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Home My WebLink AboutPermit Building 1993-08-11SPRI,\lGFIELc, RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PRO ASSESSORS MAP: LOT: h, JOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97 477 TAX LOT: 3 BLOCK:SUBDIVISION \r*l.D STATE: PHONE ZIP:WwA-{=, M rrsCITY: ADDRESS: OWNER NEW -- FIEMODEL ADDITION DEMOLISH OTHER DESCFIIBE WO MECHANICAL: ELECTRICALI PHONEADDRESS6EXPI 7, co NTRACTOR'S NAME CONST. CONTFIACTOR # GENERAL: PLUMBING RANGE: r OF BDBMS: - OFFICE USE _ LAND USE: ZONING CODE: FI-OOD PLAIN WATER HEATER r OF UNITS: SECONDARY HEAI SQUARE FOOTAGE: OUAD AREA: I OF BLDGS OCCY GROUP: r 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. REOUIRED INSPECTIONS fl Temporary Electric ll Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made af ter excavation, but Prior to setting forms. Rough Electrical - Prior to 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 excavated. nal Building - When all Fireplace - Prior to facing materials and framing lnsP. required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Other Foundalion - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.f Drywall - Prior to taping MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to lloor 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 Conneclions - 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. Fence - When conrPleted. Rough Plumbing - Prior to cover. Slreet Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. tl E E E E E E tl 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 IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTOFIICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED BUILDING PERMIT ITEM SQ. FT. Main Garage Carport VALUE ffic lS eo *dll+ar sDo ,7_9 /S" zS(A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECK AND BUTLDING 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. Plans Reviewed By Date Fleceipt Numbe Plan Check Fee: Date Paid Received By: 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 C I*NN DNT ,75 /s. )5 FEE (c) N0 FT. PLUMBING PERMIT FT. Plumbing Permit State Surcharge Total Charge FT. ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fi replace Unit Dryer Vent l5,oo )s.)s(D) l,--N0 DO Vent Fan , -75 Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace 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 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 furiher certify that only contiactors and employees who are in compliance with ORS 701.055 will be used on this proiect. 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 of the property, and the approved set of plans will remain re B sig 1{- 23 truction. Date site at all t 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) .tS 2 co7 tq DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER lapo -lr .: r.t trN(;f ; tt:Lu 0t!?c, ON225 FIITII STRIIIT SI'IUNGFII}LD, OIII':GON 97 477 INSPBCTION REQUIIST: 726-3769 0FPICE: 72-6-3759 1 OTI INSTA Permi a c non ferable and expl re if vork is not started vltltin 180 days of issuance or if vork 1s suspended for 180 days. 2. CO}NTATTOR IN:;TALIITION ONLY Iilcctrical Contractor Add r:ess Ci ty l'lrone Constr Contr. Number E>:piration Date Si re of pcrvising trician Ouners Arld resi City ne ALLATION Tlre installation is being made on property I olrn vhich is nor intended for sale, Iease or rent. Ovners SiSnaturc: DATE: RECIIIPT LETB t'EB SCTIEDULE BELOVt\ ent ial-Single or HuI t i-Fam dvelling uni t. Service Included: 3'to'1r^, 3".1 r ) A B c 1000 sq.ft. or less Each additional 500 sq. ft or Portlon tlrereo f Each Manuf 'd llome or Modular DveIIing Service or Feeder Services or Feeders Installatlon, Alterations or Relocation: amps to 600 amps 601 amps to 1000 amps- Over 1000 amps/volts - 200 amps or less 201 amps to 400 amPs - 0ver 401 to 600 amps - Over 600 amps or 1000 volt Temporary Services or Feeders Installatlon, Alteration or Relocation Items Cost Sum $ 8s.00 $ 1s.00 $ 40.00 $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 40.00 55.00 80.00 ee rBrt aEffi .00 .00 .00 '5c Supe rv i sor icense Ndmber Expiration Date \D \q3 Reconnect 0nIY s $ $ss D. Branch Circuits Nev, Alteratlon or [xtenslon Per Panel One Circuit $ 35'00 Each Addi t ional Circtrit or vith Service-'-, ti or Feeder Permi t -Z) S 2.00 [ (f' l'liscellaneous (Service/feeder not included) -Eaclr installation Plrmp or irrigation Sign/0u tline Liglr ting- Limi ted EnergY/Res Limi ted EnergY/Comm SI'BTOTAL OP ABOVB 5tr State Surcharge TOTAL E $40 $40 s20 s36 | ,-XA [l I(Ii(:IiIVTiD IIY: 5 .00_ co amps or less I anps to 400 amPs \ n-+.1