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Home My WebLink AboutPermit Building 1991-07-16SPRINGFIELE' RESID ENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 JOB NUMBER 225 Fifth Street Spri ngfield, Aregon 97 477 LOCATION OF PROPOSED WORK:e 3;z xto 5 ASSESSORS MAP:t7- oz- t7-v*TAX LOT:&/i LOT lt BLOCK:SUBDIVISION BiiJi,t cArzT-uEF-PHONE: ZIP: C Cr4STATE: fitr?.1 f-rizt -42t3 CITY:1du iuts ADDRESS S OWNER: /7fo fleRt*co Ct(iu C,A. NEW x REMODEL ADDITION DEMOLISH oTHER DESCRIBE WORK: EXPIRES -oooa z4)'? z,_("viw all" e 7& tz) L rt t O€ , Lrl ,oQ ELECTRICAL:c CONTRACTOR'S NAME etf- MECHANICAL: PLUMBING: G EN ERAL: CONST. CONTBACTOR #PHONEre+ ?+3 * # OF BDRMS _ OFFICE USE - OCCY GROUP: ZONING CODE: FLOOD PLAIN RANGE:WATER HEATER # OF STORIES * OF BLDGS: QUAD AREA SECONDARY HEAT: SOUARE FOOTAGE: LAND USE: # OF UNITS CONSTR. TYPEr HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24 hour 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 Xt"-oorary Electric KfXr: Mechanical - Prior to FT Rough Electrical - Prior tou cover. lVfinat Plumbing - When allG plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Underslab Plumbing/ Electrical / 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. Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Water Line - Prior to filling trench. Final Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work is complete.l!7-Electrical Service - Must belA{ .pptor"d to obtain permanent electrical power. K- K K X B Fireplace - Prior to facing materials and framing lnsp. Framing - Prior to cover Wall/Ceiling lnsulalion - Prior to cover. ft'finat Building - When alllarequired inspections have been approved and building is completed. lVl-Floor lnsulation - Prior to14 decking. d/Sanirary Sewer - Prior to f illingl.G trench. ff;:Usewer - Prior to firlins K Kx ffiDrVwall - Prior to taping K^ K Wood Stove - After installation 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. reet Trees - When all required rees are planted 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 blocki ng, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.VT nougtr Plumbing - Prior toGcover. /# Y Peuca -- ?,-, E r Lot faces Lot sq. ftg. 7 Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle X cul-d"-""" Setbacks t79--a? |.A,l .- THE PROPOSED WOHK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? ilA lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: Irt-b" P.L.HSE GAR ACC N I 6ur S 1a rl dlt E 5ie't I t\€ +6cP tf,l9 FT. (A) 4 ^- 17,rf LUE I R6 7 .oo x$/ 5,! Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. 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 Reviewed Date Plan Check Fee: Date Paid Receipt Number: Received By: upon violation of TOVISI f said ordinances. SYSTEMS DEVELOPMENT CHARGE (SDC) (B)7rr,93 Systems Development Charge is due on all undeveloped properties within the City Iimits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE /6c"b FT. 4Q I-F Fr. Z+ tF / 6c.oo 4 .oo tG 4 'oo g FT, (c) N' J.. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS MECHANICAL PERM!T Furnace I - f.*<\r.: aaLs.e-\, Exhaust Hood \ Wood Stove/ lnsert/ Fi replace Unit Dryer Vent \ 4-ro 6 ,0c F, .t*, € iq ,rc /0, oo /.48 20 r?g(D) 6,Od 3 ,oo Vent Fan N. ,- Mechanical Permit lssuance State Surcharge Total Permit 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 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 /";/.4+<t vZ-Signature Date t-22"7 / on the site at all times durin st ru ct i on. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewark 31.,1 Lr fir,1;i>F curbcut zl Li tt Demolition N ta r-'l ii State Surcharge Total Miscellaneous Permits (E) I V.5a R{,rf tq,75 TOTAL AMOUNT DUE (excluding electric (A, B, C, D, anc E Combined) a-lt71I 2aa* / q?f.AMOUNT BECEIVED RECEIVED BY DATE PAID VALIDATION: RECEIPT NUMBER 7*/7-2 - sr.rrlrJGt'lI: L(J eb 225 FIFTB STRBET SPRTNGFTELD, ORBGON 97477 INSPBCTION REQUBST| 726-3769 OFFICE: 726-3759 IAGAL DESCRIPTION -2 JOB DESCRIPTTON Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CO}ITRACTOR INSTALI.ATION OM,Y Electrical Contractor Address 2?/4 zz* {/i4Fft city €t4e<< . vhone ,/1/-2 22 / Supervisor License Ndmber 7<7?^ > Expiration Date /2-,/-? 2 constr contr. Number 4?62? Expiration Date /2'//:2/ Signature of Supervislng Bleetrician 0vners Name Lif,vsss f-=/ /Zka.6 + -<..,- a^' Ci ty.Phone "f6:-7zs<* OVNER INSTALI.ATION The installation is being made on property I ovn vhich is not intended for sa1e, Lease or rent. Onners Signature: DATB: 7- /2-?./ RECEIPT *: BLECTRICAL PgRilTT APPLICATION City Job Number q 676 3. CO}IPUBTB IIBB SCtrEDIILE BBLOV A. New Residential-Single or HuItl-FamiIY Per dvelllng unit' Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof'Each Hanuf 'd Home or Modular DweIling Service or Feeder I tems ,/' B. Services or Feeders Installation, Alterations or Relocat ion: 200 amps or less 201 amps to 400 amps - 401 amps to 600 amPs - 601 amps to 1000 amps- Over 1000 amps/volts Reconnect Oniy One Circuit Each Additional Circuit or vith Service or Feeder Permi t E Hiscel.Laneous ( Service/feeder -Each installation Pump or irrigation $ Sign/OutIine Lighting- S Limited Energy/Res S Limi ted Energy/Comm . S Temporary Services or Feeders o42 V,4€.Installatlon, Alteration or Relocati6h'' , 75 200 arnps or Less t/ $ /,ffio- €P 0ver 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see frBrr above Cos t $ 8s.00 s 1s.00 $ 40.00 Sum t/' Rf /5 $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c D. Branch Circuits New, Alteratlon or Extension Per Panel $ 3s.00 s 2.00 not included) 40. 00 40. 00 20. oo /7.SIJBTOTAL OP ABOVB 5tr State Surcharge TOTAL RECETVED BY: o 5 oty4r <,r27/y4e &€q 4*ry-7/4 Zea Za,rcn . {6fti<e-s niE E- . 1. LOCATION OT INSTALI*ATION,- .^ t/R: ! 2-zD 7- ' t-IC'TY OF 225 FIFTE SltsBBT SPRINGTIELD, OREGoN 97 477 INSPBCTI0N REQIIBST: 726-3769 0PFI6E: 726-3759 1 LOCATION OF INSTALI.ATION2497 ,/VaZ 2zD ,7- IJGAL DBSCRTPTION JOB DBSCRIPTION Permlts are non-transferable and expireif vork ls not started vithln 180 daysof lssuance or if vork ls suspended for 180 days. 2. CottlTACroR Electrl Contractor Address Ct ty Supervlsor Ll Explration Date Constr Contr. Number Expiratlon Date z- Slgnature of Supervlsing Electrlcian 0vners Name trtL Address f)//t4lu e frpza ,'r- Cl ty SPPINEfrELO phone Z4a _ -A -2.)) OITNER INSTALINTION The installatlon ls belng.made onproperty f ovn vhich is not intendedfor sa1e, Iease or rent. Slgnatu Ur<- DATB: ST'IIINGFIELO BI;ECTRICAL PERHTT APPLICATION City Job Nu^ber ?D626 3. COHPI.STE PEE SCIIEDTIIE BELOY A.Nev Residential-Single or Multl-Famlly per dvelllng unlt. Service Included: Items Cost 1500 sq.ft. or less -'' g 85.00 Each additlonal 500 sq th .fto u Se ice or Sum $ ls.oo E $ 3s.00 aJ-@_ ereo ONLY Ea Se IN or rv es or ed). I BrancV Circui ts AI te(a t lons Re tion orI amps to4 rps _amps to 600 amps amps to 1000 ampsr 1000 amps/volts Reconnect On1y C, Temporary Services or Feeders fnstallation, Alteratlon or Relocatlon 100 101 401 601 0ve $ 3s.00 $ 60.00 $ 90.00 s130.00 $300.00 s 3s.00 200 amps or less / S 35.00 zq-o 201 amps to 400 amps * g 40.00 :Over 401 to 600 amps $ 80.00 0ver 600 amps or 1000Jd[s see uBu affi- D. Branch Cireuits Nevr.Alteratlon or Extension per panel One Circuit Two to ten Clrcults Each Addtrl ten orportion thereof E. Miscellaneous (Servlce/feeder not lncluded) -Each installation Pump or irrigation $ 36.00Sign/0utline Lighting- S 36.00Signal Clrcuit orIimited energy panel $ 36.00 SI'BTOTAL OT ABO\IB 5Z State Surcharge TOTAL $ 3s.00 $ s0.00 $ 1s.00 I d Home or eders (1 on tallat i Feeder rng Number RECEIVBD 5 1E5* lFZz< /,4*.2 ,