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Home My WebLink AboutPermit Building 1993-07-19SPFlINGFIELD RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726'3759 ?fr, JoB NUMBE" 7 : 225 Filrh street Springfield, Oregon 97477 LocAroN oF pRoposED woRK: - f22 biA>rfe>- ASSESSORS MAP:7 TAX LOT:Jn>'a LOT:BLOCK SUBDIVISION To request an inspection, you must cirll 726-376g. This is a24hour recording. All inspections requested before 7:0o a.m. will be made the same working day, inspections requested after 7:OO a.m. wili be made the fcllcwing work day. REOUIRED INSPECTIONS Xl---l Temporary Electricll Sile lnspection - To be made after excavation, br,rt Prior to setiing forms. U nderslab Plumbing/ Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundalion - After forms are erected but prior to concrete placemen t. Underltoor Plumbing/ Mechanical - Prior to insulation or decking. Posl and Beam - Prior to floor rnsulation or decking. "K Framing - Prior to cover' Vf wattlceilino lnsulation - Prior tola.or"t. ('tr*"ll - Prior to ta'ing' Rough Mechanical - Prioi' tc cover. Rough Eleclrical - Prror to cover. Electrical Service - Must be approved to obtain Pernrar,ent electrical power. Fireplace - Prior to facing materials and framing lnsP. Wood Stovo - After'Installation. ln:crt - After f lrcplacr: approval anri installation of unit. Sidewalk & Driveway -- Arte!' ex()avation is complel,?, {orms a,-,<l sub-base materiat in L,lace. Streot Trees - When ail required tr'Jis are planted. Final Building - When all required inspectlons have been approved and building is completed. Other MOBILE HOME INSPE TIONS Blocking ancl Set-Up - When all blocking is complete. Final Flumbing - When all plumbing wotk is complete. Final Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work is complete. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set-uD, and plumbing inspections have been approved and the home is connected to the service panel. Final - After al! required inspections are approved and porches, skirting, decks, and venting have been installed. K E. E, tl Sanilary Scwer - Prior to fillitrg t ren ch. Storm Sewer - Prior to filling trench. Water Line -, Prior to fillirtg trench. [ --l Crrrbcu! & Approach - AiterLJ i,:r',r,t are crected buI l)ri,)t to pliiceillent of concrete. T-1ll PHONE: ZIP: / STATE: 6r-a /&.. 4> CITY: OWNER: - ADDRESS: ADDITION DEMOLISH OTHER PHONEEXPIRESAa- M-7q; DESCRIBE WORK: CONTRACTOR'S NAME MECHANICAL ELECTRICAL: PLUMBING GENEFIA CONST. CONTRACTOR I/ ---NEW -_- REMODEL USE _tcE \\DK VIJ RANGE: * OF B)RMS: _ OFF \\ ZONiNG CODF.: FLOOD PLAINOUAD AREA: SECONDARY HEAT: SOUARE FOOTAGE:WATER HEATER: CONSTR. TYPEr HEAT SOURCE: LAND USE: # OF UNITSe OF BLDCS: - OCCY GROUP: I OF STORIES: ,X.Rough Plumb!ng - Prior io cover. n z7 </5 \Q.tDLr ) tl tl r tl tl tf F/Floo, lnsulation - Prior t<.r .JArL <iecxing. Underground Plumbing - Pricr to {illing lrench. f-l Fence - When complete(]. i_i i-J tJ n Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Typev - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR N J E ACC :- IS THE PROPOSED WORK IN THE HISTORICAL DISTAICT, OFI ON THE HISTORICAL REGISTER? lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: Plan Reviewed By ##-Recci ved Fleceipt Nurnbe r:- - Datc Pairl Caroortflru-Zkzz% BUILDING PERMIT .TEM Se. FT. X $/SO. FT. = VALUF- ?ar>-n #ru (A)782< Garage Main Total Value Building Permit Fee State Surcharge Total Fee Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT C (B) HARGE (SDC) A-# ADDITIONAL COMMENTS ITEM Fixtures Besidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home .7{/s?t(c) D t N0 FT. FT. FT. PLUMBING PERMIT FEE Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) NoVent 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 pcrformed 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 pernrission of the Building Safety Division. I f urther certify that only corltractors and employees who are in compliance witl.r ORS 701.055 will be used on this proiect. I f urther agree to ensure that all required inspectio.ns are requested at the proper tinre, that eacli address is readable f rom the street, that the permit card is located at the front of the property, and the approved set of plans will remain Date I rucltonon the site at all times during nnu,u,nQd MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut _- ft Demolition State Surcharge Total Miscellaneous Permits (E) VALIDATION!: RECEIPT NUMBER - DATE PAID 7s z) aI AMOUNT RECEIVED RECEIVED BY -- , - TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) I BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, confornr to the Ordinance adopted by the City of Spri ngfield, 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. Pran check Fee:*-- y'E* /3-- <go C'TY OF SPR"VGF'ELD,OREGO'U 5PR!NGF!ELO zoning, end docs not require specific land uee approval.0 ELBCTRICAL PERHIT Hx"al',,Ci ty Job Number Authorue<:ir"- SCEEDTILE BELOV h 225 YTfrfl STRBBf, SPRTNGPIEID, ORBGON 974 INSPBCTION RBQIIEST: 72 OPPICB: 726-3759 1.INSTALIATION nilcnl, permits are non-transferable and expire if vork is not started vithin 180 days of lssuance or if vork ls suspended for 180 days. 2. CONTRACTOR INSTALI,ATION ONLI Address ?, O. lFO{ 14 3, Ct ty,'3on.rm.l;rd Phone 74t-.9,24r, tt L__ Supervisor License Number /1otloS Expiration oare /(t -/ - Q.6i Constr Contr. Number f'r<Rr/q Expiration Date of t Owners Name Address 5q 1 t-, )rpr{f no-a# ci ,(fr, L.0 AT OI'NER INSTALI.ATION The installation is being made on property I ovn which is not intended for sa1e, Iease or rent. Ovners Signature: DATB: Nev Resldential-Single or HuIti-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or -Modular Dvelling Service or Feeder $ 8s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: D. Branch Circuits SUBTOTAL OP ABOVB 5Z State Surcharge TOTAL 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- 0ver 1000 amps/volts Reconnect On1y Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps - $ 55.00 over 401 to 600 anps - $ 8o.oo Over 600 amps or 1000 voT[s see rrBrt a66tE- A B c. Sum JOB DBSCRI 3 $ 1s.00 Erectrical contrac,rr 0 f .( €00 rilnu, 'f0rftn- $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 I Nev, Alteration or Extension Per Panel 'one circuit I $ 35.00 dEach Additional Circuit or vith Service or Feeder Permi, U $ 2.00 lrJX' E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $Sign/0utline Lighting- $Limited Energy/Res - S Limi ted Energy/Comm $ 39. oot3r-- 4o. a5 40.00 40.00 20.00 36.00 5 RECBIVBD