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Home My WebLink AboutPermit Building 1992-12-03SPRIr{GFIELD RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOI z- JOB NUMBER 225 Fifth Street Springf ield, Oregon 97477 TAX LOT: SUBDIVISION: -- - ?zzze BLOCK: PHONE ZIP:STATE: CITY: ADDRESS; OWNER: ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW_- BEMODEL ADDRESS CONTRACTOR'S NAME MECHANICAL: ELECTRICAL: CONSI CONTRACTOR #GENERAL: PLUMBING - OFFICE USE _ LAND USE: * OF BDFIMS: * OF UNITS: ZONING CODE: FLOOD PLAIN: RANGE: QUAD AREA: # OF BLDGS: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: CONSTR. I'YPE: HEAT SOUFICE: To reguest an inspecilon , you must call 726-3769. Thlmade the same worklng day, lnspections requested s_ls a 24 hour recording. Allafter 7:00 a.m. will be mac,e inspections requested before 7;O0 a.m. willthe following work day.be l--l remporary Etectric REQUIRED INSPECTIONS Rough Mechanical _Prior tocover.Final plu mbing - When all Site lnspection _plumbi ng work i s complete. after excavation To be made l-9unh Electrical - prior tocover.setting forms., but prior to Final Electricat _When all Underslab ptum electrical work is complete. Mechanicat bing / Electrical / - Prior to cover.Electricat Service _Must be m fl#,#ffiiri?,;"y,ffi?"ill m i{fi ir:J;1f.,!:"";,.}J i?,x,, o" unapproved and building is- --' . completed. Footing - After approved to obtalnelectrlcal power. perrnanent excavated trenches are Masonry - Steel location, bondDeams, grouting. l-o^11a1tion - After forms areerected but prior to concreteplacement. i'Jffi iru,Td?lumbins - Prior 3 ff i:','iJ,"^,",f,i,,,:?, yff ::[,,ff ] Il:{."q" - prlor to factnsmaterials and framlng lnspi Framlng - prior to cover. Olher lrl y_:!!r"eiting rnsutarion _ prior ro - cover. W o'v*oll - Prior to taping. Wood Stove - After installation 11"_"ft : After fireptace approvaland installation of unit. C^urbcul & Approach _ Afterrorms are erected but prior toptacernent of concrete. MOBILE HOME INSPECTIONS f_o-st, a.Td Beam _ prior to ftoorlnsulation or decking. Floor tnsulatlon _ prior todecklng. Sanltary Sewer _ prirrrench. )r to filling S_lorm Sewer - prlor to fillingtrench. B,3""f,Tnn,i'i.i"J;y[ - when arr Ill11oi.n Connecrions _ When ,1.?T" h": been connected towater and sewer. fl y;j:frne - Prror to ,rins Sidewatk & Driveway _ Afterexcavation is compiete, formsand sub-base material in ptace. Fence - When completed, ^Electrical Conneclion - whenl?glilg, set.up, and prumbin-s.rnspe.ctions have been approved :I_d _th".home is connected torne service panel. [-l lougtr plumbins _ prior to - cover.fl Street Trees - When ail required,< trees are planted. ,F-ii:! : After ail required ffiixix;*"'Hs::{i:f,'# 7 EXPIRES PHONE Lot faces Lot sq. ftg. Lot coverage TopograPhY Total height Lot Typ _ - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E IS THE PROPOSED WOHK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL FIEGISTER? - lf yes, this application must be signed and apProved bY the Historical Coordinator prior to permit issuance' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said "on1i-"tion s-hall, in all respects, conform to the Ordinance ,O"pi"O by the Citv of Springfield' including the Development Code, rejulating the construction and use of IrirJi.'g", and may oJsuspended or revoked at any time upon ,i"f uti"n of any provisions o( said ordinances' Plan Check Fee: DatePlans Revi ewed BY Received BY: Date Paid: BeceiPt Nu BUILDING PERMIT VALUE (A) lro SO. FT. X $/SO. FT, '1,15-:2€ ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee @ w3 Systems Development Charge is due on all undeveloped prop"rriu" witl.rin the City limits which are being improved'SYSTEMS DEVELOPMENT CH (B) ARGE (sDc) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) SanitarY Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE N FT. FT. FT (c)5 9.@- Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit EB$IT45 Vent -to2 No D e€ ,Z/7 (D) MECHANICAL P e Furnace Exhaust Hood Vent Fan Mechanical Permit lssuance State Surcharge Total Permit By signature, I state and agree' that I have caref ully examined the completed application tnd do hereby certify that all information hereon is true and correct' and I f urther certily that any and all work performed shall be done in accordance *ian,nL 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 proiect' sure that all required inspections are r time, that each address is readable Signature rz-a 1L Date c I lurther agree to en requested at the ProPe rmit card is located at the frontlrom the street, that the Pe roved set of Plans will remainof the ProPertY, and the aPP truction.nnsite at all tion the MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - It Curbcut - ll Demolition State Surcharge (E)Total Miscellaneous Permits ? Z.DATE PAID 2?3*AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER TOTAL AMOUN (A, B, c, D, and T DUE (excluding electrical) E Combined) ze_la APPROVED: 4' 7-2> OBEGO'VC'TY OF st"llN(;FaI:LO Jr 225 FTFTE STRBEf, SPRINGFIBID, ORBGON 97477 INSPBCTI0N RBQUESTz 72 oFFICE: 726-3759 1 ON OP I,BGAL EI.,ECTRICAL PERHIT APPLICATION ( D -lc,q =City Job Nusrbe |TSZ% SCEEDULB BBLOS A. Nev Residential-Sing1e or Hulti-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular DweIIing Service or Feeder $ B5.oo $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocat ion: 69 ,0N Au n Sum DESCRIPTION *(t Rettns Permits are non-transferable and expirelf vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALI,ATION ONLY B. Electrical contracto, R // S f /rc'/r, c N JOBtf*o^- rd&ess 3-J 2 o k)"s/ i/?l' city tyq ona Phone 3/? /35 3 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect Only ST'BTOTAL OP ABOVE 5Z State Surcharge TOTAL 7- $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 r=1 ?5 Supervisor License Ndmber t/fe 5 Expiration Date lo-t -?S constr contr. Number .2 I -l 5i Expiration Date -2 73 ture of Supervis Blectriciana Ovners Address w{ C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 Over 401 to 500 amps _ $ 80.00 Over 600 amps or 1000 volts see rrBrr above D. Branch Circuits tt Nev, Alteration or Extension Per Panel one circuit / $ 3s.00 35f Each Addi tional 1^@Circui t or vi th Servic " o-'-*- or Feeder Permi t - /e9_ g 2. oo @ Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ Sign/0utIine Lighting- $ Limited Energy/Res $ Limi ted Energy/Comm $ Ci ty PhoneII OTINER INSTALI,ATION The installation is being made on property I ovn vhich is not intendedfor sale, Iease or rent. 0vners Signature: DATE:Q-15-c\?- 40.00 40.00 20.00 36.00 ,r1@-+tre- RECETVED BY: 5 JPF|INL ELD DEVELOPMENT SERVICES PUBLIC WORKS M ET R O P O LITA N WAST EWAT E R M A N AG E M E NT December 15, 1992 Ehlers Construction, Inc. 2066 L/2 Roosevelt Blvd. Eugene, Oregon 97402 Happy Holidays, 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726 375s This letter is vritten to let you knov that I received your check in the amount of $52.50 to cover the cost of the plumbing permit for vork being done al 6-79 Tinamou Lane, Spiingfield,0regon. After ievi'eving the value of the vork for this project, "na-iE" amount oI the building permit vhich you vere charged' I fee] that ve overcharged You' I am returning your check and readjusting 9lJ^permit records to reflect the plumbing permit U"ing paid on o"""ib"t gi tggZ' along vith your building and mechanical Permi ts. Ifyouhaveanyquestions,pleasefeelfreetophonemeatT26_3668, Dave Puent Building 0fficial encI.