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Home My WebLink AboutPermit Plumbing 1994-09-16B P ESIDENTIAL ERMIT APPLICATION lnspections: 726-3769 Office: 726.3759 SPFINGFTELD Zfr, JOB NUMBER 225 Fifth Street Sprlngfleld, Oregon g7 417 LOCATION OF PROPOSED WORK:/9 A{ r1/, /7 )z <7, ASSESSORS MAP:2- LOT TAX LOT: BLOCK: SUBD|V|SION PHONE: ztPSTATE:CITY: ADDRESS: OWNER: NEW - REM.DEL /eoot TION -- DEMOLISH OTHER DESCRIBE WORK: ADDFIESS EXPIRES PHONE 2 /& CONTRACTOR'S NAME MECHANICAL: ELECTBICAL: PLUMBING: GENERAL: CONST. CONTFIACTOR # - OFFICE USE - * OF BDRMS: LAND USE:QUAD AREA: I OF BLDGS: SECONDAFIY HEAT: SOUARE FOOTAGE: OCCY GROUP: r OF STORIES: CONSTR. TYPE HEAT SOURCE: # OF UNITS: -- FLOOD PLAIN: ZONING CODE: WATER HEATER:-RANGE: To request an lnspecilon, you must call 726-3769. Thls made the same worklng day, lnspecilons requested af Temporary Electrlc REQUIRED INSPECTIONS tr i;*?" Mechanrcar - prror to ,X''5ll;lrH';r:1fl,;"yl;l"ii: ls a 24 hour recordrng. Ail rnspectrons requested before 7:00 a.m. wilr beter 7:OO a.m. wlll be made the followlng work day. Rough Electrlcal - prlor to Final Eleclrical - Wlren allelectrical work is complete.c cover. Slte lnspectlon - To be madeafter excavatlon, but prior tosettlng forms. I-_| Underslab plumblng/ Electrical / - Mechanlcal - prlor to cover.Flnal Mechanlcal - When allmechanical work ls complete. Flnat Building - When allrequlred lnspectlons have beenapproved and building lscompleted. Electrlcal Servlce - Must beapproved to obtaln permanent electrlcal power. l--l Masonry - Steet locailon, bondu beams, groutlng. Footlng - After trenches are excavated, Foundallon - After forms areerected but prlor to concreteplacement. Posl and Beam - Prlor to floorlnsulatlon or decklng. Floor lnsulallon - prlor to decklng. l-l Flreptace - prtor to factng - materlals and framlng lnsp. ,'Jffii:fi,3:i;."0','n - Prror .glDrywarr - prror ro taprns l-l Underltoor Plumblng/Mechanlcatt-l - Prlor to lnsulatto-n ;r-d;;ki;g, n wood Stove - After tnstaltatton. MOBILE HOME INSPECTTONS lnserl - After flreplace approvaland lnstallatlon of unlt. [-l Blocklng and Set.Up - Whep ail - blocklng ls complete. Framlng - Prlor to cover, Wall/Celllng lnsqlatlon - prlor tocover. Other Plumblng Connections - Whenhome has been connected towater and sewer.[-l Sanltary Sewer - prior to filtinglJ trench. Curbcut & Approach - Afterforms are erected but prior toplacemenl of concrete. Slorm Sewer - Prior to fllllng trench. Sidewalk & Drlveway - Afterexcavation ls complete, formsand sub-base materlal in place. Eleclrical Connection - Whenblocking, set.up, and plurpbing rnspections have been approvedand the home is connected tothe servlce panel. t] ly;Iil:lne - Prlor to fiiling n Fence - when dompteted. lx'l Rough Plumblng - prtor to /Tover.Straet Trees - When all requlred trees are planted. Final - After all requiredlnspections are approved andporches, sklrilng, decks, andventlng have been lnstalled. I i., 9 q4a tl D ----<- ii { Lot faces Lot sq. ftg, Lot coverage Topography Total tleight Lot Type _ - lnterior - Corner - Panhandle - Cul-de-sac Setbacks 1- -S THE PROPOSED WOBK TN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL FIEGISTER? - lf yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N s 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 Number Received By BUILDING PERMIT ITEM SO. FT. Main Galage Carport /91" /E,A{(uia/ (A) 7f X S/SQ. FT. = VALUE Total Value Building Permit Foe State Surcharge Total Fee Systems Development Charge is due on all undeveloped properties withln the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures, Besidentiai Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home ,/4t/>DP FEE ty2za) N0 /Aru,7r,?r 3/,NTotal Charge 'fP< FT. FT. (\,) tu PLUMBING PERMIT Plumbing Permit State Surcharge Wood Stove/ lnsert/Flreplace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuahce State:surcharge Total Permit MECHANTCAL PERMIT Fu rnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformatlon hereon is true and correct, and I f urther certlfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure wlthout permission of the Building Safety Divislon. I further certify that only contractors and employees who are In compllance with ORS 701.055 wlll be used on thls 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 permit card ls located at the front of the property, and the approved set of plans wlll remaln on the site at all times during constructlon. Date tuX,",,,.u MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 73 /VALIDATION: RECEIPT NUtvlBER DATE PAID AMOUNT BECEIVED RECEIVED BY FT. 4L3 approval. 225 FIVTE STREET SPRINGFIELD, oREGoN 97477 Date V2 INSPECf,ION REQTEST: 726-ryJ6$rized OFFICE: 726-3759 1 ON TION 2... CONTRACTOR INSTALI.ATTON ONLY Electrical Contractor tffi"D4tY-) JOB DESCRIPTION /, ),k Fotr nac(I e/"on u1| Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if.vork is suspen-ded for 180 days. SPRINGFIELO ELECTRTCAL PERfiTT APPLICATTON F ci Job Nunber COHPLETE FEE SCMDULE BELOV Nev Residentia]-Single or Multi-Family per dvelling unit. Service Included: I tems Cos t s 8s.00 s 15.00 s 40.00 Services or Feeders InstalIation, Alterations or Relocation: 3 A Sum D daar""s Ltl A/1 5,2 "r r/e r tQ,,l € .--Lr TcityJLL^<!lq4 Phone 48p" 7 Supervisor License Number &n66 5 Exp irationDate OCZ /O ?5 200 amps or 20L amps to 40L amps to 601 amps to 0ver 1000 ar Reconnect 0r less 400 amps 600 amps mps/voIts _nry s s0.00 s 60.00 s100.00 s130. 00 $300.00 $ 40.00 a_ Constr Contr. N Expiration Date C. Temporary Services or Feeders fnstallation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps - S 55.00 , over 401 to 600 amps - $ 80.00 Over 600 amps or 1000 voT[s see uB" aEE D. Branch Circuits Nev, Alteration or Extension Per Panel 35 umber rs Name Add ress Ci Phone OVNER TION The installation is being made on property I ovn vhich is not intended for sa1e, Iease or rent. 0vners Signature: DATE: Each Additional Circuit or vith Service or [eeder Permi t 2 s 3s.00 $ 2.00 E. Miscellaneous (Service./feeder not included) -Each installation Pump or irrigation $ Sign/Outline Lighting- S Limi ted Energy/Res - $ Limi ted Energy/Comm S SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee 't0TAL 40.00 40.00 20.00 36.00 5 RECEIVED o zonins L-DE- 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or -Modular Dvelling Service or Feeder Signature 6f Supervising Electrician / .t),.') ?+ . ( / t .,/)t/,u, Jl /rn/rt,z p