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Home My WebLink AboutPermit Building 1991-07-01RESIDENTIAL PERMIT APPLICATION lnspections: 726-3169 Office: 726-3t59 LOCATION OF PROPOSED WORK: ASSESSORS MAP: SPRI GFIELE, ,L JOB NUMBER 225 Fifth Street Springfield, Oregon 91 477 TAX LOT: )10)n LOt:BLOCK:z/*l-, /a l+drrSUBDIVISION PHONE: \-e o STATE: b1't7:lbs CITY: ADDRESS: OWNEFI: NEW - REMODEL ADDITION DEMOLISH OTHER lt)Co Vt,, S1 |^uc.TrDESCRIBE WORK: EXPIRES (.r J yt t t{It(I /+LL l. CONTRACTOR'S NAME ADDFIESS PHONE 'oo MECHANICAL ELECTRICAL: CONST. CONTRACTOR # GENERAL: PLUMBING LD?-Q,e /nl I F L r - OFFICE USE _ LAND USE CONSTR. TYPE: * OF UNITS: HEAT SOURCE: WATER HEATER ZONING CODE: QUAD AREA: * OF BLDGST SECONDARY HEAT: SQUARE FOOTAGE: # OF BDRMS: 3 lfi t RANGE: E OCCY GFIOUP: * OF STOFIIES: FLOOD PLAIN: To request an inspection, you must call 726-376g. Th made the same working day, inspections requested XJ Temporary Etecrric is is a 24 hour recording. All inspections requested before 7:00 a.mafter 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS X':;;'"tl Mechanicar - Prior to ,fTil;l#,r1.;H,;#l;i"il1 K will be Site lnspection - To be madeafter excavation, but prior tosetting forms. Underslab Plumbing/ Eleclrical /Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but prior to concrete placement. Underground Plumbing - prior to filling trench. .--- \ U nderf loo r Qfu6l[ing /-l[eq b e4 icat - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Floor lnsulation - Prior to decki ng. Rough Electrical - prior to cover. Eleclrical Service - Must be approved to obtain permanent electrical power. fif-Finat Etectricat - When ail -electrical work is complete. frffinat Mechanicat - When ail'-'mechanical work is complete. ffirinal Building - when ailr|J required inspections have beenapproved and building is completed. E X X E X x .8 E Fireplace - Prior to facing materials and framing lnsp. ,Ff,Drywatl - Prior to taping. ffi Wood. Stove - After installationi'' (Z *aKr/.+'c€ K .K N. g Framing - Prior to cover. Wall/Ceiling Insulation - prior to cover. lnsert - After fireplace approval and installation of unit. Curbcut & Approach - After forms are erected but prior to placement of concrete. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Fence - When comPleted. Street Trees - When all required s are planted Other MOBILE HOME INSPE TTONS Blocking and Set.Up - When ailblocking 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. ffiSanitary Sewer - Prior to fillingH trench. ffi Storm Sewer - Prior to filling,ctrench. f V{water Line - erio, t(firing[Atrench. d Rough Plumbing - Prior to cover. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. ztP: q?lrtl I z QttC \f ^) E E E r Lot faces Lot sq. ftg' Lot coverage TopograPhY Total height Lot Type - lnterior - Corner - Panhandle i-/ Cul-de-sac Set THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? -- lf yes, this application must be signed and aPProved bY the Historical Coordinator prior to permit issuance' APPROVED g, etorzcl,( -rAI P.L.HSE GAR ACC N 6' S 5 /6' E ?,,U' BUILDING VALUE, PLAN CHECK Auo BUILDING PERMIT This permit is granted on the express condition that the said consiruction shall, in all respects, conform to the Ordinance .O.pi"O by the City of Springfield' including the Development Code, regulating the construction and use of [",10i"L", and may be suspended or revoked at anv time up"n ,i"f uti"n of any nrovisrons.ofsaid ordinances' PlanCheckr.., O /)'' E s*iryReviewedPv 2e 2-2.a Date Paid: ReceiPt Number: Received BY: BUILDING PERMIT (A) #4k- ,z? 27'1. oct /6, 7a 4,a' 7.2' ITEM Main Garage Carportw- SO. FT. -rrD 4/e Total Value Building Permit Fee State Surcharge Total Fee 657tf' VALUE 4?S5e'<" X $/SQ. FT. Systems Development Charge is due on all undeveloped properties within the City limits which are being improved'SYSTEMS DEVELOPMENT C (B) HARGE (S 7g DC) 6'tt ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) SanitarY Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE /6o. cc /6o. oe 7.oe FT. FT. FT. (c)/6 9,oa NOL Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit Dryer Vent MECHANICAL PERMIT 6.oo f-oo t9.oo Oo Mechanical Permit 10, oo (D) +.qo 37 ,9a ?,,tf "11 ,g 8 lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan No3 By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all informationhereonistrueandcorrect,andlfurthercertify 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 pertai ning 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 Date during construction. - Signatu re on the site at all MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge /<7 sidewalk C ) tt o4curbcut d I tt Demolition State Surcharge Total Miscellaneous Permits (E) 17,?c t 3.60 TOTAL AMOUNT DUE (excluding electrical (A,B,c,QandECombined) ,fi etr <1- -- DATE PAID ? ^/^2 / AMOUNT RECEIVED FECE'VED BY VALIDATION: RECEIPT NUMBER 3 3 3.0; I 5a'IilNGFtELr, BI,BCTRICAL PBR}IIT APPLICATION225 FIFTH STREET SPRTNGFTBID, OREGON 97477 INSPBGTION REQUESTI 726-3769 OFFICE: 726-3759 1 OF Permits are non-transferable and explrelf vork is not started withln 180 daysof issuance or if vork is suspended for 180 days. 2. CoI|TRACToR ON ONLY Job Number q 0[otL city F.----*, -,.-1,, phone aZ ^77 / City 3. COHPI.ATE FBE SCHEDULE BELOS A. Nev Residential-Single or Multi-Family per dwelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 B. Servlces or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 anps _60L amps to 1000 amps_ Over 1000 amps/vo1ts Reconnect Only c Temporary Services or Feeders Installatlon, Alteration or Relocation 200 amps or less $ 40.00 20L amps to 400 amps - $ 55.00 0ver 600 amps or 1000 volts see frBrt above Branch Clrcuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.oo E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Lightine- Limited Energy/Res Limited Energy/Comm .-.--.:- 5. SUBTOTAL OF ABOVB 5Z State Surcharge TOTAL e Sum Electrical Contract Address 2Q/?<;,u' 3D I nd $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ $ $ $ ,/ Supervisor License Number 3J-7 2 s Expiration oate /C -/ -Z 2 -7- constr contr. Number c >6 )7 Expiration Date / 2--/r-7,/ ture of Supervlslng Electrlcian rs Name dress Ci ty P e OTINBR The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0vners Signature: DATE: 40 40 20 .00 .00 .oo RECBIVED Metropolitan Wastewater {lanagementLommission _nrrtr'i. r,!r t/irrnroc q..5 5:.neil-Eugsre CcuncilPerscn Sie, : D: l';-Eueene L?y P,epresenle'live S.c.l : ;si': n-Sprirrglieid Li,y Rep:€stnlatr"e Cl',ris Laiscn-Springlield Councilpetson C:ls Llalson-Lene Ccunly Lay Bept€seitalive ,r: I R"sl-L6r€ CoJlrty Ccri,r:lissicr,er l,'a:'i viesltilS-Eugene Lay Rep'esenlalrve FIFTH AND A STREETS SPRINGFIELD CITY HALL SPRINGFIELD, OBEGON 97477 TELEPHONE (503) 717'4551 }'IUMC CONNECTION CHARGE 2+76 ,?, '20 arlBuilding Address: Reference Number: Ovner z FtZ,<n t- D ttL o <-r E e Address. X.67( 'f ,7-Phone l{umber z 777-ld {6 zipz77777City: cz oi0 State z P /.-7 _ Residential fee ($222.00) Commercial Fee (nev non-residential development/ - remodel) Total fixture unit charge (see reverse of this form) $ SUBTOTAL Credit Due (see reverse of this form) TOTAL MIJMC CHARGE S Zz2.oo <$a [, 7a $ 40C,70 $ Date Received: 7^/-7/Received By: Receipt Number | 2A5/ A Building Job Number: i 7re Z I q 7?Tax Lot Numberz CIC 61 7 ZZ---*- Fixture Unit Calculation TabIe: Itum equi.valen t s .li0TE: For rernodels , c Fixture Type ber of nev f ixtures ii,ultiplied by uui talculate only the IiET additiorral fixtures. ii of Uni t Fixture Fixtures Equivalents Units Bath tub 2 1 2 3 6 2 6 6 1 3 2 L 2 3 2 1 6 4 Drinking fountain Floor drain fnterceptors for grease/oi1/solids/etc. . . .fnterceptors for sand/auto vash/etc Laundry tub/clothes vasher Clothes vasher (3 or more). . .l{obile home park trap (1 per M.H.).... Receptor for refrig/vater station/etc. Receptor for Commer sink/dishvshr/etc. Shover, single stal1 Shoverr gang (per head). . . . Sink, bar, commercial.... Sink, commercial/industrial/etc Urnial, sta11/vall.. Itash basin/lavatory, singleilater closet, public installation.. \.7ater closet, private.... Miscellaneous: Total fixture units Total Units: x $13.25 each = Tota1 Charge: g Credit Calculation Table:Based on total value of property at time of permitapplication. l(6 0 Year 'Annexed to the Citv 797 9 1980 19 81 1982 1983 1984 1985 198 5 1987 1988 1989 1990 Credit per g1,ooo assessed value $2.65 $2. ea 92. s3 $2.41 92.1e 04 69 35 15 92 59 23 $2. $r. $1. $1. $0. $0. $0. s e[.70Cred i t t66/'/ xS 5f'/c'rffi TotaI Credi t tl a sl',llN(;FIELO atu 225 BITTE SlT'BBf, SPRTNGPTBU), oREGON 97477 nripgcrron RBQIrBstz 726-3769 0PFICE: 726-3759 BIJCTRTCAL PERIIIT APPLICATION Clty Job Number ,/a /2 COHPLSTE FBB SCIIEDI'IJ BBLOV 1. LOCATION OF I.EGAL DBSCRIPTION JOB DBSCRIPTION Permlts are non-transferable and expire if vork ls not started nlthln 180 days of lssuance or lf vork ls suspended for 180 days. 2. COT{I?ACTOR INSTALIJTTION ONLT Electrleal Contractor Address c1 Phone Supervlsor License Number Expiration Date Constr Contr. Number Expl ratlon Date Signature of Supervlslng Blectriclan Name Address OVNER INSTALIJITION The installatlon ls belng made on property I ovn vhich is not lntendedfor sale, Iease or rent. DATE: Nev Residential-Slngle or HuItl-FamllY Per dvelllng unlt' Service Included:Items Cost 3 A Sum B 1500 sq.ft. or less Each additlonal 500 sq. ft or Portlon thereof Each Hanuf'd Home or Modular DvelIing Service or Feeder $ 8s.00 $ 1s.00 $ 3s.00 Servlces or Feeders (10 Branch Circuits included). Installation, Alterations or Relocation: 100 amps or less 101 amps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amps- Over 1000 amps/volts Reconnect 0niy Temporary Services or Feeders Installatlon, Alteratlon or Relocatlon 200 amps or less I $ 35.00 7r{* 0ver 401 to 600 amps _ $ 80.00 0ver 600 amps or 1000 volts see rrBrr above D. Branch Clrcuits ' Nev, Alteration or Extension Per Panel $ 3s.oo $ 60.00 $ eo.oo $130.00 $300.00 s 3s.00 c Cl ty ?n? ,bsrrc 1L/effit One Circuit Tvo to ten Circuits Each Addt,I ten orportion thereof $ 3s.00 $ s0.00 s 15.00 B. Hiscellaneous (Service/feeder not lncluded) -Bach installation Pump or irrigation Sign/0utIine Lighting- Signal Circuit orlimited energy panel 5. SIJBTOTAL OP ABOVB 5Z State Surcharge TOTAL $ 36.00 $ 36.00 $ 36.00 DRECBIVED ture: trve