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Home My WebLink AboutPermit Building 1991-03-12RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 SPFTNGFIELE) LOCATION OF PROPOSED WORK:f t lS \,Oa,-,n Ad.e- Lo JOB NUMBER q toetg 225 Fifth Street Spri ngfield, Oregon 97 477 ASSESSORS MAP:l-)o 3 aeq TAX LOT;oosoo LOT:BLOCK: PHONE: q )L/-)-)OASTATE:ztP *l L+ l--)lt-9OWNER ADDRESS: CITY: 0,4.',rr,*+u{ S^t*lr* Qr^-, J.> :. BlLrur*.,DESCRIBE WORK: - \JDEMOLISH OTHERNEW- REMODEL Y ADDITION ADDRESS EXPIRES PHONECONTRACTOR'S NAME GENERAL:0u;-nrjr- PLUMBING: MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # RANGE: * OF BDRMS: WATER HEATER: _ OFFICE USE _ ZONING CODE: FLOOD PLAINLAND USE: * OF UNITS: SECONDARY HEAT SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: QUAD AREA: # OF BLDGS CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24 hour 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 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. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.l--l Framing - Prior to cover. Other Foundation - 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 INSPECTIONS Underlloor Plumbing / Mechanical - Prior to insulation or decking.Wood Stove - After installation. Post and Beam - Prior to floor insulation or decking.lnserl - 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 is complete, forms and sub-base material in place. Water Line - Prior to filling trench.l-l 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 - Prior to cover. SUBDIVISION: Or.tr...,J'f, E tf E E E tl r E E E r E E T Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type v - lnterior - Corner - Panhandle - Cul-de-sac Set ks _ iHE PROPOSED WORK rN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED PL.HSE GAR ACC N S E VALUE Se -1 S l:-i5 o oC (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport 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. iqquz €B 3J,2-le tDate Paid Receipt Number: Received By: Plan Check Fee; Date ' q.1; 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 PLUMBING PERMIT FEE No FT. FT. FT (c) Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood N0 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 further 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 approved set of plans will remain during construction. Sig natu re Date theof the property, on the site at MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolitlon State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) AS so VALIDATION: REcEtPr NUMBER l4 U trt 3)r>lq r 7 DATE PAID AMOUNT RECEIVED RECEIVED BY " C'TY 225 TIPTII STRBBT sPRrNcrrEID, oREGoN 97477 INSPBCf,I0N RBQUBST. 726-3169 OFBICE: 726-3759 s l Dt I llg, -!: tEL(, BI.ECTRTCAL PBRHIT APPLICATION City Job Number c1 I D\l L/ 3. COHPLETE PBB SCIIBDULE BBLOV Nev Residential-Sing1e or Multi-Family per dvelling unlt. Service Included: Items Cost 1500 sq.ft. or less Bach addittonal 500 sq. ft or portion thereof Each Hanuf ,d llome or -Modular DveIIing Service or Feeder $ 8s.00 $ 1s.00 $ 3s.00 B. Servlces or Feeders (10 Branch Circuits included). Installation, Alteratlons or Relocation: ULC5 1 or I,BGAL DBSCRIPTIONllc4]qq OOqoc JOB DBSCRTPTION r.l aul- k, ls []ectrlcal Contractor Address clty Phone Supervlsor License Number Expiratlon Date Constr Contr. Nuriber Bxplratlon Date Slgnature of Supervlsing Blectrician Ovners Name Address Ci ty Phone 100 amps or less 10L amps to 400 amps 40L amps to 600 amps -60L amps to 1000 .rps- over L000 amps/voIts -Reconnect Only A Sum Permlts are non-transferable and expirelf vork ls not started vlthin 1S0 dlysof lssuance or lf vork is suspended ior 180 days. 2. CONTRACTOR INSTALLATION ONLI .00 .00 .00 130.00 300.00 3s.00 s $ $ $ $ $ 35 60 90 OVNER INSTALI.ATION The installatlon ls being made onproperty I own vhich is not intendedfor sale, lease or rent. Ovner ture: DATB: D. Branch Circults New, Alteration or Extenslon Per Pane1 One Circuit Tr.ro to ten Clrcults Each Addtrl ten orportion thereof *SO.6(-t $ 1s.00 Miscellaneous (Service/feeder not lncluded) -Each installation Pump or irrigation $ 36.00sign/outline Lighti.g- $ 36.00 Slgnal Clrcult or ]imited energy panel_ $ 36.00 SUBToTAL Or ABoVB Sc. oc, 5X State Surcharge TOTAL f,.sd Temporary Services or Feeders Installatlon, Alteration or Relocatlon c 200 amps or less $ 35.00 2oL amps to 4oo amps - g 40.00 -over 401 to 600 amps - g 80.00 Over 600 amps or 1000 voITs see rrgn u$f,[f- p '14L 1r+6(t,u)$ $ 00 00 35. 50. B 5 RECBIVBD BY: 3 ,'sJ so V'