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Home My WebLink AboutPermit Building 1993-09-06SPFrII\lGFTELD RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: ? h, JOB NUMBER 225 Fif th Street Spri ng f ield, Oregon 97 47 7 TAX LOT: a3 SUBDIVISION OJ LOT: BLOCK: PHCNE: a// - lfa Z STATE:L OWNER: ADDRESS: CITY: alZ.<DESCFIIBE WORK EXPIRESADDRESS _7 CONTRACTOR'S NAME ELECTRICAL: t)HON E CONST. CONTRACTOR / GENEBAL: PLUMBING E_ OUAD AB CONSTN. TYPE ' OF BDRMS: Ir'JATER HEATEI'I: HEAT SOURCE: - SiQUAFIE FOOTAGE: SECONDARY HEAT: tjLOOD PLAIN:-- ZONING CODE: _ OFFICE LAND USF.: # OF BLDGS # OF UNITS RANCiE: OCCY GROUP: * OF STORIES: To request an inspection, you must call 726-3769. This is a21 ]nour recording. All inspections requested before 7:0o a.m. will be made the same working day. inspectiorrs requested after 7:00 a.rl]. wiii be made the follou;ing work day. REOUIRED INSPECTIONS l--_l TentporarY Electric tl [-Z Rough Mechanical - Prior tc4J cover. I-71 Rouoh Electrical -- Prior tuW "ouJr. Final Plunrbing - When all plurnbing v,rotk is comrrletc. Site lnspection - To be made af ter excavaiion, but Piior to setting forms. Final Electrical - When all electrical work is complete. Underslab Plumbing/ Electrical/ Mechanical - Pricr to cover. Eieclrical Service - tulust be approved to obtain Permanent electricai povver. Final Mechanical - Wnen ail mechanicai work is coinplcte. w Footing - After trenches are excavated.Fireplace - Plior to facing materlal:; and framirtg lnsP. Final Building - When all required inspections hrtve been approved and building ts completed.Mascnry - Steel location, bond beams, grouting.Frarning - Priot to cover. Other Foundation -'After forms are erected but Prior to concrete placement. Wall/Ceil!ng lnsulalion - Prior to cover. Underground Plumbing - Prior to filling trench.ffiorVwall - Prior to taping MOBILE HOME INSPE TIOIIS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - Af ter installation w w Post and Beam - Prior to floor insulation or decking.lnsert -- After flrepiace apprcval and instailation of unit. Blocking and Set-Up - When all blocking is complete. FIoor insulalion - Prior to cjecking.C:urbcut & l\ppioach - Afre: forms are erectcd but prior tc placeinent of concretc. Plurnbing Connections - Whcn horrrc has been connected to waler and sewer. Sanitary Sewer - Prior to f illing trench.Electrical Connection - V/hen blocking, set-up, and plumbirrg inspections have been approved and the horne rs connected io the service panel. Storm Sewer - Prior to fil!ing trench. Sidewalk & DriveuJay - After excavaticn is cu.mplete, {orms and suo-base material tn Place. Water Lirre - Prior to filling trench. Fence - \li'hen completcct. Stre€t Trees - When all required trees are planted. Fina! - After all required inspections are approved and porches, skirting, deck:;, arrd venting have been installed.IA Rough Plumbing - Pi'ior to cover, o t] tl E fl w E il tl Lot fa(:cs Lot sq. ltg Lot cov.lr;rrJe ktPttgraltlt 1 Totzrl hc'tglrt Lot Tylre _- - lnterior - - Corner - -.- Panhandlc --- Cul-de'sac ks GAR IS IHE PROPOSED WORK IN THE }]ISTOFIICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed an(l approved bY the H istorical Coordinator prior to permit issuance' APPROVED: PL. N- L= H ACC 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 Cocle, regulating the construction and use of buildings, and may be suspended or revoked at any time upcn violation of any provisions of said ordinances. Date Y: 6-?** Receipt Numbe Date Paid Recei Plan Check Fee:/22,;3 VALUE \'- (A) X $/SQ. FT. 24tu 1B-5? --?.fr/22e3 Tol;il Valurr Buiiding Fernrit Fee State Surcharge Tot.,l Fee BUILDING PERMIT ITEI,/ SO. FT. Main Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. 7, SYSTEMS DEVELOPMENT C (B) HARGu r?"rw ADDITIONAL COMMENTS ITEM Fixlures Residcnti:,1 Rath(s) Sarr itary Scwer Water Storm Sev/er Mol)ile Home F t:E I,- l.r FT. @32.-5a-v/.?(c) _ru3 PLUMBING PERMIT Plurnbing Perrnit State Surc harge Tot.ll Charge Wor:d Sto're/ lnsert / Fi replace Unit Dryr,'r Vcnt . ?a?_/)- _ /e,A_.2u Z/F - (D) Ver,t Fan NO Me,;hantc,rl P(irrrli t lssr.rance Stale SlLrr( harqe Tot;rl Pern,it 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 certi{y 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 struclure without permission of the Building Safety Division. i f urther certify ttlat only contractors and employees who are in ccmpliance 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 g natu re Date of the prope rty, and the approved I ti ,1 of plans will remain tructon the site du ring MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk .-- ft Curbcut -_.- lt Dernolition State Surcharge Total Miscellaneous Perrnits (E) VAI-IDATION: FItr-CEIPT NUMBER -- aes4 ri,\l t-. Pp.lD 6 -?- 2s AMOUNT RLCEIVET) r-iiCE|VED E,Y - .-., - TOTAL AMOUNT DUE (excluding r:lectrical) (A, B, C, l,' an(l E Conrbineci) #.ts /o CITY OF OREGO'U 225 FTYTB STRBET '-I: SPRTNGPTEID, 0RBGoN 97477 l INSPECTION RBOUEST: 726-3769 OPPICE: 726-3759 tDk__Ci ty 47 Job Nunber 3. COHPLETE rEE SCEBDULE BBLOV A.ntial-Single or MuIti-Family per dvelling unit. Service Included: :l U SHI'tIGFIELO ,CAL PERTIT APPLICATION Items Cost' Sum m el ?/])tc+z- 1 OP -R11, .3 I.AGAL DESCRIPTION Address pnone'74/-JA3U, 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or -Modular Dvelling Service or Feeder B. Services or Feeders InstaIIation, Alterations or Relocation: c D. 200 amps or less 201 amps to 400 amps --7 401 amps to 600 amps - 601 amps to 1000 amps- Over 1000 amps/voJ.ts Reconnect 0nIY Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or }ess $ 40.00 201 amps to 400 amps - $ 55.00 over 4b1 to 600 ambs - $ 80.00 0ver 600 amps or 1b0O voTts see trgtt "fiffi Branch Circuits Nev, Alteration or Extension Per Panel $ Bs.oo s 1s.00 $ 40.00 $ s0.00 s 60.00 s100.00 $130.00 $300.00 $ 40.00 w- Supervisor License Number Expiration Date ,n- I Ito(/p S -q5 cit cit Constr Contr. Number o3 Expiratio" o^t. 9'/ - Qy' s of sing trician Ovners Name Address irfili,t ld pno"e 741 - lfl o7 'One Circuit $ 35.00 Each Addi tional Circuit or vith Service or Feeder Permit 3 S 2.00 B. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utIine Lighting_ Limited Energy/Res Limi ted Energy/Comm STIBTOTAL OP ABOVB 5Z State Surcharge TOTAL nq TTU OSNBR INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Orners Signature: DATE: t*Q-- 00 00 00 00 40 40 20 36 $ $ $ $ la5 RBCBIVBD .oo t' /g_a<e>€_* , r 2 " JOB DBSCRIPTION 5,qslotQl 4Oc1 AmPS,ru,'oc v tln lu Permits are non-transferable and expire it vork is not started vithin L80 days of lssuance or lf vork ls suspended for 180 days. 2. CONTRACTOR INSTALI,ATION ONLY Electrical Contractorl f S,elrC+rr,O . ),a