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Home My WebLink AboutPermit Building 2002-8-12 .,' " , j ~/ I Job# 02-00895-01 I . . Page 1 of 3 225 Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON mANS# ~ 01--0010257 DATE;AUG 12 '2002 AMT RECD:2 $ 709.38 CHANGE~ CASHIEH:061 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00895-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1247 CSt Spr Assessors Map#: 17033514 Lot: Block: Addition: Owner: Address: Tax Lot #: 13500 Subdivision: Lonnie Burgans PO Box 26 Phone Number: 541-747-3276 City/State/Zip: Thurston, OR 97482 New Value: .$6,272 Scope Of Work: Garage, Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr Contractor Lonnie Burgans PO Box 26, Thurston, OR 97482 Lonnie Burgans PO Box 26, Thurston, OR 97482 Lonnie Burgans PO Box 26, Thurston, OR 97482 Lonnie Burgans PO Box 26, Thurston, OR 97482 R . t t' # E . t"ln\~Ote Ph egis ra Ion ~~{@ 'lon\J,\\~L one of\ \~\$'J~e O~e~of\ se\ \01\~. 541-747-3276 .O~eg :\1 \~e ~~e nJ:::l;) \ .....'\O't'\. ~eo. ~ J ~u\eS ~ 95'- 'O'J ~€~\l ~o.o'Q ~~ose "'O~ u\es j>-'\\ ~u\es ~e~' \ ~'fou~\' ~\~e ~ ~e 541-747-3276 ~\0\$'J . ~ Ce" 0'\ () ~, \es 0 ~e'Q~o. ~ \0 .~c~\\O Q()'\'() \~Co'Q \~e\e .~\c~\\o ~O~ ~t' g~'2.- ({\~'J 0'O\a;~. \~o\~\\X\\'J ~o~;. 541-747 -3276 \~09()' ~~~ \~e ~~:6te~~~.~~~}t~A ca; ~\O~ \s'\- 541-747-3276 {\uf<\'oe ce~\e' Office Use Quad Area: 2RNW Land Use: Single Family Dwelling # Of Buildings: 1 ~~ # Of Units: Zoning Code: LDR occupan!;y~~Q ~ivate Garage/C. Constr. Type: (VN) Wood Frame Bedrooms: He~b~~~f\~ \~ ~ Water Heater: Range: . _ t'u~\.~~~~$~~~ r.;()~ ~\t~*\ ./," ~\.~"\" ~\J~i\ To request an inspection call the 24 hour recording at 726-376~~~r$ , ~~~~efore 7:00 a.m. will be made the same working day, inspections requested ~~\~ ,.~~:)~~~ the following working day. ~'0 ~~~'t.~ ~ \>~ ' CJ\J'...., 0\ 9.~ \)1" Required Inspectiol1.~'i ;' I Building I -Install ground rod at footing, and call for, inspection in conjuction with footing and/or foundation ir -After trenches are excavated. -After forms are erected but prior to concrete placement. - Prior to cover. - When all required inspections have been approved and the building is complete, Verify Ground Rod Footing Foundation Framing Final Building Rough Electrical Electrical - Prior to cover. '. . Final Electrical Job# 02-00895-01 I Required Inspections I Electrical - When all electrical work is complete, I Plumbing - Prior to insulation or decking. . - Prior to cover. -Prior to filling trench. - Prior to filling trench, -When all plumbing work is complete, I Mechanical - When all mechanical work is complete. Page 2 of 3 Underfloor Plumbing Rough Plumbing Water Line Sanitary Sewer Line Final Plumbing Final Mechanical Zoning: LDR FloodPlain? D Wetlands? D Journal numbers 1: 2: 3: Comments:Required to pave first 18 ft. of the driveway measured from the propE Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? ~ Planner: Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Additional Requirements: Glenwood Area? D Required Attachments: Source Locn: Material: Flood Plain FEMA: Construction Types:(VN) Wood Frame Occupancy Groups: Private Garage/Carp/Stor # Of Buildings: 1 # Of Stories: 1 # Of Bedrooms: Current Units: Handicap Access? D Census Code: Does not apply -Area (Sq. Feet) Main: Accessory:320 Total:320 Height (feet): 12 Proposed Units: Fee Paid On Receipt# Plan Check 07/25/2002 10047 Value/Quantity Fee Amount Residential Plan Check Total Plan Check 6,272 $54,60 $54.60 Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building Building 08/12/2002 10257 08/12/2002 10257 08/12/2002 10257 6,272 $84,00 $5.88 $6.72 $96.60 Minimum Electrical Permit Fee Permanent: 200 Amps or Less Branch Circuits With Feeder or Service State Surcharge - Electrical Electrical 08/12/2002 10257 08/12/2002 10257 08/12/2002 10257 08/12/2002 10257 1 3 $.00 $63.00 $9.00 $5.04 . ;- Fee 8% Admin Fee - Electrical Total Electrical Minimum Plumbing Permit Fee ' Number'of Fixtures State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage 8% Administrative Fee - Plumbing . Total Plumbing Minimum Mechanical Permit 8% Administrative Fee - Mechanical Dryer Vent Mechanical Issuance State Surcharge - Mechanical Total Mechanical New Curbcut Total Public Works Residential- Single Family - Storm SDC Administrative Fee Total System Development Planning Plan Review Total Planning Grand Total Plan Check Type Initial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Lisa Hopper Virginia Jurasevich Ashley Deforest Don Moore Job# 02-00895-01 I Paid On Receipt# Electrical 08/12/2002 10267 Page 3 of 3 Value/Quantity Fee Amount $5.76 $82.80 Plumbing 08/12/2002 08/12/2002 08/12/2002 08/12/2002 08/12/2002 08/12/2002 10257 10257 10257 10257 10257 10257 2 $.00 $28.00 $8,26 $45,00 $45,00 $9.44 $135.70 12 12 Mechanical 08/12/2002 10257 08/12/2002 10257 08/12/2002 10257 08/12/2002 10257 08/12/2002 10257 1 $39.00 $3.60 $6.00 $10.00 $3.15 $61.75 Public Works 08/12/2002 10257 $75.00 $75.00 System Development 08/12/2002 10257 08/12/2002 10257 684 $192.89 $9.64 $202.53 -J ,'.. . Planning 08/12/2002 10257 1 $55,00 $55.00 $763.98 Date Completed Comment 07/26/2002 07/31/2002 SDC's have been calculated the garage and 18 ft (18x16) of pavement only. If applicant plans to pour the entire driveway SDC's will need to be recalculated, Paving the approach requires a curbcut permit. 07/30/2002 08/12/2002 By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein 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. I further state that only contractors and employees who are incompliance 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 the project 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. ,~' j" cl\/ 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ELh,-,~1liCAL PERMIT APPLICATION City Job Number Of:- -00 &9 :>-6 ( ;' 3. CONWLETEFEESCHEDULEBELO\V 1. LOCATION OF IftSTALLATJON /?4r C~ S-r- A. New Residential-Single or Multi-Family per dwelling unit. LEGAL DESCRIPTION h f lIoWM-gice Included: /70 '7 ,.". 51 L-:( I '7 ~ .f'i.J-""::'h as submitted has t e 0 ...;:. <~ Thp f()lfoWln~ pw~ , ' ' specific land use , g and does not requIre ZOnln . JOB DES~TJP1){ .!pp~?~al. t f) (2- l.O()() <;q..ft. orIess (:nfH~ ZOning _ -0 "2- Each a~ditional 500 () I ?-, \ " ' ft rt' Date _ . "~ sq. or po IOn Permits are non-transferable and eJ~r~ature _ ~ ,-#.c:cw;-~ if work is not started witlftW~~3l8ays Each Manufd Home or of issuance or if work is suspended for Modular Dwelling 180 days. Service or Feeder Items Cost Sm:n $106.00 $ 1 9.00 $ 50.00 Address ) / B. Services or Feeders Installation, Alterations or Relocation: 2. CONTRACTOR INSTALLATION ONLY Electrical' Contractor ),./ b-~ City Phone Supe""sor Lieeuse N,unber // Expiration Date / 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 $ 63.00 $ 75.00 $125.00 $163.00 $375,00 $ 50.00 C. Temporary Services or Feeders Installation, Alteration or Relocation Signat 200 amps or less 201 amps to 400 amps Over 401 to ~OOm.llps ,~ Over 600 amps QX lOO(}volts see "B " ,above \ $50.00 $69.00 $100.00 .; ""." r . F...., Owners Name L ,on 1'1! e: Ol ~ r r: (l:. :"'.'S ' ~J 'D. Branch Circuits:" , . ': New Alte.ration or E'xtensiol1 Per Panel i:\ r ':':;l ",' '? L Address P,t>.~:>C...X f,..WJ, .~Ail It] -", / City h10/~S.n.,J'J \o-..'.~. Phone-=.rr;c :{~,.,}'" ' :~:~Qn~ Circuit " ,~.'~< $43.00 ... ,~, ;.- OWNER INSTALLATION The installation is being made 011 property lawn which is not intended for sale, lease or rent. Each Additional Circuit or with Seryice or Feeder Permit \\~S1,:\? $ 3.00 ( d;'\- ~r?~, ,'''- \ ,:5' ~l,~.. \~\~ ~v \~0 ~\,~ E. Miscellaneous (Se~1'\~~~ftl~~~~~~~luded) . "~.,,. ',\,\} ~ .;,~~,,_:..;: ~Il'" (? ~ ~,,\\ t -EasI.\J~~~11a~f~~t \'\:'~~iS~S"-'l' PU~ljt;l\lr ,l.lli~ilti6ri",,<\\u"- c> 1')V-~)~i-g''\~~\\'ilih~L~fi'fir i+.'\ ~ ~ ..p ,,'~ -" '''1. C;;\;'t\',l \i\"~ittiLff'd~n'ef~mes $25,00 ~ ~~"\~~~ ~,~,.u ;? ~.\}V ~\~'\'c~:\'~~tt~1~}gWCOml11 $45,00 , j\~W'\" -, \)~:". ,\/,,) ." \A\~ Mi~tlJiurti'Electric Permit Inspcction Fee is S45.00 + Surchargcs $50,00 $50.00 Owncrs Signature: ~,., ',-:\ , /').\ ~ /__.11, ,r . ,> t ,..-; ,f'\'/,fi"'/,....."-. \/) JfAf/}....e~...,/~1 "- l" -. ;"..---- ., -- TOTAL 72 s-o Lf 5-7b <6'2 l)O l.. 4. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fee