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Home My WebLink AboutPermit Building 1997-12-16SPRRESIDENTIAL PERMIT APPLICATION lnspectlons: 726-3769 Offlce: 726-3759 LOCATION OF PROPOSED WOFIK: MAP: 77/7sb Ea ?il JOB NUMBER 225 Fifth Street Sprlngfleld, Oregon 97477 TAX LOT SUBDIVISION: - BLOCK: e/<PHONE: ZlPi 2 STATE:1k_,CITY: ADDRESS: OWNEB: NEW - REMODEL ADDITION DEMOLISH OTHER o IBDESCRIBE WORK: EXPI s*g"rjr#r'flfr\n/C NST. NTRACTOR ''ADDRESS,/,S PHONE PLUMBING: MECHANICAL: ELECTRICAL: CONTRA TOR'S NAME GENERAL: RANGE: - OFFICE USE - ZONING CODE: FLOOD PLAIN:OUAD AREA: r OF BLDGS: SECONDARY HEAT SQUARE FOOTAGE: , OF BDRMS: - LAND USE: OCCY GROUP: r OF STORIES: CONSTR. TYPE: HEAT SOURCE: # OF UNITS: - To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS Temporary Eteclrlc E f;"t: Mechanlcal - Prior to i]Flnal Plumblng - When allplumblng work ls complete. E E E pf-FInat Bultdlng - Whon ail )Arequlred lnspectlons have been approved and bulldlng is completed. Slte lnspectlon - To be made after excavatlon, but prlor to settlng forms. Underslab Plumblng/ El€ctrlcal / Mechanlcal - Prlor to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prlor to concrete placemont. Underground Plumblng - Prior to lllllng trench. Underlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decklng. Rough Electrlcal - Prlor to cover. Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flreplace - Prlor to faclng materlals and framing lnsp. Flnal Electrlcal - When all electrlcal work ls complete. Flna! Mechanlcal - When all mechanlcal work ls complete. Other MOBILE HOME INSPECTIONS fu'"^'nn - Prlor to cover. WalllCelling lnsulatlon - Prlor to cover. ,pJ"*al! - Prlor to taplns l-l Wood Stovo - After lnstallatlonE Ef;;, tl and Beam - Prlor to lloor atlon or decklng. Floor lnsulation - Prlor to decklng. Sanltary Sewer - Prior to fllling trench. Storm Sewer - Prlor to fllllng trench. Water Llne - Prlor to lilling trench. Rough Plumbing - Prlor to cover. Insert - After flreplace approval and lnstallatlon of unlt. Blocking and Set-Up - When ail blocklng ls complete. Plumbing Connectlons - When home has been connected to water and sewer. Electrlcal Connection - When blocking, set-up, and plumblng lnspectlons have been approved and the home ls connected to the servlce panel. Flnal - After all required lnspectlons are approved and porches, sklrtlng, decks, and ventlng have been lnstalled. E E Curbcut & Approach - After forms are erected but prior to placemont of concrete. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Fence - When coi-'lpleted Str€€l Tr€es - When all requlred trees are planted. WATER HEATER: E fl tl tl E Lot faces Lot sg. ftg. Lot coverage Topography Total helght Lot TVpe - lnterlor - Corner - Panhandle Y - Cul-de-sac ks IS THE PROPOSED WORK iN THE ". HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgnedand approved by the Historlcal Coordinator prlor to permit lssuance. APPROVED: P.L.HSE GAR ACC. N S E BUILDING PERfriiI--X { - Total Value Bullding Permit Fee State surcharge 'Z-'?3 t / Total Fee VALUE 34 4Z_ (A) )uruzzzra/w ,<zq /,te'o --4 Main Carport ITEM Garage .<,s7_ 4efz SO. FT. X $/SO, FT. BUTLD|NG rAlr:ie, paAttr ct{EcK AND BUILDING PERMIT Thls permit is granted on the express conditlon that the sald construction shall, ln all respects, conform to the Ordlnance adopted by the City of Springfleld, including the Development Code, regulating the constructlon and use of bulldings, and may be suspended or revoked at any tlme upon violation of any provisions of sald ordlnances. Date Receipt Numbe Plans Reviewed By Plan Check Fee: Date Paid: Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties withln the City limits which are belng improved. ITEM Fixtures Resldential Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE (c) Nc PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge . FT. ADDITIONAL COMMENTS 14/ (/C Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permlt lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby cerflfy that all lnformation hereon is true and correct, and I f urther cerflfy that any and all work performed shall be done in accordance wlth the Ordinanccs of the Clty of Sprlngfietd, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY will be made of any structure wlthout perrnission of the Bulldlng Safety Divislon. I further certify that only contractors and employees who are In compllance with ORS 701.05S wlil be used on thls Proiect. I further agree to ensure that all requlred lnspections are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln Slgnature Date 2 oon the site at all ti tlon.durl Total Mlscellaneous Permits (E) TOTAL AMOUNT DUE (excluding etectricat) (A, B, C, D, and E Comblned) 4a67-f*z-- o7 1-_ /_bza a, 6 AMOUNT RECEIVED RECEIVED BY DATE PAID VALIDATION: RECEIPT NUMBER llr FT. FT. MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolltlon State Surcharge RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WOBK: ASSESSORS MAP: SPrlINGFIELr) JoBNUMBE"% 225 Fifth Street Sprlngfleld, Oregon 97477 LO.l: - BLOCK: TAX LOT SUBDIVISION: - e ZIP:nvSTATE:CITY:G- . ,?r-UADDRESS OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WOFIK: ADDRESS EXPIRES ,3 PHONECONTRACTOH'S NAME GENERAL: PLUMBING: MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # RANGE: - OFFICE USE - LAND USE:FLOOD PLAIN: * OF UNITS: QUAD AREA: * OF BLDGS: SECONDARY HEAT: SOUARE. FOOTAGE:WATER HEATER: OCCY GROUP: E OF STORIES: ZONING CODE: _ CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspectlons requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS Temporary Electrlc Flnal Plumbing - When allplumblng worl< ls complete. E Slte lnspectlon - To be made after excavation, but prior to setting forms. Final Electrlcal - When all electrical work is complete. E Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover.Electrical Service - Must be approved to obtain permanent electrlcal power. Final Mechanlcal - When all mechanlcal work ls complete. Footlng - After trenches are excavated.Flreptace - Prlor to faclng materlals and framing lnsp. pfrlnal Building - When ail .= requlred lnspections have been approved and bullding is completed.Masonry - Steel locatlon, bond beams, groutlng. f,"t^,,ng - Prlor to cover. Foundatlon - After forms are erected but prlor to concrete placemont.Wall/Celling lnsulatlon - Prlor to cover. Underground Plumbing - Prior to fllllng trench.l-_l Drywall - Prior to taplng MOBILE HOME INSPE TTONSUnderlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decking.Wood Stovo - After lnstallation. Post and Boam - Prlor to floor lnsulatlon or decklng.lnserl - After flreplace approval and lnstallatlon of unlt. Blocking and Set-Up - When all blocklng ls complete. Floor lnsulation - Prlor to decklng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connectlons - When home has been connected to water and sewer. Sanitary Sewer - Prior to fllling trench.Electrical Connection - When blocking, set.up, and plumbing lnspections have been approved and the home is connected to the servlce panel. Storm Sewer - Prlor to fllllng trench. Sidewalk & Drlveway - After excavation is complete, forms and sub-base material ln place. Waler Llne - Prlor to filling trench.I-l Fence - When coinpleted Rough Plumbing - Prior to cover. Strcet Trees - When all roqulred trees are planted. Final - After all required lnspectlons are approved andporchos, sklrtlng, decks, and ventlng have been lnstalled. PHoNE: _ 7/z -ry'e z , OF BDRMS: - J-l Rough Mechanlcal - Prior tolJ cover. l--l Rough Electrical - Prtor tot--J cover.tl tl E rl E E Other - tl E Lot laces Lot sq. ftg. Lot coverage Topography Total helght Lot Ty, - lnterlor - Corner - Panhandle i - Cul-de-sac i lS THE PROPOSED WORK tN THE - HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the Historical Coordinator prlor to permit issuance. APPBOVED: PL.HSE GAR ACC N S E BUILDING PERMIT I Total Value Building Permit Fee State surcharge ,79 + ,9? Total Fee (A) VALUE //aP,(?' Atd-- /q ro fz ITEM Main Garage Carport SO. FT. X $/SQ. FT. BUTLDING UALUE, i5INru CHECK AND BUILDING PERMIT Thls 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. Receipt Number:- Plans Revi DateBy Plan Check Fee: Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) FT. FT. N' FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby cerilfy 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 Sprlngfield, 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 perrnission of the Buildirrg Safety Division. I further certify that only contractors and employees who are ln compliance with ORS 701.055 will be used on thls prolect. I further agree to ensure that all required lnspections are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln Date -3-s-2r tonStI ti du l*, }f",,," on the site MECHANICAL PERMTT Furnace Exhaust Hood Vent Fan No Wood Stove/ lnsert / Flreplace Unit Dryer Vent MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Mlscellaneous Permits (E) (D) Mechanical Permit lssuance State Surcharge Total Permlt ,/44 / ^.1b-'TOTAL AMOUNT DUE (exctuding electricat) (A, B, C, D, and E Combined) ,z VALIDATION BECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY f,) !lr