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Home My WebLink AboutPermit Building 2000-2-28 ~~ 225 North Fifth Street Springfield, OR 97477 . .' I Job# 99-01462-01 Page 1 of 3 TRANS#:01-0000746 DATE:FEB 28 2000 AHT RECD:2 $ 4421.35 CHANGE: CASHIER: 059 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-01462-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 586 Nicholas Dr Spr Assessors Map#: 17032212 Lot: Block: Addition: Owner: Add ress: Tax LoU: 01900 Subdivision: Cozy Homes P.O. Box 237 Phone Number: 541-747-8704 Clty/StatelZip: Springfield, OR 97477 New Value: $103,690 Scope Of Work: Single Family Residence Contractor Type General Contr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor Cozy Homes P.O. Box 237, Springfield, OR 97477 Registration # Expiration Date Phone 541-747-8704 Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: 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 a.m. will be made the following working day. Verify Ground Rod Footing Foundation Post and Beam Floor Insulation Ceiling Insulation Shear Wall Nailing Framing Wall Insulation Drywall Final Building Temporary Power Rough Electrical Electrical Service Final Electrical Required Inspections I Building I -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -After trenches are excavated. -After forms are erected but prior to concrete placement. - Prior to floor insulation or decking. - Prior to decking. - Prior to cover. - Before covering sheathing with finish materials. - Prior to cover. -Prior to Cover -Prior to taping. -When all required inspections have been approved and the building is complete. I Electrical I -Approval required prior to SUB energizing pole. - Prior to cover. - Must be approved to obtain permanent power. -When all electrical work is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 rArea (Sq. Feet) Main: Accessory: Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Rough Mechanical Final Mechanical Curbcut Sidewalk Fee . . Job# 99-01462-01 Required Inspections I Plumbing - Prior to insulation or decking. - Prior to cover or placement of concrete. - Prior to cover. - Prior to filling trench. - Prior to filling trench. - Prior to filling trench. -When all plumbing work is complete. I Mechanical - Prior to insulation or decking. - Prior to cover. -When all mechanical work is complete. Page 2 of 3 I Public Works I -After forms are ereceted but prior to placement of concrete. -After excavation is complete, forms and sub base material is in place. # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Paid On Recelpt# I BUilding 02/28/2000 746 02/28/2000 746 02/28/2000 746 Value/Quantity I Fee Amount 103,690 $442.00 $30.94 $13.26 $486.20 t:lectrlcal 02/28/2000 746 02128/2000 746 02128/2000 746 02/28/2000 746 1 2 $85.00 $30.00 $8.05 $3.45 $126.50 Plumbing 02128/2000 746 02128/2000 746 02128/2000 746 02128/2000 746 Minimum Plumbing Permit Fee Three Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing $.00 $192.50 $13.48 $5.78 $211,76 1 Mechanical 02128/2000 746 02128/2000 746 02/28/2000 746 02/28/2000 746 02/28/2000 746 02/28/2000 746 Hood and Exhaust Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct Dryer Vent 1 $4.50 $.00 $.68 $6.00 $9.00 $3.00 1 3 1 QuickStart Fee - Residential Total Permits w/o Srchg Grand Total 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 pertaininll 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 readab~e from thYll'eet, that the permit card is located at the front of the property, and the approved set of plan ';!Jl3In on the site at all times during construction. ~ / :2-2~-cCb Signature Date . . . Fee Job# 99-01462-01 I Paid On Recelpt# Mechanical 02/28/2000 746 02/28/2000 746 Value/Quantity Page 3 of 3 Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical New Sidewalk New Curbcut Total Public Works Public Works 02/28/2000 746 02128/2000 746 50 1 Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Total System Development system Development 02/28/2000 746 02128/2000 746 02/28/2000 746 02/28/2000 746 02/28/2000 746 02/28/2000 746 02128/2000 746 1,936 23 1 1 1 1 S.F. Residence - Willamalane Total Willamalane SDC Willamalane SDC 02/28/2000 746 1 Permits wlo Srchg 01/25/2000 1 Fee Amount $10.00 $1.58 $34.76 $60.00 $60.00 $120.00 $449.22 $1,110.21 $491.60 $242.76 $22.05 $10.00 $116.29 $2,442.13 $1,000.00 $1,000.00 $150.00 $150.00 $4,571.35 . '.~ ~,~. . '.' ~'''Willamalane .\''-',''." "t\f PO" & ReCre:~:::~:a~~~~CHA::: No. cx:\ ~ ~ . ',' WORKSHEET; '<. " . " . NAME: lnl'r--A \t.~J::<?7 ~'<'.;:f";;,. PHON'E: t-\-;: 'Rl:b4: ADDRESS:~ (~~~ ;J~l(l' . :,::)"';'"'.~TATE: ~ iz.,~(:\{J!)j}jfl" . . i'~.".~....:t0?J~~"~1. ~.,. .........~':..~.::,~... " ~:~~T~~:r~:~~ :U'n7~ Dn'u~.: . . n~;",lat Name~h . T~X,~~t~~~~ber: '\f\~2.I)~~~CD. 1. DEVELP.P~~NT TYP~ eel< approp~ia~~.~:~;~~tS). SDC calculallon~ and ~wel~~t 9:-;. ype dellnIllons are on the back.) . . :;;:':71: .:;r;~i:Q.: . . '. "', _, ','!,'. 0., ,", . . ~,. ,( ~\."..... ;,t ,'I". :' ',,"' ';. ,. . '. A. SlnnIA-FR'mllv 'nAtR~hArf ,,:,' ,;r:::,";;'.,;,':' . . ",:. .'::;, . '. " . ~.,. , _,~ .' , I I' , . ~ Single Family home, 'J,".,Manufactured home no.lln a,park.'" "~_''''''.J~ w~- - NO. OF UNITS \ "'''::;~'~$1iOOO per unit = $lliYJ.~:" ~< . ~....' . ' ~ B. Sfm1JA'.FRmllv AttRchAQ ,..~' ',.....'. I , . .' NO. OF UNITS ',' X $9~4 per unit = $ C. Multl.Famllv Aoartment ',:.. ~_:..~_.:<., . ,'" NO. OF UNITS , ' " . X.$692perunlt =$ ~ '~ /1, .... / . . . D. ManufaclurArf HnmA PI3!:k NO. OF UNITS . . X $699 per unit =$ $ Ir:c:o ,CO o $ WILLAMALANE SDC . 2. SDC CREDIT (II appUcable) SOG-payer must fumlsh proof of WiUamatane Credit approval. See SOC Ctedit Wotksheet. 3. TOTAL WILLAMALANE NET SDe ASSESSED (If SDC reduced for Credit) .\ ~ )\ (}&'''''oU Development ~~~artinent City of Springfield I r\l"'II"')00 $~. ,. I I Date . I' . SpaFIELD ,''', , 1M 101l0wl09 bmllted nas se , clessu \lic land U in" 101\OWl09 p,ole ot ,equire spec nd does n zonlog, e ~ - approvel. ~ _ zO~~"6..c-'b ~ E~CTRICAL 974~.le _ ~ 726"':3769 d Slgnetu,e - Ci ty Job Number Al.ltnonze 225 FIITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. rs~r ~F\\,~~AL~ CJ'\ LEGAL DESCRIPTION . \f'\ n-n'2.:U1., ~O n \o..OC) Q. ~B~SCl\ltrIO!l_I~ _-' r'\ <....J ~. ~'iL'" "--~ n'-L..1. \ Permits are non-transferable 'and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days, 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical contract~:I(~ ~ Address ?; ( '7 D fA) ~ <:r I tzt. Ci ty ~(,) 0, Phon~ '1 '1/ 6~2b SupeL'visor ticense Number 930.5 Expiration Date /0-/- J Constr Contr, Number :;)/35 ( Expiration Date <( -- L- g - 0 <:> Signature 0: Supervisi~ E~ctrician ----~ ~' ~I ___ ~I V. ::::';j;~~ Ci:~\~ ~Phon:l41 ~I()t ~ INST~~TION The installation is being made on property I ovn which is not intended for sale. lease,or rent, Ovners Signature: --------------------------------------- DATE: RECEIPT II: RECEIVED BY: PERKIT APPLICATION QQ\4lo~ 3. COMPLETE FEE SCHEDULE BELOY A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: It ems Cos t 1000 sq,ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Hodular'Dvelling Service or Feeder I A 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/volts Reconnect Only' Sum $ 85.00 55 ~O $ 15.00 ,$ 40.00 $ 50,00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 1(2 $ 55.00 $ 80.00 see "B" above Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00' not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ,.(,( f?- rlt').su