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Home My WebLink AboutPermit Building 1996-03-22RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726-3759 LOCATION OF PROPOSED WOHK: ASSESSORS MAP: PRINGF JOB NUMBER 225 Fifth Street Springfleld, Oregon gZ 417 tz TAX LOT: LOT BLOCK:SUBDIVISION: PHONE STATE:ZIP: OWNER ADDRESS: CITY: NEW - REMODEL ADDITION DEMOLISH OTHER -. DESCRIBE WORK: ADDRESS PHONE /3o CONTRACTOFI'S NAME ELECTRICAL: EXPIRES GENERAL: MECHANICAL: PLUMBING: CONST. CONTRACTOR # # OF BDRMS - OFFICE USE - LAND USE: WATER HEATER: FLOOD PLAIN: RANGE: QUAD AREA: # OF BLDGS SECONDARY HEAT: SQUARF. FOOTAGE: CONSTFI. TYPE: HEAT SOURCE: ZONING CODE: ___ To request an inspection, you must call 726'3769. Thls ls a24hour recordlng. All inspecilons requested before 7:00 a.m. will bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS Temporary Electric Slte lnspectlon - To be made after excavatlon, but prior to setting forms. Underslab Plumbing/ Electrical/ Mechanlcal - Prior to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, grouting. Foundatlon - After forms are erected but prlor to concrete placement. Underground Plumbing - Prior to filling trench. Underlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decking. Post and Beam - Prior to floor lnsulation or decking. Floor lnsulation - Prior to decki ng. Saniiary Sewer - Prior to f llllng trench. JU*HJ Mechanrcar - Prior to \fi finat plumbing - When alllHplumbing worl< is complete. 'p'l Final Electrlcat - When ail aelectrical work is complete. f]/ftnat Mechanlcal - When ailJ \rechanical work is complete. Slorm Sewer - Prior to filllng trench. Water Line - Prlor to filling trench. I Drywall - Prtor to raptng Wood Stovo - After lnstallatlon lnsert - After fireplace approvql and lnstallatlon of unlt. Curbcut & AJ:proach - 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. Streel Trees - When all required trees are planted. Eleclrical Servlce - Must be approvect to obtain permanent electrlcal power. Flreplace - Prlor to faclng materlals and framing lnsp. Framlng - Prior to cover. Wall/Celllng lnsulatlon - Prlor to cover. Final Building - Whqn alt required lnspectlons have been approved and building is completed. Other MOBILE HOME INSPE TIONS Blocking and Set.Up - When alt blocking ls complete. Plumbing Conneclions - When home has been connected to water and sewer. Eleclrical Connection - When blocklng, 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 ventlng have been installed. -5{ nough Plumbing - Prior to }4\gver. OCCY GROUP: * OF.STORIES: tl E f-l nough Electrical - prior tot--J cover. tf tl E tl E fl tl ACCP.L.HSE GAR N S E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterior - Corner - Panhandle - Cul-de-sac -S THE PROPOSED WORK iN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTEFI? - lf yes, thls application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: BUILDING PERMIT ITEM SQ. FT, Main Garage VALUE (A) X $/SQ. FT. Carport Total Value Building Permit Fee State Surcharge Total Fee 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. Fleceipt Number:-.. Plans Rcviewed By Date Plan Check Fee Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City linrits which are being improved. ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home o)60 N0 FT. FT, PLUMBING PERMIT FEE %.ao Plumbing Permit State Surcharge Total Charge /?o / ,6o (c) ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fl replace Unit Dryer Vent Mechanical Permlt lssuance statesurcharge ,7f f 'y'f Total Permit (D) /,2o 2Z?o 2NVent Fan ,/5w /z2.oo MECHANICAL PERMIT Fu rnace Exhaust Hood Nl / By slgnature, I state and agree, that I have carefully examined the completed appllcation and do hereby certify that all lnformation 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 thc work described herein, and that NO OCCUPANCY will be made of any structure without perrnission 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 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 of the property, and the approved set of plans will remain -"5-?b the site all times during construction. gnafuie Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -- ft Curbcut -_ ft Demolition State Surchargp Total Miscellaneous Perrnits (E) TOTAL AMOUNT DUE (excluding etecrrical) (A, B, C, D, and E Combined) FIECEIPT N DATE PAID AMOUNT R RECEIVED gn VALIDATION UMBER ECEIVED tJY 2egz3 FT. 1-a a€/A-, . t6@ {zso tr6" staH tFt(;F tELo as iequire gPecitic land uss w 225 FIFTE STREET SPRTNGFTELD, 0REGON 974 INSPECf,ION REQTIEST: 72 0FFICE: 726-3759 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. COMRACTOR INSTALI^ATION ONLY Electrical Contractor Address /2it Udx-teo& Ci ty Phone ?rE 3 qb( Supervisor License Number /oqzs Expiration Date - /-9b Constr Contr. Number 4o EI,ECTRICAL PERHIT APPLICATION Ci ty Job Number 3. COHPIJTE FEE SCHEDIIIJ BELOS A Nev Residential-Single or Multi-Family per dvelling unit Service IncLuded: I tems 1-000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Sertice or Feeder Cos t s 8s.00 s 1s.00 s 40.00 B. Services or Feeders Installation, Alterations Sc,1^got Relocation: 200 amps or less 201- amps to 400 amPs - 401- amps to 600 amPs - 601 amps to 1000 amPs- Over L000 amPs/volts - Reconnect 0n1Y C.Temporary Services or Feeders Installation, Alteration or Relocation 200 amps''or less 201 amps to 400 amps -Over 40i to 600 amPs 0ver 600 amps or 1000-vofTs D Branch Circuits Nev, Alteration or Extension Per Panel .ne Circuit t/_ $ 35.00 j*e Each Additional Circuit or vith Service or Feeder Permi r 2- $ 2.00 1:: Miscellaneous (Service/feeder not included)E -Each installation Pump or irrigation Sign/Out1ine Lightirg-- Limited Energy/Res _Limited Energy/Comm 6-A66qtzd 1. LOCATION OF5o DESCRIPTION JOB DESCRTPTTON 0vners Name Address 2 ON L Sum s s0.00 $ 60.00 s100.00 s130. 00 $300.00 s 40.00 Expiration Date - Signa ture of SuPervising Electrician SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL 40.00 5s.00 80. c0 ee rB'' aE6-vE- 374 o /." t ,/7 $ s s /L Ci ty The installation is being made on property I ovn vhich is not intended for sa1e, Iease or rent. Ovners Signature: DATE: flt Phone 7y'6-f/AJ OVNER INSTALT^ATION s s $ s 40.00 40. 00 20.00 36.00 5 RECEIVED BY: 2 z