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Home My WebLink AboutPermit Building 1991-05-17,{GFIELDRESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSE ASSESSORS MAP: -1 LOT:BLOCK: JOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97 477 TAX LOT: SUBDIVISION: OWNER: ADDRESS: CITY: PHONE STATE:ZIP: \ DEMOLISH OTHER DESCRIBE WORK: NEW - REMODEL ADDITION ME AD EXPIRES PHONE PLUMBING GENERA coN MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # 4E\ QUAD AREA:\t\\_ OFFICE USE _ WATER HEATER:RANGE: LAND USE:FLOOD PLAIN ZONING CODE: # OF BDRMS # OF BLDGS * OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: CONSTR. TYPE HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24hour recording. AII 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 work day. REQUIRED INSPECTIONS Temporary Electric El#.y:flriry,'ilif' ,K Final Plumbing - When all plumbing work is complete. Site Inspection - To be made after excavation, but prior to setting forms."K Rough Electrical - Prior to cover."K Final Electrical - When all electrical work is complete. Electrical Service - Must be approved to obtain permanent electrical power. B Final Mechanical - When all mechanical work is complete. l)11 Footing - After trenches areA{ excavated.Fireplace - Prior to facing materials and framing lnsp. E.Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.K E & Framing - Prior to cover. N Foundation - After forms are erected but prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taping. MOBILE HOME INSPECTIONS f\7U nderf loorPhrflt6ffidrM echanicalf\l Prior toJhs,n*aff6fi'or decking.Wood Stove - After installation x'lPost and Beam - Prior to floor insulation or decking.Insert - After fireplace approval and installation of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut &Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer.B trt Sanitary Sewer - Prior to f illing trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Slorm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prior to filling trench. Fence - When completed Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.K Rough Plumbing - Prior to cover. ,J-t AL\\)r*) E f_l Underslab Plumbing/ Electrical/lJ Mechanical - Prior to cover. I I r r Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Se P.L.HSE GAR ACC N S E BUILDING PERMIT ITEM Main Garage Carport so.4\FT. R X $/SQ. FT.,rJgr Total Value Building Permit Fee State Surcharge Total Fee /22.€a /3 /28.es(A) 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 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 a p isions of said ordinances. Plan Check Fee: Date Paid I Receipt Numbe Recei 5 -/6-?1 an Date C ,c SYSTEMS DEVELOPMENT CHARGE (SDC) (B)1% Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home 3 FEE 3DP' N0 Fr. <5e 25.tu FT. Fr. Z5O 75,* ooPlumbing Permit State Su rcharge Total Charge (c) .4.oo saa ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan N0 Wood Stove/ lnsert/ Fireplace Unit Dryer Vent Mechanical Permit lssuance State Surcharge Total Permit k//,t/./5: o /o,o o z5 (D)26.>s By signature, I state and agree, that I have caref ully 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 Springf ield, 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 Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this prolect. .,ni\&" Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) VALIDATION RECEIPT NUMBE DATE PAID AMOUNT RECEIV RECEIVED BY TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D and E Combined) 23Z,EO -ts rHE PRoPoSED woRK tN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: I f urther 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. C,ITY 225 FTFIH STREET SPRINGFIBID, OREGON 97 477 INSPECTI0N REQUEST. 726-37690FFICE: 726-3759 1 OF JOB DESCRTPTIOI{ Address Ci ty Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Slgnature of Supervising Electrician Ovners Name Address Ci ty Phone OIINER INSTALI..ATION The installation is being made on property I ovn vhich is not intendedfor sa1e, lease or rent. 0wner SPTIINGFIEL() ELECTRICAL PERXIT APPLICATION City Job Number COHPIATE PEE SCEEDT'LE BELOV Nev Residential-Single or Hulti-Family per dvelling unlt. Service Included: Items Cost 1500 sq.ft. or less Each additlonal 500 sq. ft or portion thereof Each Manuf,d Home or -Hodular Dve1ling Service or Feeder $ 8s.00 $ 1s.00 $ 3s.00 Services or Feeders (1.0 Branch Circuits included). Installation, Alterations or Relocation: % 3 A Sum Permits are non-transferable and expireif vork is not started vithin 180 diysof issuance or if vork is suspended iori80 days. Z. COIYTRACTOR INSTALI,.ATION ONLY Electrical Contractor B 100 amps or less 101 amps to 400 amps 401 amps to 600 amps -601 amps to L000 amps- over 1000 amps/volts -Reconnect Only 200 amps or less $ 201 amps to 400 amps - $ Over 401 to 600 amps _ $ 0ver 600 amps or 1000 volts s $ 3s.00 $ 60.00 $ e0.00 $130.00 $300.00 $ 3s.00 C Temporary Services or FeedersInstallation, Alteration or Relocation 3s.00 40. oo 80. o0 ee ilBtr aSove s Branch Circuits I'lev, Alteration or Extension Per Panel One Circuit Tvo to ten Circuits Each Addt,l ten orportion thereof s 3s.00 $ s0.00 (qs E s 1s.00 lliscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 36.00 Signal Circuit or limited energy panel $ 36.00 STIBTOTAL OF ABOVE 5X State Sureharge TOTAL DATE: 5 )RECEIVED B ture ,K }\O t