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Home My WebLink AboutPermit Building 2000-3-7 (2) r; /tf. , ,/ 225 North Fifth Street Springfield, OR 97477 . . I Job# 99-01563-01 I Page 1 of 3 TRANS#:01-0000850 DATE:MAR 07 2000 AMT RECD:2 $ 159.50 CHANGE: CASHIER: 059 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-01563-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 955 Assessors Map#: 17032613 Lot: 3 Block: Owner: Fuchsia St 957 Spr ,; ,.~" , 'c Tax Lot #: 04200 Addition: tOl/ow rUle;S~b~,~isi()ii~FliotJsial"'~ \lotifj,,~.._ ~~ .~..... UI:i\Jthnn__ \. , ""'e'N' -'~" V'""'E'/ .1l!i!2~' -"V" urlllty P~~~o ~]lJl-~kthrou s are set fortt, City/~Jiim9f~ay ~!lKe~ig~~h~~a !J r ,e cenrel (NNo. 11 e rlJ1f}s by New 'lumber tor the Or~g V3'llll!~he$t1fbPRBjje """~''''''.' ~~onUt'1ItYNotificar . '''. 'l'l"_?'lA -I. Ion Gene Hiatt Address: 55868 King Road Scope Of Work: Duplex Contractor Type General Contr Contractor Registration # Expiration Date Gene Hiatt 55868 King Road, McKenzie Bridge, OR 97413 Phone 541-822-3509 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. Footing Foundation Post and Beam Floor Insulation Shear Wall Nailing Framing Wall Insulation Drywall Firewall Final Building Special Underfloor Plumbing Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Required Inspections 1 building -After trenches are excavated. -After forms are erected but prior to concrete placement. - Prior to floor insulation or decking. - Prior to decking. - Before covering sheathing with finish materials. - Prior to cover. - Prior to Cover - Prior to taping. - Located and constructed according to plans. - When all required inspections have been approved and the building is complete. 1 Electrical 1 -See Plan Review and/or Inspectors ~9les,.'CE' \\IUI' PIREIFTHEWORK 1 Plumbing TI4ISRERMITSHALLEX MIT IS NOT - Prior to insulation or decking. AUTHORIZED UNDER THIS PER OR - Prior to cover. ENCED OR IS ABANDONED F -Prior to filling trench. COMM D -Prior to filling trench. ANY 180DAYPERIO . -Prior to filling trench. -When all plumbing work is complete. I Mechanical - Prior to insulation or decking. . . ,. I Job# 99-01563-01 I Required Inspections Mechanical Page 2 of 3 Rough Mechanical Final Mechanical - Prior to cover. -When all mechanical work is complete. Sidewalk I Public Works I -After excavation is complete, forms and sub base material is in place. Zoning: FloodPlain? 0 Wetlands? 0 Journal numbers Overlay District: # of Street Trees: 2 Land Use: Duplex or 2-Family Hs Pave Driveway? ~ 1: , Comments: 2: 3: Planner: Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Additional Requirements: Glenwood Area? 0 Required Attachments: Source Locn: Material: Flood Plain FEMA: Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? 0 rArea (Sq. Feet) Main: 2440 Accessoryfi24 Store # Of Stories: 1 Current Units: Census Code: New Duplex Height (feet): 18 Proposed Units:2 Total:3064 Fee r Paid On Receipt# Plan Check 11/15/1999 36180 Value/Quantity I Fee Amount Residential Plan Check Total Plan Check 181,366 $401.38 $401.38 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 12/17/1999 36468 12/1711999 36468 12/17/1999 36468 181,366 $617.50 $43.23 $18.53 $679.26 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 I:lectrical 03/07/2000 850 03/07/2000 850 03/07/2000 850 03/07/2000 850 1 4 $85.00 $60.00 $10.15 $4.35 $159.50 Plumbing 12/17/1999 36468 12/17/1999 36468 12/17/1999 36468 2 $.00 $320.00 $22.40 Minimum Plumbing Permit Fee Two Bathrooms State Surcharge For Plumbing Permit . Duplex - Willamalane Total Willamalane SDC Willamalane SDC 12/17/1999 36468 . Page 3 of 3 Value/Quantity Fee Amount $9.60 $352.00 2 $9.00 $.00 $.81 4 $12.00 2 $6.00 $10.00 $1.89 $39.70 90 $60.00 $60.00 4,080 $946.56 32 $1,544.64 2 $983.19 2 $485.52 2 $44.10 1 $10.00 $199.76 4 $-18.82 $4,194.95 1 $1,848.00 $1,848.00 $7,734.79 Fee Job# 99-01563-01 Paid On Receipt# t'lumDmg 12/17/1999 36468 ;/ Plumbing Administrative Fee Total Plumbing Hood and Exhaust Minimum Mechanical Permit Mechanical Administrative Fee Vent Fan to One Duct Dryer Vent Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical Mechanical 12/17/1999 36468 12/17/1999 36468 12/17/1999 36468 12/1711999 36468 12/17/1999 36468 12/17/1999 36468 12/1711999 36468 New Sidewalk Total Public Works Public Works 12/17/1999 36468 Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1979 or Before Total System Development System Development 12/17/1999 36468 12/17/1999 36468 12/17/1999 36468 12/17/1999 36468 12/17/1999 36468 12/17/1999 36468 12/17/1999 36468 12/17/1999 36468 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 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. 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. Signature Date The following plOject as submitted has the tollowi zoning, and does not require specIfic land use approval. " L tJZ.. Zoning ';;-1- 225 FIFTH STREET SPRINGFIELD, OREGON 974770ate INSPECTION REQUEST: 726-3769 d Sgnature OFFICE: 726-3759 ","trlonze I 1. LOCATION OF INSTALLATION q.55,S7 1='wrJ..sr'a. ~ ,/ LEGAL DESCRIPTION no ~ Vo t} () Lf1O() JOB DESCRIPTION NUl) ~W! Permits are non-,Lansferable and expire if work is not sl~rted within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical Contractor (Jjr/J,(OrJt CC.U)t'l'c.. CD Address Po 80x 120/ (p City {i<<..U-e.ft.L Phone 4&( -2.61'0 I Supervisor License Number <1553 S Expiration Date /tJ!r /tY/ , . Constr Contr. Number zo-1<f3<i... Expiration Date /0/1/00 Signature of Supervising Electrician ~~~ Owners Name 6wv- fiJ..:;cr- Address 5?~"~ K.&^1 f20--,,- City ~7-<<- ~J't- Phone (S'Z-z- 3$'"'01 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEtPT 11: RECEIVED BY: -?;-7-rV (f;~ \ q(,w ~ - ELEc:1UCAL PERMIT APPLICATION ri;Job Number <<S,'::-(;y COMPLETE FEE SCHEDULE BELOll 9 1- 0/5(;'3- () I 3. A. New Residential-Single or Multi-Family per dwelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dwelling Service or Feeder 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 . unit. Cost Sum $ 85.00 Z5 $ 15.00 ("Q $ 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 $ 55.00 $ 80.00 see "B" above .' New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative ,Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 ..l.1? - 10./'5 4_31'; i'5 q :7 (J