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Home My WebLink AboutPermit Building 1997-02-11U SPFrInrGFIELORESIDENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726-3755 7020/ LOCATION OF PRO ASSESSORS MAP: POSED WORK:tao2 L.l L JOB NUMBER 225 Fif ttr Street Sprlngtleld, Oregon 97477 07tu-o //TO TAX LOT: LOI BLOCK: PHONE: - 0tzSTATE:ztP OWNER: ADDRESS: CITY: NEW - REMODEL ADDITION DEMOLISH OTHER *v^DESCRIBE WORK: EXPI RES PHONE '22 7J4S1 ECONTRACTOR'S NA ZZ MECHANICAL ELECTRICAL: ADDRESS CONST. CONTRACTOR # GENEFIAL: PLUMBING / OF BDNMS _ OFFICE USE _ WATER HEATER: FLOOD I)LAIN RANGE: QUAD AFIEA: , OF BLDGS SECONDARY HEAT: SOUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: LAND USE: , OF UNITS OCCY GROUP: I'OF STOBIES: ZONING CODE: ___ To request an lnspectl made the sanre workir lon, you must call 726'3769. Thls ls a24hour rccordlng. All lnspections requested before 7:00 a.m. wlll beng day, lnspectlons rcquested after 7:00 a.m. wlll be macJe the following worl< c!ay. REQUIRED INSPECT]ONS [--l Temporary Etecrrlc Rough Mechanical - prlor to Final Plumbing - When allplumbing worl( Is complete.cover. Site lnspectlon - To be made af ter excavatlon, but prior tosetting forms. M Rough Electrical - prior to Final Electrical - When allelectrical work is complete.cover. Underslab Plumbing/ Electrical/ Mechanlcal - Prior to cover.Electrical Service - Must be approved to obtain pcrrnanent electrlcal power. Final Mecharrical - When allrncchanical worl( ls cornplete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng Masonry - Steel locatlon, bond beams, groutlng. materlals and frami ng lnsp. Framlng - Prlor to cover. Foundatlon - After forms are erected but prlor to concrete placement,Wall/Celling lnsulatlon - prlor to cover. Underground Plumblng - prior to fllllng trench.[-l Drywatt - prtor ro taptng Underlloor Plumbing/ Mechanical - Prior to Insulatlon or decklng. MOBILE I.IOME INSPESTIONS Wood Stovo - Af tcr lnstallation Post and Beam - Prior to floor Insulatlon or decl<lng.lnsert - AIter flreplace approval and installatlon of unlt. Blockirrg and Set.Up - When allblocklnll is cornplete. Floor lnsulalion - Prior to decklng.Curbcut & A1>prrqaclt - After forms are erected bUt prior toplacement of concretc. Plumbing Conneclions - Whenhome has been connected towater and sewer. Sanitary Sewer - Prior to fllling trench. t Storm Sewer - Prior to filling trench. Sidewalk & Driveway - Af ter excavation ls completc, forms and sub-base material in place. Electrical Corrnectiorr - Whent:locking, set-up, and plumblng inspections have becn approvedand the home is connected tothe servlce panel. Water Llne - Prlor to filling trench. Fence - When compteted Streel Trees - When all required trees are planted. Firral - After all requiredinspectlons are approved andporches, sklrting, decks, andventlng have been installed. Rough Plumbing - Prlor to cover. SUBDIVISION: tl tl tl \_1 l\'1 | Final Building - When ail \ required lnspections have been \approved and buitding is C{)mpleted. [--l otner r_l fl tl ACCPLHSEGAR N S E Lot faces Lot sq. f tg. Lot coverage Iopograpny Total height Lot Type .v - lnterior -- Corner -- Panhandlc - Cul-de-sac i . THE PROPOSEO WORK iN THE HISTORICAL DISTBICT, OR ON THE HISTORICAL FIEGISTER? - If yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPFIOVED: k DatePlans Reviewed t3y Receipt Nurnbe Plan Check Fee Date Paid Received By: Total Value Building Permit Fee srate surcha ,set&o G'ly &du^r'- Total Fee (A) VALUE Utfr- 7-o 7--+tz'T-' X S/SO. FT. BUILDING PERMIT ITEM SO. FT. Main Garage Carport Systems Development Charge is due on all undeveloped properties within tlre City linrits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS FEE 1. tr2+71, C{y hlpwe 6;v (c) U _b4$o_ a0 ,trO FT. FT. Residential Bath(s) PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge NN Sanitary Sewer Water Storm Sewer Moblle Home ITEM Fix t u res Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnacc Exhaust Hood By slgnature, I state and agree, that I have carefully examlned tlre completed application and do hereby certify that all information hereon is true and correct, and I f urther certlfy that any and all work performed shall be done in accordance with the Ordinanccs of the City of Sprlngfield, and the Laws of the State of Oregon pertaining to thc work described herein, and that NO OCCUPANCY will be made of any structure without pertnission of the Buildlng Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address ls readable from tlre street, that the permit card ls located at the front of the property, and the approved set of plans will remain Slgnature Date on the site at all times during st ru ction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk --- ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Perrnits (E) 2-ll-q72't514 tusEIVED DATE PAID VALIDATION: RECEIPT NUMBER AMOUNT REC RECEIVED BY TOTAL AMOUNT DUE (excluding clectricztl) (A, B, C, D, and E Cotnbinc<l) I BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This 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 o[ said ordinances. W@ F1. SPF, ,FIELO The lollowing projecl as subm,,t;i l-,rs thl {olloi''ing ionin.,, *nJ-Obei not require opecifio lqi'ic ure m 225 YTYTE, STREET SPRTNGFTELD, ORBGON 97477 INSPECTION REQTIEST: oPPfCE: 726-3759 l-DL ELECTRTCAL PEru{TT APPLICATION 72q479_ H-n qq0l4 t 1 JOB psSCRrPTroN. 4fi lm,unnt. /r,/t)tf-t -r permits are #on-transferable and expireif vork is not started vithin 180 daysof lssuance or lf vork is suspended for 180 days., 2. COI{TRACf,OR INSTALI.ATION ONI,T EIecLrlcal Contractor JB Electric Address i786 Bal boa Street cl Euqene Phone 687-5770 Supervisor Llcense Number 38725 Exp lration Date 10=1=gll A B. Services or FeedersInstallation, Alterationsor Relocation: City Job Nunber SCEEDTILE BELOU Nev Residential-Single or MuIti-FarniIy per dvel-ling uni t. Service fncluded: I tems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or -Hodular DveIIing Servlce or Feeder $ 8s.00 s 1s.00 $ 40.00 FJ rt Sum 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only 50.00 60.00 100.00 130.00 300.00 40.00 $ s s $ s s rl Constr Contr. Number 842oOit Expiration Date 6-22-s Slgna Electrician Ovners Address ?.i Phone ON The installation is beirig made on property I ovn which is not intendedfor saIe, lease or rent. 0vners Signature: DATE: Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps or less S 40.00 201 amps to 400 amps - S 55.00 Over 401 to 600 amps - S 80.00 Over 600 amps or 1000 voTts see rrgrr "[f,!f D. Branch Circuits Nev, Alteration or Extension Per Panel one circui! 1- S 3s.oo 3{ Each Additional Circui t or vi th Service -or Feeder Permit 5 S 2.00 lL Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation S 40.00Sign/Outline Lighting- S 40.00 Limited Energy/Res - S 20.00 Limi ted Energy./Comm $ 36. 00 c E 5 SUBTOTAL OP ABOVE 5Z State Surchargerlr#37o RECEIVED -rakl *7 bo \