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Home My WebLink AboutPermit Building 1991-07-12SP ELE, RESID ENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726-3759 LOCATION OF PRO ASSESSORS MAP: LOT: YN JOB NUMBER 225 Fifth Street Spri ngf ield, Oregon 97 477 TAX LOI BLOCK:SUBDIVISION ONPHOWNE ADDR CITY:STATE:ZIP: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: MECHANICAL: S NAME ADDFIESS EXPI ONE ELECTRICAL: CONST. NTRACTOR #CONTR G EN ERAL: PLUMBING t^) RANGE: * OF BDRMS: WATER HEATER: _ OFFICE USE _ ZONING CODE: FLOOD PLAIN * OF UNITS: LAND USE: SECONDARY HEAI SQUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: * OF STORIES: QUAD AREA: # OF BLDGS 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 l---l Temporary Electric ll Rough Mechanical - Prior to cover.xr Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. X Rough Electrical - Prior to X,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 trr Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. K Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.XI Framing - Prior to cover. ffi w"ff lCeiling lnsulation - Prior to - cover. Xl Drywall - Prior to taping. OtherFoundation - After forms are erected but prior to concrete placement. Underground Plumbing - Prior to filling trench. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. Post and Beam - Prior to floor insulation or decki ng.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. [dSanitary Sewer - Prior to filling(- trench. ff:*:'l Sewer - Prior to rirring Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel.K Water Line - Prior to filling trench.l-_l Fence - When completed. Street Trees - When all required trees are planted. Final - After all required' inspections are approved and porches, skirting, decks, and venting have been installed.K Rough Plumbing - Prior to cover. ol I l r Er Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks PL.HSE GAR ACC N S E -I THE 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 E,93 I lA, )>(A) \nqq5 '//6 .5' oc o Total Value Building Permit Fee State Surcharge Total Fee Main Garage Carport 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 1- / -';'' Date b ewe p rovisions of said ordinances. PIan Check Fee: Date Paid Receipt Numbe Received By: upon violation of SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtu res Residential Bath(s) Sanitary Sewer' Water Storm Sewer Mobile Home FEE 7o.0o 7O-oo ?, ( c 7 (c)7 3 ,fo N0 FT. FT. PLUMBING PERMIT FT. Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fi replace Unit Dryer Vent 3,Oo I O,oo .(,, L 3 ,6'(D) Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood Nol 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 Sig natu re Date 1.\L-7( on the site at all tim during nstruct 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) R. c?,({ 9o 66 z 32.sgAL RECEIVED BY DATE PAID AMOUNT RECEIVED VALIDATION: RECEIPT NUMBER?-rz-?/ 3,oo 225 PITTB STREBf, SPRINGPIBTT, oRBGoN 97 477 INsPscII0N REQIIBSTz 726-3169 OFFICE: 726-3759 1. LOCATION OT INSTALIATION7C7 I <74 9D I.EGITL e co JOB o< tL ,1 Address cltY- Phone Supervlsor Llcense Number Explratlon Date Constr Contr. Number Expiratlon Date Slgnature of Supervising Electrician Ovners Address ct Phone The lnstallatlon ls belng made onproperty I ovn vhich ls not intendedfor sa1e, Iease or rent. Ovners Slgnature: DATE:) RECEIPT S,,,IINGFIELO E. 5. SUBTOTAL OT ABOVB5f State Surcharge TOTAL h 100 amps or less 101 amps to 400 amps 401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reconnect Only One Circuit Tvo to ten Clrcuits Each Addtrl ten orportion thereof BIJCTRICAL PERHTT APPIJCATION City Job Nunber 7/e677 3 A COHPI,ETB PEE SCIIEDI'U BELOg New Residential-Single or Multl-Faml1y per dvelllng unlt. Servlce Included: f tems Cos t $ 8s.001500 sq.ft. or less Each additlonal 500 sq. ft or portion thereof Each Hanufrd Home or -Modular Dvelling Service or Feeder $ 1s.00 $ 3s.00 Servlces or Feeders (10 Branch Circuitsincluded). Installation, Alterationsor Relocation: Sum Permlts are non-transferable and expirelf vork ls not started vlthln 1g0 daysof lssuance or if vork is suspended for180 days. 2. COIYTRACf,OR INSTATITTION ONLI Electrlcal Contractor B $ 3s.00 $ 60.00 $ 90.00 $130.00 s300. 00 s 3s.00 C. Temporary Services or Feedersfnstallatlon, Alteration or Relocatlon 200 amps or less $ 35.00 201 amps to 400 amps - S 40.00over 4o1 to 6oo amps - $ go.oo 0ver 600 anps or 1000-6fts see uB" affi- D. Branch Circuits Nevr.Alteratlon or Extension per panel @r,$ 3s.00 $ 50.00 $ 1s.00 Hiscellaneous (Service/feeder not lncluded) -Each installation Pump or irrigation S 36.00 Sign./outrine Lighting- $ 36.00Signal Clrcuit orIimited energy panel $ 36.00 oc) c) nF-!-r'FE /2 '/l fc C/ R,,b,l-/ I