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Home My WebLink AboutPermit Building 1991-11-15ELI, BLOCK: G * 4*t LOCATION OF PROPOSED WORK:io3 9ttsu N, JOB NUMBER SUBDIVISION: TAX LOI F'8i?,iiif l,.o,,o* I n.s pecti ons: 7 26-37 69urrrce; 726-5759 ASSESSOFS MAP: LOI' 225 Fif:di' Street Springfietd, Oregon 97477 PHONE: lttl IZIP:fift-STATE: OWNER ADDRESS: CITY: NEW -.- REMODEL ADDITION DEMOL|SH orHER DESCRIBE WOFIK: CONTRACTOR'S NAME CONST. ADDRESS NTRACTOR #EXPIRES PHONE G EN ERAL: PLUMBING: MECHANICAL ELECTRICAL:fT)t _ OFFICE USE _ QUAD AREA: * OF BLDGS: LAND USE:FLOOD PLAIN * OF UNITS:ZONING CODE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: # OF BDRMS RANGE: SECONDARY HEAT SQUARE FOOTAGE: 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 Etectric 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. E :;;1l Electrical - Prior to A Final Electrical - When all electrical work is complete. 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.4 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.lkl rtu-ing - Prior to cover. Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.l-.l Drywall - Prior to taping MOBILE HOME !NSPECTIONS 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 f illing 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 is complete, forms and sub-base material in place. Water Line - Prior to filling trench. 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. Rough Plumbing - Prior to cover. i I i1 I)4,D4 WATER HEATER: r r n Underlloor Plumbing/Mechanicalu -'F;;;,-i; i;;;i;ii; ;;;;;ki;;: [--l wood Stove - After instarration. E E r E E E Other - E E fl E Lot faces Lot sq. ftg. Lot coverage TopograPhY Total height Lot TYPe v - lnterior --- Corner _-- Panhandle - Cul-de-sac P.L.HSE GAR ACC N S E , THE PROPOSED WORK -H rstoRt cRL DlsrRlcr, oR IN THE ON THE HISTORICAL REGISTER? _- lf yes, this application must be signed and aPProved bY the H istorical Coordinator prior to permit issuance' APPROVED: BUTLDING 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 It t>> iewed By any $0 3 Date Paid Receipt Number: Received By upon violation of Plan Check Fee: ions of said ordinances. BUILDING PERMIT VALUE Lt ?, oo ilz (A) 4 ( U ?,d) SQ. FT. X $/SO. FT. D 14, lD ITEM Main Garage Carport Total Value Building Permit Fee State Su rcharge Total Fee bK' tx Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE FT. FT. (c) N0 FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace 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 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 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 further certify that only contractors 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 card is located at the f ront of the property, and the approved set of plans will remain Sig natu re Date on the site I times during construction. MISCELLANEOUS PERMlTS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, q D, and E Combined) ,Lt4 e4t>> '.,7u..) ,UJAMOUNT RECEIVED RECEIVED BY DATE PAID VALIDATION: RECEIPT NUMBER t,l,ol ut Date 225 FIFTB SlRBEf, SPRINGFTEID, oREGoN 97477 INSPBCTION RBOUESTt 726-3169 0PPTCE: 726-3759 SI,,II^lGFtGLf,, ELECTRICAL PERflTT APPLTCATTON City Job Number 3. COHPI.ETE TEE SCEEDULB BELOS A. Nev Residential-Single or HuIti-FamilY Per dvelling unit' Service Ineluded:Items Cost 1000 sq.ft. or less $ 85'00 Each additional 500 sq. ft or Portionthereof $ 15'00 Each Manuf'd Home or Modular Dwelllng Service or Feeder S 40'00 B 5 INSTALI^AIION(trPET. I Sum JOB DESCRIPTION Permits are non-transferable and expire if vork is not started vithln 180 days of issuance or if vork ls suspended for 180 days. 2. CONTRACf,OR INSTALI,ATION ONLY Electrical Contractor citv Phote- Supervisor License Ntimber Exp iration Date Constr Contr. Number Expiration Date Signature of Supervising Blectrieian Ovne rs Name Address 24ro N,te b7r, o"" lVLt \\)V Services or Feeders Installation, Alterations or Relocat ion: 200 amps or less ,oi ;;" to 4oo amps -401 amps to 600 amPs - 601 amps to 1000 amps- 0ver 1000 amPs/volts - Reconnect OnIY c.TemporarY Services or Feeders -i;;i;ii;ilon, Arteration or Rerocation 200 amps or less ;oi ;;; to 4oo amPs -0ver 401 to 500 amps .-- Over 600 amPs or 1000 volt D. Branch Circuits Nev, Alteratlon or Extension Per Pane1 One Circui t a-.-'S 35.00 3S $ so.oo $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ $ $ 40 80 .00 .00 .00' 55 Each Additional Circuit or vith Service. or Feeder P";;;t -a $ 2'oo 2' E. Hiscellaneous (Service/feeder not included) OHNER INSTALI,ATION The installatlon is being made on prop".tY I ovn which is not intended for sale, lease or rent' 0vners Signature: Ci ty DATE: RECEIPT Ph -Each installation PumD or irrigation SignZOutIine Lighting- Limited EnergY/Res - Limited EnergY/Comm SIETOTAL OF ABOVB 5Z State Surcharge TOTAL s see *Bil a bove 00 00 00 00 40$ $ $ $ 40 20 36 5 RECEIVED BY: il 4\ /-) - C>af /'^-i Y? -7y k6 1. TOCATION OF22tD N. DBSCRIPTION)U :2r i\t4*ti1. </r*n