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Home My WebLink AboutPermit Building 1991-05-13PFtI qGf)tRESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WOFIK: ASSESSORS MAP: JOB NUMBER 225 Fifth Street Springf ield, Oregon 97 477 TAX LOT SUBDIVISION \a\ OWNER ADDR CITY: PHONE: ZIP:STATE: L DESCRIBE WO NEW- REMOD DEMOLISH OTHER ADDRESS EXPIRES PHONENAMEcoNCONST. CONTRACTOR # MECHANICA ELECTRICALI GENERAL: PLUMBING sRi\\rr) \ RANGE:WATER HEATER: OFFICE USE _ \\\ \FLOOD PLAIN: * OF UNITS:ZONING CODE: # OF BDRMS QUAD AREA: * OF BLDGS: OCCY GROUP: * OF STORIES: LAND USE: SECONDARY HEAT SQUARE FOOTAGE: CONSTR. TYPE HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24hour recording. All 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 I_-l femporary Etectric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspeclion - To be made after excavation, but prior to setting forms. E Rough Eleclrical - Prior to IyI finat Electricat - When ail.a electrical work is complete.cover. Underslab Plumbingl Electrical / Mechanical - Prior to cover.Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. B Final Building - When ail required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Z B Framing - Prior to cover, Foundation - After forms are erected but prior to concrete placement. Olher Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.[-Xl DrVwall - prior to taping Underlloor Plumbing/ Mechanical - Prior to insulation or decking. MOBILE HOME TNSPECTIONS [--l Wood Stove - After instailation Post and Beam - Prior to floor insulation or decking.lnserl - After fireplace approval and installation of unit. Blocking and Set.Up - When all blocking is complete. Floor tnsulation - Prior to decki ng.Curbcut & Approach - After forms are erected but prior toplacement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Water Line - Prior to filling trench. Streel Trees - When all required trees are planted. Final - After all required inspections are approved andporches, skirting, decks, andventing have been installed. Rough Plumbing - Prior to cover. LOI - BLOCK: \ E E E Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Fence - When completed. E E E E r Lot faces )/4- Lot sq. ftg. Lot coverage Toposraphy d:e-?a Total height Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac ks PL.HSE GAR ACC N 7?'! S ?2' **€zz rh E q' IS THE 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 BU!LDING PERMIT ITEM Main Garage Carport JAL.d4:,fb: VALUE l', oo Total Value Building Permit Fee State Surcharge Total Fee /"e.PthL (A)81.22 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 isions of said ordinances Plan Check Fee: Date Paid Fleceipt Numb Recei By s Revi Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) &"/ - Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE No FT. FT. FT. Plumbing Permit State Surcharge Total Charge (c) ADDITIONAL COMMENTS MECHANICAL PERM!T Fu rnace Exhaust Hood Vent Fan N0 Wood Stove/ lnsert/ Fireplace Unit Dryer Vent Mechanical Permit lssuance state surcharge Total Permit (D) 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 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 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 project. 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 imes duri construction Sig natu re Date l*/)-?/ MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E) VALIDATION: RECEIPT NUMBER '2-*s:>- DATE PAID ,^/7-7 r AMOUNT FIECEIVED RECEIVED BY r 2 TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) /v{.q7 OREGO'U 225 FIFTE STREET SPRINGFTELD, 0B8c0N 97477 INSPECTIOH RBQITBSTs 726-3769 OPPICE: 726-3759 1. LOCATION OF INSTALI..A:IION laGAL DESCRIPTION JOB DESCRIPTION SPfI]N(;FtELO ELECTRTCAL PERHIT APPLTCATION City Job Number COHPLETB TEE SCBEDUI,E BBLOII l{ev Residential-Single or MuIti-Family per dvelling unit. Service Included: Items Cost 1500 sq.ft. or less $ 85.00 Each additlonal 500 sq. ft or portion thereof $ 15.00 Each Manuf,d Home or -Modular DveIIing Service or Feeder $ 35.00 Services or Feeders (10 Branch Circuits included). Installation, Alterations or Relocation: 100 amps or less 101 amps to 400 amps 401 amps to 600 amps 601 amps to L000 amps Over 1000 amps/volts Reconnect 0nly C. Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps or less g 35.00 201 amps ro 4oo amps - g 40.00 over 4o1 to 600 amps - $ 90.00 Over 600 amps or 1000EITs see rrgrr "f,1[ D. Branch Circuits I,lev, Alteration or Extension per panel 3 A Sum lr{n ,Tl n r ,T ,kl:* , Permits are non-transferable and expireif vork ls not started vithin 180 daysof lssuance or if vork is suspended for 180 <iays. 2. CONTRACTOR INSTALI,ATION ONLI Electrical Contractor Address Ci ty Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Slgnature of Supervising Blectrician 0vners l,lame Address a rv €ffi-? .*. ehone z //*iiE?,z OVNER INSTALLATION The installation is being made onproperty I ovn vhich is not intendedfor saIe, lease or rent. Signatuge: :- DATE: $rs Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation g 36.00sign/ourline Lighting- S 36.00Signal Circuit orllmited energy panel $ 30.00 SITBTOTAL OF ABOVE 5X State Surcharge TOTAL :)D $ 3s.00 $ 60.00 $ 90.00 $ 130. 00 $300.00 $ 3s.00 One Circuit Tvo to ten Circuits Each Addtrl ten orportion thereof $ gs. $ so.ffin(/'00 00 00 E RECEIVED BI3 5 @ ,/,^vn-zzy'?, 2z*O