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Home My WebLink AboutPermit Building 1993-11-30SP 'lI]{GFIELE)RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 JOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97 477 LOCATION OF PROPOSED WORK: ASSESSORS MAP:/2?Z-v,/ y'?TAX LOT:arct ?aa, LOT:- BLOCK:SUBDIVISION PHONE: 4z>zZ>-a"/BZIP:STATE:CITY: ADDRESS: OWNER NEW- R DEL - ADDITION DEMOLISH OTHER Effi ADDRESS EXPI RES PHON ENCONTRACTOR'S NAME ELECTRICAL: CONST. PLUMBING GENE RANGE: # OF BDRMS _ OFF]CE USE - LAND USE: ZONING CODE: FLOOD PLAIN WATER HEATER: * OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: OUAD AREA: * OF BLDGST OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOUFICE: To request an inspection, you must call 726-3769. This ls a24nour recordlng. All inspections requested before 7:00 a.m. wlll be made the same working day, lnspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS fl Temporary Electric ll Rough Mechanical - Prior to 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/ Eleclrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power, Final Mechanical - When all mechanical work is complete. w Footing - After trenches are excavated.Flreplace - Prlor to facing materlals and framlng lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting. V Framing - Prior to cover. OtherwFoundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.[l Drywatl - Prior to taping MOBILE HOME INSPE TIONS Underlloor Plumbing/Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking.lnserl - After fireplace aPProval and installation of unit. Blocking and Set-Up - When all blocking ls 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. 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. Sidewalk & Driveway - After excavation ls comPlete, forms and sub-base material in Place. 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 lnstalled. z/2-22./9 r',4ECHANICAL: E tl E Wood Stove - After installation. E E E E E E tl E Water Line - Prlor to fllling trench. E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac 1Ys rne PBoPoSED woRK lN THE HISTOFIICAL DISTRICT, OR ON THE HISTORICAL FIEGISTER? - lf yes, this appllcation must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED ACCP.L.HSE GAR N S E 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. Pran check r.., /aA77.? fr. n v Date Paid: Receipt Num Fleceived By: VALUE /34_ (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee Zz-fa /-6=?f-/_2 BUILDING PERMIT ITEM SQ. FT. Main Garage Carport r Systems Development Charge is due on all undeveloped properties wlthin the City limlts which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ITEM Flxtures Resldential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) No FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/Flreplace 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 information hereon is true and correct, and I further 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 lurther 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 // -3 o-7\ Sig natu re Date of the property, and the set of plans will remain on the site at all ti ring construct 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) /T/> DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER SPrlTNGFIELfl 225 ?TFT,E SI"BEf,ELECTRTCAL PERHIT APPLTCATION SPRTNGPTELD, 0REGON 97477 INSPECTION REQIEST. 726-376 OPPTCB: 726-3759 ,-Dt- 1.'ar.UtrroN IJGAL JOB Pernlts are non-transferable and expire if vork ls not started vithin 180 days of lssuance or lf vork ls suspended for 180 days., 2. CO}IBACTOR INSTALI.ATION ONLY ElecLrlca1 Contractor ARC ELECTRIC Addres65783 HhIY 99 S0UTH ci EUGENE Phone 74L-0494 Supervisor Llcense Number 2098S Explration Date Constr Contr. Number Expl ration Date Slgna ing tan Ovners Name Address Cl ty OIINER The installatioir is beirig made on property I ovn vhich is not intendedfor sale, lease or rent. Osners Signature: DATE: Ci ty Job Nunber sa 3. COHPLETE PEE SCEEDTTLE BELoU A Nev Residential-Single or HuIti-FamiIy per dvelling uni t Service Included: I tems 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or -Hodular DveIIing Service or Feeder Cost Sum B. Services or FeedersInstallation, Alterations or Relocation: $ 8s.00 $ 1s.00 s 40.00 $ 2.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps 0ver 1000 amps/volts Reconnect 0nly Temporary Services or Feeders Installation, Alteratlon or Relocation 200 amps or less $ 40.00 201 amps to 400 amps - g 55.00 over 401 to 600 amps - $ 80.00 Over 600 amps or 1000 voT[s see "8" a56E Per Panel'"""4 ( c6) s 3s.oo ,J) nC,r)d* $ s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 c. e D. Branch Circuits Nev, Alteration or Extension IOne Circui t I Each Additional Circuit or uith Service or Feeder Permi t / E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation SSign/OutIine Lighting- $Limited Energy/Res - SLimited Energy/Comm $ 5. SUBTOTAL OP ABOVB5f State Surcharge TOTAL 40.00 40.00 20.00 36.00 Y-{ , RBCEIVED d) .4 t A fit r t