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Home My WebLink AboutPermit Building 1991-03-07SPRINGFTELE'iRESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 o/ h, LOCATION OF PROPOSED WORK: -:55 3 3trt^ ASSESSORS MAP: LOT:BLOCK:SUBDIVISION TAX LOT: PHON E: OR ztPSTATE: -3 CITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: GENERAL: Ok) '- '_ EXPIRES PHONEADDRESSCONTRACTOR'S NAME MECHANICAL: ELECTRICAL: PLU M BI NG: CONST. CONTRACTOR # # OF BDRMS RANGE:WATER HEATER: _ OFFICE USE _ \\\\ ZONING CODE: FLOOD PLAINQUAD AREA: g OF BLDGS: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS To request an inspection, 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. REOUIRED INSPECTIONS [--l Temporary Electricll Rough Mechanical - Prior to cover. Final Plumbing - When all 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. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. Masonry - Steel location, bond beams, grouting. Other Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.ffi'oU*"ll - Prior to taping MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After 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 - After forms are erected but prior to placement of concrete. Plumbing Conneclions - 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. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation ls complete, forms and sub-base material in place- Water Line - Prior to filling trench. Fence - When completed Rough Plumbing - Prior to cover. Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. ?6a-o I &RSO E E r l--l Framing - Prior to cover. 'lYf finat Building - when all ,A<equired inspections have been alproved and building is completed. Er r E E E T tl E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior Corner - Panhandle - Cul-de-sac S ks PL.HSE GAR ACC N S E ,o THE PROPOSED WORK lN THE HISTORICAL DISTRICT, OB ON THE H ISTORICAL REGISTER? _- lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT.VALUE 7,f / 5.7f 8f'-* (A) 2/,0t /5 o"Total Value Building Permit Fee State Surcharge Total Fee Main Garage Carport Fleceived By: A/aPtaninevl&eo Ey Date Receipt Numbe Plan Check Fee: Date Paid SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. 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 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 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 on the site at all times during construction. Sig natu re Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Combined) 7{ /7/zs 7 AMOUNT RECEIVED RECEIVED BY DATE PAID VALIDATION: RECEIPT NUMBER 7 t '*a- 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. BU TLT' ING T' IU I$ IIN Ji}EI+ C] T SXS 1.E INAt .VALUH* 800 -A Ittr RESS- 3S5 S SSIH ST Itfi5[H I trtrtIl'lAL[ ftES IirENIE -T}hJNER- NANCY BEANT'ENEELS 4H5.3488 16?S I.'ILtAI.IETTE $TAEET [iufiENE, 0REfiCIN 97401 * INEO"- }IEPA IB RH$ ITIHNT IAL 1111 17A?',el4t036#0 9I0307 / 910531 .ENEBISY- -$TAT$* HEAT 1- 2- BLI'E ZENH HIO- STfiR IES TLOOITPLA IN RANGE. BETIR},I OCC I:RF INSULAT ION UN IT$ PATI{. $N TIiET CON$T TYPE -T0NTHACT0AS- GENL*OI.'NHR CONTRACTOR FHONE" PLI,IB. ELECT*C & $ 14E[H" ITESGN* -LEGAL*L0T trl0ct{Y ffI.IAT' AREA 3RSI sH&-REntJ IREIr pEHH IT$-* ----rEE-*SURCHARtiH-*trATE-*EEf,PT*-UAT-**----UALUE OO l -OO;l-BU ILT' INfi PERI'I IT OO.J-OO4*ELEITR If,AL $EN*HINII,IUMIN$PECTIONS+REIIUTREI.IENT$----EXPNATE-*-ACTNATII* 001-01 L*ttRYtJALI" OO?*O}9-T INAL BU ILTI ING OO3*04?*ROUGH ELEf,THIf, O04-044-ELECTHIC SENVIf,E OO5-049-F INAL EI.ECTR ICAL OOI-011-t'RYt,JALL OO?.04?-ROUGH ELECTRIC OO3-o4?*NOUEH ELECTT( IC OO4-044-ELECTR IC SERV ICE 005-01 1*nHYL'AI"L 006*0tg_E INAI BUltt,INfi O07-049-E INAL EI.ECTR ICAL 008-019_E INAL t{U ILIr INfi 1S.00 6CI,00 NO ELECT. APPL. t,,IR ING E ISHET' C/N 0.75 3.00 910307 9103 13 194?3 601 1946i 500 800 0 $nfi-* IN$pECT IoNS--*- -C0lltlENT$-..**- ..[IATE*--R$I"T*- INtiP I 10314 910314 9r0319 910319 I I 0335 91051. G I 10516 !,10s31 I I 03?5 I t 0s31. I 10319 !) 1031f] 'l t 0516 NOTCIH UGE CItt OH fiK NI]TOH uH 0li at)dtJ 35 35 4frJ l.J 3B 313 49 il8 225 PTYTII STREEf, sPRrNGPrElJ, OnBGON 97477 INSPBCTI0N RBOUEST: 726-3769 OPPICE: 726-3759 1 LOCATION ASs do. OF INSTALI.ATION 38tht SPRIAJC,FIELO EI^ECTT,ICAL PSR}ET APPLICATION Ctty Job Nunbe r ?/A Za 3. COI{PI^RTE TEE SCEEDT'I.E BELOV A. Nev Resldential-Slngle or Hultl-Famlly per dvelllng unlt. Servlce rncruded: rtems cost Sum IJGAL DESCRIPTIONo O JOB DESCRIPTION ohn,nnr. 'tto$ut-h.0 r I odd' xdtntn r.-(--T- Permits are non-transferable and explreif vork is not started vlthin 180 daysof issuance or lf vork is. suspen{ed for 180 days 2. CONTnACTOR INSTALI3:TION ONLY Electrical Contracto" C4S 6'0ootUn, 0.nn,. Address cit Phone lttl -1,3t-, Supervlsor License Nunrber tb9 1,s Expi ratlon Daie Constr Contr. Number Explration Date ture of ng Electrlclan 0vners Name Address 1500 sq.ft. or less - S 85.00 Each addltional 500 sq. ft or portion thereof $ 15.00 Each Hanuf,d Home or Hodular DveIIlng Servlce or Feeder $ 35.00 Servlces or Feeders (10 Branch Clrcults lncluded). Installatlon, Alteratlons or .Relocatlon: B 100 amps or less 101 arrps to 4OO amps -T- 401 amps to 600 anps -601 anps to 1000 anps Over 1000 arops/volts Reconnect OnIy 200 amps or less S 201 anps to 400 amps - S over 401 to'600 anps - $ Over 600 amps or 1000Efis s .69,-s $ 3s.00 s 60.00 $ 90.00 s130.00 s300.00 $ 3s.00 c Temporary Servlces or Feeders Installatlon, Alteratlon or Relocatlon ct 0- OgNER INSTALIATION The installation ls belng made on property I ovn ehlch ls not lntendedfor sale, lease or rent. Ovners Signature: DATE: RECEIVED BY: &m-q-ryur ?hone 4gS- gisg D. Branch Circults Nev, Alteratlon or Extenslon per panel One Clrcult Tvo to ten Circuits Each Addtrl ten orportlon thereof s 1s.00 E. SUBTOTAL OF ABOVE 5Z Stdte Surcharge TOTAL 35.00 40.oo 90.00 ee trBr aEo-v-il Lh Ot) 35.00 50.00 s $ Hlscellaneous (Service/feeder not lncluded) -Each lnstallatlon Pump or irrlgatlon S 36.00slgn/outline Lightlng- S 36.00 Slgna1 Circult or limlted energ'y panel_ $ 36.00 5 7.oo b?" oo qL, DEVELOPMENISEPY'CES PUBLICWORKS M ETROPOLITAN WASTEWATER MANAGEMENT 225 FIFTH SIBEEI SPR/NGF/ELD. OR 9747 / (50s) 726-375s JuIy 25, 1990 CERTIFIED LETTER Mr. Tony Curcio Mr. John Rippet 285 South 38th Street Sprlngfield, 0regon 97478 Dear Mr. Curcio and Mr. RiPPet: 0n April 6, 1990 you requested an additional ten (10) days to choose an elecirical contrattor to perform the vork at 285 South 38th Street, Springfield, gregon, as required by a correction notice vritten on March 6, 1990. To date' I havE not recelved an application for an electrical permlt from either.you or an electrical contractor. please contact me at 726-3790 vithin ten (10) days to inform me of your plans to obtain the electrical Permlt. ncerely sa Hopper Building Techn I an cc: Bob Murray, Electrical Inspector aOF OREGOA' SP IFIELE, ) (: Job No. CITY OF SPRINGFIELD Development Services 225 North 5th Street Building Division Date 3-?-?o e/JOB ADDRESS TO c 3 a c) Q),{ c -z*6{"-qr7> a o 0rO {,. CALL FOR REINSPECTION - INSPECTOR 1P-L ****CALL FoR: - tNSPEcroN 726-3269 - TNFORMATTON: 726-3759.... \ -1 7 /3 )I{.a-a -, p L ,_.q.., )1-{ t, } \