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Home My WebLink AboutPermit Building 1994-08-31RESIDENTIAL PERMIT APPLICAf,ION lnspections: 726-3769 O{fice: 726-3759 LOCATION OF PROPOSED ASSESSORS MAP: LOT: - BLOCK: JOB NUMBER 225 Fifth Street Sp gfield, aregon 97477 TAX LOT SUBDIVISION: - STATE: PHONE: ZIP OWNER: ADDR CITY: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: ELECTRICAL: ADDRESS EXPIRES PHONENAMECONTRACTO MECHANICAL: CONST. CONTRACTOR # GENEFIAL: PLUMBING CEU RANGE:WATER HEATER: -oF * OF UNITS: LAND USE: # OF BLDGS OUAD A FLOOD PLAIN ZONING CODE: # OF BDRMSOCCY GROUP: ,+ OF STORIES: CONSTR. TYPE: HEAT SOURCE:SECONDARY HEAT SQUARE FOOTAGE: To request an inspection, you must call 726-3769. Thls ls a24 hour recordlng. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS El' Site lnspection - To be made after excavation, but prior to setting forms. Underslab Plumblng/ Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Underground Plumbing - Prior to filling trench. Floor lnsulatlon - Prior to decking. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filllng trench. Water Line - Prior to filling trench. Rough Mechanlcal - Prlor to cover. Rough Elecrlcal - Prlor to cover. Eleclrical Service - Must be approved to obtain Permanent electrical power. Flreplace - Prior to faclng materlals and framlng lnsp. Framlng - Prlor to cover. Wall/Ceiling lnsulatlon - Prlor to cover. Final Plumbing - When all plumbing work is complete. Final Electrical - When all electrical work is complete. X "K E X tr' X E Other MOBILE HOME INSPECTIONS Blocking and Set-Up - When all blocking is complete. Plumbing Connections - When home has been connected to water'snd sewer. a Electrical Conneclion - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the servlce panel. f-7'Final Mechanical - When all Hmechanical work is complete. X Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. It'Foundation - After forms areG erected but prior to concrete placement. Eowwatl - Prior to taping. M underlrodmEDnaechanicat /z,----J.\r Prior to ffr-SETaIon or decking. \f,7 Post and Beam - Prlor to floor .JAinsulation or decki ng. X K K K V(nough Plumbing - Prior to lAcover. Wood Stove - After lnstallation. lnsert - After flrePlace aPProval and lnstallatlon of unit. Curbcut &Approach - After forms are erected but Prior to placement of concrete. Sidewalk & DrivewaY - After excavation ls complete, forms and sub-base materlal in Place. l--l Fence - When comoleted. Street Trees - When all required trees are planted. n Temporary Electrlc E E E Final Building - When all required inspections have been approved and building is completed. Lot faces Lot sq. ftg, Lot coverage Topography Total height Lot Tvoe - Interior - Corner - Panhandle - Cul-de-sac ,* THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTOFIICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED P.L,HSE GAR ACC 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 Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time Plan ewed Receipt Numbe Plan Check Fee: Date Paid: Received upon violation of isions of d ordinances. BUILDING PERMIT.'-&S3!q 27 FT. X $/SO.ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee ta?a t?7,676) b{,tu Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SD-C) (B) L)(-l(l ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Oo5 N0 FT. FT. FT. PLUMBING PERMIT FEE 3O Plumbing Permit State Surcharge Total Charge *v?? -1*o7?.vo-#,- ADDITIONAL COMMENTS d*cuE r4sr ' 'L-T 4/nr @/-,M'e b, Wood Stove/ lnsert/ Fireplace Unit Dryer Vent ,- "- ,/o,&o %E(D) 2/4 75 Vent Fan Mechanical Permit lssu ance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood Nol By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all lnformation 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 wlll 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 ls located at the frant of the property, and the approved set of plans will remain Date Xnn"*r,u on the slte at all s during construct MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excludins etectrica D Z"+;zL (4, B, C, D, and E Combined) 23b.<Z 2 DATE PAID 9-7re T AMOUNT FIECEIVED RECEIVED BY VALIDATION: BECEIPT NUMBER S,/zr/2y'---7-D#------t- 7/Sr', ) /5r a sA",- *,Wt4 1frzi'' <Pq *t" Pd<. 57 i r-;^ ,-r;-'s CITY OF OFEGO'V 225 FTFT'fl SltsEBT sPRrNGrrELD, OREGoN 97477 INSPECTTON REOUBST: 726-3769 OFFICE: 726-3759 1. LOCATION OF JOB DESCRIPTION 2. COIITRACTOR Electrical Contrac Address Ci ty Phone The. lollo,ving prolacl zonlng, and docs ilci as submlttocJ has the approval.require L Date Ot t) Authorizecj PERITIT APPIJCATION City Job Nurnber COHPI,ETE FEE SCMDTII.E BELOV ngle or MuIti-Family per dvelling unit. Service Included:ftems Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Hodular DvelIing' Sertice or Feeder $ 8s.00 s 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: SPRINGFIELE, amps or less L-- amps to 400 amps _ amps to 600 amps _ amps to 1000 amps r 1000 amps/volts - onnect OnlY A Sum Permits are non-transferable and expire if vork is not started vithin 180 days of isstiance or if vork is suspended for 180 days. ONLY B 200 20t 40r. 601 0ve Rec s s0.00 $ 60.00 $100.00 $130.00 s300.00s 40.00 g Supervisor cense Number Expiration Date \D\q Constr Contr. Number V3rs')Temporary Services or Feeders Installation, Alteration or Relocationc. Exp iration Date Signa of Supervising Blectrician Ovners Name Address Ci ty Phone OVNER INSTALLATION The installation is'being mafle on property I ovn vhich is not intended for sale, Iease or rent. 0vners Signature: t DATE: 200 amps or 201 amps to 0ver 401 to Over 600 amp SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL less S 40.00 600 amos S 80.00 s or tbO0ETTs see ,B* aEffi D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit t-/' $ 2.00 4 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/Outline Lighting- Limited Energy/Res Limi ted Energy/Comm €zr $ $ $ $ 40.00 40.00 20.00 36.00 DD^ElTITFN 5 ao LEGAL DESCRIPTION/7i3zz /4 oesa-o a') nl