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Home My WebLink AboutPermit Building 1991-06-17-.\- SP1lINGF!ELE, RESID ENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 cl toD+gJOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97 477 t\n st- - ut1bLOCATION OF PROPOSED WOFIK: ASSESSORS MAP:t-7oVZ,-l 4 v TAX LOT:C Zoo LOT BLOCK:SUBDIVISION 1Ll7- LZ ort\Qrt <(PHONE:t^Z STATE:oe-ZIP: q7477to81 ' 5o>\ (wuQOWNER: ADDRESS CITY: NEW - REMODEL ADDITION DEMOLISH OTHEB ,fADESCRIBE WORK: MECHANICAL: - EXPIRES PHONEADDRESSCONTRACTOR'S NAME ELECTRICAL PLUMBING: GENERAL: CONST. CONTRACTOR # t M \ffite-RANGE: # OF BDRMS _ OFFICE USE _ WATER HEATER ZONING CODE: FLOOD PLAIN Y OF IJNITS: LAND USE: SECONDARY HEAT SOUARE FOOTAGE: OUAD AREA: S OF BLDGS: OCCY GROUP: * OF STORIES: 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. REQUIRED INSPECTIONS l-l Temporary Electricll 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.'ff;;"tl Electrical - Prior to ,E Final Electrical - When all electrical work is complete. Underslab Plumbing/ Eleclrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. F Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. \f7'Final Buildino - When all lAdrequired inspictions have been approved and building is completed.Masonry - Steel location, bond beams, grouting. (tt"-tng - Prior to cover' Vl Foundation - After forms areJ4rected but prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover, Underground Plumbing - Prior to filling trench.flo,.r*ull - Prior to taping' a MOBILE HOME INSPECTIONS 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 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 filling trench.Electrical Conneclion - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Slorm 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 Streel 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. E E E tl E tl E r E E Lot'faces Lot sq. ftg. Lot coverage Topography Total height Lot Type _ - lnterior - Corner - Panhandle Cul-de-sac Setbacks P.L.HSE GAR ACC N S E J THE PROPOSED WORK IN 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: VALUE tz,lffi,t& (A) X $/SQ. FT. Carport Main Garage Total Value Building Permit Fee State Surcharge Total Fee ff^,so4?s BU!LDING PERMIT ITEM SQ. FT. 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. E) Ut \-\-By: S 1/z tr4 .ov Receipt Num PIan Check Fee: Date Paid Rec SYSTEMS DEVELOPMENT CHARGE (SDC) (B) 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. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge N0 ADDITIONAL COMMENTS (D) N0 / lnsert/ Fireplace Unit Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan Wood Stove Dryer Vent 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 further 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 witl 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 g natu re Date d the approved set of lans will remainof the prope on the site times during constru 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) /o3ae VALIDATION RECEIPT NUM DATE PAID AMOUNT RECEIV RECEIVED BY l{,lr)sq t,I2*Z1d) p3-# 225 FITTE SlREBf, SPRINGTIBIJ, OREGoN 97477 INSPECTION REQUBST: 726-3769 OFFICE: 726-3759 1 or JOB DBSCRIPTION Mi I- AIQIEF Permlts are non-transferable and expireif vork ls not started rrithln 180 daysof lssuance or lf vork ls suspended for 180 days. COTffRACTOR INSTALI,ATION ONIT t Contractor Address cl Supervlsor Ll Expl ration Date Constr Contr.r Explratl Date of Supervislng Blect Owners Name Address OgNER INSTALII\TION The lnstallatlon ls belng.made on property I ovn vhlch is not intendedfor sale, Iease or rent. DATE: 3. COHPI,Bf,B PBB SCEEDTII,B BBLOII A. New Residentlal-Slng1e or Multl-Famlly per dwelllng unlt. Service Included:Items Cost 1500 sq;ft. or less $ 85.00 Each additlonal 500 -sQ. ft or portlon thereof $ 15.00 Each Manuf,d Home or -Hodular Dvelllng Service or Feeder $ 35.00 5I'fIIN(;FIELE' SUBTOTAL OF ABOVE 5Z State Surcharge TOTAL h B Servlces or Feeders (10 Branch Circults included). Installation, Alterations or Relocation: Sum ,?€,@ 3s.00 40.00 80.00 ee trBtr aE6if @ ? L-7{ 100 amps or less .-/ 101 amps to 400 amps -401 amps to 600 amps 601 amps to 1000 amps: Over 1000 amps/vo1ts Reconnect Only 200 amps or less $ 201 amps to 400 amps - $ Over 401 to 600 amps _ $ Over 600 amps or 1000 volts s $ 35.00 $ 60.00 $ eo.oo $130.00 $300.00 $ 3s.00 C. Temporary Services or Feeders Installatlon, Alteratlon or Relocation crty S ) pnone 7y'?-?y'jL Branch Clrcults Nev, Alteratlon or Extenslon Per Panel One Circuit Two to ten Clrcults Each Addt,l ten orportion thereof $ 1s.00 Mlscellaneous (Servlce/feeder not lncluded) -Each lnstallation Pump or irrigation $ 36.00 sign/0utline Lighting- $ 36.00 Signa1 Clrcuit or Ilmited energy panel $ 36.00 b $ $ 00 00 35. 50 E onEGorvC'TY OF RECBIVBD ture: 5 ,;IY EI,BCTRICAL PERIIIT APPIJCATION city Job n^a".- '?/O 5 {g I.EGAI, DBSCRIPTIOI7o: 24 I 3 _ ozort Permit No: Address: lssued Date: R OFFICE USE ON STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the plicable blanks, and initial box 1 and either box 2A or 28: 1 2. A. l-l My general contractor is Contractor registration number I will instruct my genera! contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR B I will be my own general contractor. lf I hire subcontractors. I will hire only subcontractors reoistered with the Construction Contractors Board. lf I chanoe mv mind and Eo hire a oeneral contractor. lwill contract with a contrattor-who is reoistered wlth the Constructibn Contractors Board and I will immediately-notify the office issuing this building permit of the name of the contraitor. ' I hereby certify that the above information is correct and that I have read and understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. gnatur-6 6 t p t CONSTRUCTION CONTRACTORS BOARD 0244J 1t90 COPY TO ISSUING AGENCY PERMIT FILE e COPY TO APPLIGANT @s ! own, reside in, or will reside in the completed structure. i !,)