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Home My WebLink AboutPermit Building 1997-1-27 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 950775 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 3727 DOUGLAS DR. Assessors Map #: 18020612 Lot: III Block: Tax Lot #: 02600 Subdivision: HAYDEN GARDEN Owner: HAYDEN ENTERPRISE Address: 899 SO. 32ND STREET Phone #: 744-6966 City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: mw -- OFFICE USE -- 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 work day. REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or decking. POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LIm - Prior to filling trench. WATER LINE - Prior to filling trench. ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power, FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping. CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place. FINAL PLUMBING - When all plumbing work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 1133 560 $/Square Feet 56.20 14.10 Value 63.675.00 7.896.00 71,571.00 Building Permit Fee Surcharge/Admin 349.00 27,92 TOTAL FEE (A) 376.92 SPRINGFIELD Job Number: 950775 Page 2 PLUMBING PERMIT --- Item Residential Bath(s) 2 Fee 160.00 Plumbing Permit Surcharge/Admin 160.00 12.80 TOTAL CHARGE (C) 172.80 - - - MECHANICAL PERMIT - - - Exhaust Hood Dryer Vent 4.50 3.00 Mechanical Permit Issuance Surcharge/Admin 16.50 10.00 1. 33 TOTAL PERMIT (D) 27.83 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut ELECTRICAL PERMIT PLAN REVIEW FEE SYSTEMS DEVEL CHG 0.00 20.95 14.10 124.20 40.00 1,588,04 TOTAL MISCELLANEOUS PERMITS (E) 1,787.29 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE - - - (A, B, C, D, and E combined) ~ 1km~ 2,364.84 -t- '5.00 - ~3\A .~t --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- ' This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Received By: Plans Reviewed By: DON MOORE Building Site Reviewed By: Date: 07/03/95 --- ADDITIONAL COMMENTS --- 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. SPAINOFIELD Job Number: 950775 Page 3 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. Signa~e ~~~ '-.J ~ \-'<' /~ Date ~ Date Paid: AA4ffftT10N \. ~\ ~-C\~ ~dJ. %4- Ij\ \l)(\ ) Receipt Number: Amount Received: Received By: . NO.~a:s~~ Q 50,\l5 CHARGE . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET (COMMERCIAL & RESIDENTIAL) NAl-1E OR COf,t!lJItJI.".:,., HAYDE.N Ef..1-rE:.Rf"'lZtSE:.S. INC. 0-/6) 'L UO~lCt..A LOCATION: ':9-'74-=1.- ..N. ~eWcc-o'-.J I9,OZ001'Z. - 2(000 DEVELOPMENT TYPE:' l-I')fC.. - tV f:. IN SFR BUILDING SIZE: '_OT SIZE 1. STORM DRAINAGE IMPERVIOUS SQ. FT. N.A. X $0.209 PER SQ. FT. 2. SANITARY SEWER-CITY NO. OF PFU'S 1<6 X $43.26 PER PFU (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP 1 X /,01 X $436.19 X $436.19 X X X $436.19 4. SANITARY SEWER-MWI~C NO. OF PFU'S ~~ x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-MWMC SDC SQ. FL C-~) '---- ------ (775~~ C tWJ5~ ----- ---- $ $ $ 3/44-3- $ Z,e" z:!> ~ ---- ---- ---- SUBTOTAL (ADD ITEMS 1,2,3 & 4) 1...1.2..1'2- 4-Z- 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 Jc::..:... -r<- .' _LJ..- Date: "h,g /"15 . - 'CJ Kip Burdick' I I 'TOTAL SDC SDC Coordinator C 75 '7-) '- ----- $ IS8e04- .../.:.:,- '"II..,: !?;I~~I~~g~~J~~ ':: submitted has tho following . nppro'v'al. , ~ q~1) specIfic land l!:3SPRINGFIELD . . ~ ...'",', 225 ,FIFTH STREET INSPECTION REQUEST: OFFICE: 726-3759 1~ ~'Iltll1N rnrpJSJ let/ / ( -,~~~I ' J\l!!, D~M;IqN ~. \-=". ~~ 1'\r10 f\nL \ \rO..2P Permits are non-tra~sferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days.' COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling uni t. Service Included: Items Cost Sum 1000 sq.ft. or less I $ 85.00 65 Each additional 500 sq. ft or portion ~ 2{) thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 3. A. 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor Allen Electric or Relocation: Address 12 5W 3rd 5t. Ci ty' Madra" Phone 475-2139 Supervisor License Number 10065 Expiration Date 10-1-95 Constr Contr. Number hR74~ " Expi'ra t ion Da te 9-4-95 , Signature of Supervis'ng Electrician ~ (/ (j I#.._..<~.........., Ovners Na~ 1 \,1 0 n P.ro- AddressffiC\ ~\~ City~~ _Phon;144.l&lldo O~ MTALLATION The, installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: DATE~----------------\~~~~~----;-- RECEIPT t: I ~ '1..L1"rY\ RECEIVED BY: \)\ \t)\)J nti" \.\ ] 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 $ 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 100u volts D. Branch Circuits $ 40.00 $ 55.00 $ BO.OO see "B" above New, Alteration or Extension Per Panel One Ci rcu it Each Addi tional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting----- Limited Energy/Res Limited Energy/Comm s. SUBTOTAL OF ABOVE 5% State Surcharge 4'OT.\l. -39b $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 II~~ .~ .'J,~C::; 1a=:\.QD