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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-