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Home My WebLink AboutPermit Building 1992-02-27SPRIl{ RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 LOCATION OF PRO ASSESSORS MAP: LOT: \cr\, JOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97 477 TAX LOT: BLOCK:SUBDIVISION PHONE ZIP:STATE: OWNE ADDR CITY: ON - DEMOLISH OTHER WORDESCRI NEW REMODEL AD RES PHONENAMEADDR#CONST. CONTCONTRACTO MECHANICAL: ELECTRICAL: G EN ERAL: PLUMBING trg I \e-RANGE: -oF WATER HEATER: * OF UNITS: LAND USE:FLOOD PLAIN ZONING CODE: # OF BDRMSCONSTR. TYPE: HEAT SOURCE: FICE USE _ tl5() SECONDARY HEAT SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: QUAD AREA: # OF BLDGS To request anihspectlon, you must call 726-3769. This is a24hour 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 Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspeclion - To be made after excavation, but prior to setting forms. Rough Eleclrical - 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. 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. Otherndation - 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 INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. ocking and Set.Up - When all lnsert - After fireplace approval and installation of unit. blocking is complete. Floor lnsulation - Prior to decking. lumbing Connections - When Curbcut & Approach - After forms are erected but prior to placement of concrete. home has been connected to water and sewer. Sanitary Sewer - Prior to f illing trench.ffi"crrical Connection - when ?€/UlocXing, set-up, and plumbi ng ' inspections have been approved and the home is connected to the service panel. Storm 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. nal - After all required nspections are approve g, decks d and Street Trees - When all required trees are planted. porches, skirtin , andRough Plumbing - Prior to cover.venting have been installed l4\tn t f _-, 3a\t0- Fr r E E f_-l Wood Stove - After installation. E I Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac PL.HSE GAR ACC N S E ks ;HE PROPOSED WORK IN THE HrsToRtcAL D|STR|CI OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: X $/SO. FT. f5t5(A) ,J5 % BUILDING PERM!T ITEM SQ. FT. Main Garage Carport Building Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECK AN D 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. Plans Reviewed By Date Receipt Numbe Plan Check Fee: Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B)-a- #Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT, FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace 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 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 re a-er-?z- ctionon the site at al times during const MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) a .'-"f.45 TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) R DATE PAID VALIDATION: RECEIPT NUM AMOUNT R RECEIVED ,NW wro[3li value FT. CITY OF sPrilNGtslELO 225 FIFTE STRBET SPRINGFIELD, oREGoN 97 INSPECTION REQIIBST: 7 0FFICE: 726-3759 376 CI,:I3 1 Permits are transferable and expire lf vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI.ATION OM,Y Electrical Contractor Heritaqe Elect Address 855 I,Jest 24th Avenue Ci ty Euqene Phone 344-1500 Supervisor License Ntimber 9455 Expiration Date ta/ 1/ Constr Contr. Number 63137 Expiration Date 12/27 / Signature of Supervising Electrician LBCTRICAL PERHIT APPLICATTON City Job Nunber COHPI,ETE FEE SCEEDUI^B BELOII Nev Residential-Single or HuIti-FamiIy per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 s 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: t % 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect 0n1y 3 A Sum 4> B 50.00 60.00 100.00 130.00 300.00 40.00 $ $ $ $ $ $ Ci ty Phone om*?rri**rro* The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE: RECEIPT c Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less S 40.00 201 amps to 400 amps _ S 55.00 Over 401 to 500 amps _ $ 80.00 Over 600 amps or 1000 volts see I'B'r above D. Branch Circuits New, Alteration or Extension Per Panel one Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ Sign/outline Lighting- S Limi ted Energy/Res $ Limited Energy/Comm $ STIBTOTAL OP ABOVE 5Z State Surcharge TOTAL D^q4€-s n! n'1 I a Ad 40.00 40.00 20. 00 36.00 5 RECETVED d) CITY OF OFEGO'V SPrr-<GFIELO DEVELOPMENT SERVICES PUBLIC WORKS M ET RO PO LITAN WASTEWAT E B M A N AC E M ENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (50s) 726-s753 MANUFACTURED HOUE SET-UP AGREEMENT ld Development Code,I understand and agree ed pe one As required by the City of Springfiethat vith the approval of the attach manufactured homes vill be placed atSpringfield, 0regon, City Job Number - Manufactured Home blocking - lJater line connection - Street tree standards L I Hanufactured Home. A multi-seetional (double vide or vider) un tv th an en os area of not less than 1,000 square feet.that has a nominal roof pit ch of 3 feet in height for each 12 feet invidth, that has no bare met a1 siding or roofing, and that has beencertified by the manufact urer to have an exterior thermal envelo pemeeting performance standards vhich reduce heat loss to leversequivalent to the performance standards required of single familydvellings constructed under the state Specialty codes. e II Manufactured Home. A uni tofno t less than 12 feet in vidth than 500 square feet, that has .for each 12 feet in vidth and v1 an enc s or area of not less a. nominal roof pitch of 2 feet in heightthat has no bare metal siding or roofj.ng I further state, by my signature belov, that I have been provided vith thefolloving informat ion : - Sanitary sever connection - Electrical connection - Minimum requirements for permanent steps r al-so understand that if I am installing a Type I Manufactured Home, the homeshaIl be enclosed at the perimeter vith stone, brick or other masonry materials,and vith no more than 12 inches of the enclosing material- exposed abtve grade. L-?t 4z igna ture Date t