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Home My WebLink AboutPermit Building 1992-05-07rAX Lor 6 5O3_ SPNI F!ELO SUBDIVISION //rrt /,oue?7{ /a/x 1 - // JOB NUMBER LOT: LOCAI ION Ot' PI1OPOSED WORK: ASSESSORS MAP: - - RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Of f icc: 726-3759 225 Fitth Street SprinO,ield, Oregon 97 477 BLOCK: 7- o, crrY:- - 1g--d PHoNE: 7.L-:-!f t?- /r< u; ZIP.. BsL- tttt-6Hr //*c*--A2-{--tila STATE: OWNER: ADDRESS: - NEW REM.DEL ADDtrloN r'1/"rau/e,,/-4y'/'/,'-, ) z-/ lo, fq/ -?ea(eDESCRIBE WORK: -- 8'x/t ' {u/nz/u.n DEMOLISH OTHER *"k/) PHONE -530y GENERAL: -Dru-- CONTRACTOR'S NAME tl ,o{ ELECTRICAL d €/eeruo ADDRESS ?7 r^, EXPIRES MECHANICAL: CONST. CONTRACTOR ,9 slo PLUMBING: OUAD AREA: .- r OF BLDGS: OCCY GROUP: y OF STORIES: W/V-ER }-IEATER - OFFICE USE _ LAND USE: ZONING CODE: --- FLOOD PLAIN: # OF BDRMS: -SECONDARY HEAT:, _ SQUARE FOOTAGE: . -RANGE: CONSTR. TYPE I-IEAT SOURCE: # OF UNITS: ---=- To request an inspection, you must call 126-376q This is a 24 hour recording. All inspections requested before 7:oo a'm' will be macle the same working day, inspections requested after 7:00 a.m. will be tnade the following work day' REOUTRED INSPECTIONS Temporary Electric Rough Mechanical - Prior to cover. Site lnspection - To be made af ter excavation, but Prior to setting lornts. ft;*','Electrical - Prior to E Final Electrical - When all electrical work is conlPlete. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Permanent electrical power. Final Mechanical - When all mechanical work is contPlete. F.r{footing - After trenches are ,JA{ excavated.l-l Fireplace - Prior to (acing |J materials and framing lnsp. K-71 Final Buildinq - Wlten all JAL required insp-ections have been 'approved and building is comPleted.Masonry - Stecl location, bond bearns, grouting.Framing - Prior to cover. Otller LI Foundation - Alter fortrts ;lrc erected but Prior to concrete placemetlt.Xwalt/ceiling lnsulation - Prior to fiot,*ull - Prior to tapitlg'Underground Plumbing - Prior to filling trench.MOBILE HOME INSPE TIONS Un<lerlloor Plulrrbirlg/ Meclratrical - Prior to insulatiolr or clecking.l--l Wooa Stove - Aftt-r irlstallatiorl. X ,X t_l Post and Beam - Prior to floor insulation or decl<ing.lnsert - After firePlace aPProval ancl installation of unit. Blocking and Set'UP - When all blocking is complete. Floor lnsulation - Prior to decking.Curbcut & APProach - Af ter forms are erected but Prior to placement of concrete. Ptumbing Connections - When home has been connected to water and sewer. Sarritary Sewer - Prior to filling trenclr.Electrical Connection - When blocking, set-uP, and Plumbing inspections have been aPProvcd and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & DrivewaY - Af ter excavation is comPlete, forms and sub-base material in Place. Waler Line - Prior to filling trench. Fence - When cornPletr,'(l Street Trees - Wlren all rL'quired trees are Planted. Final - After all required inspections are aPProved and porches, skirting, decks, and venting have been installed. tl Rough Plumbing - Prior to cover. 7z ,'e 7zv tl [--l Final Plumbing - When allU plumbing work is complete. E tf tl il tl fl tl E IS THE PROPOSED WORK IN THE -HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed an<j approved bY the Historical Coordinator prior to permit issuance. APPROVED: ACCHSEGAR Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Type v - lnterior -- Corner - Panhandle - Cul-de-sac Setbacks PL. E N !) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construclion shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Developrnent Code, regulating the construction and use of buildings, and may be suspended or revoked al any time s1s1z=/ odteiewedP Receipt Numbe 4s ions of said ordinances.violation of any provisu pon Plan Check Fee: Date Paid Received By: VALUE (A) 9oo X S/SQ. FT, Total Value Building Permit Fee Slale Surcharge Total Fee -a{eb1: %-zs- BUILDING PERMIT ITEM SQ. FT. uuin *nlD Garage Carport Systems Development Charge is due on all undeveloped properties within the Cily limits which are being improved. SYSTEMS DEVELOPMENT C (B)"^Eif:;w ADDITTONAL COMMENTS lOhvaay-(', ?z recl ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE N0 FT. FT. FT. (c) Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/Fireplace Unit Dryer Vent (D) N0Vent Fan Meclranical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state ;rnd agree, that I have caref ully 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 Ordinarrces of the City of Springfield, and tl.re Laws of the State of Oregon perlaining to the worl< described herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with OBS 7O1.O55 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 lrom the street, that the permit card is located at the front of the property, and lhe approved set oI plans will remain the site at all limes during construction nat u re Date c 7 il,/nzsWat lnrb b<e*a MISCELLANEOUS PERMITS Mobile Home State lssuance Stato Surcharge Sidewalk -- ft Curbcut -.=-- ft Demolition State Surcharge Total Miscellaneous Permits (E)DATE PAID AMOUNT FIEC RECEIVED VALIDATION: FIECEIPT NUMBER , TOTAL AMOUNT DUE (excluding electrical) (A, B, q D, and E Combined) JOB NO.12o cl CITY OF SI..iNGFiELO SYSTEMS DEVELOPHI CHARGE WORKSHEET (C0I{HERCIAL & RESIDENTIAL) {HTNAI.IE OR COI.IPANY: LOCATiON:4q o?I OEVELOPHENT TYPE:LO 5o i. STORM DRAINAGE IIIPERVI0US SQ- (See Reverse Fo Z. SANITARY SEI,IER-CITY FT.r Runoff Coeffi ci ents LOT 5TZ x $0-186 PER SQ- FT- If Actual ImPerv- Area s a. Ft- Is Unknown ) No- 0F PFU',S = x s3B'55 PER PFU i;;"-ir";;.=" ffi PFU's) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP J*J. Kip Burdick DC Coordinator $ x x s388-61 x'-- x $388-61 s 61 (See Trip Rates) (ADD ITEM.S 1,2, & 3)s ZGSUBTOTAL. 4 ADI'IINiSTRATIVE FEES BASE. CHARGE (SUBTOTAL ABoVE) X .05 TOTAL-CITY SDC s2q 5. SANITARY SEI.IER-MI.IHC NO.OFPFU'SXST3.25PERPFU+S]OH1'IHCA'O}'IIN'FEE (Use PFU Total From Item 2 Above) I'lt.It'lc CREDIT IF APPLICABLT (SEE REVERSE) s s n1 tb2 j2, TOTAL-HWMC SDC € q 1(. 5 TOTAL SDC S ZZAS €a s OREGO'UC'TY OF 225 FTTTE STREEI SPRINGFTELD, oRBGoN 97 477 INsPEcf,I0N REOIESTT 726-3769 0FFICE: 726-3759 1 JOB DESCRIPTION Permits are non-transferable andr expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACf,OR INSTALI,ATION OM,Y Electrical Contractor Address ZZLZbrlz"/ Ci ty pnone V/3-/Z?7 Supervisor License Ndmber i5A0 5 Expiration Date /a- 7 z- constr contr. Number / 7) 5 Z Expiration Date ,/ d, ?z_ Signature of Electrician rs Name Address Ci ty Phone OSNER STDIIINGFIGLO 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular DveIling Service or Feeder EIJCTRICAL PERHIT APPLICATION Ci ty Job Number COHPLETB PEE SCEEDULE BELOY New Residential-Single or Hulti-Family per dvelling unit. Service Included: I tems Cos t $ 8s.00 s 1s.00 $ 40.00 % 3 A Sum B Services or Feeders Installation, Alterations or Relocation: 200 amps or }ess 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/voIts Reconnect OnIy Temporary Services or FeedersInstallation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension per panel 200 amps or less $ 40.00 201 amps to 400 amps - g 55.00 over 401 to 600 amps - $ B0.oO Over 600 amps or 1000-vms see "Bu aEiIE s s0.00 $ 60.00 $100.00 $130. 00 s300. 00 $ 40.00 c one circuit _L S 35.00 Each Additional Circuit or with Serviceor Feeder permit i S 2.00 ,3L The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent. Ovners Signature: Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting- Limited Energy/Res -Limited Energy/Comm SIMTOTAL OP ABOVE 5Z State Surcharge TOTAL E $ s s S 00 00 00 00 40. 40. 20. 36. 5 DATE: RECEI RECEIVED BY: q 0.Olo\lo