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Home My WebLink AboutPermit Building 1994-07-12RESIDENTIAL PERMIT APPLICATION lnspectlons: 726.3769 Offlce: 726-3759 LOCATION OF PROPO ASSESSORS MAP: LOT SPR I1{GFIELr) h, d,11 JOB NUMBER 225 Fifth Street Sprlngf leld, Oregon 97 477 TAX LOI BLOCK:SUBDIVISION Z CITY: STATE: PHONE: ZlPi // /aADDRESS: OWNER: ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW- REMODE ADDR EXPIRES PHONE /54/z ECONTRACTOR'S MECHANICAL: ELECTRICAL: 776 PLUMBING: CONST. CONTRACTOR # tl.' USE -t\- OFFICE WATER HEATER: ZONING CODE: FLOOD PLAINLAND USE: * OF UNITS: OUAD ABEA: * OF BLDGST SECONDARY HEAT: SQUARE FOOTAGE:RANGE: OCCY GROUP: I OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspecilons requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons reguested after 7:00 a.m. wlll be made the followlng work day. REOUIRED INSPECTIONS n temporary Electrlc Rough Mechanlcal - Prlor to cover. Flnal Plumblng - When allplumblng work is complete. SIte lnspecllon - To be made after excavatlon, but prlor to settlng forms. Rough Electrlcal - Prlor to Flnal Electrlcal - When all electrlcal work is complete.cover. Underslab Plumblng/ Electrlcal / Mechanlcal - Prlor to cover.E Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flnal Mechanical - When all mechanlcal work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framlng lnsp. Flnal Bulldlng - When alt requlred lnspectlons have been approved and bullding isMasonry - Steel locatlon, bond beams, groutlng.compl n Framlng - Prlor. to cover. Othertl tl tl E Foundatlon - After forms are erected but prlor to concrete placement.WaltlCelllng lnsdlatlon - Prlor to cover. Underground Plumblng - Prlor to fllllng trench.l-.l orywatl - Prtor to taptng. Underlloor Plumblngl Mechanlcal - Prlor to lnsulatlon or decklng. MOBILE HOME INSPECTIONS Wood Stove - After lnstallatlon. Post and B6am - Prlor to floor lnsulatlon or decklng.lnserl - After flreplace approval and lnstallatlon of unlt. I Blocklng and Set-Up - When ail blocklng ls complete. Floor lnsulatlon - Prlor to decklng.Curbcut & Approach - After forms are erected but prlor to placement of concrete. Plumbing Connecllons - When home has been connected to water and sewer. Sanltary Sewer - Prlor to fllllng trench.Electrical Conneclion - When blocking, set-up, and plumbing inspectlons have been approved and the home is connected to the servlce panel. Storm Sewer - Prior to fllllng trench. Sldewalk & Drlveway - After excavation ls complete, forms and sub-base materlal in place. Water Llne - Prlor to filllng trench. Fence - When completed. Street Treos - Whon all requlred trees are planted. Flnal - After all required lnspectlons are approved andporches, sklrting, decks, and ventlng have been lnstalled. [--l Rough Plumblng - Prior toU cover. - -\l GENERAL: ,5R[0r^. # OF BDRMS: _ il tl tf E P.L.I-ISE GAR ACC N S W E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type- - lnterior - Corner - Panhandle - Cul-de-sac l.-IS THE PROPOSED WORK IN THE - HISTORICAL DISTRICT, OR ON THE HISTOBICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prlor to permit lssuance. APPROVED: VALUE (A) X $/SO. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. 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, includlng the Development Code, regulating the constructlon and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordlnances. 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 withln the City limits which are belng lmproved. ITEM Flxtures Resldential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) No FT, PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge . FT. ADDITIONAL COMMENTS Wood Stove/ lnsert/Flreplace Unlt Dryer Vent @ 4s -l (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed applicatlon and do hereby certlfy that all lnformatlon hereon ls true and correct, and I f urther cerilfy 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 pertalnlng to the work described herein, and that NO OCCUPANCY will be made of any structure wlthout permission of the Buildlng Safety Divislon. I further certlfy that only contractors and employees who are ln compllance with ORS 7O1.055 will be used on lhls project. I further agree to ensure that all requlred lnspections are requested at the proper tlme, that each address ls readable from tho street, that the permlt card ls located at the front of the property, and the approved set of plans wlll remaln tSlgnatu Date on the slte at all tim urlng constructlon MISCELLANEOUS PERMITS Mobile Home State fssuance State Surcharge Sldewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, Q and E Comblned) a IV RECEIVED AMOUNT DATE PAID VALIDATION: RECEIPT NUM i .rk FT. 225 FTYTE STREBT sPRrNGPrBr.D, OREGON 97477 INSPBCf,ION REOIIEST: OPPfCB: 726-3759 a8 nol roqulre epecific lend uso L SPt /'|CL(, EI.SCTRTCAL PER}IIT City Job Nuober SCEEDI'I,B BBLOU tzoas|6g.r'tY.3f Arllror!frd 1 LOCATTON OP ON JOB DESCRTPTIOfl Address 70 3 NE HANCOCK PDX 972L2 phone 284-3265 x22 Nev Resldential-Single orHuIti-Family per.dvelling unit.Service fncluded: ftems Cost A Sum Permits are non-transferable and expireif vork is not srarted vithin fgo diys-of lssuance or if vork i" "r"p""ded for180 days. 2. CONTRACf,OR TNSTALI^ATION ONLr iilectrical ContractorADT SECURITY L1 Supervisor License Number Expiration Date 10-1-96 Constr Contr 26-209 cLE . Number 59 g44 a Expiration Date 4-29 Slgna o s Name Address cir INSTALI.ATTON 94 ing rh 77 phon"u) 1000 sq.ft. or less Each additional 500 --- sq- ft or portion_ -thereof Each Hanufrd Home or - Hodular Dvelling Service or Feeder s 8s.00 $ 1s.00 s 40.00 B. Services or Feedersfnstallation, A1;erationsor Relocation: ': or less to 400 amps -to 600 amps -to 1000 amps- amps/volts -0nly C. Temporary Services or'FeedersInstallatlon, Alteratlon or Relocation 200 amps or less S 40.!00 201 amps to 400 amps - S 55.00over 401 to 600 amps - $ gO.O0 Over 600 amps or 1000E'Ifs see xBtr aE6IE D. Branch Circuits Neu, Alteratlon or Extension per panel One Circuit S 35.00 . Each Additional Circuit or vlth Serviceor Feeder Permi t $ -2.00 The installation is being arade onproper_ty I ovn vhlch is not intendedfor sale, lease or rent. Ovners Signature: 200 amps 201 amps 401 amps 601 amps 0ver 1000 Reconnect SI'BTOTAL OP ABOVE 5Z State Surcharge + TOTAL Pump or lrrigatlon Sign/Ou tline Ligh ting-Limited Energy/Res -- Llmlted Energy/Comm 893 JLE r.00 .00 .00 .00 .00 .00 50 60 r00 130 $ $ s $ s300 $40 B. s 40.00 $ 40.00 s 20.00 $ 36.00 20. 00 DATE: RBCSIVED B 5 ^0 00 r .60l-T. n-- u6s Tho A T -A]?M Hiscellaneous (Service/feeder not included) -Each installat{on