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Home My WebLink AboutPermit Building 1991-08-19SPRINGFIELE'6/l SED WORK: BLOCK: h, LOT: TAX LOT SUBDIVISION: JOB NUMBER RESIDENTIAL PERM!T APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PFIO ASSESSORS MAP: 225 Fifth Street Spri ngfield, Oregon 97 477 PHONE STATE:ztP DEMOLISH OTHER OWNER: ADDR CITY: DESCRIBE WORK: NEW - REMODEL ADDITION ADDRES EXPIRESNI ON qCONT ELECTRICA MECHANI CONST. CONTRACTOR # GENERAL: PLUMBING E_US ttt\ _ OFFICE WATER HEATER: # OF BDRMS LAND USE: ZONING CODE: FLOOD PLAIN: * OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: OUAD AREA: * OF BLDGS: CONSTR. TYPEr HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be made the sam+working day, inspections requested after 7:00 a.m. will be made the following work day. E E Temporary Electric Site lnspection - To be made after excavation, but prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but prior to concrete placement. Underground Plumbing - Prior to filling trench. Waler Line - Prior to filling trench. REQUIRED !NSPECTIONS [Xf nough Mechanical - Prior toG cover. p-Rough Electrical - prior toQ cover. ffi Final Plumbing - When all -plumbing work is complete. \-z- ]rAl*Final Electrical - When ail - electrical work is complete. [!f-flnal Mechanicat - When ailG mechanical work is complete. ______/l)4'l Final Buildins - When ail.,Hrequired inspections have been approved and building is completed. Eleclrical Service - Must be approved to obtain permanent electrical power. Fireplace - Prior to facing materials and framing lnsp. Wood Stove - After installation. lnsert - After fireplace approval and installation of unit. Curbcut & Approach - After forms are erected but prior to placement of concrete. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. [l fence - When completed. Street Trees - When all required trees are planted. Other MOBILE HOME INSPE TIONS , Blocking and Set.Up - When all blocking is complete. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Srr-irrg - Prior to cover. NlWalltCeiling lnsulation - Prior toG cover. ^XI-6w*"|l - Prior to taping f!] U ndertro(fE, -Eii-O/ M echanicat' \ - Prior to-iitsslati5n or decking. ffi Rost and Beam - Prior to floorG insulation or decking. K!"""-l,l;sulation - Prior to ffiSanitary Sewer - Prior to fillingH trench. Ef-"r:""t5 sewer - Prior to fillins ffi-nouStr Plumbing - Prior to - cover. SRNQJ RANGE: E r Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type .-. - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L HSE GAR ACC N c E _, THE PROPOSED WORK 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 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 Recei o/tahr Plans --7n#- Receipt Numbe evt By Plan Check Fee Date Paid upon violation of any of said ordinances X FT.$ \ (A) Total Value Building Permit Fee State Surcharge Total Fee 4,C,? /7t? , o3 BUILDING PERMIT ITEM SQ. FT. Main l.dS Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELo P* t*t,;rAE ffi _ ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE 3 d.oo 3O,@ .t3 (c) N0 FT. FT. FT. PLUMBING PERMIT /.5e .7aPlumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent 1u,il.ch,qeq\ 1.R5 (D)46,a5 Vent Fan /5,aa /0,ao Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood NoI 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 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 of the property, and the approved set of plans will remain I /Signature Date on the site at all times rinq cronstruction MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -- ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E) *2/e, YB DATE PAID AMOUNT RECEIVED RECEIVED BY 2.'36 )> VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 8e%J( G-*84 / I C'TY OF onEGorv 225 PIFTtr STRBBf, SPRINGPTEU), ORBGON 97 477 fNSPECTT0N RBOUBST: 726-3769 OPFICB: 726-3759 1. IJGAL DBSCRTPTION JOB Electrlcal Contractor Address kf qr0 lxln/ral sr"rrs(;FtELo One Circuit Tvo to ten Clrcuits Bach Addtrl ten orportion thereof BI,ECIRICAL PERHIT APPLICATION city Job Number 9,0 8 51 3. COHPI,BTB TEB SCIIBDUIJ BELOV A New Residential-Single or Hulti-Family per dvelllng unit. Service Included: Items Cost 1500 sq;ft. or less Bach additlonal 500 sq. ft or portlon thereof Each Manuf ,d llome or -_Modular DweIIing Service or Feeder $ 8s.00 $ rs.00 $ 3s.00 B. Servlces or Feeders (10 Branch Cireuitsineluded). Installation, Alteratlonsor Relocation: 100 amps or less 10L amps to 400 amps -401 amps to 600 amps -601 amps to 1000 umps- over 1000 amps/volts -Reconnect Only C. Temporary Services or FeedersInstallatlon, Alteration or Relocatlon Supervisor Llcense Number bf'<,-f Bxplration Date Constr Contr. Nuriber -vd Signature of Supervlslng Blectrician 0vners , Address Ci ty Phone OSNBR INSTALLATION The installation ls belng.made onproperty I ovn vhlch is not lntendedfor sale, Iease or rent. Ovners Slgnature: DATE: RBCBIPT *: OP trlo zg 2tt o0103 Sum et Permlts are non-transferable and expireif rlork ls not started vlthln 180 diysof lssuance or tf vork ls suspended for 180 days. 2. CONTRACTOR INSTALINTION ONLY c1 Phone 2h ( $ 3s.00 $ 60.00 $ 90.00 $130.00 $300.00 $ 3s.00 20L amps to 400 amps 0ver 401 to 600 amps -0ver 600 amps or 1000 vom $ 3s.00 s 40.00 $ 80.00 D. Branch Circuits New, Alteration or Extension per panel s see rrBrr above $ 3s.oo $ s0.00 $ 1s.00 5q ao Miscellaneous (Service/feeder not lncluded) -Bach installation Pump or irrigation $ 36.00sign/outline Lighting- $ 36.00Slgnal Clrcult orlimited energy panel_ $ 36.00 suDToT L OF ABOVB _50,005Z State Surcharge TOTAL 2,ry) t-/ B. 5 RECBIVBD B 20- 5z,eio Expiratlon Date $ -0Z.