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Home My WebLink AboutPermit Building 1992-12-30SPRTNGFIELORESIDENTIAL PERMIT APPLICATION lnspections: 726-3169 Office: 726-3759 LOCATION OF PROPOSED WORK: JOB NUMBER 72 225 Fifth Street Springfield, aregon 97 477 TAX LOT /2-oASSESSORS MAP:/70?/7 3 s LOT:BLOCK:SUBDIVISION ,UATED PHONE: tvb A STATE q)Ll 7 >ztP..CITY:9Prtb. ADDRESS: OWNER: NEW - REMODEL l- ADDIT|ON DEMOLTSH oTHER o0rLADESCRIBE WORK: PHONE 0 s,tJ ,7T.l-zzHfq3 CONTRACTOR'S NAME MECHANICAL ADDFIESS PLUMBING: GENERAL: EXPIRES A{.ta q3 CONST. CONTRACTOR # ELECTRICAL: - I]ANGE # OF BDRMS: - OFFICE USE _ FLOOD PLAIN: ZONING CODE SECONDARY HEAT: SQUABE FOOTAGE: OCCY GROUP: *'OF STORIES: QUAD AREA: * OF BLDGS: CONSTFI. TYPE HEAT SOURCE: LAND USE: # OF UNITS To reguest an inspectlon, you must call 726'3769. Thls ls a 24 hor-rr recording. All inspections requested before 7:00 a.m. wlll bemade the same working day, lnspections reguested after 7:00 a.m. will be nrade the following work day. REOUIRED INSPECTIONS l-l Temporary Etectric Rough Mechanical - Prior to cover. Final Plumbing - When allplurnbing work is complete. Site lnspection - To be macle after excavation, but prior to setting forms. .M3g'r" Electrical - Prlor to K Final Electrlcal - When all electrical work is complete. Underslab Plumbing/ Electrical/ Mechanical - Prior to cover.Electrical Service - Must be approve,d to obtain perunanent electrical power. Final Mechanical - When all mechanical work ls complete. Footing - After trenches are excavated.Flreplace - Prior to faclng materlals and framlng lnsp. KJ nal Building - When all quired inspections have been Masonry - Steel locatlon, bond beams, grouting. approved and building is completed. ffi framing - Prior to cover. OtherFoundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulalion - Prior to cover. Underground Plumbing - Prior to filling trench.l-_l Drywall - Prior to taping MOBILE HOME INSPE TIONSUnderlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approvql and installation of unit. Blocking and Set.Up - When all blocking ls complete. Floor lnsulalion - Prior to decki ng.Curbcul & Approach - After forrns are erectecl 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 plumblng inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filllng trench. Water Llne - Prlor to fllllng trench.[-l fence - When completed Slreet Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and ventlng have been installed. Rough Plumbing - Prior to cover. ) 1_ 1) o eb) sRNN WATER HEATEFI: fl E tl E E E tl l-l Sidewalk & Driveway - Af tertJ excavation is complete, forms and sub-bas€) material in place. E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type _ - lnterior - Corner - Panhandle - Cul-de-sac ks i.- rS THE PROPOSED WOBK lN 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: P.L HSE GAR ACC N S E VALUE 6e ,79 / 5,7{(A) t tr64oY(a.rD f BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fee SQ. FT, X $/SQ. FT.ITEM 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. Plans RevieweO 6'/Date //a Receipt Numbe Date Paid: Received By: 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 Flesidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. FT. PLUMBING PERMIT 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 MECHANTCAL PERM!T Fu rnace Exhaust Hood By slgnature, 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 pertainlng 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 ln compliance with OBS 701.055 will be used on this prolect. 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 nature Date of the property, and t approved set of p lans will remain the site at all ti du ring struct MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) )< 7f DATE PAID o -72 .7-fAMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER Plan Check Fee: - N0 2.25 ttll''l'll l;TRlilir sl,ruNGFIIiLl), 0ltIi(;ol{ 97 471 INSPI|CI'I0N RDQUIIS'I': 726-3'169 0FI'ICE: 72.6-3751) T.qft, ILECTRICAL PINHIT APPLICATION ci ry Jolr nu^ttec C1 ) l) Q:1 SCIIEDULB BBLOV Nev Residential-Single or HuItl-FamiIy per dvelllng unit. Servl ce Incltrded : Items Cost 1000 sq.ft. or less $ 85.00 Each addltlonal 500 sq. ft or portlon tlrereof $ 15.00 Each Hanuf 'd llome or Modtrlar Dvelling Service or Feeder $ 40.00 Services or Feeders Installatlon, Alteratlons or Relocatlon: 200 amps or Iess 201 anrps to /r00 amPs - 401 amps to 600 amPs - 601 amps to 1000 amps- Over 1000 amps/volts - Reconneet 0nIY Temporary Services or Feeders InsiaIIatlon, Alteration or Relocatlon 200 amps or less S 40.00 over /,b1 to 600 amps - S 00.00 , Over 600 amps or 1000 voTis see ,0" above Branch Clrcui ts Nev, Alteratlon or Extenslon Per Panel oneclrculr I S35.00 3Sfo Eaclr Addi t ional Circui t or vi tlr Service or Fee<ler Permit - $ 2.00 -l'liscellaneous (Service/feeder not tncltrded) -Eaclr installation Plrmp or irrigation Sign/0utline Lighting- Limi ted Energy/Res Limi ted Energy/Comtn st IIToTAL 0p ADoVE 5I State Surclrarge TOTAI, J_DA \\-q -) U'eff 1 TION OI' IN LLATI A LECAL DT.ION1U)tq?;]Dt)ol D flrrrtl c^iL Pcrnrits arc non-transferable and explre 1f vork is not started vlthin 180 days o[ issrtance or i f vork ls suspendetl for 100 days. 2. CO}N'RACf,ON INSTALINTION ONLY Iilcctrical Contractor l)nn I Addr:ess Sum I Ci ty hlArr,,,z l'hone ,TVtfSta{ Ttttls s 50.00 s 60.00 $100.00 $130.00 $300.00 s 40.00Strpervisor License Nrinrber Iixpiratiorr Datc Con:; t r Con t r. Numbc r L [<,q'q C Expiration Datc Sign ature of Su pervising Electrician D. Ouners N,e Arld rcss a) Ci ty onc OUNIiR INS'TALLATION The installation is bcing made on propcrty I ovn vhich is not intended for sale , Iease or t'en t . ovncrs Signaturc: DAI'E: RNCNII'T E s s s $ 00 00 00 00 40. 40. 20 (, rrli('l.iIVIit) IIY: 5 36 a t i,i ti r