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Home My WebLink AboutPermit Building 1992-08-18st>Fll GTIELc, RESIDENTIAL PERMIT APPLICATION lnspections:726-3769 Olfice: 726-3759 LOCATION OF PROPO NSSESSORS MAP: r_oT: JOB NUMBER q )t\b4 225 Fifth Street Spring field, Oregon 97 477 fr TAX LOT: BLOCK SUBDIVISION: trlot Iock-.OWNEFI ()ONTRACTO GENERAL: LC PHONE:7ah -nlpe ADDRESS: crrv: 5P ft r 4 > l,l arye z 5T DESCRIBE WoRK: l\b (})4, NEW =-- REMODEL ADDITION DEMOLISH OTHEFI STATE:ztP rc ADDRESS CONST. CONTRACTOR #ES PHONER'S NAME Rog.'"1 C.TT ),/3 s{- I)LUMBING: MECHANICAL: ELECTRICAL: - - _ OFFICE USE _ OUAD AREA OCCY GROUP: - WATER HEATER: LAND USE: .' OF UNITS: - - -_-_--- FLOOD PLAIN: ZONING CODE: r OF BDRMS: SECONDARY HEAT SOUARE FOOTAGE: # OF STORIES: - - -- CONSTR. TYPE: HEAT SOURCE: FIANG E: To request ar.l inspection, you must call 726-3769. Thls is a 24 hour recordlng. All lnspections requested before 7:o0 a.m. will be made the same working (lay, inspections requested after 7:00 a.m. wlll be made the following work day. REOUIRED INSPECTIONS f_-l Temporary EleclricII W F Rough Mechanical - Prior to cover.Fx B Final Plumbing - When all plumbing worl< is complete. Site lnspection - To be made af ter excavation, but PrioI to setting lornts. Rough Eleclrical - Prior to Final Eleclrical - When all electrical work is complete.(:over, 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. N Footing - After trenches are excavated.Fireplace - Prior to faclng rnaterlals and framlng lnsP. Final Building - When all required lnspections have been approved and building is completed.Masonry - Steel location, bond beams, grotrting.Framing - Prior to cover. 8 Foundatiorr - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover, Underground Plumbing - Prior to filling tre.nch.f-.| Drywall - Prlor to taping MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or deckinO.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnsert - After flreplace approval and installation of unlt. Blocking and Set.Up - When all blocklng is complete. Floor lnsulalion - 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 Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Slorm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is comlrlete, forms and sub-base ntaterial in place. Water Line - Prlor to fillinO trench. Rough Plumbing - Prior to Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, sl<irting, decks, and venting have been installed.COVCT h, / fl tl E tl tl E l-l Fence - Wlren completed. il r HSEPL.GAR N S E Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Type \/ _-- lnterior -- Corner - Panhandle -- Cul-de-sac ks -HE PROPOSED WORK IN THE hV.STORICAL DISTRICT, OR ON TFIE IIISTORICAL REGISTER? -=-lf ycs, this application must be signed and apltrovccJ bY t he H i storical Coordrnator prior to pcrmit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Tlris pernrit is grantecJ on the express condition tllat the said construction shall, in all respects, conform to the Oldinance adopted by the City of Springfield, including the Development Cocle, regul:rting the construction and use of builrjings, anrJ may be susperrded or revoked at any lime upon violation of any provisions of said ordinances' Rcceipt Number:--- DatcPlans Rcviewed BY Plan Cl.rcck Fec: Date Paid Receivetl BY VALUE Ql-sc> 8D,s --A-tY- -*.Ez-(A) BUILDING PERMIT ITEM Main Garage Carport tg$s-e-- Total Value Building Permit Fee State Surcharge Total Fee SO. FT. X $/SQ. FT. Systems Developnlent Cllargc is clue on all undeveloped properties within the City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) SanitarY Sewer Water Storm Sewer Mobile Home Plumbing Permit r)"1 ' r"\ \:-& State Surcharge Total Charge (C) PLUMBING PERMIT FEE /s.[7 N FT. FT. FT. , 7j- Wood Stove/ lnsert/ Fireplace Unit Dryer Vent Mechanical Permit t)ttN' l'g.,e lssuance State Surcharge Total Permit (D) MECHANICAL PERMIT l,X il ,db zi Nol Furnace Exhaust Hood Vent Fan By signature, I state and agree, that I have caref ully examined the completecl application and do hereby certify that all information ltereon is true arrd correct, and I f urther certif y lhat any arrd all work petformerl shall bc cJone in accorclance witlr tlrc Orclitratrces of tlrr: City of Springli()lcl,;ttttl tltt: t-irwr; of ttre State of Oregon pertaining to the worl< described herein, ancl that NO OCCUPANCY will 'be made of any structure withoul permission of the Builcling Safcty Division' | {urther certily that only conlractors and employees who are in compliance with ORS 701.055 will be used on this proiect. 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 carcJ is located at the f ront of the property, an<J the approved set of plans will remain - Signature {8Date on the site at times during construction MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -..- ft Curbcut --- ft Demolition State Surcharge Total Miscellaneous Permits (E) oo #"27 DArE PAID --8---B--g , ( AMOUNT RECEIVI:t) RECEIVED BY VALIDATlON: RECEIPT NUMBEH -- TOTAL AMOUNT DUE (excluc.ling electrical) (A, B, C, Q and E Combined) ,ACC PRI RESIDENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726-3759 Q)tttb+JOB NUMBER 225 Fifth Street Springfleld, Oregon 97 477 LOCATION OF PROPOSED WORK:Q rz a.tAr'€re ASSESSORS MAP:11 oB 74 r\TAX LOT:atoo LOT:BLOCK:SUBDIVISION '141- llaDPHONE oc<-ZIP:STATE:CITY: OWNER: ADDRESS:4lr_ r,t.) +tErC 4&ru rnLr(J-oLr<- NEW - REMODEL ADDITION DEMOLISH OTHER -a -a-DPL- tZ--.L5 IQp.*ra.-(1 DESCRIBE WORK: MECHANICAL: ADDRESS EXPIRES PHONE eSSA-\-t' ELECTRICAL:Bxel 5tolKr7. 1 CONTRACTOR'S NAME CONST. CONTRACTOR # G EN ERAL: PLUMBING RANGE: g OF BDRMS: - OFFICE USE - WATER HEATER ZONING CODE: FLOOD PLAIN:QUAD AREA: # OF BLDGS SECONDARY HEAT SQUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: * OF STORIES: To request an inspection, you must call 726-3769. This is a24 hour 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. 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/ Electrical / Mechanical - Prior to cover.Eleclrical 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. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting. [-l Framlng - Prior to cover. Foundation - After forms are erected but prior to concrete placement.Wall/Celling lnsulalion - Prior to cover. Underground Plumbing - Prior to filling trench.l-_l Drywall - Prior to taping. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Slove - After installation. Post and Beam - Prior to floor insulatlon or decking.lnsert - After flreplace approval and lnstallatlon 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 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 - Prlor to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prior to fllling trench.l--l Fence - When completed Slreet Trees - When all required trees are planted. Final - After all required inspectlons are approved and porches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover. q -7aee.rs6..F \E ...I-) E fl tl r tl E E fl [-l other Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac PL.HSE GAR ACC N S E BUTLDING PERMIT ITEM SQ. FT. Mai n Garage X $/SO. FT VALUE Carport .rDTotal Value Building Permit Fee State Surcharge Total Fee ,-?r (A)/.f,"6* 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' Plan Check Fee: Date Paid: Recei pt Numbe Received By: Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Flesidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE N0 FT. FT. FT. Plumbing Permit State Surcharge Total Charge (c) ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan N0 Wood Stove/ lnsert/ Fireplace Unit Dryer Vent Mechanlcal Permit lssuance State Surcharge Total Permit (D) 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 Springf ield, 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 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 plans will remain on the site at all times during construction. l Signature frrlrt F-um Date pl tltlr--7 MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) VALIDATION: RECEIPT NUMBER <3tl5o3 DATE PAID q-4 AMOUNT BEC RECEIVED BY D .5) '.S-A TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 4 and E Combined) /r2 , E lHr PRoPoSED woBK tN 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 w Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. CITY OF SPF OBEGO'U ?il:Pr$x1*r'i}s idffrcrnrcu, PERHTT APPLTcATToN 477 Job Nunber ?City OFEICB: 726-3759 '--lb$tl-3. COHPI,ETE FEB SCEBDTII^E BELOV 1.OP Ar.rtnorizod Residential-Single or HuIti-FamiIy per dvelling unit. Service Included: Items Cost ,frn^t 225 PTfrfl STRBET SPRINGPTBID, ORBGON 97 INSPBCf,ION RB0UBST: 7 DESCRIPTION)eu- r:--L\1 Permits are non-transferable and expire if work is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COTIITACf,OR INSTALI.ATION ONLY Electrical ContractorBAg, 5 uJA16A Address clty- Phone Supervisor Llcen-se Number Expiration Date Constr Contr. Number Exp iration Date Signature of Supervlsing Blectrician gwners Hame 6cr u )4 gY,Dat,( Address Qtr- dAaL<- Ci ty =PF (-)Phone DATE: t +\*4 SPFrIlrlGFIELO -1ooo sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or -Hodular Dvelling Servlce or Feeder $ 8s.00 s ls.oo $ 40.00 Services or Feeders InstaIlation, 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 only Temporary Services or Feeders Installation, Alteration or Relocation W Sum JOB Q,e-'+4 B $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c D. Braneh Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 j S'dD E. Miscellaneous (Service/feeder not inclr-rded) 200 amps or less 201 amps to 400 amps over 401 to 600 amps -Over 600 amps or 1000 voTI -Each installation Pump or irrigation _ S Sign/0utline Lighting- $ Limited Energy/Res $ Limited Energy/Comm $ $ 40. $ ss. $ so.'s see tt 00 00 00 B" a56I6- 40.00 40.00 20. 00 36.00 SUBTOTAL OF ABOVE 5Z State Surcharge TOTAL 3S,er>---m- %afl I RECEIVBD Il-o 5 O9NER INSTALT.ATION The installation is being made on property I or.rn vhich is not intended for sa1e, lease or rent. Osners Signature: , a ( sr.rllNGl:lr:LrJ ln per dvel uded: ST'BTOTAL OF ABOVE 5f State Surcharge TOTAL Air 225 FTFTII STRIIIiT 'l SPRINGFIELD, OREGON 9747'I;I\ INSPECTION REQUEST:. 726-3769 BLECTRICAL PER}IIT APPLI CATION , . .'.',o:,r^1-,.11g,i,ttrn OFPICE: 72.6-3759 LocArroN oP rNSrALr,aftOH ll IAGAL DESCRIPTION -oP rA-A31 ?2 Job Number 3. COHPLBTE FEE SCTTEDULE BELOV iaI-Singl ) eor ling uni t. Items Cost rt <8.4 2 -ao6o,ea Sum fa.* not included) 40.00 40.00 20. oo 1 I'TION a Permits are non-transferable and expire if vork is not started vlthin 180 days of issuance or if vork is suspended for 180 days. 2. CO}ITRACf,OR INSTALIJ\TION ONLY lllectrical Contrac to, 7#A, 4Uq:,T? 1.000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf 'd llome or Modular Dvelling Service or Feeder s 8s.00 $ 1s.00 $ 40.00 Services or Feeders fnstallation, Alterations or Relocation: 200 amps or less D-' 201 anrps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1000 amps/vo1ts Reconnect Only Temporary Services or Feeders Installatlon, Alteration or Relocation D. Branch Circuits Nev, Alteratlon or Extension Per Panel B Add r:ess $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ciry fui;Var- Phone Z|r?z.---.^-- Supervisor License Number <B/1.5 Expiration Date /A€, Constr Contr. Number Expiration Date Ae3 Signature Superv I rl elan x Ovners Name Add ress Phone OVNER INSTALLATION The installation is being made on property I own vhich is not intended for saIe, Iease or rent. Ovners Signature: DATE: /D ^? 8- 7? RIICEIPT N: 200 amps or less $ 40.00 0ver 401 to 600 amps _ $ 80.00 0ver 600 amps or 1000 volts see rrBI above C E one ci rcui t S 35. 00 Each Addi t ional Circui t or vi th Service or Feeder Permi t y' S 2. oO I Miscellaneous (Service/feeder -Eaclr installation Pump or irrigation S Sign/OutIine Lighting_ $ Limi ted Energy/Res S RIICIIVID I}Y: 5 \ c:ty 5ZV=ttD .