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Home My WebLink AboutPermit Building 1993-12-09SPRINGFIELE,RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK:7 ASSESSORS MAP: LOT:BLOCK: h, JOB NUMBER n3/,t,a 225 Fifth Street Springfield, Oregon 97 477 o TAX LOT;o12 />- SUBDIVISION f i s--/ra , U QN o2- 4 P STATE: E: 2,r,7)1d/ OWNER ADDRESS: CITY: REMODEL ADDITION DEMOLISH OTHER (0DESCRIBE WORK: NEw y' trt tr^TE t^At . ADDRESS EXPIRES PHON ECONTRACTOR'S NAME MECHANICAL: CONST. CONTRACTOR # G EN ERAL: PLUMBING o , 0 h-___-, RANGE:WATER HEATER: FLOOD PLAIN - oFFrcE usE - SECONDARY HEAT: ZONING CODE: # OF BDRMS LAND USE: * OF UNITS: SOUARE FOOTAGE:5i,f OCCY GROUP: r OF STORIES: OUAD AREA: * OF BLDGST CONSTR. TYPE: HEAT SOUBCE: To request an inspection, you must call 726-3769. This ls 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 Temporary Eleclric f-_l Rough Mechanical - Prior toU cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumbing/ Electrical / Mechanical - Prlor to cover. Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. Fireplace - Prlor to facing materlals and framlng Insp. w Final Building - When all required inspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, grouting.fX rtarning - Prior to cover. Other Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover, Underground Plumbing - Prior to f llling trench.Drywall - Prior to taping MOBILE HOME INSPECTIONS Underlloor Plumbing / Mechanical - Prior to insulation or decking.Wood Stove - After lnstallation Post and Beam - Prior to floor insulation or decking.lnsert - After flreplace apProval and lnstallation of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulation - Prior to decking.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - 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. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Waler Line - Prlor to filling trench. Fence - When completed. Rough Plumbing - Prior to cover. Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. r1aaA )- E E f-l Footing - After trenches arelJ excavated. tl tl tl w E tl E tf E E E E Sanitary Sewer - Prior to filllng trench. Lot faces Lot sq. ftg. Lot coverage Topography Total height ar? Lot Type v ,( lnterior - Corner - Panhandle - Cul-de-sac i-1S THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the H istorical Coordinator prior to permit issuance. APPBOVED: ACCP.L.HSE GAR N 3/ IaS4' &lE 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 Spri ngfield, 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. Plan check r."t '%, 7 ? -=r By: /3€9? Date Date Paid Fleceipt Number: Recei carportZ% VALUE fi72 /ia #-5> 2-63 (A){?.?= x $/so. FT. Garage Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERM!T ITEM SQ. FT. Main Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELoP*.*r,X' o*ff&P) b ITEM Flxtures Besidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT, FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all lnformation 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 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 is located at the front of the property, and the approved set of plans will remain -)-2Date on the site at al mes during c Xnn",u ction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 2l<d t-L VALIDATION FIECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY )B NO . g)t 55t A NAME OR COMPANY: CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE }JORKSHEET (CoNMERCIAL & RESIDENTIAL) Svrurv N' 4 l-J tarT LOCAT I oN: /11 4 lf i 1n:trt+ Loor 11 o7'bL4t - O il t-L- DEVELOPMENT TYPE:. LOR /4oo aae?o*rs IZBUTLDING SIZE: 2C * t1 / .L LOT S F I. STORM DRAINAGE 1 I sQ. Ft. IMPERVIOUS SQ. FT. SANITARY SIWER-CITY NO. OF PFU'S x $0.203 PER SQ. FT. X $42.08 PER PFU 3 2 5 X x (See Reverse) TRANSPORTAT ION NO OF UNITS X TRIP RATE X COST PER TRIP x ' x $424.31 x $424.3I x $424.31 s 4 SANITARY SEWER-MWMC NO. OF PFU'S (Use PFU Total From Item 2 Above) Ml.lMC CREDIT IF APPLICABLE (SEE REVERSE) $ $ TOTAL-MWMC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4) Y ADMTNISTRATIVE FEES BASE CHARGE (SUBToTAL ABoVE) X .05 p Burdick l4l13- SDC Coordinator z1 b TOTAL SDC $ 155 t'l $I5.I25 PER PFU + $IO MI,IMC ADM FEE SPRINGFIELr} RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Of f ice: 726-3759 h,Springfield, Oregon 97 477 LOCATION OF PROPOSED WORK ASSESSORS MAP: /2 TAX LOT /7/z- BLOCK:SUBDIVIS!ONLOT: -- t NE: ZIP ? STATE:?>€2.s, c< CITY: Vz ADDRESS: OWNER: NEW -- REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: PHONEEXPIBESADDRESSMECONTRACTOR'S MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # GENERAL: PLUMBING N t-WATER HEATET]: FLOOD PLAIN ZONING CODE: # OF BDRMS: RANGE: _ OFFICE USE _ LAND USE * OF UNITS: SECONDARY HEAT SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: OUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOUFICE: To request an inspection, you must call 726-376g. Thrs is a24hour recording. All inspections reqttested before 7:00 a'm' wi made the same working day, lnspections requested after 7:00 a.m. wil: be made the following work day' ll be REQUIRED INSPECTIONS [--l Temporary Electric ll Rough Mechanical - Prior to C CVC T. Final Plumbing - When all plumbing work is comPlete. Site lnspection - To be made after excavation, but Prior to setting lorms. Rough Electrical - Prior to l-il Final Electrical - When all4 electrical work is comPlete.cover. Electrical Service - Must be approved to obtain Perrnanent electrical power. w Final Mechanical - When all mechanical work is comPlete. Fireplace - Prlor to facing materials and framing lnsP. w Final Building - When all required inspections have been approved and building is completed. Framing - Prior to cover wo*er ?arr;f,r-7*,'r Wall/Ceiling lnsulation - Prior to cover Underground Plumbing - Prior to filling trench.Drywall - Prior to taPing MOBILE HOME INSPECTIONS Underf loor Plumbing / Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnserl - After firePlace aPProval anci installation of unit. Blocking and Set'UP - When all blocking is comPlete. Floor lnsulation - Prior to deckitrg.w Curbcut & APProach - After forms are erected but Prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewei. Sanitary Sewer - Prior to filling tren c h.Electrical Connection - When blocking, set-uP, and Plumbing inspections have been aPProved and lhe home is connected to the service panel. Storm Sewer - Prior to filling tren cl-t. SiCewalk & DrivewaY - Af ter excavation is comPlete, forms and sutr-base material in PIace. Water Line - Prior to filling trench. nce - When comPleted Rough Plumbing - Prior to cover. Street Trees - When all required trees are Planted. Final - After ail required inspections are aPProved and porches, skirting, decks, and venting have been installed. ) V ftr{f ,?q- ,I5-q- [-_| Underslab Plumbing/ Electrical/ L.--J Mechanical - Prior to cover. [--1 Footing - After trenches areu excavated. f--l Masonry - Steel location, bondU beams, grouting. [---l Foundation - After forms areU erectcd but prior to concrete placement.r tl tf E tl B E tl E E tl r tl tl tl Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Type v - lnterior - Corner - Panhandle - Cul-de-sac t tlac l(s HSEPL.GAR ACC N S IS-i'HE PROPOSED WORK IN THE l-ilsroRrcAl DrsTRlcl oR oN THE HISTORICAL REGISTER? .--- lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED:E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is gr:rnled on the express condition that the said construclion 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, ;rnd may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: --..-- - Plans [lcviewed By Date Date Paid Receipt Number Received By 6?^ 4r/- z7'e VALUE € (A) X $/SQ. FI. Total Value Building Permit Fee State Surcharge Total Fee _?ze i/:63 ?2/5 BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Systems Developrnent Charge is due on all undeveloped properties within the City limits which are bcing improved. SYSTEMS DEVELOPMENT CHARGE (SDC) 4<a.ze> sfuq.@<fi1. ADDITIONAL COMMENTS FEE (c) *O ____,25 FT. FT, FT. 4rry' /f,25 PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ITEM Fixtu res Residential Bath(s) Sanitary Sewer N0 Water Storm Sewer Mobile Home Wood Stove/ lnsert/ Fi replace Unit Dryer Vent MECHANICAL PERMIT ,4?a. (D)2fr_7t N0 Mechanical Permit lssuance State Surcharge Total Permit /<' -e /e._- Fu rnace Exhaust Hood Vent Fan 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 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 witlrout 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 proiect. I f urthcr 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 Date J-2- on the sitc.at a tinres during Signatu struction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -._- ft Demolition State Surcharge Total Miscellaneous Permits (E) /a.2b- 2-l? /B/.2 DATE PAID AMOUNT FIECEIVED RECEIVED BY VALI DATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electricair - 12,?7 (A, B, C, D, and E Combined) 1 _,,D- C'TY OF OREGO'U SPrlTNGFIELO 225 YIYIE STREET 'r i SPRTNGPTELD, oREGoN 97477 INSPECTION REQLIEST z 726- OPFICE: 726-3759 1 ,l OB The fcllowing project as submitted has the following zcning, ;,nd does not require specific land use % one Ci rcu i t -1 Circui t or vi th Serviceor Feeder permi t .i Lf plo,ral.EI.^ECTRICAL PERHIT APPLTCATION 376 q)\tb Date non-transferable and expire ot started vithin 180 daysor if vork is suspended for City Job Nurober 3. COHPLETE FEE SCEIEDULE BELOU Nev Residential-Single or Hulti-Family per dvelling unit. Service fncluded: I t erns Cos t ) N A B C E Sum Permi ts areif vork isof issuance 1000 sq.ft. or Less Each additional 500sq. ft or portion thereo f Each Hanuf'd Home or -Modular Dvelling Service or Feeder180 days. 2" COMRAC;TOR INSTALI,ATION ONLI Electrical Contraetor Rose Corp Address 89976 Day Lane City Eugene Phone 686-0905 Supervisor License Number 1 568-S Exp iration Date 1 0-01 -93 Constr Contr. Number 54431"' Expiration Date Signat Supervising Electrician Ovners Name Address Ci ty Phone ---d*H9S5- n s 8s.00 s 1s.00 s 40.00 $ s0.00 s 60.00 s100. 00 $130.00 s300. 00 s 40.00 Services or Feeders fnstallation, Alterati.ons or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 500 amps -601 amps to 1000 amps- over 1000 amps/voIts -Reconnect 0n1y Temporary Services or'FeedersInstallation, Alteration or Relocation 200 amps or less S 40.00 201 amps to 400 amps - S 55.00 0ver 401 to 600 amps - $ 80.00 0ver 500 amps or 1000 voTts see rrgrr "f,ffi Branch Circuits ,- Nev, Alteration or Extension per panel s 3s.00 s 2.00OSNER INSTALI..ATION The installation is being made onproperty I ovn vhich is not intendedfor sa1e, lease or rent. Osners Signature: DATE: Hiscellaneous (Serv -Each installation Pump or irrigation Sign/0utIine Lighti Limi ted Energy/Res Limi ted Energy/Comm 11baolt i cel feede ng- included ) 00 00 o0 r not s 40. S ao. s 20. $ 36. 5 00 SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL RSCEIVED w q-L ir