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Home My WebLink AboutPermit Building 1995-08-25TI\lGFIELORESIDENTIAL PERMIT APPLICATION lnspectlons: 726.3769 Office: 726-3759 225 Fif th Street Sprlngfleld, Oregon g7 4?7 LOCATION OF PROPOSED WOFIK:57?5b fl, /tfr ct dpxNcnezo 0x lzlzz JOB NUMBEB ' you must call 726'3769. Thls ls a 24 hour recordlng, All lnspectlons requested before 7:00 a.m. wlll beday, lnspections requested after 7:00 a.m. wllr be made the foilowing work day. REQUIRED INSPECTTONS ASSESSORS MAP I o 6-TAX LOT:d71 OO LOT; - BLOCK;SUBDIVISION; To request an lnspectlon made the same worklng n Temporary Electrlc Slte lnspectlon - To be madcafter excavation, but prior tosettlng forms. Underslab Plumblng/ Electrical/ Mechanlcal - prlor to cover. Footlng - After trenches are excavatqd. Lf Rouglr Mechanlcal - prlor to cover. Rough Eleclrical - prior to cover, Electrlcal Servlce - Must beapproved to obtaln permanent olectrlcal power. [-l flreplace - prtor to factng - materlals and framlng lnsp. ffiframtng - prlor to cover..tst Wall/Celllng lnsulatlon - prlor tocover. Curbcut & Approaclr - Afterforms are erected but prior toPlacemont of concrete, Sldewalk & Drlveway - Afterexcavation ls complete, formsand sub-base material in place. Fence - When completed. l)4], Final Plumbins - When ail - ptumbtng worl< ls complete. ffifinat Electrical - When ail7- electrical work is complete. f!+inat Mechantcat - When ail -mechanical work is complete. [fzFinal Buitdtng - When ailVrequlred lnspecilons have been- approved and building lscompleted,Masonry - Steel locailon, bondbeams, groutlng. Foundatlon - After forms areerected but prlor to concreteplacemont. Slorm Sewer - Prior to fllllngtrench. Water Llne - prlor to lilllng trench. Rough Plumbing - prior to cover. XX Other [-l Underground plumbing - prior - to fllllng trench.X otruutl - Prtor to taptng. Underlloor Plumblng / Mechanlcal - Prlor to-, lnsulailon or decklng. Posl bnd Beam - prior to floorInsulatlon or decking. [_l Floor lnsulatlon + prtor to.J decklng. l-l Sanltary Sewer - prior to f iltingtJ trench. l-l Wood Stovo - After lnstailatlon MOBILE HOME INSPE TIONS Ln":| - After flreplace approvaland lnstallailon of unlt. [-_l elocking and Ser.Up _ When ail.J blocking ls compleie. Plumbing Connectlons _ Whenhome lras been connected towater and sewer. Electrlcal Connection - Whenblocking, set.up, and plumblnginspcctions have becn approvedand the home is connected lothe service panel. Final - After all requiredlnspections are approved andporches, sklrting, decks, andventlng have been lnstalled. Ca,ffy oFofura*/N c PHONE: ORffi zlPSTATE:7477 6e) /-f € o3DaUesr CITY:()PxruaF/ab u, {oDADDRESS; OWNER:5A ADDITION DEMOLISH OTHER lt;tUMt tyGfiatttrFLUNDDESCRIBE WORK:hrcR/taE e*tbrlG DUPLe NEW- REMoDELx FTEC, B'S NAME EXPIRES PHON E D MECHANICAL: ELECTRICAL PLUMBINGT GENERAL: co CONST. CONTBACTOR # A v - OFFICE USE - LAND USE: I OF UNITS:ZONING CODE: FLOOD PLAIN CONSTR, TYPE: SECONDARY HEAT: SQUARE FOOTAGE: # OF BDRMS: --_-_ HEAT SOURCE: _- RANGE: OCCY GROUP: * OF STORIES: QUAD AREA: I OF BLDGS: {[-l Street Trees - rnlhea-afl-requlred - trees are planted. /.-- r\2I) A WATEB HEATER;- Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Ty - lnterior / aorn., - Panhandle .- Cul-de-sac P,L.HSE GAR ACC N S E k ( IS THE PFTOPOSED WORK TN THE . HISTOFIICAL DISTFIICT, OR ON THE HISTORICAL REGISTER? _- lf yes, this appticailon must be slgnedand approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: BUILDING PERMTT VALUE fuaad bg z State Surcharge 5,93+ Total Fee (A) €a SQ. FT. X $/SQ. FT. 39 3, q, ITEM Main Garage Carport Total Value Bullding Permit Fee 3.77 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permit is granted on the expreos condition that the saidconstruction shall, ln all respects, conform to the Ordinanceadopted by the City of Sprlngfteld, includlng theDevelopment Code, regulating the constructlon and use ofbuildings, and may be suspended or revoked dt any ilme upon violation of any provisions of sald cirdlnances. Receipt Number:_ Pla "#{- 93 Date Pald Recelved Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B).o-Systems Developmcnt Charge is due on all undeveloped properties within the City limits which are being lmproved. ITEM Fixtures Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home Plumblng Permlt statesurcharse G? * 39" Total Charge (C) PLUMBING PERMIT _3&a /Da 60 {h/ . N/'z_ FT. Oo FEE ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood 2- Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent ? state surcharge /,2 { *. g ( qr /2e .27."o ./o.oozlb .79/?Total Permit (D) _b-@ Vent Fan Mechanlcal Permlt lssuance No/ By slgnature, I state and agree, that I have carefully examlrred the completed appllcation and do hereby certlfy that a!l lnformatlon hereon is true and correct, and I f urther cerflfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCy wlll be made of any structure without permission of the Bullding Safety Dlvislon. I further certify that only contractors and employees who are ln compliance with ORS 701.055 will be used on thls prolect, I {urther agree to ensure that all requlred lnspections are requested at the proper tlme, that eaoh address ls readablo from tho street, that the permlt card ls located at the front d the approved set of plans wlll remalnof the property, St ction S.Date on the slte at times durlngx/ Slgnature MISCELLANEOUS PERMITS Mobile.Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolitlon State Surcharge Iotal Miscellaneous Permits (E) p, TOTAL AMOUNT DUE (excludlng electrical) (A, B, C, D, and E Comblned) 3s121 VALIDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY ,. :.. - $i No FT. FT. 7 ' ?r a'<) RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 JOB NUMBER 7o LOCATION OF PROPOSED WORK:52 7 e s3? 225 Filth Street Sprlngfleld, Oregon 97477 4Yd,/zd ASSESSORS MAP:/7n7 TAX LOT: LOT - BLOCK:SUBDIVISION: 3C. / ? PHONE: ZlPiSTATE:971/7 7CITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: ?4 ADDRESS EXPIRES O PHONE ELECTRICAL; CONTRACTOR'S NAME MECHANICAL: GENERAL: CONST. CONTRACTOR # PLUMBING: - OFFICE USE - LAND USE: ZONING CODE: FLOOD I)LAIN I OF UNITS: WATER HEATER:RANGE: * OF BDBMS: SECONDARY OUAD AREA: 'I OF BLDGS: OCCY GROUP: I OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordln made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be a.m. will be day. REOUIRED INSPECTIO 18ODAY n Temporary Electrlc Rough Mechanlcal - Prlor to cover. Flnal Plumbing - When alt plumblng worlr ls complete. Site lnspectlon - To be made after excavatlon, but prior to setting forms. Rough Electrlcal - Prior to Flnal Electrlcal - When atl electrical work ls complete.cover. Underslab Plumblngl Electrical / Mechanlcal - Prlor to cover.E Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Final Mechanical - When all mechanlcal work is complete. Footlng - After trenches are excavated.Flreptace - Prlor to faclng materlals and framing lrrsp. Flnal Buildlng - When alt requlred lnspectlons have been approved and building is completed.E Maeonry - Steel locatlon, bond beams, groutlng.E E Framlng - Prlor to cover. Foundallon - Alter forms are erected but prlor to concrete placemont. E Other WattlCelllng lnsulatlon - Prlor to cover. Underground Plumblng - Prior to fllllng trench.l-l Orywall - Prlor to taplng MOBILE HOME INSPE TIONSUnderlloor Plumblng I Mechanlcal - Prior to lnsulatlon or decklng.l-l wood Stovo - After lnstallatlon. tf Pcrt tnd Borm - Prlcr to lloorlnsulatlon or dccklng.rf lnecrt - Alter flreplace approvtl and lnstallatlon of unlt. l-] Blocklng end Set.Un - Whcn en - blooklng l. oompl.ia. Floor lnrulelion - Prlgr to decklng.[-'l Curbcut & AJrproeclr - Afteru forms are erected but prlor to placomont of concrete. Plumblng Oonnootlonr - When homo hag bcen connected towatcr and !cw6r. Sanitary Sewer - Prior to lllling trench.Electrlcal Connectlon - When blocking, set.up, and plumblng lnspections have been approved and the home ls connected to the servlce panel.X:,:';:l.sewer - Prror to,rrrns Sldewalk & Drlvewav - After excavation ls complete, forms and sub-base malerlal in place. Water Llne - Prlor t'J filling trench. Slreet Trees - When all requlred trees are plantod, Flnal - After all required lnspectlons are approved and porchos, sklrtlng, decks, and ventlng have been lnstallecl.E Rough Plumbing - Prlor to cover. tl 7s3 E E fl tl n l-l Fence - When coinpleted. tr E t] Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Tyr - lnterlor - Corner - Panhandle I - Cul-de-sac Set IS THE PFIOPOSED WORK TN THE " HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N S E BUILDING PEHMIT ' ., i VALUE (A) ITEM Main Garage Carport Total Value Bulldlng Permit Fee State Surcharge Total Fee SO. FT. X $/SO. FT, BUILDING VhTUE, ilrnru eHEcK AND BUILDING PERMIT Thlr pornrlt ls granted on the oxpress condltlon that thc sald constructlon shall, ln all respects, conform to the Ordlnence adopted by the City of Springfield, includlng the Development Code, regulatlng the constructlon and use of bulldlngs, and may be suspended or revoked at any tlme upon violation of any provlsions of sald ordlnances. Plans Reviewed By Date Becelpt Numbe Plan Check Fee; Date Paid: Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on atl undoveloped properties withln the City limits which are being improved. ITEM Flxtures Besldential Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home Plumblng Permlt state surcharse /,7f /- , 75- Total Charge (C) FEE -00 Z frNr FT. ?. PLUMBING PERMIT zr"F_ _z2ro . FT. ADDITIONAL COMMENTS By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby cerilfy that all lnformation hereon is true and correct, and I f urther cerilfy that any and all work performed shall be done in accordance wlth the Ordinances of the Gity of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY witl be made of any structure wlthout perrnission of the Bullclirrg Safety Divislon. I further certify that only contractors and employees who are In compliance with ORS 701.055 will be used on thls proiect. I further agree to ensure that all required inspections are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front approved set of plans will remaln 7 of the property,and the Slgnatu Date on the site ructiond u ring Wood Stove/ lnsert / Fl replace Unlt Dryer Vent MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolltlon State Surcharge TOTAL AMOUNT DUE (excludlng electricat) (A, B, C, Q and E Comblned) (E) -'7 ro.z- // N0 Total Mlscellaneous Permits Vent Fan (D) MECHANICAL PERMIT Furnace Exhaust Hood Mechanical Permit lssuance State Surcharge Total Permlt 1 (<1 ) 7J VAI-IDATION: HECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY :. tl- FT. CITY OF SPR OREGOA' 225 FTTM SIREET apprcval SPRINGPIEIJ, OREGON 97477 INSPECTION REQIEST. 726-3 OPPICE: 726-3759 1. LOCATTON OF LEGAL DESCRTTTION EI,ECTRICAL PERI{IT APPIJCATION city Job *r-a", ?f2527 COHPI.RTB FEE SCEBDT'LE BELOIT Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 s 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: !,.:i it The follcwing project as submltted lras the lollowlng i:.)r-rt..)s, and doos nol require epecific land use SPIIIilcFIELO 200 amps or less 201 amps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amPs- Over 1000 amps/volts Reconnect OniY Zcni?9.Z4 <1 I \r\3. A B. JOB Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COI{IBACTOR INSTALI..ATION ONLY Electrical Contractor Address Expiration Date ,/e4, Constr Contr. Number Expiratio n Oarc B-94 Signature of SuPe ng Electrician Name Address Ci ty Phonet 253- #r' OIJNER INST The installation is being made on property I ovn which is not intended for sale, lease or rent. Onners Signature: DATE: Temporary Services or Feeders Installation, Alteration or Relocation ciqDr€867-vhoneVf Z?? supe rviso t ti."rV?r*ae, 4%A 00 00 00 00 00 00 S so. S oo. $100. s130. $300. s 40. c e llBlr a6olE D. Branch Circui ts . .. Nev, Alteration or Extension Per Panel onecircuit t $35'oo ??.e Each Additional Circuit or vith Service or Feeder permit a/ $ 2.OO 6?.e E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0utline Lighting- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL 200 amps or less S 201 amps to 400 amps - $ over 4b1 to 600 amps - S 0ver 600 amps or 1000dls se 40.00 55.00 80.00 s 40.00 $ 40.00 $ 20.00 $ 36.00 RECEIVED _f 5 a? CITY OF SPF OBEGO'V /ne- The following project as submitted has the zoning, end does not require specific lanC SPRIalGFIELO use EI.E TRICAL PERHIT APPIJCATION Hul t i.-FamilY dvelling uni t Service Incl per uded:Items Cost Sum 225 ETIIIH SIREET approval. SPRINGPIELD oREGoN 97477 Zoni INSPECTION REQTIEST:726-3769 OFFICE: 726-3759 INSTALI,ATION City Job Nurnber 3. COMPI,ETE FEE SCffiDULE BELOTT A. Nev Resj.dential-Single or10N 0r53?tyQ.le 4* IJGAL DESCRIPTION : ^22>-? y'7, OaYe JOB ON Exp iration Date /e-/ Constr Contr. Numbe r,/*_ Expiration Date, Signa ture of ing Electrician Name Ci ty OITNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Orners Signature: DATE:q rorized Sign Permits are non-transferable and expire if vork is not started vithin 180 days oi i""u"nce or if vork is suspended for 180 days. 2. COMRACTOR INSTALI,ATION ONLY B Electrical Contrac ,o, &fZor+ fu. eaarcss Z,?gZ le#Tz+- f 2. 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home or Modular Dwelling Sertice or Feeder Services or Feeders Installation, Alterations or Relocation: SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL 201 amps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amPS- 0ver 1000 amPs/volts - Reconnect 0n1Y C.Temporary Services or Feeders Installaiion, Alteration or Relocation 200 amps or lessior "ri," to 400 amPs -0ver 401 to 600 amPs over 600 amps or 1O00ETt D Branch Cireuits New, Alteration or Extension Per Panel One Circuit $ 35'00 g;"h eaaitional Circuit or vith Service or Feeder Permit - $ 2'00 Miscellaneous (Service/feeder not included)E. -Each installation Pump or irrigation Sign/OutIine Lighting- Limi ted Energy/Res Limited EnergY/Comm - $ 8s.00 $ 1s.00 $ 40.00 'r'"'rt.ffi'^i'"i'ffi= -2, d ------ $ s0.00 $ 60.00 $100.00 $130. 00 $300.00 $ 40.00 40.00 55.00 80.00 $ $ $ss ee trB" aE6F Address?.*- )/Jb:*/aU'/^ < enone 77ZZ $ $ $ $ 40.00 40.00 20.00 36.00 5 RECEIVED ./a2* ---=: - -z---r,/2<--*'