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Home My WebLink AboutPermit Building 1992-07-31SPRINGFIELDRESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office; 726-3759 JoB NUMBE " qzcl?27 2fr, 225 Fifth Street Springfield, Ore 97477 ASSESSORS MAP:l-)o}, 2-Z 4Lq2_ TAX LOT: LOT ALOCK:SUBDIVISION f,a.v-.-tAry[u 741-ooaoPHONE: STATE:or<ZIP:47vttBles CITY:PLeAySaur H,l lrE ADDBESS: OWNER l,ul / T/ LLI cLt't't NEW r REMoDEL ADDtrtoN DEMoLtsH orHER NA,u,s -F. ResinG*a-DESCRIBE WORK: LCo ftu,tt* EO 2t-€lg;atJ dtff b87- L t*\,8o lpvt€ EXPIRES PHONE -//,| / /-m CONTRACTOR'S NAME G EN ERAL:lfrFlt-cirtlzr PLUMBING:Be" MECHANICAL ELECTRICAL: ADDRESS 6+4St Vllic,y^ CONST. CONTRACTOR # 9 r+2/ 1tr\- OFFICE USE _ LAND USE OCCY GFIOUP: FLOOD PLAIN ZONING CODE: * OF BDRMS: RANGE:WATER HEATER: g OF STORIES: * OF UNITS: QUAD AREA: * OF BLDGS: SECONDARY HEAT SQUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24 hour 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 N4 Footing - After trenches are ,lz\xcavated. N/l Temporary Electricr\ Kyi;|1 Sile lnspection - To be made after excavation, but prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Masonry - Steel location, bond beams, grouting. Foundation - After forms are but prior to concrete placement. Underground Plumbing - Prior to filling trench. [] RouSh Mechanical - Prior to /------ cover. l{ nough Electrical - Prior to ,F\over. Pf electrical Service - Must be ,,,,A$proved to obtain permanent electrical power. pf finat Plumbing - When ailHplumbing work is complete. V finat Electrical - When attJ^\Sllectrical work is complete. ffiFinat Mechanical - When all )a{.gechanical work is complete. llf rinat Building - When att,^\gequired inspections have been ipproved and building is completed. ffiFraming - Prior to cover. -.,,c( ffi W"tllCeiling lnsulation - Prior to flcover. XOrV*"tl - Prior to taping. Fireplace - Prior to facing materials and framing lnsp. Wood Stove - After installation lnserl - After fireplace approval and installation of unit. Curbcut & Approach - After forms are erected but prior to placement of concrete. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Fence - When completed Trees - When all required es are planted. ther Larte fa *tuDcXL. rt anical n or decking / '$E i-' ryt * MOBILE HOME INSPECTIONS Blocking and Set-Up - When all blocking is complete. Plumbing Conneclions - When home has been connected 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. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. X Posl and Beam - Prior to floor insulation or decking. Rough Plumbing - Prior to K:'""-l;;suration - Prior to )Vf Sanitary Sewer - Prior to filling.J4trench 7b Sryto 7*Ok J\1J Storm Sewer - Prior to fillingRlrencn. KY**Line - Prior to rirring ,x X Plumbi Z7 oo LocArroN oF PRoPosED woRK: d 1q3 SRrlu.f r Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Type -ks u44 '-.i 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 /oza'o il9o qfa{ x lnterior Corner Panhandle - Cul-de-sac PL.HSE GAR ACC N D, S p /s' E 5' 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 n violation of any provisions of said ordinances. z/z s/;z- Reviewed By / oat6PI upo L Receipt Number: Received 6SPIan Check Fee: Date Paid VALUE /9,'{ 31a',s 6%:s 75653/a (A) '7 1o/.@ 87 /y'e L^ 19 X $/SQ. FT. Total Value Building Permit Fee State Su rcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport /7f7lfr 7a Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B)N/* ADDITIONAL COMMENTS ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE ?.63 /oz-?" 24f(c) FT. No?, FT. PLUMBING PERMIT Plumbing Permit State Su rcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent a4 2- {oMechanical Permit ./0, ' t /-3 b ryr?9 N0 4 (D) MECHANICAL PERM!T tu ./'N__@_ 4.so lssuance State Surcharge Total Permit Fu rn ace Exhaust Hood Vent Fan -zHo- 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 ield, and the Laws of the State of Oregon pertai ning 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 further agree to ensure that all required inspections are requested at the proper time, that each address is readable the permit card is located at the f ront natu ?Date set of ans will remain rU ton from the st the appof the prope times durion the site MISCELLANEOUS PERMITS Mobile Home State lssuance State Su rcharge Sidewalk 29O ,, Curbcut 1t tt Demolition State Surcharge /z E Zb, 53-e- Fo€ Total Miscellaneous Permits (E) /C,@ / /o. a" lo? tu /G? TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined)7gG-zb VALIDATION RECEIPT NUMB DATE PAID AMOUNT REC RECEIVED BY FT. SID'IIN(iFIGLr, -r,,. eb225 FIFTB STREET SPRINGFIELD, oRBGoN 97477 INSPBCTI0N RE0tBSTz 726-3769 OPPICE: 726-3759 I.EGAL DESCRIPTION JOB DESCRI Ao ,/arn ' / Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALI,ATION ONLY Electrical Contractor 4 i r/cut Ek-f eddress J A6a l+ q a. a) pnone lt 7^re92 ELECTRICAL PERHIT APPLICATION City Job Numbe , Q2O ?24 3. COHPIJTB TBE SCEEDULB BBLOS Nev Residential-Single or Hulti-FamiIY Per dvelling unit' Service fncluded:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereo f Each Manuf'd Home or Modular DveIling Service or Feeder E $ Bs.oo 9S s 40.00 Services or Feeders Installation, Alterations or Relocat ion: A Sum 3 g 1s.oo AL 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 OnIY $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00Supervisor License Number Expiration Date I -fz:c. Constr Contr. Number 2 L,ft/TemporarY Services or Feeders -i;;l;ii;iion, Arteration or Relocation Ci ty si ture of Expiration Date 2 -t3-2s 201 amps to 400 amps --Over 401 to 600 amps - 0ver 600 amps or 1000 volttrician $ $ Sss 40 55 _@00 00 80.00 ee IBtr above 0wners Name Address <,|t1 ed Ci tv Phone OSNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent' Ovners Signature: DATE: RECEIPT D. Branch Circuits Nev, Alteration or Extension Per Pane1 One Circuit Each Additional Circuit or vith Service or Feeder Permit - $ 3s.00 $ 2.00 Miscellaneous (Service/feeder not included) ,1) -oda() E -Each installation Pump or irrigation Sign/0utIine Lighting- Limited EnergY/Res .- Limi ted EnergY/Comm STETOTAL OF ABOVE 5tr State Surcharge TOTAL $ 40.00 $ 40.00 s 20.00 s 36.00 5().l T_ RECEIVED BY: 4O3 zz /z- zTao 1. LOCATION OP INSTALI.ATION,?q s 7r-/r4r4;- i' l/\) Z/?'/s