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Home My WebLink AboutPermit Building 1993-12-07RESID ENTIAL PERMIT APPLICATION lnspections: 726'3769 Oflice: 726-'3759 LOCATION OF PROPOSED WORK:StL _ ASSESSORS MAP: SPRINGFIELO q3 t83 h, JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 -'AX LOT: LOT: - BLOCK SUBDIVISION:- PHONE 5moe atqTfZIP:STATE: 147 - A.+t 5 ADDRESS: - OWNER: CITY: ADDITIO DEMOLISH C,THER DESCRIBE WORK:./' NEw / REMODEL y' ADDRESS E)\*>p5g-fe-S -ss 17 EX t{ -tzl r-:/* CONTRACTOR'S NAME PI q PHONE MECHANICAL: ELECTRICAL RES CONST. CONTRACTOR # 5b257 IX.N GENERAL: PLUMBING @C.ar-sr-[1qB 5'3tt!e-- V(\- \ \\\\ _ OFFICE USE _ # OF BDNMS WATER HEATER:RANGE:331, FLOOD PLAIN ZONING CODE: LAND USE: # OF UNITS CONSTR. TYPE: HFAT SOURCE:SECONDARY HEAT: SOUARE FOOTAGE: OCCY GROUP: Y OF STORIES: QUAD AREA: r OF BLDGS: To request an inspection, you must call 726-3 made the same vrorking day, lnspections req 769. This is a24 hour recording. All inspections requested before 7:00 a'm' wlll be uested after 7:00 a.m' will be macle the following work day' REQUTRED INSPECTIONS l-l TemporarY Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made af ter excavation, but Prior to setting forms. w)Rough Electrical - Prior to f-V1 Final Electrical - When all W electrical work is comPlete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Eleclrical Service - Must t)e ag:provcd to obtain Pcrmanent electrical Power. Final Mechanical - When all mechanical work is comPlete. a Footing - After trenches are excavated.Fireplace - Prior to facing materials and f raming lnsP. w Final Building - When all required inspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, grouting.w w Framing - Prior to cover. Other w Foundation - After forms are erected but Prior to concrete placement. Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.w Drywall - Prior to taping MOBILE HOME INSPECTIONS Underlloor Plumbing / Mechanical - Prior to insulation or decking'Wood Stove - After installation w w Posl and Beam - Prior to floor insulation or decking.lnsert - After f irePlace aP;:roval ancl installation of unit. Blocking and Set'UP - When all blocking is comPlete. Floor lnsulation - Prior to decki ng.Curbcut & APProach - After forms are erected but Prior lo placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Eleclrical 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 materia! 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. \+ r r E E r ?, Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type So tbac l<s }ISE GAR ACC --1S I'HE PROPOSED WOFIK IN THE }.IISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTEN? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: 2S lnterior Corner Panhandle N o PL. E -w. - Cul-de-sac 1 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 thc City of Springfield, including the Developnrent Corjc, regulating the construction and use of buildings, and nray be suspended or revoked at any time Rece Date O ,/^^€'% upon violation of any rovisi Plan Check Fee: - Date Paid Beceipt Number: of said ordinances. VALU E // t ,27 5b33tp (A) v FT. OD X $/SO 4. BUILDING PERMIT SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee ITEM Main Garage Carport ffi/2_z* Systenrs Developrnent Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B)DGS ADDlTIONAL COMMENTS ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hcreon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinance s of the City of Springfield, and the Laws of the Statc of Orcgon 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 tlrat only contractors and employees who are in compliance with ORS 701.055 v;ill be used on this proiec t. I f urther agree to ensure that all required inspections are requcsted at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, arrd the approved set of plans will remain on the siteaaj,ll Signutur.fu Date b* 74 /71) MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) //ag 3 ,/2.2:28DATE PAID AMOUNI'RECEIVED RECEIVED BY - VALI DATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding elcctrical) (A, B, C, D, and E Combined) //.?> ..r Ia '1r+At FT. t*;.o""rut)::: %1(ffi WOR TAX LOT JOB NUMBER LOCATION OF PRO ASSESSORS MAP: RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOT: - BLOCK: 225 Fifth Street Springfleld, Oregon 97 477 n STATE: OWNER: ADDR CITY: PHON E: ZIP: DEMOLISH OTHER DESCRIBE WORK: NEW- REMODEL laEhttrcrAt. ADDRESS EXPI RES PHONECONTRACTOR'S NAME PLUMBING: MECHAN ELECTR CONST. CONTRACTOR # FtcI * OF BDRMS: RANGE: -oF * OF UNITS: LAND USE; WATER HEATER: ZONING CODE: FLOOD PLAIN: EUSE_ It SECONDARY HEAT SQUARE FOOTAGE: OUAD AREA: # OF BLDGS CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: * OF STORIES: To request an inspection, you must call 726-3769. Thls ls a 24 hour recordlng. 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 Electric Rough Mechanical - Prior to cover. [-l Final PlumbinglJ plumbing work - When all is complete. Site lnspectlon - 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 - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work ls complete. Footing - After trenches are excavated.Fireplace - Prior to faclng materlals and framlng lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting,Framing - Prior to cover. Other Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prlor to cover. Underground Plumbing - Prior to filling trench.l---l Drywall - Prior to taping. MOBILE HOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to lnsulation or decking. Post and Beam - Prior to floor insulation or decking,lnsert - After fireplace aPProval and installatlon of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut & Approach - After forms are erected but Prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Connecllon - 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. Water Line - Prior 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. SUBDIVISION:- E E E tf E E E tl E E tl E E E Wood Slove - After installation. P r E Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Type - lnterior -_ Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E VTHE 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: 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' Plans Reviewed By Date Receipt Numbe Plan Check Fee: Date Paid Received By: (A) X $/SO, Fr. = VALUE Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ITEM Fixtures Resldential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) No FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit OC Ze. ncCY-sl-.-lJ(D) No Me Vent Fan ical Permit Vent MECHANICAL PERMIT Fu rnace Exhaust Hood lssu ance State Surcharge Total Permit 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 p Signatu Date I s will remain { D on the site stfuctimes during 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)RECEIVED BY DATE PAID AMOUNT REC VALIDATION: RECEIPT NUM FT, 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. CITY OF SPRINGFIELD,OREGO'U SPRINGFIELO 225 ETFIB STRBET SPRrI{GFIBID, ORBGON 97 INSPBCTION RBQUBST: 7 OFEICE: 726-3759 The Drrte ) 1.LOCATION OP DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or lf vork is suspended for 180 days. 2. CONTRACTOR INSTALI.ATION ONLY Electrical Contractor Address Citv Phone Supervisor License Number Expiration Date Constr Contr. Number Exp iratlon Date Signature of Supervlslng Blectrician Ovners Name Address Ovners Siguature: fi,/r.^,b DATB: lollowit€ use BLECTRTCAL PERHIT APPLICATION City Job n*A", ?7/Zg7 3. COHPIATE PBB SCEBDT'LE BBLOS Nev Residential-Single or HuIti-Fatnily 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 Dvelling Servlce or Feeder $ 8s.00 $ 1s.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amps/volts Reconnect Oniy ?ffiFr$*I:iJl: A Sum c Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amirs to 400 amPs -Over 401 to 600 amPs - 0ver 600 amps or 1000 volts s s0.00 $ 60.00 $100.00 $130.oo $3o0. oo $ 40.00 $ 40.00 $ ss.o0 $ 80.00 see [Btt 00 00 00 00 aEove a city;;72> vhone:72$*f OSNER INSTALI,ATION The installatlon is being made on B' property I ovn vhich is not intended for sale, lease or rent. D. Branch Circuits Nev, Alteration or Extension Per Panel Each Additional Circuit or vith Service- oi r'""de, Permi t '3- $ 2. oo 6' o Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Ou tline Light ing- Limited EnergY/Res Limited fner[yZComm -5. SUBTOTAL OP ABOVB 5Z State Surcharge TOTAL $40 $40 $20 $36 RECEIVBD 1'd8 I,BGAL DESCRIPIION /?e7---41 ae/aa