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Home My WebLink AboutPermit Building 1996-04-23RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 ELO JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 l LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: ry BLOCK:SUBDIVISION ZIP:STATE:.DZCITY: ADDRESS: OWNER: NEW -- REMODEL ADDITION DEMOLISH OTHER €DESCRIBE WORK: NAME EXPIRES PHONECONTRACTOR MECHANICAL: ELECTRICAL: CONST. RACTOR # PLUMBING GENERA '' OF BDRMS _ OFFICE USE - WATER HEATER FLOOD PLAIN SECONDARY HEAT: *_ SQUARF. FOOTAGERANGE: QUAD AREA: 'I OF BLDGS LAND USE: OCCY GROUP: * OF STOFIIES: ZONING CODE: __ CONSTR. TYPE: HEAT SOURCE: 'r OF UNITS: _ To request an inspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All inspections requested before 7:00 a.m. will bemade the same worklng day, lnspections requested after 7:OO a.m. wlll be made the following work day. REQUIRED INSPECTIONS Temporary Electric Final Plumbing - When altplumblng worl< is complete. [--l Site lnspection - To be madel..J after excavation, but prlor to setting forms. Final Electrlcal - When all electrical work is complete. Underslab Ptumblng/ Electrical/ Mechanlcat - Prior to cover.Electrical Servlce - Must be approved to obtain permanent electrlcal power. Final Mechanical - When all mechanical work is cornplete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. Final Building - When ail required lnspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.V Framlng - Prlor to cover. Foundatlon - After forms are erected but prlor to concrete placement. Other WalllCelllng lnsulatlon - Prlor to,cover. Underground Plumblng - Prior to fllling trench.Drywall - Prlor to taplng. MOBILE HOME INSPECTIONSUnderlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decklng.Wood Stove - Afler lnstallatlon. Post pnd Beam - Prlor to floor lnsulation or decklng.lnsert - After flreplace approval and lnstallatlon of unlt. Blocking and Set-Up - When all blocking is complete. Floor lnsulation - Prior to decking.Curbcut & Alrproach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanltary 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 - Prior to filllng trench. Sidewalk & Drlveway - After excavation ls complete, forms and sub-base material in place. Water Line - Prlor to filling trench. Slreot Trees - When all requlred trees are planted. Final - After all required inspections are approved and porches, sklrting, decks, and ventlng have been lnstalled. w Rough Plumblng - Prior to cover. TAx Lor: / 7arc *P PHoNE: _ " _=== E tl f--l Rough Mechanlcal - Prtor toU cover. l-l Rough Electrical - Prior tot-l cover.tl I--l Fence - When completed. tl tl tl E Lot faces Lot sg, ftg. Lot coverage Topography Total height Lot TyFe _ - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E .-.S THE PROPOSED WORK i.N THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the H istorical Coordinator prior to permit issuance. APPROVED: .i BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the eipress 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. Plans Reviewed By Date Date Paid Received By: Plan Check Fee: VALUE r^sa=b- ):"2;/rz(A) X $/SQ. FT. Garage Carport 19 Building Permit Fee State Surcharge Total Fee ft Total Value BUILDING PERMIT ITEM SO. FT. Main SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Flesidential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE R 22(c) N0 FT. 2 /a,"*FT. /,O PLUMBING PERMIT G.ZPlumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert / Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permlt lssuance State Surcharge Total Permit M ECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certify that all lnformatlon hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure wlthout permission of the Buildirrg Safety Division. I further certify that only contractors and employees who are in compliance with OFIS 701.055 will be used on this proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain \-?6*/- sls Date struction.on the site at times during MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -=- {t Curbcut f t Demolition Slate Surcharge Total Miscellaneous Pennits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, D, and E Combined) g7-22 DATE PA|D / -27 -* 72/ AMOUNT RECEIVF.D RECEIVED BY VALIDATION: RECEIPT NUMBER Receipt Number:- FT. tha ftlrowins prroiect as eubmin"d.ltsf thq lgjio,\llipfl , -, r1, n!, in J tles npt reqqire epQcitic lsn$' ure' L SPC"N.--IEL() ELECTRICAI PERHIT APPLICATION Address c apprord. 225 FITTE STREET SPRINGFIELD, OREGON 974 INSPECTI0N REQTEST: 72 OFPICE: 726-3159 (, ],. LOCATION OF INSTAIT-ATION ru1 T^EGAI DESCRIPTION JOB DESCRIPTION e.,41*rzD Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALM.TTON ONLY Electrical Contractor 3. COHPI^ETE FEE SCMDULE BELOV A. Nev Residential-Single or MuIti-Family per dvelling unit. Servi ce Incl-uded : I tems Cos t 1000 sq.ft. or less S 85.00 Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Hodular Dvelling Sertice or Feeder s 15.00 s 40.00 B. Services or Feeders Installation, Alterations or Relocation: Ci Job Number SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL. L ?on6r-.1 Sum s s0.00 s 60.00 s100.00 s130.00 s300.00 s 40.00 40.00 55.00 80.00 e tB' l-f;4--LJ.eadress 1z?:?,+o ,4<*?e,rl( Z). city - flon Ynone 72a-79y'7 Supervisor License Number % -J ExpirationDate /o -t -?b Constr Contr.Number AO L o Expirationoare / -Z-77 Signa ture of Supervising Electrician 0vners 200 amps or less L'/ 201 amps to 400 amPS - 401 amps to 600 amPs _601 amps to 1000 amPs- Over 1000 amps/vo1ts Reconnect OnlY Temporary Services or Feeders InstaLlation, Alteration or Relocation 200 amps''or less 201 amps to 400 amPs - Over 401 to 600 amPs 0ver 600 amps or 1000-7oITs C D F s s $ se Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Addi. tional Circuit or vith Service or Feeder Permi.t s 3s.00 Ci ty O\INER INSTALT^ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ouners Signature: DATE: RECEIPT RECEIVED Ynone 7y'A, - Sl g3 aE'ove- 00 included ) s2 Miscellaneous (Service/feeder -Each installation Pump or irrigation $ sign/outli,ne Lightit g- S Limited Energy/Res - $ Limited Energy/Comm S not 40. 40. 20. 36. 00 00 00 00 5 OO ), SPT.....GFtELD The followlng project as submittJ hes ttzaritng' and does not roguire epociiic it;iapproval. L225 FITTE STREET SPRTNGFTELJ, 0REGoN 9747'7.. INSPECTION REQTTEST : 726 OFFICE: 726-3759 A ELECTRICAL PBRHIT APPLICATION SCMDULE BELOV Nev Residential-Sj.ngle or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home- or Modular Dvelling Sertice or Feeder s 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations ?t oSbqCitv Job Nurbet_ e S 1 ON /3cocs JOB Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. Address o Ci ty Phone 72b -?gr7 Supervisor License Number -S Expiration Date -(7A 3. A. Sum 2. CONTRACTOR TNSTALI.,ATION ONLY Electrical Contrac tot Lfr D ( O F:/"rt'I.v C or Relocation: B 200 amps or less 201 amps to 400 amps -401- amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amps/volts Reconnect Oniy Temporary Services or Feeders Installation, Alteration or Relocation $ s0.00 s 60.00 s100.00 s130.00 $300.00s 40.00 C Constr Contr. Number z Expiration Date 4 - 02 q> Signature of Supervising Electrician rs Address /,/z Ci ty Phone e- OVNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATB: 200 amps''or less 201 amps to 400 Over 401 to 600 Over 600 amps or amDs 1000 volts ee .tBrt a6ove 40.00 55.00 80.00 amps $ s $ s D. Branch Circuits E Nev, Alteration or Extension Per Panel one circuit / $ 35'00 35;oo Each Additional Circuit or vith Service or Feeder Permi t Z S 2.00 --Z'-oa Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0ut1ine Lighting- Limited Energy/Res SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAI 3 s 40.00 $ 40.00 s 20.00 $ 36.00 5 RBCETVED c0 rs ( rusrfiH'rroN