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Home My WebLink AboutPermit Building 1994-9-1 RESIDENTIAL PERMIT APPLICATION Inspections: '126.3769 OHlce: 726.3759 ,-. LOCATION OF PROPOSED WORK' C;/ C:;, '7 5'" ?< ~~~ Ls::?--.:::>.2 --c::r~ ~:::< ? ASSESSORS MAP: LOT' r BLOCt<' {I.J(MIo -+ ,J WM./T)4.. iffY! s- -:-r;;s P~1c. '5P;Vi--l.(.;, 1~"ffiJJ OWNER' , " ADORE"'" CITY' DESCRIBE WORK: --.t!:Jd' R'JI'r-Y K'd STATE: ; "h~ ~ . ~, JOB NUMBER q.y 4/6R 225 Fifth Street Springfield, Oregon 97477 /f?f ~ ~~frJJ T~X LOT: ,c:c. *- ~ jlJ/ SUBDIVISION' PHONE: '7Jt,-'f{/oel I ZIP: . /7</7 ?' n~1 ~FOr.e...-r fhIlO R-ooF= ADDITION'X '. DEMOLISH OTHER , - .... .... ' NEW REMODEL' CONTRACTOR'S l1AME GENERAL: [,/It'(ftL PLUMBING: ,--: MECHANICA' . EX~r , <rL.... ~ ADDRESS' ffu/~,,~ ~ "'" ,CON ST. ' ~~..".'" r'}CONTR.ACTOR # f?'M;;:":',':6 . , e5s:-("." . - '..- "'\.. PHONE 3?~S-0SCl ELECTRICAl' - QUAD AREA:.5. J:l. S .E · OF BLDGS', .I OCCY G~Ou~:~m · OF STORIES: WATER HEATER' 1 - OFFICE USE - LAND USE: JJlI / VtJ EXPIRES s-f'7S'" FLOOD PLAIN' ZONING CODE: L1J~ · OF; UNITS' CONSTR. TYPE: HEAT SOURCE: RANGF' . OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: To request an Ir.specllon, you must call 726.3769, Thts is a 24 hour recording, Alllnspecllons 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 D Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Eleclrlcell Mechanical - Prior to cover. ~Footlng - After trenches are ~ ~xcavated. D Masonry - Sleel locallon, bond . ,beams. grouting. D Foundation - After forms are erected, but prior to - concrete placement. D Underground Plumbing - Prior . to IlIlIng trench, I: O Underfloor Plumbing/Mechanical -.Prlor to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking, D Sanllary Sewer - Prior to IIl1lng trench. D Storm Sewer - Prior to filling trench. D Waler LIne - Prior to filling trench. ~ " o Rough Plumbing - Prior to cover. .' D Rough MechanIcal - PrIor to cover. o Rough ElectrIcal - Prlor'to cover. . ( D Eleclrlcal Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. '0 Fra~lng - Prior to cover. D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prlo' to taping, D Wood Stove - After Installation. D Insert - After fireplace approval and Installation of unit. D Curbcul & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is completo, forms and'sub-base material In place. D Fence. - When completed. o Street Trees - Whef' !III requ.lred trees are planted. ... D Final Plumbing - When all plumbIng work Is complete. , , D Final Electrical - When all electrical work Is complete. o Flnat Mechanical - When all mechanical work Is complete. K71' Final Building - When all ~ required Inspections hav~ been approved and building Is completed, o Other MOBILE HOME INSPECTIONS D Blocking and Sel.Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sewer. D Electrical qonnectlon - When blocking, set.up, and plumbing Inspecllons have been approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. III""" Lot faces t \' :i. :')' ~:' ~;;'i'.;;l:'.:': ') ~.\i ~1;:~~.;.:~,~{\:"':, 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. Plan Check t:ee: =-?s. -" ~ t./5;'..-::;-"3- Date Paid: e l/-CJLj 776'<, Y..5' - I ' ( 1(';1 Receipt Number' U X ~~ : ReCelve~y: ~ j J:V - h r-,"", ~,tPt>-,.- ~ _ dL/r ~ (A);, /~ ,7<; . PlanS\Revlewed Bf .AJ'-.- lb- SYSTEMS DEVELOPMENT CHARGE (SDC) ~ L~t'~yP. Interior I'P.L. 'I N Is Iw Ie' Lot sq, fig. Lot coverage Corner . Topography Total height Panhandle Cul.de.sac BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, = VALUE Main Garage " Setbacks HSE .GAR _S THE PROPOSED WORK,tN THE, '''HISTOI;IICAL DISTRICT, OR ON THE HISTORICAL. REGISTER? If yes, this application must be signed and approved by the Historical . Coordinator prior to permfl Issuance, Acc'1 I :1 '. .:... . --~ . APPRqVEf'I' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Carport _ 8~ ~~ J~~ ~~.;> /&'. ,....."" /&?-~ "5"Yy=?9c ::?,,:;>:2?~ - Total Val ue Building Permit Fee State Surcharge Total Fee (B) PLUMBING PERMIT ITEM FEE Fixtures Residential 'Bath(s) ,.. \ '. , ,Sanitary Sewer Water N' /,. FT, FT, FT. / /' Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Dryer Vent / /' / Wood Stove/lnsert/Flreplace Unit Mechanical Permit Issuance Stale Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It It Curbcul Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) 7~,r'f' $/)m~ I 6~e ( Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved, ADDITIONAL COMMENTS . '.' ~ tM( /AJr~ItfifrxTr. W7L( -ffl{1(1/(,{~ A-<jif/~ ,/.f'</1I'T '" . 1. .. 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 stru~ture without permission of the Building Safely Division. 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 the street, that the permit card Is located at the fron'i: of the property, and the approved set of plans wlfl remain on the site at all tjnes during construction. ~nature---k/~--, O/j~.J':' . Datp r/j/ VALIDATION: RECEIPT NUMBER /Y.r;''/y' DATE PAIl:" '7-/'-?c.r AMOUNT RECEIVEr 7::3- 9<;;1 RECEIVED BY 449...&" -//r- ~ -e ,_.., . SPRINGFIELD --The fol!owing projec1 .. oubmltted hM the following zoning, and does not require specific land use approval, 225 FIFTH STREET Zon;n" SPRINGFIELD, OREGON g~477 INSPECTION REQUEST: f~-~;~; OFFICE: 726-3759 A1Jlhorlzed SIgnalUr- 1. LOCATION OF INSTALLATION LfMS ~npn~ f?d LEGAL DESCRIPTION ,I '9 02- 05 Z .~ ao'!OO JOB DESCRIPTION c;o ~ R-. <:j,mo'"..JlO(J{)/Y>ff'fYY1fflll,/YtInim ~ 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. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name-",U(1~1 rn,<\ \~ . Address LtCq,t:), J Ct. <l. Pf>,v' l2.d Ci ty _ ~~d p~one ~ 4- b -~l C)~ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: D~-~~~~~~--------------- RECEIPT #:. (lJ.\ q I RECEIVED BY: r. 1^AA.L- ELECTRICAL PERMIT APPLICATION 4J,l~ 7/ City Job NUmber 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos t Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof .Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 ~ $ 50,00 $ 60.00 $100.00 $130.00 $3QO.00 $ 40.00 c.o.ri:J 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 $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ 4->.oP '7,0:;0 -l'00 &J<l Q 40.00 40.00 20.00 36.00