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Home My WebLink AboutPermit Building 1995-12-19RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726.3759 PRI]tGFIELC, JoB NUMBE a ?* 2- 225 Fif th Street LOCATION OF PFIOPOSED WOBK:.z ASSESSORS MAP:-B>€ TAX LOII @% LOT:- BLocK SUBDIVISION: PHoNE: 2F ^ ^- *rz:-.ct^ CITY: ADDRESS: OWNER: IT-ADDITION DEMOLISH OTHER DESCRIEE WORK: NEW- REMODEL ADD EXPIBES PHONEv'CONTRACIOR'S NAME MECHANICAL: ELECTRICAL: PLUMBING: GENERAL: CONST. CONTRACTOB # _ OFFICE USE _ LAND USE: WATER HEATER: FLOOD PLAIN: r OF UNITS: QUAD AREA: I OF BLDGS: SECONDARY HEAT: SQUARE FOOTAGE: / OF BDRMS: _OCCY GROUP: r OF STORIES: ZONING CODE: --..CONSTR. TYPE: HEAT SOURCE: To req made uest an lnspection, you must call 726'3769. Thls ls a24hour recordlng. All lnspectlons requested before 7:00 a.m. wlll bethe sanle working day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS [--l femporary Etectrlc Rough Mechanlcal - prlor to cover. Final Plumblng ; When allplumblng work ls complete. Slte lnspectlon - To be mado after excavatlon, but prior to setting forms. @ Rough'Electrlcal - Prlor to Flnal Electrlcal - When all electrlcal work ls complete.cover Underslab Plumblng/ Electrical / Mechanical - Prlor to cover.Electrlcat Servlce - Must be approved to obtaln permanent electrlcal power. a Flnal Mechanlcal - When ail mechanical wort( ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framlng lnsp. w Flnal Bulldlng - When alt requlred lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng. l-71 Framlng - Prtor to cover, Foundatlon - After forms are erected but prlor tO concrete placement. Othor Wall/Celling lnsulatlon - Prlor to cover. [-l Unaerground Plumblng - prior .'J to fllllng trench.a Drywall - Prlor to taplng MOBILE HOME INSPE TIONS Wood Stovo - After lnstallatlon [_l lnsert - After flreplace approval - and lnstallatlon of unlt. [-_l elocking and Set.Up - When atl.J blocklng ls complete. Curbcut & Approacl'r - After forms are erected but prior to placemont of concrete.{., Plumblng Connections - When home has been connected to water and sewer. Sanitary Sewer - Prlor to filllng trench.Electrical Connection - When blocking, set-up, and plumbing lnspections have been approved and the home ls connected to the servlce panel. Storm Sewer - Prlor to fllling trench. Sidewalk & Drlveway - After excavation ls complete, forms and sub-base materlal in place. Waler Llne - Prlor to filling trench. Fence - When completed Streel Trses - When all requlred trees are planted. Flnal - After all required lnspections are approved andporchos, sklrtlng, decks, and ventlng have been installed. 'n Rough Plumbing - Prlor to - cover. - srArE: 4v.zrpt 7n? RANGE: E E n Underlloor Plumblng/Mechanlcal Prior to lnsulatlon or decklng. I--l Post and Beam - Prlor to floorlJ lnsulatlon or decklng. n Floor tnsutation - Prlor to.J decking. w tl E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac P.L.HSE GAR ACC N S E * rHE PROPOSED WORK iN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this appllcatlon must be signed and approved by the Historlcal Coordinator prior to permit issuance. A,PPROVED: k Vsav.r" an^P 1t2€, /92 y1 4*,4f,ffz-r-< (A) X $/SO. FT. Main Carport Garage Total Value Building Permit Fee Slatc Surcharge Total Fee .l! VALUE BUILDING PERMIT ITEM SO. FT. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permit is granted on the cxpress 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 Rcviewed [3y I Date Receipl Number Fleceived By Plan Check Fee:, Date Paid: SYSTEMS DEVELOPMENT CHARGE (SDC) /o\ru, Systems Developmcnt Charge is due on all undeveloped properties within the City linrits which are being irnproved. ITEM ) Flxtu res Flesidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE N0 FT. FT. (c) PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent z?zV- ,',tT,4G (D) i25'? Vent Fan Mechanical Permlt lssuance State Surcharge Total Permlt MECHANICAL PERMIT Furnacc Exhaust Hood No By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby cerUfy that all lnformation hereon is true and correct, and I f urther cerilly that any and all work performed shall be done in accordance wlth the Ordinanccs of the City of Sprlngf ield, and the Laws of the State of Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCY will be macJe of any structure without permission of the Bullding Safety Divislon. I further certify that only contractors and employees who are ln compliance with ORS 701.055 will be used on thls prolect. I further agree to ensure that all required lnspections are requested at the proper time, that each address is readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln ti s durlng co Slgnat Date on the site at on. MISCELLANEOUS PERMITS Mobile Home State lssuance, State Surcharge Sidewalk .'- ft . Curbcut - ft . Demolition Slate Surcharge Total Miscellaneous Permils (E) TOTAL AMOUNT DUE (excludlag electrical) (A, B, C, D, and E Comblned) za4 /?'/7-?,DATE PAID AMOUNT RECEIVED BECEIVED BY VALIDATION: RECEIPT NUMBER FT. a€-e) Permit #: Address:4 Issued by:Date: /2'D2S Statemeht: Information Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and2, and either box 3,{ or 38: 1. I own, reside in, or will reside in the completed structure 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3,A.. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify thatthe above information is correct and thatl have read anddo understand Owners about Construction Responsibitities on the reYerse side of this thelnformation form. 2 (White copy to issuing agency permit file, pink coPY to aPPlicant) x ,< Notice to Property of ?.%a.{ t\ CITY OF OREGON 225 FIFTB STREET SPPJNGFIEI,D OREGON 974 INSPEGIION REQIEST. 72 6-r3J.'n6f,uo OPPICE: 726-3759 1 SPh-, GFIELO uso BLE TRICAL PERI{IT APPLICATION Nunber 3.COHPI,ETE FEE SCEEDT'I^E BELOIJ A. Ner.r Residential-Single or MuIti-FamilY Per dvelling unit' Service Included: I tems Cos t s 8s.001000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home. or Modular'Dwelling Service or Feeder $ 1s.00 $ 40.00 B Services or Feeders InstalIation, Alterations or Relocation: , IJGAL DESCRIPTION /i ^'77'aar 2?9a+ Permits ire non-transferable and expire if vork is not started within 180 days of issuance or if work is suspended for 180 days. 2. COIITRACTOR INSTALLATION ONLY Electrical Contractor Address city- Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician 0vners Name Address cit Phone :lff,f\z OITNER The installation is being made onproperty I ovn which is not intendedfor sa1e, lease or rent. 200 amps or less 201 amps to 400 amps - 401 amps to. 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/volts Reconnect Oniy c.Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less 20L amps to 400 amps -0ver 40L to 600 amps 0ver 600 amps or 1000 vorfs Sum ee rBr aE6'iE s s0.00 s 60.00 s100. 00 s130.00 s300.00 s 40.00 ( $ s s s 40.00 55.00 80.00 D. Branch Circui ts One Circuit L/" Each Addi tionalCircuit or vith Serviceor Feeder Permi t ? Nev, Alteration or Extension Per Pane1 s 3s.00 $ 2.oo ={e, q E. MisceLlaneous (Service/feeder not included) -Each installation Pump or irrigation SSign/0utline Lighting- S Limi ted Energy/Res - $ Limi ted Energy/Comm $ 5. SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL 40.00 40.00 20.00 36.00 CA DA RECEIVED D ture: submittod 2 -45