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Home My WebLink AboutPermit Building 1993-12-16RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 ON OF PRO SESSORS MAP: LOI JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 TAX LOT h,flUs ilos 7H ft g///t/6F/eto ot77/ BLOCK: T NEW - FIEMoDEL ADDrrroN V DEMoLTSH orHER 7+/- 7 3 ?7* 7VLEC,<-,STATE:ztP IfT'/ CITY: DESCRIBE WORK: ADDRESS: OWNER:r ru 2{ru rL ADDRESS EXPIRES PHONE f . 1'---- ' ELECTRICAL: MECHANICAL:CU/Y€L. PLUMBING CONTRACTOR'S NAME GENERAL: CONST. CONTFIACTOR # E- \'"LLL t RANGE:WATER HEATER # OF BDRMS - OFFICE LAND USE:\\\ ZONING CODE: FLOOD PLAIN * OF UNITS: SECONDARY HEAT: SOUARE FOOTAGE: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24hour recording. All inspectlons 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 Electrictt 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.F(i;**Electrical - Prior to f(7'l finat Electrical - When all .A electrical work is complete. 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.Fireplace - Prior to facing materials and framing lnsp. F Final Building - When all required Inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.F7 Framing - Prior to cover.JA( lp[ watltCeiling lnsulation - Prior tolflcover. ,,Xl"r*all - Prior to taping' k7/Foundation - After forms are JAJ erected but prior to concrete placement. Other Underground Plumbing - Prior to filling trench. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation X Post and Beam - Prior to floor insulation or decking.lnsert - After flreplace approval and lnstallation of unit. Blocking and Set-Up - When all blocking is complete. KTFloor lnsulation - Prior toALo""xing.Curbcul & 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 Connection - 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. 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. Qs\l l\ SUBDIVISION: - O u4/€,e-, il r E tf tl E E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks PL,HSE GAR ACC N S 7r E i. .s THE PROPOSED WORK tN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED X $/SO, F-Y. gi.p,'2-u (A) LUEbs)FT. /8# ?"o l? 3 ,zo BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fee ITEM Main Garage Carport 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 "\t\"'.uffif said ord i n ances' \\ 22,c+3 ans r'14 ewed t?'(:{. ' Receipt Numbe Received upon violation of PIan Check Fee: Date Paid: SYSTEMS DEVELOPMENT C (B) HARGE (SDC)iE il i+*J "Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS P.r 7 ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have carefully 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 will 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 of the property, and the approved set of plans will remain the site at all times during constx;to natu re Date /2 -/A-73 MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) /< Z -/6 -7J AMOUNT HECEIVED RECEIVED BY DATE PAID O"- VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ??%.o7 The lollowing proiect ae submittsd has thtl toliowing zoning, andlbes not require specific land t'ist]0b OFFfCE: 726-3759 Date Authorized Sig 1 LOCATION64-S DESCRIPTION JOB DESCRTPTTONfutA ?',^ i - 41/VN Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. CO}ITRACTOR INSTALI.ATION ONLY Electrical Contractor Address ci ty-Phone Supervisor License Ndmber Expiration Date constr contr. Number Expiration Date Signature of Supervising Electrician Owners Name Address US ,il, Zf,A 225 FIFTII STREEf,approval. sPRrNcFrELD, OREGON 97477 INSPECTION REQI.IESTZ 726-376 Ci ty Phone OIJNER INSTALI^ATION The installation is being made on property I own vhich is not intendedfor saIe, lease or rent. Ovners ture: DATE: ELECTRICAL PERHIT APPLICATION City Job Number SCBEDULE BELOS Nev Residential-Single or MuIti-Family per dwelling unit. Service Included: Items Cost 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Hanuf,d Home or -Hodular DveIIing Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: -e3 A Sum B 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps_ 0ver 1000 arnps/volts Reconneet 0n1y $ s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 c Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps or less g 40.00 201 amps to 400 amps - S 55.00 over 401 to Goo amps - $ Bo.o0 0ver 600 amps or 1000 vofts see rrgrr "ffiff D. Branch Circuits Nev, Alteratlon or Extension Per Pane1 74 fib4 :::r'i5:lllo"", 1/ $ 3s'oo s5* ArD Circuit or vith Service or Feeder Permit L S 2.00 Hiscellaneous (Service/feeder -Each installation Pump or irrigation $Sign/outline Lighting- S Limi ted Energy,/Res - $ Limi ted Energy/Comm S Er not included) 40.00 40. oo 20.00 36. OO 5 SI',BTOTAL OF ABOVE 5Z State Surcharge TOTAL 3l,N RECEIVED BY: .q<buu- 7T- I de - )B NO.1zt1-? I CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE }IORKSHEET (coMl'tERcIAL & RESIDENTIAL) fi)AILi A A/J27 A C /+.TYA 9NAME OR COMPANY: TI0N: 84'2 ^/. 75 r! fu.llobvbrI- b gic iLOCA LoP - ko plTtorJDEVELOPMENT TYPE: BUILDING SIZE:I*'L 2. SANIT ARY SEWER -C ITY NO. OF PFU'S (See Reverse) siz 412 x $0.203 PER SQ. FT. X $42.08 PER PFU x $424.3i x $424.31 x $424.31 . Ft. 3 TRANSPORTAT ION NO OF UNITS X TRIP RATE X COST PER TRIP 4. SANITARY SEl/lER -MI,IMC ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL ABoVE) X .05 Kip Burdick SDC Coordinator NO. OF PFU'S (Use PFU Total From Item 2 Above ) MhIMC CREDIT IF APPLICABLE (SEE REVERSE) $ $ $15.125 PER PFU + $10 MhlMC ADM FEE s TOTAL-MWMC SDC SUBToTAL (ADD ITEMS 1,2,3 & 4) X X I. 5 'Lq ? TOTA SDC s to+{ 1. STORM DRAINAGE IMPERVI0US SQ. FT.