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Home My WebLink AboutPermit Building 1993-08-04R ES'D ENT'A L PERM'I APPLICATION lnspections: 726-3769 0ltice:726-3759 LOCATION OF PROPOS WORK: ASSESSORS MAP h, rff - 33u,, I l',',2,:," 3i : n " ^crLlD^1 L3 SPR o s 3 JOB NUMBER TAX LOT: SUBDIVISION PHONE zlP'.STATE -s 7+7" 81,57 CITY: ADDRESS: OWNER NEW -- FIEMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: MECHANICAL: _=-- t( 7, t tl -q'o (( PHONEEXPI RESCONTRACTOR'S NAME G EN ERAL: ELECTRICAL: PLUMBING CONST. CONTRACTOR # FIANGE: r OF BDRMS: _ OFFICE USE _ LAND USE: WATER HEATER: I OF UNITS: FLOOD PLAIN: ZONING CODE SECONDARY HEAT: SOUARE FOOTAGE: OUAD AREA: * OF BLDGS: OCCY GROUP: ,I OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 126-376g. 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. RE IRED INSPECTIONS [-_-l Temporary Electric ugh Mechanical - Prior to inal Plumbing - When all cover.plumbing work is complete. Site lnspection - To be made af ter excavation, but Prior to setting forms. gh Electrical - Prior to nal Eleclrical - When all cover.electri work is complete. Underslab Plumbing/ Eleclrical / Mechanical - Prior to cover. lectrical Service - Must be al Mechanical - When all approved to obtain permanent electrical power. mechanical work is complete. ffr{ooting - After trenches areIJ excavated. nal Building - When all Fireplace - Prior to facing materials and f raming lnsP. required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grou.ting.Framing - Prior to cover f#oundation - After forms areM erected but prior to concrete M;WriJn''-o''n-Prior Other l/Ceiling lnsulation - Prior to cover Drywall - Prior to taping MOBILE HOME INSPECTIONS nderf loor Plumbing / Mechanical Wood Stove - After installation. - Prior to insulation or decking Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace aPProval and installation of unit. Blocking and Set-Up - When all blocking is complete. loor lnsulation - Prior to Plumbing Connections - When home has been connected to water and sewer.decki ng Curbcut & Approach - After forms are erected but Prior to placement of concrete.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. ewalk&Driveway-After Storm Sewer - Prior to filling trench. exc on is complete, forms a ub-base material ln place. Water Line - Prior to filling nce - When completed. t h.Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. ugh Plumbing - Prior to Street Trees - When all required trees are planted.cover. ADDRESS E E tI E E E r E E Lot {aces Lot sq. ltg. Lot coverage ToPograPhY Total height Lot TYPe =.-- lnterior .-- Corner --- Panhandle - Cul-de'sac P.L.HSE GAR N S I E APPROVED: RICT, EHTINWORKPOSEDPROETHSNoORDISTCALHSTORI?ISTERBEGICALSTORHETH edignbeStmuonatiDthiapPlicyes'ctoriHhovedbyappandssuance.ttoperminatopriorCoord BUILDING VALUE, Pl4N C 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 tlme upon violation of any provisions of said ordinances. Plan Check Fee: - Plans Fleviewed By Date HECK Recelved By: Date Paid: Fteceipt Nu BUILDING PERMIT VALUE Total Value Building Perrnit Fee 4rpoo e (A) SO. FT. X $/SQ. FT.ITEM Main Garage Carport Slate Surcharge Total Fee Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SD,C) (B) .C ADDITIONAL COMMENTS ITEM Flxtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home (0,oo ct t.zo B[.7P FEEt (c) FT. FT. FT. No( PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge Wood Stove/ lnsert/ Flreplace Unit Dryer Vent /.9,art ,7.q (D) li.x) 2S.-e -Ltg =6/ooVent Fan Mechanical Permit lssuance Stale Surcharge Tolal Permit MECHANICAL PERMIT Furnace Exhaust Hood No 'l- By signature, I state and agree, that I have carefully examined the completed application and do herebyrcertify that all lnformation hereon ls true and correct, and I f urther certlly that any and all work performed shall be done in accordance wlth the Ordlnances 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 Divlslon. I further certify that only contractors and employees who are ln compliance with ORS 701.055 wlll be used on thls prolect. I further agree to ensure that all required lnspections are requested at the proper time, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln on the site at all times during constructlon. Slgnature Date x- tl *1f MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Total Miscellaneous Permits (E) Demolition State Surcharge &oVALIDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY TOTAL AMOUNT DUE (excludlng electrical) (A, B, C, D, and E Combined) 2Sg, of 7,1?, oq tu CITY OF SPR"UGFIELD, OFEGO'V SiP'l!lTIGFIELD m 225 PTYIE STRBBT SPRINGPIBLD oREGoN 97477 ;-. INSPBCTION RBQUEST: 726-3769 23-3759OFPICE: 7 1 N il[,,Eo LP e BLBCTRICAL PERI{IT D1 f^ci Nunber FBE SCEEDT'LE BELOS A. New Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less X $ 85.00 Each additional 500 sq. ft or portionthereof $ 15.00 Each Hanuf'd Home or -Hodular DweIIing Service or Feeder $ 40.00 e Sum &/)kL O Permits are non-transferable and expire if work is not started vithin 180 days of issuance or lf vork is suspended for 180 days. 2. CoNTRACIoR INSTALLATTON oFLY Erectricar contractor Br* Lou) Address 6 /, tr^l(e ?3tszPhone re /le Ci ty Supervisor License Number 3q rzs Exp iration Date /o'?f Constr Contr. Number Expiration Date ture of EIec ician rs Name S,^ Address J Ci ty Phone OITNBR INSTALI,ATION The installation is being made on property I own vhich is not intended for sale, Iease or rent. Ovners Signature: DATB: Temporary Services or Feeders Installation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per Panel c 5. SUBTOTAL OP ABOVB5f State Surcharge TOTAL 200 amps or less $ 40.00 201 amps to 400 amps - $ 55.00 over 401 to 600 amps - $ 80.00 Over 600 amps or 1000-v-ilts see ttgtt "ffi B. Miscellaneous (Service/feeder not included) One Circuit Each Addltional Circuit or vlth ServicS or Feeder Permi t C- -Each installation Pump or irrigation Sign/OutIine Lighting- Limited Energy/Res Limited Energy/Comm $ 3s.00 $ . 2.00 s $ $ $ 40. 40. 20. 36. 00 00 00 00d RBCBIVBD Zo{ B. Services or Feeders Installation, Alterations or Relocation: rJ _ 200 amps or less 1 S 50.00 ,-X-) 401 amps to 600 amps - $100.00 SPRINGFIELE, RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 LOCATION OF PROPO ASSESSORS MAP: S o 3 JOB NUMBEB 225 Fifth Street Springfield, Oregon TAX LOT: LOT: - BLOCK:SUBDIVISION PHONE; ZIP:STATE: OWNER ADDRESS: CITY: NEW -- REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: MECHANICAL: ADDRESS q l,( EXPIBESCONTRACTOR'S NAME GENERAL: PLUMBING CONST. CONTRACTOR # k // PHONE 47- FIANGE: # OF BDRMS _ OFFICE USE _ LAND USE: ZONING CODE: FLOOD PLAIN WATER HEATER: * OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: QUAD AREA: # OF BLDGS OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call726-3769. This ls a 24 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. REQUIRED INSPECTIONS Rough Mechanical - Prior to cover. [-l Final Plumbing - When alllJ plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. 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. Fooling - After trenches are excavated.Fireplace - Prlor to facing materials and framlng lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond'beams, grouting.Framing - Prior to cover. Other Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. llVunderground Plumbing - PriortLJ to filling trench.Drywall - Prior to taping. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Slove - After installation. Posl and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and installation of unit. Blocking and Set.Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut & 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 Slreet 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 - Prlor to cover. 4,Gt16 I fl#o,Src I?c;t/rtfr I_-l femporary Electric E E E E E E E tl E tl E E E E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E IS THE PBOPOSED WORK IN 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. APPROVED VALUE (A) X $/SQ. FT. 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 upon violation of any provisions of said ordinances. Beceipt Number:- Plans Reviewed By Date PIan Check Fee: Date Paid Received By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being lmproved. ADDITIONAL COMMENTS ITEM Fixtures Flesidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE ,7s /'.f, >..S /C ocr (\.) N0 FT. FT. FT. / PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace 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 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 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 70'1.055 will be used on this project. I further 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 on the site at all times during construction. 4 ?fr,q- 9-te- Date N ____v7 2-t /f - qq Signature MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E),>- s C)U VALIDATION AMOUNT RECEIVED RECEIVED BY RECEIPT N DATE PAID TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) \ SPRII\lGFIELO RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726'3759 LOCATION OF PROPO ASSESSORS MAP: LOT: h, fffI JOB NUMBEB 225 Fif lh Street Springf ield, Oregon 97477 TAX LOT: SUBDIVISIONBLOCK: - PHONE: ztPcSTATE:CITY: OWNER: ADDRESS: _ 9- ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW -- REMODEL PHONEEXPI REScoNTRACTOR'S NAME ADDRESS GENERAL:, PLUMBING MECHANICAL: ELECTRICAL CONST. CONTRACTOR # r OF BDRMS: OUAD AREA _ OFFICE USE _ LAND USE RANGE: ZONING CODE: FLOOD PLAIN WATER HEATER # OF STORIES CONSTR. TYPE: .--.-OCCY GROUP: HEAT SOURCE.. -- SECONDARY HEAT SOUARE FOOTAGE: To request an inspection, you must call 726'3769' This is a24hOur recording All inspections reques made the same working day, lnspections requested after 7:00 am' will be made the following work ted before 7:00 a.m. will be day. REQUIRED INSPECTIONS TemporarY Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete. Site lnspection - To be made after excav;rtion, but Prior to setting forms. Rough Electrical - Prlor to Final Electrical - When all electrical work is complete.c ()ve r. Underslab Plumbing / Electrical/ Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Pertnanent electrical power. Final Mechanical - When all rnechanical work is comPlete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsP. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Other Foundalion - After forms are erected but Prior to concrete placement. Wall/Ceiling lnsulation - Prior to cover, Underground Plumbing - Prior to filling trench.Drywall - Prior to taping. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.[--l Wood Stove - A{ter installation Post and Beam - Prior to floor insulation or decking.lnsert - After firePlace approval and installation of unit. Blocking and Set'UP - When all blocking is comPlete. Floor lnsulation - Prior to decki ng.Curbcut & ApProach - Af ter forms are erected but Prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to f illing trench.Electrical Connection - When blocking, set-up, and Pluntbing inspections have been aPProved and the home is connected to the service Panel. Slorm Sewer - Prior to filling trench. r Line - Prior to filling [--l Fence - When comlrleled lrench.Final - After all required inspections are approved and porches, skirtlng, decks, and venting have been installed.Street Trees -- When all required trees are planted.Rough Plumbing - Prior to cover. E E E tl E E E E E tl tl E f_l Sidewalk & DrivewaY - Afte'rU excivation is comPlctc', fornts ancl sub'base materii)l ,rr Place. r tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L HSE GAR ACC N S E IS THE PROPOSED WOBK IN THE HISTORICAL DISTFIICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by t he H istorical Coordinator prior to permit issuance. APPROVED: VALUE (A) X $iSQ. FT, 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 lhe 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 upon violation of any provisions of said ordinances. Plans Reviewed By Date Receipt Numbe Plan Check Fee Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE JS650 / {5€tuss(c) FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge NO Wood Stove/ lnsert/ Fi replace 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 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 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 70'1.055 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 ls located at the front of the property, and the approved set of plans will remain Signature Date )- on the site at all t s during construction MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -- ft Curbcut _--- ft Demolition State Surcharge Total Miscellaneous Permits (E) Oftz =-.-li-_ RECEIVED BY - AMOUNT BECEIVED DATE PAID VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) t d-$a-d