDC)
(B)815.35
Systems Development Charge is due on afl undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
--- PLUIIBING PER}TIT ---
Item
Mobile Home
Plumbing Permit
surcharge/edmin
TOTAL CHARGE
Fee
15.00
15.00
L.20
(c)L6.20
--- MISCELLA}iIEOUS PERMITS ---
Mobile Home
State fssuance
surcharge/admin
ELECTRICAL PERMIT
TOTAI. ITTISCELLAI{EOUS PERMITS
105.00
20.00
8.40
43.20
(E)L7 6 .50
(Excluding Electrical)
unleee otsherwiee noted
--- TOTAI. AITOI'NT DUE .--
(A, B, C, D, and E combined)L,049.75
--- BUTLDTNG VALUE, PI,AIiI CHECK AI.ID BUII,DING PERMIT ---
This permit is granted on the express condition that the said const,ruction
shall-, in all respects, conform Eo Ehe Ordinance adopLed by the City of
Springfield, i-ncluding the Deve1opment Code, regulating the construcLion and
use of buildings, and may be suspended or revoked aL any time upon viol-at,ion
of any provisions of said ordinances.
Received By:
Plans Reviewed By: LISA HOPPER
Building Site Reviewed By: LISA HOPPER
Date: 02/L9/97
--- ADDITIONAI, COMMENTS ---
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signaEure, I sUaUe and agree, that I have carefully examined
the compleLed application and do hereby certify Lhat all information hereon
is true and correct, and f furt,her 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. f 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 al-I required inspections are reguested at the
proper time, that each address is readable from Lhe street, that Lhe permit
card is l-ocat.ed at the front of the propert.y, and the approved set of plans
will remain on Ehe site at afL times during consLruction.
o{,e lql
ignature
t U-,rlt-,
Date
SPFII'GFIELD
'Job Number: 9702LL
SPilNGFIELD,
Page 3
--- VAI.IDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
t
YOF
SPR'NGF'ELE,
%
225 FTFTB STREET
SPRINGFIELD, oREGoN
TNSPECTION REQTIEST:
0FFICE: 726-3759
97477 1 A726-d, I I
if work is not started vithin 180 daysof issuance or if.vork is suspended for
180 days.
1
Permi ts a non- t erable and expire
2... CONTRACTOR ONLY
Electrical Contract
Address
Ci ty Phone
Supervisor cense qAtS
Expiration Date \D.\.
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
ELECTRTCAL PERHIT APPLICATION
City Job Nunber
3. COHPLETE FEE SCMDUI^E BELOV
Nev Residential-Single or
HuIti-Family per dvelling unit.
Service fncluded:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-
$ 8s.00
s 1s.00
Modular DveIIing
Service or Feeder $ 40.00
B Services or FeedersInstallation, Alterationsor Relocation:
-__l {I
I I\I
A
Sum
200 amps or less
201 amps to 400 amps
-
40L amps to 600 amps
-
601 amps to 1000 amps-
Over 1000 amps/volts
-
Reconnect OnIy
s 50.00
s 60.00
$100.00
s130.00
$300.00s 40.00
0vners
Add ress
Ci ty Phone
INSTALI.ATION
The installation is being made on
property I olrn vhich is not intendedfor sa1e, lease or rent.
a
Owners Signature:
DATE:
C. Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps or Iess $ 40.00
201- amps to 400 amps
-
$ 55.00 7-
0ver 401 to 600 amps $ 80.00
Over 600 amps or 1000 voTEs see uB,' aEFf
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each AdditionalCircuit or vith Serviceor Feeder Permi t
s 3s.00
$ 2.oo
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation g
Sign/Outline Lighting- $
Limi ted Bnergy/Res
-
SLimi ted Energy/Comm $
5. SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
fka'fu
40.00
40.00
20.00
36.00
iKITIIUI-rY
RECEIVED I}
oc
Zan\n
utv\cflt:fl'triXll-a,r-