HomeMy WebLinkAboutPermit Building 2000-2-28
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225 North Fifth Street
Springfield, OR 97477
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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
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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
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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
.
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~'''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
$~.
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I
I
Date
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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
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