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Home My WebLink AboutPermit Building 1993-09-14RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726-3759 LOCATION OF PROPOSED WOR ASSESSORS MAP: LOT: SPRINGFTELO q3 \ab5JOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97 477 J-,a/,{ ?z/7 TAX LOT: BLOCK:SUBDIVISION PHONE: STATE:ZIP: I-7 ?>r/>7 COWNER: CITY: ADDRESS: DEMOLISH OTHER I ADDITION h /e ,/DESCRIBE WORK: NEW- REMODEL PHONE 72d 72s7,,(*, 8f." on llrt ( ,Ar-r/ J^Kroa MECHANICAL: ELECTRICAL: CONST. CONTRACTOR #ADDRESS EXPIBESCONTRACTOR'S NAME G EN ERAL: PLUMBING _ OFF]CE USE _ WATER HEATER * OF BDRMS: RANGE: ZONING CODE: FLOOD PLAINLAND USE: * OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: QUAD AREA: S OF BLDGS: CONSTR. TYPE: HEAT SOURCE: ll 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 Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When atl 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. Footing - After trenches are x'Final Building - When all required inspections have been approved and building is completed. ted Fireplace - Prior to facing materials and framing lnsp. Masonry - Steel location, bond beams, grouting..x E, ,tr Framing - Prior to cover. l-iZfrounoation - After forms are /Z\erected but prior to concrete placement. Other 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 N 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. ]V/Floor lnsulation - Prior to ,)ALdecking.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 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. Water 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. Rough Plumbing - Prior to cover. /7 F,:r.t Ve,-rr/ k,r /1.r-4 sPrutr-)I nP--' lQt*, E r I--l Fence - When completed. E tl r r r E 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 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 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 Spri ngfield, 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. Pla Reviewe Receipt Numbe ss Received Date Paid:5E adaz) Plan Check Fee: BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT.VALUE 5o (A)7/,qe /s Total Value Building Permit Fee State Surcharge Total Fee Main Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELO PM ENT C HARG.E/SK) (B) Ll(':l { \ ADDITIONAL COMMENTS ,4fiout*h\ t ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT 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 rn ace 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 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 X S Date ig natu re of the property, and the ap et of plans will remain n the site at all ti durin tion. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Total Miscellaneous Permits 48 (E) Demolition State Sqrcharge TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Combined)/t6 4b ts/ DATE PAID VALIDATION: RECEIPT NUMB AMOUNT R RECEIVED J %1'g FT. C'TY OF OREGO'U 225 PIWE STR.EET SPRINGFIBI,D, OREGON INSPECTION EEQTIEST: OPFICE: 726-3759 97477 t: .: 726-3769 , r'\ -'' COHPI.^ETE FEE SCMDULB BELOV Nev Residential-Single or Hulti-Family per dwelling unit. Service fncluded: I tems Cos t 1000 sq.ft. or less S 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Hanuf'd Home or -Hodular DveIling Service or Feeder S 40.00 Services or Feeders fnstallation, Alterations or Relocation: v&---ELECTRTCAI PERXIT APPLICATION Nunber 1.OP JOB DESCRIPTION Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI.ATION ONLY Electrical Contract A$horizedSiSnY 3 A Addr Ci ty Supe Expiration Date lD \qg ,t constr contr. Number Expiration Date 1 a'1 Signature of Supervising Blectrician Ovners Name Address Ci ty Phone ALI,ATION The installation is being made on property I ovn vhich is not intendedfor sale, lease or rent. Ovners Signature: DATE: ess Phone rvl. sor cense Number 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- Over 1000 amps/voIts Reconnect 0nIy 200 amps or less S 201 amps to 400 amps - $ Over 401 to 600 amps $ Over 600 amps or 1000l6Tfs s -Each installation Pump or irrigation Sign/0utIine Light ing- Limi ted Energy/Res -Limited Energy/Comm Sum B s s0.00 s 60.00 s100.00 $130.00 $300. 00 s 40.00 c Temporary Services or Feeders Installation, Alteration or Relocation 40.00 55.00 80.00 \l\ ee rrBrt aSoE D. Branch Circuits Nev, Alteration or Extension Per Pane1 Each Additional Circuit or vith Service or Feeder Permi t 1 S . 2. OO 2!? E. Hiscellaneous (Service/feeder not included) s 40.00 s 40.00 s 20.00 s 36.00 5 SUBTOTAL OP ABOVB5f State Surcharge TOTAL 77,&- -ra;z5T- RBCEIYBD .67 SPFlINGFlELO I