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Home My WebLink AboutPermit Building 1994-02-18SPRII\lGFIELr, RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: \ JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 lq3q l/ t,rc--C-. i$- ASSESSORS MAP:an LOI BLOCK:SUBDIVISION: TAX LOT: PHONE STATE:ZIP:er, _3OWNER: ADDRESS: CITY: NEW - REMODEL ADDITION DEMOLISH OTHER - DESCRIBE WORK: MECHANICALT ELECTRICALi' ADDRESS ACTOR #RES PHONE CONST. CONTRACTOR'S NAME GENERAL: PLUMBING "'i'iiT= - LAND USE: WATER HEATER: * OF BDRMS: RANGE: ZONING CODE: FLOOD PLAIN SECONDARY HEAT SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOUFICE: To request an inspection, you must call 726-3769. This ls a24nour 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 allplumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms.tr Rough Electrical - Prior to E 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. EI Footing - After trenches are excavated.X Final Building - When atl required inspections have been approved and building is completed. Fireplace - Prior to facing materlals and framing lnsp.Masonry - Steel location, bond beams, grouting.lXl rtr.ing - Prior to cover. w Foundation - After forms are erected but prior to concrete placement.Wall/Celllng lnsulalion - Prior to cover. Underground Plumbing - Prior to fllling trench.Drywall - Prior to taping Underlloor Plumbing/ Mechanical - Prior to insulation or decking. MOBILE HOME INSPECTIONS 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 ail blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut &Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanilary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Water Line - Prior to filling trench. Fence - When completed Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Rough Plumbing - Prlor to cover. AL nAlilta;h^ v/v,# OF UNITS: - tl tl E [---l othertt E n E tf Lot faces Lot sq. ftg. Lot coverage Topography Total height E5' Lot Ty,, )( lnterior - Corner - Panhandle - Cul-de-sac IS THE PROPOSED WORK IN THE HISTORICAL DISTFIICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED GAR ACCPL,HSE N S E 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 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. / ^ "8:2/'Plans 0 DateewedBy Plan Check Fee: Date Paid Fleceipt Number: Received By: BUILDING PERMIT VALUE Zlo //l,Eo if-riEmtrt zc, Carpgrt d hrtkt (A) 15, t 74 ,oo SO. FT. X $/SQ. FT. P3 ITEM Main Garage 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 CHARGE (SDC) (B)IG O- ADDITIONAL COMMENTS 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 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 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 further 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 Si "--rq-i'1Date on the all times during construction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) RECEIVED VALIDATION: RECEIPT NUMBER DATE PAI AMOUNT TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) lzz ,3 j Lzz23 FT. f1L-< 3# at 3o gen'a 5B Solear t u/r.\ Th+ 225 PTFIB SIBBEf, SPRINGPIEI.D 0REGON 97417'. INSPBCTION REOUEST z 726-3769 OPPICE: '726-3759 1 J r ?t+t-lqrr..- 3. coHpLETE FEE scEBDtlt;e BELog ' EI,BCIRICAL PERHIT APPLICATION City Job Nunber . Nev Residentia I-single or Hulti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf 'd llome or Modular Dwelling Servlce or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 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 Temporary Services or'Feeders Installation, Alteration or Relocation % 200 amps or less 201 amps to 400 amps _0ver 401 to 600 anps _Over 600 amps or 1000 volts SPRINGFIELO -Each installation Pump or irrigation - Sign/0utIine Lighting- Limited Energy/Res Limited Energy/Comm nffiq+LEGAL t, ,anig<. ' Pefmits are non-transferable and exPire if vork is not started vithin 180 days of lssuance or lf vork is suspended for 180 days. 2. COI{TRACf,OR INSTALI,ATION ONLY Electrical Contractor Address Sllo rnp-rJrn,,.-r Ci ty Phone totr€-{olLl Supervisor License Number Fltq S Expiration Date Plq5 Constr Contr. Number 511 q3E Expiration Date q-l 7-q4 Signature of ising Electrician Ovners Name Address lt{5q Ve,'a Dn Ci ty 5 Phone, ftlohStot{ OSNER INSTALI.ATION The installatioir is beirig made on property I ovn vhich is not intended for sa1e, Iease or rent. 0rners Signature: DATB: D. Branch Circuits Nev, Alteration or Extension Per Panel one circuir t 5 3s.oo 3{ Each Additional Circuit or with Service or Feeder pennir --A $ 2.OO - 1 Miscellaneous (Service/feeder not included) B c E s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Sum 40.00 55.00 80.00 ee trBu affi 00 00 00 00 s $ $ s i N] $40 $40 $20 S36 5. SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL v10u OBEGO'VCITY OF RECEIVED 7r