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Home My WebLink AboutPermit Building 1991-07-02- SPRINGFIELE, RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 LOCATION OF PROPOSE .4 1 Z. JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LO-Ti?58IASSESSOFIS MAP: LOT - BLOCK:SUBDIVISION PHONE: ne ZIP: s STATE:SPnr 1- F/ELDCITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: MECHANICAL: - EXPIRES PHONEADDRESS PLUMBING CONTRACTOR'S NAME GENERAL: ELECTRICAL: CONST. CONTRACTOR # tLott sErttp <.o rt/ SE_E 1ARN)rJ RANGE: * OF BDRMS: WATER HEATER: - oFFrc ZONING CODE: FLOOD PLAINLAND USE: * OF UNITS: SECONDARY HEAI SQUAFIE FOOTAGE: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: 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. REOUIRED INSPECTIONS Temporary Eleclric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site Inspection - To be made after excavation, but prior to setting forms. re;r'"tl Electrical - Prior to X 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. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. ,X.Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.pf Framing - Prior to cover..ts>\.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 INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Posl 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 plumbi ng 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 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. Qn, rfl cz ?a Lz, hs r E E E E r tI E r tl r I Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbac PL.HSE GAR ACC N S E 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: VALUE 2/5 fp 3€ame,(&r/4 X $/SQ. FT. /o,7e (A) 22 C.29 Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERM!T ITEM SQ. FT. 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 upon violation of any provisions of said ordinances. Plans Reviewed By Date Plan Check Fee: Date Paid: Receipt Num Received By: N,/A SYSTEMS DEVELOPMENT CHARGE (SDC)(B) /vi( 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 (c) FT. No FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) NoVent 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 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 at all times during construction. Signature Date 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) Z9 22C 2@ DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER SPRINGFIELE) RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 LOCATION OF PROPOSED K: ASSESSORS MAP: JOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97477 TAX LOT SUBDIVISIONLOT: - BLOCK PHONE: ZIP:STATE: OWNER: ADDRESS: CITY: DESCRIBE WORK: NEW - REMODEL ADDITION DEMOLISH OTHEFI MECHANICAL: - EXPI RESADDRESSAME P 8 CONTRACTOFI'S ELECTRICAL: CONST. CONTRACTOR # GENERAL: PLUMBING RANGE: * OF BDRMS: _ OFFICE USE _ WATER HEATER: FLOOD PLAIN: ZONING CODE SECONDABY HEAT: SQUARE FOOTAGE: QUAD ABEA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: * OF STORIES: To request an inspection, you must call 726-3769. This is a24hour recording. AII 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 L___l 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. Electrical 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.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.l--l Drywall - Prior to taping MOBILE HOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Slove - 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 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 f illing 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. Fence - When completed Slreet 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. qtc\otb E E r E E E r E r rE E Lot faces Lot sq. ftg. Lot coverage Topography Total height - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E IS E PROPOSED WORK IN THE HISTORICAL DISTFIICT, OR ON THE HISTORICAL REGISTEB? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: VALUE (A) X $/SQ, FI, Total Value Building Permit Fee State Surcharge Total Fee BU!LDING PERMIT ITEM SQ. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said constructron shall, in all respects, conform to the Ordinance adopted by the City of Springfield, inctuding 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 Receipt Numbe Date Paid Received By: Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City Iimits which are being improved. ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS 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 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 f urther 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 il Signature Date on the site at all times ctioncon MISCELLANEOUS PERMITS Mobile Home State Issuance 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) RECEIPT DATE PAI AMOUNT RECEIVE &DTD RECEI E R VALIDATION NUM DBY 74.<-.1*a-- SPRII;GFIE:} FIRE DEPAETMENT FIRE DAI4P.GE REPC)RT OR ELECTRICAL HAZARD I b* DATE: 4 -Ao - ?/ TO: FR0ll:' SUBJECT: Bui'lding DePartrnent Spri ngf i e'ld Fi re DePartment Struitural Damage to Bui'ldi ng Address or 'location of building JJ t L /J/a a t4 sr, Name of ol'rner Gtbbs VEP E, Type of building L (Dwelling,tore, llare house, etc. Estimated value of building ooo Estimated 1 oss to bui'ldi ng $.55, ooo G-a o-? tDate of fire Locat'ion of damage in build'ing C (Rcof , I,Jal'l , Exterior 'Interior, e tc. ) Structura'l weakness aS a result of the fjre frik'ca-z + E*krtztr GpAC<' o+L (Burned rafters, Beams,Joi s ts , etc. ) Addi t'ional perti nent i nforma ti on El ectri cal Hazard 'e*.' cc:(, (1.1'iri no , S j qned a-h-cC.r{. -h)t7'r,-rt 0utlets, etc. \ Expiration Date Constr Contr. Number /,6?Ll APPLTCATTON 4to b 66 BBLOIJ Nev Residential-Single or Multi-FamilY Per dvelling unit' Service Included:Items Cost I g Bs.oo t,{,cte | $ 1s.oo l5,C:11 $ 40.00 Services or Feeders Installation, Alterations or Relocation: $ so.oo $ 60.00 $100.00 $130.00 $300.00 $ 40.00 TemporarY Services or Feeders i;;i;ii;ilon, Alteration or Rerocation 200 amps or less $ 19'99;oi ;;; to 4oo amps - I ::'99o;;'l6i io 600 amPs - $ 80109 Over 600 amps or fbOOGTts see trBil above Branch Clrcuits New, Alteratlon or Bxtension Per Pane1 $ 3s.00 225 FIWfr STREET SPRTNGFIEID, ORBGON INSPECf,ION RBQTIEST: OFFICE: 726-3759 ,c. ?- 1 OT INSTALIJ\TION7tl I,EGAL DESCRIPTION o3 2-5 2-2"04 Qoo JoB D,sc*rprroN fi"o &tr".*1t- fit* Permits are non-transferable and expire lf vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor lU Address Ci fi Ei -,/t phone '/ t-t tt * Cb t 7 Supervisor License Ndmber -?tu5 1000 sq.ft. or less Each additional 500 sq. ft or Portlon thereof Each Manuf'd Home or Modular Dvelling Service or Feeder 200 amps or lessioi ;;; to 4oo amps -401 amPs to 600 amPs - 601 amPs to 1.000 amPs- Over 1000 amPs/volts Reconnect OnIY er One Circuit Bach Additional Circuit or vith Servrce or Feeder Permit - -Each installation Pump or irrigation Sien/Outline Lighting- Limited EnergY/Res _- sa,ruIv(;FtGLr, Limited EnergY/Comm STIBTOTAL OF ABOVE 5Z State Surcharge TOTAL A Sum I I B. c Exp iration Date Signa ture of SuPervislng Electrlcian Ovners rft Address D Phone ,1Zb -4 714Cl ty $ 2.00 OSNER INSTALI,ATION The installation is being made on piop.tty I ovn vhich is not intended ior-sale, lease or rent' Ovners Signature: B.Miscellaneous (Service/feeder not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 5 DATE: RECEIVED BY: c-0 Vz ^o100"- - t0qv L {,4 ,\ t-tluO L t. /r4 /+uc SPRII\lGFIELt) RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 JOB NUMBER h,225 Fifth Street Spri ngf ield, Oregon 97 477 LOCATION OF PROPOSED WOFIK: ASSESSORS MAP:Zu TAX LOT: LOT: - BLOCK:SUBDIVISION OWNER PHONE: ADDRESS: CITY:STATE:ZIP: DESCRIBE WORK: NEW - REMODEL ADDITION DEMOLISH OTHEFI CONTRACTOR'S NAME ADDRESS CONST. CONTRACTOR #EXPI RES PHONE GENERAL:sPLUMBING ?r'626 MECHANICAL: ELECTRICALi _ OFFICE USE _ QUAD AREA: * OF BLDGS: LAND USE: # OF UNITS FLOOD PLAIN ZONING CODE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: # OF BDRMS WATER HEATER: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 f__l Temporary Electricll Rough Mechanical - Prior to cover.E Final Plumbing - When all plumbing work is complete. Site Inspection - 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. Electrical 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.Framing - Prior to cover. Other Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to f illing trench.l--l Drywall - Prior to taping. MOBILE HOME INSPE TIONS 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 decking.Curbcul & 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. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Waler Line - Prior to filling trench. Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Vl Rough Plumbing - Prior toAcover. E E E E E r E E E E E E Fence - When completed. il E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac acks PL.HSE GAR ACC N S E ; THE PFIOPOSED 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. Main X $/SO. FT.VALUE Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) 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: Receipt Numbe Received By: Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home z FEEtu- N0 FT. FT, FT. Plumbing Permit State Surcharge Total Charge 10e (c) atOO.2.( , ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan N0 Wood Stove/ lnsert/ Fi replace 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. on the site at all times duri c ruction Signatu re Date 4-77-q/7 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#S> TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 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 4"e s 225 FIT-TB STREET SPRINGFTELD, oREGoN 97477 INSPECf,ION REQUESTz 726-3769 OFPICE: 726-3759 1. LOCATION OF INSTALI"ATION sl,nlNGFlI:Lo ELE TRICAL PERHIT APPLICATION city Job Nunber q IC\SL) 3. COHPLETE PBB SCHEDULE BELOV Nev Residential-Single or HuIti-FamiIy per dvelling unit. Service Included: Items Cost 2)lU Ll I 6T> LEGAL DESCRIPTION)l 03as)f- o,qoo A B D. Sum JOB DESCRIFTTON 2. CONTRACTOR INSTALI..ATION ONLY Electrical Contractor Palmer/Philips Address 3170 Meadow l-ane Ci Eugene Phone 6gg-6121 Supervisor License Number Expiration Date L0/gt Constr Contr. Number Zj-LlgC Expiration Date LA/9L Signa ture of Su pervising Electrician Ovners Name Address Ci ty Phone OVNER INSTALLATION The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent. Ovners Signature: DATE: RECEIPT Services or Feeders InstaIIation, Alterations or Reloca t ion : 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reconnect 0n1y Temporary Services or FeedersInstallation, Alteration or Reloca,roks .OO 200 amps or less X $ q+.OO M201 amps to 400 amps - $ 55.00 over 401 to 600 amps - $ go.oo Over 600 amps or 1000lofTs see rrgrr "f,f,ll- Branch Circui ts Nev, Alteration or Extension per panel One Circui t $ 35. OOEach Addi tional Circuit or vith Serviceor Feeder Permit S 2.00 1000 sq.ft. or less Each additional 500 sq. ft or portion the reo f Each Manuf'd Home or -Modular Dvelling Service or Feeder Miscellaneous (Service/f eeder -Each installation Pump or irrigation $Sign/outline Lighting- $Limi ted Energy/Res - SLimited Energy/Comm S STETOTAL OF ABOYE 5Z State Surcharge TOTAL arl 0ur&10l Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. $ 8s.00 $ 1s.00 $ 40.00 s s0.00 $ 60.00 s100.00 $130.00 $300.00 $ 40.00 C E 5 not included) 40. 00 40.00 20. o0 36.00 3 -oo RECETVED BY: ')v4 )S-7(