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Home My WebLink AboutPermit Building 1991-11-15SP,tI]TGFIELE' RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK ASSESSORS MAP ?-o LOT t JoB NUMBE " ?/26/ 225 Fifth Street Spri ngf i eld, Oregon 97 477 TAX LOT:-74t-* BLOCK OWNER ADDRESS: CITY: PHONE: STATE:ztP a) ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW- REMODEL RES PHONERESSECONTRACTOR'S GENERAL: PLU M BI NG: MECHANICAL: ELECTRICAL: CONST. CONTRACTOR RANGE * OF BDRMS: _ OFFICE USE _ LAND USE: ZONING CODE: FLOOD PLAIN: WATER HEATER: * OF UNITS: SECONDARY HEAT SQUARE FOOTAGE: QUAD AREA: # OF BLDGS OCCY GROUP: * OF STORIES: 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 Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Sile 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 - 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. w Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover.€tr77, =.Foundation - After forms are erected but prior to concrete placement. E otn"t Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.lYl Drywatt - 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.lnsert - After fireplace approval and installation of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulation - Prior to decki ng. Plumbing Conneclions - When home has been connected to water and sewer. Sanitary 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. Storm Sewer - Prior to filling trench. Sidewatk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prior to filling tren c h. 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. SUBDIVISION:- ?74o1 E E E E E E E E Curbcut & Approach - After forms are erected but prior to placement of concrete. E 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 , 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 VALUE 22ea.-- (A) x $/so. FT. Total Value Building Permit Fee State Surcharge Total Fee BU!LD!NG PERMIT ITEM SQ. FT Main Garage Carport 7?-Sa /-2>lo /= 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 PIan Check Fee: Date Paid Receipt Number Received By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtu res Residential 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/ Fi replace Unit Dryer Vent /oa 7€,?5(D) 4 ?rr.,= /V/.y. N0 a.* .z{crct ./- MECHANICAL PERMIT -Er+rn-aes Exhaust Hood Vent Fan Mechanical Permit lssuance State Surcharge Total Permit /2.,o- .25 Bor.a4 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 set of plans will remain on the site at all t es du c of the property, and the a Signature Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricaD &/8- (A, B, C, D, and E Combined) DATE PAID 1A/ff/ AMOUNT RECEIVED RECEIVED BY VALIDATION: RECETPT NUMBER b^ 7/// ,OF OREGO'U 225 FIFTE SI?BEf, SPRTNGFTEID, oREGON 97477 INSPECTI0N REQI BST:. 726-3769 0FPICE: 726-3759 1. LOCATION OF IJGAL DESCRIPTION ELBCTRICAL PERHIT APPLICATION City Job Number COilPLETB FEB SCHEDULE BELOI' New Residential-Single or HuIti-FamiIy per dvelling unit. Service fncluded:Items Cost 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portionthereof $ 15.00 Each Manuf,d Home or -Modular Dvelling Service or Feeder $ 40.00 Services or FeedersInstallation, Alterations or Relocation: 2ie 200 amps or less c"' 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reconnect Only 200 amps or less $ 20L amps to 4OO amps - $ 0ver 401 to 500 amps $ 0ver 600 amps or 1000ETfs s sarrrtN(;FtELo STIBTOTAL OP ABOVB 5Z State Surcharge TOTAL aa 3 A c Sum JOB Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if work is suspended for 180 days. 2. COI{TRACTOR INSTALI.ATION ONLY B. Electrical Contractor Address P,O. 7o.//3 / cit F67r_phonea/2-WO Supervisor License Ntimber 77 5 $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 _re-* ee trBtr a56:ilE- Exp iration Date /A^9t2-- Constr Contr. Number ff/ 2n Expiration Oate t/ 1* €Z- Signat of sl ng trician Address Ci ty L7) Phone OIINER INSTALI,ATION The installation is being made onproperty I own vhich is not intendedfor sale, Iease or rent. 0vners Signature: DATE: Temporary Services or Feedersfnstallation, Alteration or Relocation 40.00 s5.00 80.00 { ovners n^^" Z*frr> ,Wtzr-Tfcer D. Branch Circuits Nev, Alteration or Extension Per Panel One Ci.rcuit $ 35.00 Each Additional Circuit or vith Service or Feeder permi t { S 2. OO _f Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $Sign/OutIine Lighting- $Limited Energy/Res - $ Limi ted Energy/Comm $ 98-oo <. ?aaa.?a E 00 00 00 00 40 40 20 36 5 RECEIVED .2 lr3 l.oDb 5Ut4M tfE.w>, c,el--[rEl.li*[^t^-{- Iefiv/65 1, 6aa BLVD,gPt4,lq-f5-r@ 9741-7 r.tc 3 E $ NL 28 9InL ooo s = * $o rN {' 12997 tI 'Keu $_eDA PFETFflAU q_o_b Sot/McT Bu/D.9PEtNqFtr61-D, -oi|- ' '9-741'7 TL.l 9 B oa wwpt 3 v+ T,t_,b=oo D sI": ACP u, WLU-EL4 6(e 'rz ' .. , , [k130>- gs, \1?8 . o3=Al*, eots gAt,YtllW BT {,G, r(I\\ ff?P \\\ i I i (lI )i,/"/ J j l: