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Home My WebLink AboutPermit Building 1993-06-23q5b RESIDENTIAL PERMIT APPLICATION Ir:spections: 726.3769 Office: 726-3759 LOCATION OF PBOPOSED WORK: LOt: SPFtINGFIELD .2G Tll JoB NUr\,rBE " 33oAfZ: 225 Fifth Street Springfield, Oregon g7 477 SUBDiViSION: __-__BLOCK PHoNE: -Iz!/bAZaT--DEilL AofZ sPFt D STATE: D oP OWNER: ADDRESS CITY: ADDit loN -t / ING? oU fL F"a nrO Ar irN uND€P eXtSr FouNDET,IOLISH OTHER DESCRIBE WORK NEW -. BEMODEL ELECTRICAL: - ADDRESS EXPIFIES PHONE E le 5r o6 PI.UMBING MECHANICAL: CONTRACTOR'S NAME GENERAL: CONST. ooNTRAC'|OR , _ OFFICE USE _ LAND USF:: OCCY GROUP: ----, WNTER HEATER: r OF STORIES:SECONDARY HEAT:_ r OF U}JITS: OUAD AREA: * OF BLDGS: SQUARE FOOTAGE: __ COIJSTR. TYPE: HEAT SOURCE: To ;equest ait irrspectior't, you inust caii 726-37ti9. Tnis ls a 24 ilour recorciin!,. Atl inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:0O a.m. will be nrade the following work day. REOUIRED INSPECTIONS Temporary Eleclric Rough Meclranical - Prior to cover. Final Plumbing - When att plumbing work is complete. Slle lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is cornplete.cover. Underslab Plunrbing/ Eleclrical / Mechanical - Prior to cover.Electrical Service - ttrlust be approved to obtain permanent electrical power. Final Mechanical - When alt mechanical work is complete. F*:j[?"- Arter trenches are Flreplace - Prior to facing materlals and f raming lnsp. lya,f Final Buitding - When ail flequired inspections have been approved and bu!lding is completed.Masonry - Steel location, bond beams, grouting. lkJtu-i,tg - Prior to cover w Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover Underground Plumbing - Prior to filling trench.l__l Dry,r.rall - Prror to tapinc. MOBILE HOME INSPE TIONS Underf toor 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 ancl Set.Up - When all blocking is complete. Floor lnsulation - Prior to decking.Curbcut & Approach - After forrns are erected but pricr to placenlent of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, ancl plumbing inspections have been approved and the honre is connected to the service panel. Storm Sewer - Prior to lilling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prlor to filling trench. Fence - When completed Street 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. j ASSESSORS MAP: -TAX LOT: ZONING CODE: # OF BDRMS: -.---_ RANGE: E E E E E r E I---l orherll r Lot faces Lot sq. ftg. Lot coverage TopograPhY Total height Lot Type .- - lnterior - Corner - Panhandle - Cul-de'sac Setbacks HSE_l]_1.__ tt GAR ACC S E APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is grantecj on the express condition that the said consiruction shall, in all respects, conform to the Ordinance adopte<l 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' Plan Check Fee: *.--- Receipt Number: -- DatePlans Reviewed BY Date Paid: Received tsY BUILDING PERMIT VALUE (A) SQ. FT. X $/SO. FT. ,?3 ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee 5@_saf" Systems Development Charge is due on all undeveloped properties within the City limits which are being improvecl'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) A DDITIONAL COMMENTS ITEM Fixtures Besidential Bath(s) Sanitary Sewer Water Storm Sewer tvlotrile i-lornc FEE (c) N0 FT. FT FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/Fireplace Unit Dryer Vent MECHANICAL PERMIT (D) No Mechanical Permit lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan By slgnature, 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 f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ielcl, 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 Dlvision. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I further agree to ensure that ali requireil irrspections are requested at the proper time, that each address is readable lrom the street, that the permit card ls located at the front of the property, and the approved set of plans will remain Date 2 on the site at all times duri ng construction. gnatu re 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) 43 q1 ? 7 c-zj-7) a 4sDATE PAID RECEIVED BY - AMOUNT RECEIVED VALIDATION: RECEIPT NUMBER ,c THE PROPOSED WORK lN THE HISTORICAL DISTRICT, OFI ON THE HISTORICAL REGISTER? -- lf yes, this application must be signed and approved bY the Historical Coordinator prior to permit issuance' b/ SPFtInlGFTELc, hCSIOENTIAL PERMIT APPLICATION lnspections 726'3769 Of f ice: 726'3759 LOC/.TION oF PROPOSED WORK: ASSESSOBlJ MAP JOB NUMBER % 225 Fifth Street Spri ngf ield, Oregon 97 477 TAX LOT: SUBDIVISION: e 2fr, * O\\/NER: ,--. ADDT?ESS: CITY -- PHONE: STATE: 7a?- ztP, 27fq NEW --- REMODEL ADDITION DEMOLISH OTHER DESChIBE .,^JONK CONST.PHONEEXPIRESADDBESSRACT()R'S NAMECONT G ENqRAL: t,LU I'"4BING ELECTRICA RANGE: r OF BDFIMS: - OFFICE USE _ ZONING CODE: FLOOD PLAIN * OF UNITS: SECONDARY HEAT: SOUARE FOOTAGE: , OF STORIES: --=--- WATER HEATER: OUAD AREA: e OF BLDGS: - OCCY GROUP: To request;rn inspection, you must call 726-3769. This is a24hour recording' All inspections reques mad{] ttre s3me working cjay, inspections requested after 7:00 a'm' will be made the following work REQUTRED INSPECTIONS B ted before 7:OO a.m. will be day. w v) E f-l TemporarY Eleclrictl Site lnspection - To be made af ter excavation, but Prior to settir g f orms. Underslab Plumbingl/ Electrical / Mechanical - Priot to cover. Footirrg - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erect{)d llut prior to concrete placement. Underground Plumbing - Prior to f ill ng trench. Urrderlloor Plumbing / Mechanical - Pr or to insulation or decking' Rough Mechanical - Prior to cover. Rough Electrical - Prior to cover, Final Plumbing - When all plumbing work is comPlete. Final Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work is comPlete. Final - After all required inspections are aPProved and porches, skirting, decks, and venting have been installed' Post and Beam - [)rior to fl()or insul;rtion or decking. Floor lnsulation - Prior to decki ng. Sanitary Sewer - Prior to filling trenc(1. Stornr Sewer - Prior to filling trencn. Rough Plumbing - Prior to C. )Vgt Electrical Service - Must be approved to obtain Permanent electrical Power. [-l Fireplace - Prior to faclngU materials and fy66ing lnsp. [71 Framing - Prior to cover.\y', [--E walltCeiling lnsulation - Prior tol4 "ovet [-71 Drvwall - Prior to taping.r{J l--_l Wood Stove - After installation'll inserl - After {ireplace approval and rnstallalion of unil. Curbcul & APProach - After forrns are erecled but Prior to placement of concrete. Sidewalk & DrivewaY - After exc.rvatton is comPlete, {orms and slrb-base nraterial in Place. Strecl Trees - When all required trees are PlanteC. Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPECTIONS Blocking and Set'UP - When all blocking is comPlete. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set-uP, and Plumbing inspections have been aPProved and the home is connected to the service panel. 8 E w 4 'L] E t_l wt Water Line - Prior to filling trenc n. [-] Fence - When comoleted. 1.. {tr r CONSTR. TYPE: HEAT SOURCE: r r tl tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR N S E ACC IS THE PFIOPOSED WORK IN THE HISTORICAL DISTRICT, OR ()N THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to pernlit issuance. APPROVED VALUE (A) 9gr+ortft#s-/2226 , BUILDING PERM!T %-5?Total Value Building Permit Fee State Surcharge Total Fee SQ. FT. X $/SQ, FT.ITEM Main Garage BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express conditron tl-rat the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, inclLrding the Development Code, regulating the conslruction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinarrces. Plan Check Fee: - Plans Reviewed By Date Date Paid Receipt Number: Received By: SYSTEMS DEVELOPMENT CHARGE (SDC)y'!f .(B) Systems Development Charge is due On all undeveloped properties within the City limits which are being improved. Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE NO FT, FT. F-r. (c) 7rPLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ITEM Fixtu res ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) NoVent Fan 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 f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be me,de of any structure without permission of the Building Safety Division. I further cerlify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspcction\s are requested at the proper time, that each address is readable from the street, that the permit card is located at the f ront of the property, and the approved set of plans r.vill remain on the site at all times during construction. Date Signature MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -.f t Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ^q3* AMOUNT RECEIVED - RECEIVED BY DATE PAID VALIDATION: RECEIPT NUMBER CITY OF OBEGO'U 225 FTFIE STRBET SPRTNGPIELD, oRBGoN 97477 INSPECf,I0N REQUESTs 726-3769 0PPICB: 726-3759 LO? ELBCTRICAL PERHIT APPLTCATION City Job NunberbCOXPLETA PEE SCEBDULE BELOII Nev Residential-Single orHulti-Family per dvelling unit. Service fncluded: Items Cost 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Hanuf'd Home or -Hodular DvelIing Service or Feeder s 8s.00 $ 1s.00 $ 40.00 B. Services or Feeders fnstallation, Alterations or Relocation: citv O'rri<rti Phone Z??Oel 2/ Supervisor License Number 9lZ 5 Expiration Dare /O-/-?F ,, Constr Contr . nunber OZiSZt Exp iration Date 1/%97 Signature of Supervising Blectrician Ovners Name Address ciry z4e*€ pnone ?AftfrZ OVNER INSTALI..ATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE: SPRTItGFTELD One Circuit z7 Each Addi tional Circuit or vith Serviceor Feeder Permi t 9 SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- 0ver 1000 amps/volts -Reconnect Only 200 amps or less S 201 amps to 400 amps - S 0ver 401 to 600 amps - $0ver 600 amps or 1000-6Fs s Temporary Serviees or Feeders Installation, Alteration or Relocation r 6 I ),l 1 Address OP LEGAL DESCRIPTION JOB DBS(ruPTION ON A Sum Permits are non-transferable and expireif vork is not started vithin 180 daysof lssuance or if vork is suspended for 180 days. 2. COI{TRACTOR INSTALI.ATION ONLY filectrical Contrac to, {fu fu. s s0.00 s 60.00 s100.00 $ 130. 00 s300. 00 s 40.00 C 40.00 55.00 80.00 Sove %3 /g-o ee ItBrt a D. Branch Circuits Nev, Alteration or Extension Per Panel B. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utIine Lighting- Limited Energy/Res -Limited Energy/Comm s 3s.00 s . 2.00 $40 s40 s20 $36 00 00 00 00 5 RBCBIVED e