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Home My WebLink AboutPermit Building 1993-09-23SP LORESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 JOB NUMBER 47rz% 225 Fifth Street Springfield, Oregon 97477 ASSESSORS MAP:/2e3-zz-,/=TAX LOT: O#A LOT:BLOCK:SUBDIVISION ctr, 2.VFZ,V PHONE: STATE:ZIP.. ADDRESS: OWNER: OTHER DESCRIBE WOBK: ADDrrf oN 4otMoLrsHNEW- REMODEL lr ELEGTRICALi - EXPIRES PHONEADDRESS /tMECHANICAL: CONTRACTOR'S NAME GENERAL: CONST. CONTRACTOR # \?zq. Aa' _ OFFICE * OF BDRMS: WATER HEATER:RANGE: ZONING CODE: FLOOD PLAIN SECONDARY HEAT: SOUARE FOOTAG r OF UNITS: LAND USE: OCCY GROUP: * OF STORIES: OUAD AREA: ,r OF BLDGS: CONSTR. TYPE: HEAT SOURCE: Torequestanlnspecilon,youmustcall 726-3769.Thlsls a24hour recording.All inspectionsrequestedbeforeT:00a'm'wlll be made the same working day, lnspections requested after 7:0o a.m. will be made the following work day' REQUIRED INSPECTIONS [-_l femPorarY Electrlc Site lnspection - To be made after excavation, but Prior to setting forms. Underslab Plumbing/ 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 Plumblng - Prlor to filling trench. Prior to Post and Beam - Prlor to floor insulation or decking. Floor lnsulation - Prior to decki ng. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Water Llne - Prior to filling trench. lf7 Rouoh Mechanical - Prior to IA\,"orir. VRough Electrical - Prior to .Acover. f,7 electrical Service - Must be JA\upprored to obtain permanent electrical Power. Fireplace - Prior to facing materials and lraming lnsP' ,E tt"-t"g - Prior to cover' M WaltlCeiling lnsulation - Prior tojAcover. p3tr*"ll - Prior to taPins' Final Plumbing : when all plumbing work is comPlete. Final Electrical - When all electrical work is comPlete. Final Mechanical - When all mechanical work is comPlete. ,X x ,K ,K X X X ,x E ng.Wood Stove - After itstallation lnserl - After IirePlace aPProval and installation of unit' Curbcut & APProach - After forms are erected but Prior to placement of concrete. Sidewalk & DrivewaY - After excavation is comPlete, forms and sub'base material in Place' [-_l Pence - When comoleted Street Trees - When all required trees are Planted. Other MOBILE HOME INSPE TIONS Blocking and Set'UP - When all blocking is comPlete. Plumbing Connections - When home has been connected to water and sewer. tVPinat Building - When all ,iA\qequired inspections have been iPProved and building is comPleted' Electrical Connection - When blocking, set'uP, and Plumbing inspections have been aPProved and the home is connected to the service Panel. Final - After all required inspections are aPProved and oorches, skirting, decks, and venting have been installed'Rough Plumbing - Prior to cover. LOCATION OF PROPOSED WORK: =/r^/Z> E r E E E Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Type - lnterior - Corner - Panhandle - Cul.de-sacl1: Setbacks P.L.HSE GAR ACC N S E W I'HE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved bY the Historical Coordinator prior to permit issuance. APPROVED VALUE f 2a 11,*-F /2L 17(A) vtainftP Z=? X $/SQ. FT. BUILDING PERMIT ITEM SQ. FT. Garage Carport Total Value Building Permit Fee State Surcharge Total Fee %s> /.?7 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 any provisions of said ordinances. 35a-?7 ewed Plan Check Fee:l yo= By: Date Paid Fleceipt Number: Recei SYSTEMS DEVELOPMENT CHARGE (SDC)(B) aib Systems Developrnent 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 €,.Y ' <--re 52-5e FT. FT. FT. (c) 5=A-* PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rn ace Exhaust Hood Vent Fan No Wood Stove/ lnsert/ Fireplace Unit Dryer Vent LiP /c>a (D) /'e= -.'..+ -Fz< Mechanical Permit lssuance State Surcharge Total Permit 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 f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ietd, 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 thisproject. I further agree to ensure that all requirecl 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 ig natu re Date q3 on the site at all ti during construction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (exctuding etectricat) (A, B, C, Q and E Combined)Je/@ o31t r VALIDATION FIECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY ? s;;? , N0 FEE ,fO <f '-,4h-tct ,o*rr tl,, (cfi 2(saetre&ts 7rc--e.-- e fcliowing prcjoct as subm,tt€d , anci Coes nol require spec Zcnir,.g. SPRIHGFIELO hee the c. D. Branch Circuits E. % 225 FITTE SI?EEf, SPRTNGP.TEU), oREGoN 97477 INSPECTION RB0t EST2 726- OPPICB: 726-3759 LDz 9rm-5-a1r-- Authcrizod Si girature_ 1 permits are non-transferable and expire if vork is not started vlthln 180 days of lssuance or lf vork ls suspended for 180 days. ! 2. COIITRACTOR INSTALI,ATION ONI,Y ElecLrlca1 Contractor R0SE C0BP ific lqnd Llso ELBCTRTCAL PERHTT PLICA 41 A/.1\ Ci ty Job Nunber .r'frX .PTP.SCEEDTILE BELOV A Nev Resldential-Single or HuIti-FamiIy per dwelling unit. Service Included: I tems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular DveIIing Service or Feeder s 8s.00 $ 1s.00 s 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less t ON Sum Address 89976 Y LAN 201 amps to 400 amPs - 401 amps to 600 amps - 601 amps to 1000 amPs- 0ver 1000 amPs/vo1ts - Reconnect OnIY Temoorarv Services or Feeders i."i"ff"iion, Alteratlon or Relocation 200 amps or less S 19'99,oi ;;; to 4oo amPs - t :l'99 Or"t-Abf to 600 amis - - $ 80'00 Over 600 amps or lb00-voTts see rrBrt affit E 50. 60. 100. 130. 300 40 s s $ $ $ s 00 00 00 00 00 00 EN(}J ci ty- FltcFt{F Phone Supervisor License Number 6-0q05 1 s Explration Date 10/1/95 ",iL Constr Contr. Number 54431' Expl'ratlon Date 9/30/95 Stgnature ls Electrician Ovners Address ci Phone The.instal]atioir is beidg made on DroDerty I orln vhlch ts not intended lor'sall, lease or rent' Onners Slgnature: Nev, Alteration or Extension Per Panel One Circuit -- $ 35'00 n A 'il**:I;lih,'",.sfr 2 oo @. Hiscellaneous (Service/feeder not included) -Each installation Pumo or irrigatlon - Sign/Outline Lighting- Limited EnergY/Res - OgNER DATE: s 40.00 s 40.00 s 20.00 $ 36.00Llmited EnergY/Comm STIBTOTAL OP ABO\TEI) 5f State Surcharge, TOTAL RECET\TED 5 .CITY OF a d