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Home My WebLink AboutPermit Building 1994-05-12RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: ?fr, JOB NUMBER 225 Fifth Street Springf leld, Oregon 97 477 rAx Lor: / rr 42to SUBDIVISION: - o BLOCK: REMODEL ADDITION DEMOLISH OTHER 7+7"s341OWNERPHONE: c)8-CITY:STATE: ADDRESS ZIP:q?+leC'3tetaz trok-oo D,r DESCRIBE WORK: NEw t/ ADDRESS EXPIR PHONE 4- 6arJ v{-q\,^f <,/C U-)gvl-- O\L, \ )ELECTRICAL: CONTRACTOR'S NAME G EN ERAL: MECHANICAL CONST. CONTRACTOR # D*"^- \/ tv t t2 tr LHEAT SOURC E: OUAD AR lU l _ OFFICE USE - RANGE: CONSTB. TYPE FLOOD PLAIN: ZONING CODE: * OF BDRMS: WATER HEATER SECONDARY HEAT: SOUARE FOOTAG # OF BLDGS LAND USE: # OF UNITS OCCY GROUP: g OF STORIES: To request an inspection, you must call 726-3769. This ls 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 w Temporary Eleclric 4 Rough Mechanical - Prior to cover.E Final Plumbing - When all plumbing work ls complete. Site Inspection - To be made after excavation, but prior to setting forms. w Rough Electrical - Prior to a Flnal Electrlcal - When all electrical work is complete,cover. Underslab P!umbingl Electrical / Mechanical - Prior to cover.;4 Electrical Service - Must be approved to obtain permanent electrical power. d Final Mechanical - When all mechanical work is complete. E Footing - After trenches are excavated.1 Final Building - When all required inspections have been approved and building is completed. Fireplace - Prior to facing materlals and framlng lnsp. Masonry - Steel location, bond beams, grouting. fV Framing - Prior to cover. ffi waltlCeiling lnsulation - Prior to - cover. PAy l-E orywar, - r;ffrr[q,#f*.,^ - n Foundation - After forms are erected but prior to concrete placement, Other Underground Plumbing - Prior to filling trench. MOBILE HOME INSPECTIONS Underlloor Plumbing / Mechanical - Prior to insulation or decking.Wood Stove - After installation 4 Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and installation of unit. Blocking and Set-Up - When all blocking is complete. f-V Floor lnsulation - Prior to4 decxing.;4 Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. 4 4 |4 m Sanitary Sewer - Prior to fiiling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home ls connected to the service panel. Storm Sewer - Prior to filling trench. I--7 Sidewalk & Driveway - After4 excaration is compiete, 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. Rough Plumbing - Prior to cover.w ?4o4o' PLUMBING: E E E E E Lot taces Lot sq. ftg. Lot coverage Topography Total height Lot Type X lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E lu-r-HE PROPOSED WORK lN THE ISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED BUILDING PERMIT ITEM SQ. FT. Main ZZZO Garage AZS Carport /3-7/42*#.sa*7%t;* ?9.? (A) r,n VALUE /2f7a{lz31* X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee 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 thq Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of bulldings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plans Reviewed By Date Date Paid Receipt Number:. Beceived By: Plan Check Fee:o3 SYSTEMS DEVELOPMENT CHARGE D (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanltary Sewer Water Storm Sewer Mobile Home fTz 9.x- FEE q /?z.e ?.67 2e7?/(c) N0 FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS 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 701.0S5 will be used on this project. all ti 4.52 r*,. -26 /< <lF R t (D) /d o6 pro ea Signat Date approved set of plans will remain ction. Mechanical Permit lssuance State Surcharge Total Permit I .7A 1,(2,ry.?/ /-* I further 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 ls located at the front of the on the MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan Wood Stovei I Dryer Vent MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permlts (E) a1. TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Combined) fr,aa/ B R DATE PAID RECEIVED BY AMOUNT R VALIDATION: RECEIPT NU ld *' /47 4*ftary SPRIilGFIELO P:.llloyyl19,proleci as submltted hae rho following Zoning, and does not requi,c i-t.:':,: r.^.-,;i gcs 225 FIWfl SIIEET : LD aSPRTNGFTEID, OREGON 97477 '. -nriisAiou nrousst . 726-376e >- ft- ?T oFPICE: 726-3759 p -M3. approval 1 or ,ALI.ATION IJGAL DESCRTPTION Address cl Phone Supervisor Llcense Number Expiration Date Constr Contr. Number Explration Date , Stgnature of Supervlsing Blectriclan Omers Na,me, Address Cl ty pnone.729V?/ BIACTRICAL PERHIT APPLICATION City Job nonber ?/O {?2 COHPI,ETE PEE SCEBDTILB BBLOV A. Nev Residentlal-Single or Hulti-FamilY Per dvelling unit' Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dwelling Servlce or Feeder z7' g 85.00 $ 40.00 B Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amis to 4OO amps -401 amps to 600 amps - 601 amps to 1000 amPS- 0ver 1000 amps/volts - Reconnect OnIY $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 D. 5 g 1s.oo Sum 6n E+ OSNER. INSTALI.ATION The installatloir is belrig made on property I own vhich is not intended for sale, lease or rent. Temporary Services or'Feeders Installation, Al.teration or Relocation 200 amps or less -' $ 4g.gq -q2,* over 401 to 600 amps - $ 80.00 6ver 600 amps or tbOO-GTts see nBr a56iE- Branch Circuits Nev, Alteration or Bxtension Per Panel One Circuit $ Each AdditionalCircuit or vith Service or Feeder Permi t - $ Miscellaneous (Service/feeder -Each installation Pump or irrigation $sigir/outline-Lightrng- $ t tilited Energy/Res - $ Limited Energy/comm - $ c. i. E 5. SUBTOTAL OF ABOVB 5Z'State Suicharge TOTAL 35.00 2.00 not included) 40.00 40. oo 20.00 36.00 -* RBCBIVED ?2 6 o CITY OF Permits are non-transferabLe and explre if vork is not started vithin 180 days of ls"uance or if vork ls suspended for 180 days. 2. CO}rISACTOR INSTALI.ATION ONLY Electrical Contrac $r Ab/R Willamalane Park & Recreation District NAME: ADDRESS: LOCATION OF FROPOSED BUI 1 SYSTEMS D EVELOPMENT CHARC E WORKSHEET PHONE: STATE: fob No. P \Street Address if Known: Platt Name:Tax Lot Number:t DEVETOPMENT TYPE (Check appropriate dwellingG). SDC Calculations and dwelling type definitions are on the back.) A- Sinsle Familv - Detached Single Famity home Manufactured home not in a park CC NO OF UNITS B. Sinsle Familv - Attached NO OF UNITS C- Multi-Familv Apartment NO OF UNITS D. Manufactured Home Park NO OF UNITS X $400 PER UNIT -=$ X $370 PER UNIT =$ X 5277 PER UNIT =$ X $280 PER UNIT = \CC WPRD SDC $ 2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC'Credit workshbei. $ 3. TOTAT WPRD NET SDC ASSESSED (lf SDC reduced for Credit) $ v) $ S,iL%- Community lces \J Xr City of Springfield ,'.7 Date