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Home My WebLink AboutPermit Building 1993-05-27SPFrINGFIELD RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 O{f ice: 726'3759 LocArroN oF PRoPosED woRK: - 3h2Z h, JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 Ave )nssessons MAP /7D z b/- ?z TAX LOT: LOT: - BLOCK:SUBDIVISION I To request an inspection, you must call 726'3769. This is a 24 hOur recording' All inspections request made the same working day, inspections requested after 7:00 a'm' will be made the following work REOUIRED INSPECTIONS ed b'efore 7:OO a.m. will be day. Site lnspection - To be made ld nough Electrical - Prior to after excavation, but prior to F( cover. setting forms. TemporarY Electric Underslab P!umbing / Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but Prior to concrete placement. Underground Plumbing - Prior to filling trench. Underlloor Plumbing/ Mechanical - Prior to insulation or decking' Posl and Beam - Prior to floor insulation or decking. Rough Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Permanent electrical Power. [l FirePlace - Prior to facingU materials and framing lnsp. ff tt''.t''tg - Prior to cover' vwrttlceilinq lnsulation - Prior to 14.over. ("r*u'l - Prior to taPins' Wood Stove - After installation lnsert - Alter {irePlace aPProval anC inslallation of unit. Sidcwalk & Driveway - Aiter cx.cavatiorl is comPlete, forms and suLr-base materlal in Place. fVf Pinal Electrical - When all JAetectrical work is comPlete. Final Plumbing - When all plumbing work is comPlete. Final Mechanical - When all mechanical work is comPlete. X Final Building - When all required insPections have been approved and building is completed. Other MOBILE HOME INSPE TIONS Blocking and Set'UP - When all blocking is comPlete. Plumbing Connections - When home has been conllected to water and sewer. Electrical Connection - When blocking, set-uP, and Plumbing inspections have been aPProved and the home is connected to the service Panel. X K5:'"?1j;"',tutio" - Prior to Curbcut & APProach - After forrna are erected bL't Prior to placement of coitci'ete. Sanitary Sewer - Prior to filling t renc h. LJ Storm Sewer - Prior to filllng trench. Water Line - Prior to filling trench. f _l fenc" - When cornPleted' Final - After all required inspections are aPProved and porches. skirting, tlecks, and venting have been installed. JAc(-s ou PHONE: ZIP:STATE: L 7217 -a?t4&P-DoN O lzc.Gotu A/g_ 4t1tz 8a?-E 3 LZZ e PP I N6I: I ELD ON CITY: ADDRESS OWNER: NEW - REMODEL )< ADDITION DEMOLISH OTHEB c')LrvGE CON J S ronl DESCRIBE WORK: PHONEEXPIRESADDRESS AC^r N€T2- ^r N 912- CONTRACTOR'S NAME ELECTRICAL CONST. CONTBACTOR l/ GENERAL: PLUMBING MECHANICAL: -- I 11 /A/ _ OFFICE USE _ * OF BDRMS: ZONING CODE: FLOOD PLAIN WATER HEATER SECONDABY HEAT: SQUAFIE FOOTAGE: OUAD AREA: E OF BLDGS: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: LAND USE: , OF UNITS Rough Piumbing -" Prior tc' covcr. : -l St,-cel rrees -- Wl-rc;I all i'equired L J trees are Pianted. I E tl E tl rl .g Er r t_l Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior --- Cornt:r - Panhandle - Cul-de-sac Sc tba<; ks PL.I_ISE GAR ACC ISiHE PROPOSED WoRK IN THE HIS-TORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVEDE N S (A)7fl-3s- X $/SQ. FT. A^ce - ?.f? za3 Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. Main Garage .ffi't- VALUE -#a*dt *Z< fl1<--F- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pernrit rs granted on the express condition that the said construction shall, rn all respects, conform to the Ordinance adopted by thc City of Springfield, including the Developrnent 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: - # -*fu4 PI s=ftZs_Reviewed By Date Paid Receipt Numbcr: Receiveci SYSTEMS DEVELOPMENT CHARGE (SDC)K (B)o'Systems Devcloprnent Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS 4ENwy h>a, Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have caref ully examined the cornpleted al)plication and do hereby certify that all information hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws t-rf the State of Oregon pertaining to the work described herein, and tl.rat NO OCCUPANCY will be made ot any structure without perrnission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I further agree to ensure that all requlred inspections are requested at the proper time, that each address is readable from the street, that the permil card is located at the front of the property, and the approved set of plans will remain 5_zz_13 on the site at I times duri Date st ru ct ion. !,nn",u," MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - it Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits P/no tF - \-e,?: (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined)-96-oJ VALIDATION: RECEIPT NUMBER -- DATE PAiD 9t o- ,)1 - a/AMOUNT FI-CEIVED RECEIVED BY _.- _I_ *eNtMuM WXry*rt 225 FTYIE STRBET rl '1 l+>SPRINGFIBU)oRBGON 97477 TNSPBCTION BBOUEST: OPPICB: 72:5-3759 726-3769 1. LBGAL DESCRIPTION JOB Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or lf vork is suspended for 180 days. 2. CONTRA TOR INSTALI..ATION ONLY Electrical Contractor Address ci ty- Supervisor License r Explration Date SPRI]llGFIELO EIJCTRICAL PERHIT APPLICATION City Job Number FEE SCEBDTILE BELOS New Residential-Single or MuIti-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Hodular Dvelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 L l2k t [,.t rOP L-r A Sum B. Services or Peeders Installation, Alterations or Relocation: D. Branch Circuits B 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps_ Over 1000 amps/volts Reconnect 0nly 200 amps or less $ 201 amps to 400 amps - S over 401 to 600 amps - $ 0ver 600 amps or 1000-I6'Fs s Temporary Services or Feeders Installation, Alteration or RelocationConstr Contr Number Expi ra t ion Signature Date of Supervising Blectrician owners Name Co(:4.c*--lAc,Y,-sor- Address 3\, L '2- O AE64t! *UE city 3 ?Qt r't FtazD Phone 7tl - lrt OSNBR INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Signature: DATB: $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c Nev, Alteration or Extension Per Panel One Cireuit /../' $ fS.00 3goEach Additional Circuit or vith Service or Feeder Permit -Z $ .2. oo -4N Miscellaneous (Service/feeder not ineluded) 40.00 5s.00 80.00 ee I'Bu a5ove -Each installation Pump or irrigation _ $ sign/outline Lighting- S Limited Energy/Res $ Limited Energy/Comm S 40.00 40.00 20.00 36.00 ,/5. STDTOTAL OP ABOVB 5Z State Surcharge TOTAL CITY OF SPR OREGO'V RBCEIVED .v ?/4?*ao 11 OP 3 I qa c\=t."-/ CITY OF OREGON SPFIINGF'ELD D EV ELO PM ENT SERVI CES D EPART M ENT %,225 FIFTH STREET SPRINGFIELD, OR 97477 (50s) 726-s75s FAX (50s) 726-s689 March 21,1994 Gordon Jackson 3622 Oregon Avenue Springfield, OR 97477 t Dear Mr. Jackson: The Springfield Building Code Administrative Code requires that, for a permit to remain valid, construction work authorized by it must begin within 180 days from the date of purchase of the permit. If work is suspended or abandoned during the course of construction for a period exceeding L80 days, the permit will automatically expire. If a permit has expired and suspension and/or abandonment of work on a project has not exceeded one year, a permit to start or resume work may be purchased for one half the fee required for a comparable new permit, provided that no changes have been made in the original plans and/or specifications. If a permit has not yet expired and a permit holder anticipates the need for more time to begin construction work, the Community Services Manager may choose to grant a one time extension of the permit not to exceed 180 days upon receipt from the pennit holder of a written request explaining why the extension is necessary. The attached form indicates the most recent information in our records with regard to construction activity associated with your permit. Please advise this office of your intentions with regard to the permit by ten (10) days from the date of this letter. Please direct inquiries to me at 726-3664 Mondays, Tuesdays and Thursdays, 8:00 a.m. - 5:00 p.m. Sincerely Deanna Buckem Community Services Secretary attachment Gordon Jackson 3622 Oregon Avenue Springfield, OR 97477 JOB ADDRESS: 3622 Oregon Aventte i LAST ACTMTY DATE: August 20, 1993 INSPECTION RECORDED: Drywai 1 JOB # 930479 OTHER: Your permit expired on February 20, 1994 If you plan to start or resume work on the project, a nelv permit must be applied for' If rve do not hear from you by March 31, 1994 (ten (10) days from date of letter), rve rvill clear our files of all relatecl information rvith regard to the permit' cA?o\*3