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Home My WebLink AboutPermit Building 1991-09-12SPIIINGFIELE, BLOCK: JOB NUMBEFI a4 LOT: TAX LOT SUBDIVISION LOCATION OF PROPOSED WORK: ASSESSORS MAP 225 Fifth Street Spri ngfield, Oregon 97 477 RESIDENT!AL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 PHONE STATE ztP << CITY: ADDRESS: OWNER: NEW ,X REMoDEL ADDITIoN DEMoLISH oTHER DESCRIBE WORK: E,l I l^rAlt\lra. ADDRESS EXPIRES PHONECONTRACTOR'S NAME MECHANICAL: ELECTRICAL: GENERAL: CONST. CONTRACTOR # sPlUC WATER HEATER:RANGE: * OF BDRMS: _ OFFICE USE _ FLOOD PLAIN: ZONING CODE SECONDARY HEAT SQUARE FOOTAGE: OCCY GROUP: S OF STORIES: QUAD AREA: g OF BLDGS: CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS 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 fl Temporary Electrict_l Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be mad-e after excavation, but prior to setting forms. E 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. w Footing - After trenches are excavated.E Final Building - When all required inspections have been approved and building is completed. Fireplace - Prior to facing materials and framing lnsp. Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. OtherFoundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taping MOBILE HOME !NSPECTIONS Underlloor 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.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 Conneclion - 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 is complete, forms and sub-base material in place. Water Line - Prior to filling trench.[-l 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 installed. ?//o// 242 E E E r E E E E E E E E 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 IS E 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: BUILDING PERMIT ITEM SQ. FT.X $/SQ. FT.VALUE Main Garage Carport #e- /l 7 q6'a Total Value Building Permit Fee State Surcharge Total Fee 78%-e 68.2 (A) 7.# 7t.?7 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:Ll L/, 5 3 Date Paid Recei pt Number: Recei By: P SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are bein/g improved. PLUMBING PERMIT ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE No 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 Mechanical Permit lssuance State Surcharge Total Permit (D) By signature, I state and 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 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 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 of the property, and the approved set of plans will remain on the site I times during construction) Signatu Date c1- lA-,l MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY 2)z-7/ TOIAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Combined) 7/-z= a4/+/ Dat/ Ia 5l'rrlNOFlguo BLBCTBTC[L GltY Job Nusrbet Nev Residential-Single or tiitiilmq lel t\e\\\q \$\, OE IJGAL DESCRIPTION JOB DESCN.IPTION Address cit Phone Supervisor ticense Ntimber Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Blectrician Ouners Name Address City e-rZf cn Phone Vrt 't 'fiEffitnHu'-"un OgNER INSTALI.ATTON The installation is being made onproperty I ovn which is not intendedfor sale, Iease or rent. 1 3. A Service Included: I tems 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufrd Home or -Modular Dvelling Service or Feeder B. Services or Feeders'fnstallation, Alterations or Relocation: 200 amps or less t/- 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reconnect 0nly c. E SIIBTOTAL OF ABOVB 5X State Surcharge TOTAL Cos t $ 8s.00 $ 1s.00 $ 40.00 $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 46,ou Sum Permits are non-transferable and expireif vork is not started within 190 daysof issuance or if vork is suspended ior180 days. 2. COMrRACTOR TNSTALI.ATION ONLY Electrical Contractor {a *? Temporary Services or Feedersfnstallation, Alteration or Relocation 200 amps or less $ 40.00201 amps to 400 amps - $ ss.ooover 401 to doo amps - $ go.o0 0ver 600 amps or lO0OErs see ,gi "E;IE- Branch Circults Nev, Alteration or Extension per panel One Ci.rcui t $ 35. OOEach Addi tionalCircuit or vith Serviceor Feeder Permi t I $ Z. OO /A . Miscellaneous (Service/feeder not included)-Each installation Signature: Pump or irrigation SSign/outIine Lightins- $Limi ted Energy/Res -- $ 40.00 40.00 20.00 36.00a4-j DATE: RECEIPT 4 RECEIVED BY: 4 5 ,<4 -?> CO}T?IBTB EEE SCSENUI'E BBLOU D.