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Home My WebLink AboutPermit Building 1996-08-15RESIDENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726.3759 LOCATION OF PROPOSED WOFIK ASSESSOFIS MAP: SPFlINGFIELE, JOB NUMBER 225 Fitth Street Springfleld, Oregon 97 477 TAX LOT:It s?ro SUBDIVISION Zfr, -et-b LOT:BLOCK: 1 4,t@ --5232-PHONE: STATE: G- e*^<- O\ .-C. ZIP:ei)<\1e, \'zs l Zs)cn *tu-tficn OWNER: ADDRESS: CITY: NEW - FIEMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: ELECTRICAL: ONEADDRESSPCONTFIACTOB'S NAME MECHANICAL: CONST. CONTRACTOR GENERAL: PLUMBING RANGE: I OF BDRMS: - OFFICE USE _ LAND USE ZONING CODE: FLOOD PLAIN: WATER HEATER: r OF UNITS: SECONDARY HEAT: SOUARE FOOTAGE: QUAD AREA: 'T OF BLDGS OCCY GBOUP: I OF STORIES: CONSTR. TYPE: HEAT SOUBCE: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REOUIRED INSPECTIONS [, femRorary Electrlc Rouglr Mechanlcal - Prlor to cover. Final Plumbing - When all plumblng worl( is complete, Site lnspection - To be made af ter excavation, but prior to settlng forms. Rough Eleclrical - Prior to Final Electrlcal - When all electrical work Is cornplete,cover. Underslab Plumblng/ Eleclrical / Mechanical - Prlor to cover. Eleclrical Service - Must be approved to obtain permanent olectrlcal power. Final Mechanical - When all mechanlcal work is complete. Footlng - After trenches are excavated.Flreplace - Prlor to facing materlals and framing lnsp. W,Final Building - When all requlred lnspections have been approved and building is completed,Masonry - Steel locatlon, bond beams, groutlng. Other Foundatlon - After forms are erected but prlor to concrete placement.Wall/Celling lnsulatlon - Prlor to cover. Underground Plumblng - Prior to fllllng trench.l--l Drywall - Prlor to taplng MOBILE HOME INSPECIIONS Wood Stovo - Af ter lnstallatlon Post and Beam - Prlor to floor lnsulation or decking.lnsert - After f lreplace approval and lnstallatlon of unit. Blocking and Set.Up - When all blocklng ls complete. Floor lnsulation - Prlor to decki ng,Curbcut & Approach - After forms are erected btrt prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanilary Sewer - Prior to f llling trench.Eleclrical Connection - When blocl<lng, set-up, and plumDlng lnspections have becn approved and the home is connected lo the service panel. tl Storm Sewer - Prlor to filling trench. Sidewalk & Drlveway - After excavation ls completc, forms and sub-base materlal ln place. Water Llne - Prlor to filling trench. Fence - When completed. Bough Plumblng - Prlor to cover. Street Trees - When all requlred trees are planted. Final - After all required inspectlons are approved and porches, sklrting, decks, and ventlng have been lnstalled. E \1- Cz-K' 43 , I c')u_ fl E Underlloor Plumbing/ Mechanical - Prior to lnsulatlon or decking. tf E ffi^^g - Prlor to cover. tl E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Typo - lnterior - Corner - Panhandle - Cul-de-sac Se ks P.L,HSE GAR ACC N S E .S THE PROPOSED WORK IN THEHrsroRtcAL DtSTRtcL oR ON THE HISTORICAL REGISTER? .- lf yes, thls applicatlon must be slgnedand approved by the Historlcal Coordinator prlor to permlt issuance. APPROVED: BUILDING PERMIT VALUE o% la z.o(A) 1n SO. FT. X $/SQ. FT.ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee -6*3/s- o' BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT This permit is granted on the express conditron that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including theDevelopment Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any tlmeupon violation of any provisions of said ordinances, Plan Check Fee: --- DatePlans Reviewed [3y Recelpt Numbe Date Paid Received By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developmcnt Charge ls due on all undevelopedproperties wlthin the City limits which are being improved. Residential Bath(s) Sanitary Sewer water Storm Sewer Moblle Home FEE (c) No FT. FT. FT. Plumblng Permit State Surcharge Total Charge PLUMBING PERMIT ITEM Fix tu res ADDITIONAL COMMENTS ctD B"J, (D) Uni t OAI N 6, MECHANICAL PERMIT Mechanical Permit LUr,za lssuance State Surcharge Total Permlt ,t) Wood Stove/ lnsert / Flrepl Dryer Vent Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I hive caref ully examlnedthe completed application and do hereby cerilfy that alllnformation hereon is true ancl correct, and I f urther cerilfy that any and all work performed shall be done in accordancewlth the Ordinances of the City of Sprlngf ietd, and the Lawsof the State of Oregon perlalnlng to the work described hereln, and that NO OCCUPANCy will be made of anyslructure wlthout perrnission of the Buildirrg Safety Divislon.I lurther certi(y that only contractors and employees whoare ln compliance with OFIS 7Ot.O5S wlil be used on thlsproject. I further agree to ensure that all required inspections are Date Si gnatu re tedues aq he proper m tnate,addeach re SS iS readabl efromhesreehathet,rm rdcape s at he f ron o the ro appe nd arty,p Sanpl remai nonehsealatcon. a MISCELLAN EOUS PERMITS Mobile Home ! State lssuance I State Surcharge Sldewalk _ ft Curbcut ---_- ft Demolition State Surcharge Total Miscellaneous permits (E) TOTAL AMOUNT DUE (exctuding dlect^rieat) (A, B, C, D, and E Combined) vitroRrroru: RECEIPT NUMBE AMOUNT RECE RECEIVED BY u'16(D I it located t DATE PAID Dste225 FIFTH STREET SPRTNGFTELD, OREGON nr Or|\*horizu) INSPECTION REQUEST: 726_3169oFFTCE: 726-3759 1. LOCAT .GIFIELO does not requiie epecific land uge ELECTRTCAL PERHTT APPLICATION City Job Nrrm[qr' 3. COHPLETE FEE SCEEDUIJ BELOT/ zoning, ancJ approval. t- .q (! TNSTAITdTTON 3f.A Nev Residential-Single orHulti-Family per dvelling uni.tService fncluded:IJGAL DESCRTPTION JOB Electrical Contractor Address Ci ftems 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manuf,d Home. or - Modular Dvelling Service or Feeder Services or Feedersfnstallation, Alterationsor Relocation: Cos t s 8s.00 's 1s.00 s 40.00 s 50.00 s 60.00 $100.00 s130.00 s300.00 $ 40.00 ?,* Sum Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended ior180 days. 2. COITTRACTOR INSTALLATTON ONI,Y B Seef 200 amps or less ,/201 amps to 400 amps - 401 amps to 600 amps - 60L amps to 1000 amps- Over 1000 amps/volts - Reconnect Only supervisor License Number 33qUS Expiration Date \D\ Constr Contr. Number Expiration Date Signa of Supervising Electrician 0vners Name Add ress Ci ty vhone%Vz7Z OVNER INST ON The installation is being made onproperty I o\,rn vhicli is not intendedfor sa1e, lease or rent. 0vners Signature: DATE Phone C.Temporary Services or Feedersfnstallation, Alteration or Relocation 200 amps"or less S 40.00201 amps to 400 amps - S 55.00over 401 to 600 amps - $ 80.00Over 600 amps or 1000-vofTs see ,,Bu a6ove D. Branch Circui ts Nev, Alteration or Extension per panel One Circui t s 35.00Each Additional Circuit or vith Serviceor Feeder permit .12 S Z. Miscell-aneous (Service/feeder notE 00 ze included )-Each ins tallation Pump or irrigation Sign/0u tline Light ing--- Limi ted Energy,/Res - Limi ted Energy/Comm . SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL s ) $ s 40 40 00 00 00 00 20 36 5 2z.eV--o2-./aRECETVED75 .Ao z ,_o__z _._7, a .) / '\1.