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Home My WebLink AboutPermit Building 1993-5-12 -RESIt>ENTIAL PERMIT APPLICATION . Inspections: 726.3769 Office: 726.3759 LOCATION OF PROP9SED WORK: (~ \ ASSESSORS MAP' (7(l~/4(y) LOT: DESCRIBE WORK: I NEW REMODEL ADDITION CONTRACTOR'S NAME GENERAl' PLUMBING: MECHANICA' .~ '"\ '"" ELECTRICAL: l VJ. I J(\ Q12...) OUAD AREA ~~J\.)l..\. ') . OF BLDGS: OCCY GfiOUP: . OF STORIES' WATER HEATER: BLOCK: DEMOLISH OTHER JOB NUMBER cr~t6:=^ ~ 225 Fifth Street ~r;gfield' ~rBon 97477 TAX-L~~()~ SUBDIVISION' PHONE: - ')!il:1d.o?-JY ,pf'OAJ ' - crl-t!l ZIP: ADDRESS CONST. CONTRACTOR' EXPIRES PHONE D Electrical Service - Must be approved to obtain permanent electrical power. K"A"" Fireplace -- Prior to facIng ~ materials and framing Insp. ~ Fr3ming - Prior to cover. r\?T' Wall/Ceiling Insulation - Prior to ~ cover. ~ Drywall - Prior to tapirlg. D Wood Stove - After installation. D Insert - After fireplace approval and install;ltion of unit. c Curbcut & Approach - After (Ol/ilS me erected bui [lrior to placement o! concrete. - OFFICE l{SE - LAND USE \ ~ ~ I . OF UNITS' ) CONSTR. TYPE: -V....A., HEAT SOURCE: RANGF' FLOOD PLAIN: ZONING CODE: ~ rL . OF BDRMS' SECONDARY HEAT' SQUARE FOOTAGE: To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections requeste~-re 7:00 a,m. wilt be made the same working day, InspectIons requested after 7'00 a.m. Will be made the following woyay. REQUIRED INSPECTIONS ~ Rough Mechanical ~ Pno:- to ~ Fi~ Plumbing - When all ~ cover ~~bing work IS complete. ~ Rough Electrical - Prior to . / rc;>!' Final Electrical - When all cover. .~, ~et,=,ctrical work is complete. D Temporary Electric D Site Inspection - To be made niter excavation. but prior to ~etting forms. D Underslab Plumbing/Electrical! Mechanical - Prior to- cover. t\71' Footing - After trenches are ~excavated. D Masonry - Steel location, bond beams, grouting. 't"v1" Foundation - After forms arc qorected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. ~ Underfloor Plumbing/Mechanical - Prior to insulation or decking. rvI Post and Beam - Prior to floor ~ Insulation or decking. t"\71 Floor Insulation - Prior to ~ decking. D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. D Water Line - Prior to fllling trench, ~ Rough Plumbing - Prior to ~ cover. D Sidewalk & Orivcwar - After excavation is cOlllplotc. forms and sub,basc mate:r1al in place. o Fence - \I'.'l1on cOlrlpjet~d. 1'--1 Btre(. ~ Trees -.. V'I'hBI' all r~nui rcj " '-----' ! :f:I~~~ nit:! ;"'11::1' i (It I. '1':7f Final Mechanical - \'\Ihcn all ~mechanical work Is complete, 1\:71' t:lnal Building - When all ~cc;uired inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS [ 1 Blocking and Set.Up - When all blocking is complete. D Plumbing Con!lections - When home has been connected 10 water and sewer. 11 Electrical Connection - When ----- blocking, set.up, and plumbing inspections have been approved and the home if> connected to the service panel. D Final - After all required Inspections are approved and por(;/ICS, si<irting, decks, ~nd venting h::l.ve beer. Installed. . . Lot faces Lot Type So t bac ks IS THE PROPOSED WORK IN THE Lot sq. Itg. Interior I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON IN THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Panhandle Is I and approved by the Historical Topography Iw I Coordinator prior to permit issuance. Total height Cui-dc-sac IE I APPROVED: BUILDING PERMIT ITEM SQ. FT. X $/SQ, FT. VALUE Main Garage -fer s- C/l~ Carport A"......~ mIl> s:- -05M /iJ4fllJA) 235 S~~ 1322.1 Total Val ue ;:?.0,7~ 1 Building Permit Fee j7'9.S'O State Surcharge 9->.ge -18 Total Fee (A) ~~- SYSTEMS DEVELOPMENT CHAR9~;S9.C) (B) ~ PLUMBING PERMIT ITEM FEE /50.tX' Fixtures /5 Residential Bath(s) N' Sanitary Sewer FT. FT. FT. Water Storm Sewer Mobile Home Plumbing Permit 7,5" /57,-;;" State Surcharge Total Charge (C) MECHANICAL PERMIT .p.tnJ 4,5'0 /2~ Furnace Exhaust Hood Ven t Fan N' 4. Wood Stove/lnsert/Fireplace Unit Dryer Vent ~. ()oO Mechanical Permit ?~.5'a -1-(2 ()O _/,2-~ ~.7tJ Issuance State Surcharge Totar Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge ~/It.hu ~/EW -II!c .MJ Total Miscellaneous Permits (E) TOTAL AMOUNT OUE (excluding electrical) (A, B, C, 0, and E Combined) ~.~~ 49CJ.H 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 01 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. Plan Check Fee: ~EG Ar?C,.,w Date Paid: Receipt Number. s;f~ ? Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ~-E~~1J])lnDA)' *-MJNJMJ)JU-CowtfJm )~7T ~jJ&b1ffA.)TS fi1>!- ~~ 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 thai any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the Slale of Oregon pertaining to the work described herein, arId that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further c~rlify that only contractors and employees who are in compliance with cRS 701,055 will be used on this project. / J 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 th ite at all limes during construction. /1 ~~::c_.J ) /~; .ad-D9 "l / / / Datf' VALIDATION: 0...1' RECEIPT NUMBER ~),5 DATE PAID 0 . IN '0f\ _ RECEIVED B ~ _ ) . ~ ...._,..,i....-;.:' ih~1o\''')..'..,.. :"'1..J..-~._l.--, ZO" :..'-' ......... 225 FIFTH STREET .~pr0".\' L- VV' I SPRINGFIELD, OREGON 97417 Zo,\'nc~ INSPECfION REQUEST: 726-3769>-:1 1-=--13 ) (,L CityJob Number OFFICE: 726-3759 Ocl'_ - - fO '::::f!::. AulhOrized SignalU - 3. COMPLETE FEE SCHEDULE BELOV 1. r.J:tl~n}l~ffOHPJ /~ A. .J2.~~J1~PTION Olj/Y) ., \ ~ r 0 Q J:f),) ~~~ ck1rtct->) t~~ ~Cw/~e) ,Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. 'CONTRACfOR INSTALLATION ONLY .* \O\lectriCal ContractorL. R. Brabham, Inc. Address 63 West "Q" Street City Springfield, PhonM7-6638 Supervisor License Number 14735 Expiration Date 10/1/92 New Residential-Single or ' Multi-Family per dwelling unit. Service Included: Items 1000 sq.ft. or less v- Each additional 500 sq. ft or portion ~ thereof "I- Each Manuf'd Home or 'Modular Dwelling Service or Feeder B. .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 Cost Sum $ 85.00 ~ G"O $ 15.00 c:'n.OO $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number 08699 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 12/18/92 '" Signature of Supervising Electrician ~ .L A~ l~' - Owners Na~ ~f1I, . Address L~L( J.I1.{JtIrl J.~) City ~CLIJfl J Phone 141-/rJh ~21 o~J I~ALLATION The installation. is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DAT~;--:~~ l~. C( ~ . -=.-------=---- RECEIPT f': .~"). "" ~ .... RECEIVED BY:C:?),lI~ ~ 7 w,__ 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or ,1000 Branch Circuits $ 40.00 $ 55.00 S 80.00 volts see "8" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Ci.rcui t Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL S 35.00 S 2.00 not included) s s s S /45'd"e , 7~r /<;;L .2..,) . 40.00 40.00 20.00 36.00