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Home My WebLink AboutPermit Building 1994-07-06RESIDENTIAL PERMIT APPLICATION lnspectlons: 726-3769 Offlce: 726-3759 LOCATION OF PBOPOSED WORK: JoB NUMBE a ? 7as 7 225 Flfth Street Sprlngfleld, Oregon 97477 & ASSESSORS MAP:/867^a-2"o TAX LOT LOT - BLOCK:SUBDIVISION ztP;a/=^STATE: PHONE:2>1^,/=-- z2>CITY: ADDRESS: OWNER: € DEMOLISH OTHEB DESCRIBE WOBK: PLUMBING: ADDRESS EXPIRES PHONECONTBAGTOR'S NAME GENERAL: coNsT. CONTRACTOR # h-"iTiiFRSI") WATER HEATER: -o Y OF UNITS: LAND USE: ZONING CODE: FLOOD PLAIN: SECONDARY HEAT: SOUARE FOOTAGE: CONSTB. TYPE: HEAT SOURCE: BANGE: OCCY GROUP: * OF STORIES: OUAD AREA: I OF BLDGS: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be made the same worklng day, lnspectlons requested afler 7:00 a.m. wlll bo made the followlng work day, REOUIRED INSPECTIONS Temporary Electrlc Rough Mechanlcal - Prlor to cover. Flnal Plumblng - When all plumblng work ls complete. Slte lnspectlon - To be made after excavatlon, but prlor to settlng lorms. TR Rough Electrlcal - Prlor to m Flnal Electrlcal - When all electrlcal work ls complete.cover. tl m D s E tl Underslab Plumblngl Electrlcal / Mechanlcal - Prlor to cover.ry Electrlcal Servlce - Must be approved to obtaln permanent olectrlcal pgwer. - nr:,i Flnal Mechanlcal - When all mechanlcal work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framlng lnsp. m Flna! Bulldlng - When all requlred lnspectlons have been approved and bulldlng ls completed.Masonry - Steel locatlon, bond beams, groutlng. W E Framlng - Prldr to cover. Foundatlon - After forms aro erected but prlor to concrete placement.WalllCblllng lnsulatlon - Prlor to cover. Underground Plumblng - Prlor to fllllng trench.lTl DrVwall - Prlor to taplns. MOBILE HOME INSPE TIONS Underltoor Plumblngl Mechanlcal - Prlor to lnsulatlon or decklng.Wood Stove - Aftor lnstallatlon. Post and Beam - Prlor to floor lnsulatlon or decklng.lnserl - After flreplace approval and lnstallatlon of unlt. Blocklng and Set.Up - When all blocklng ls complete. Floor lnsulatlon - Prlor to decklng.Curbcut & Approach - After forms are erected but prlor to placemont of concrete. Plumblng Connectlons - When home has been connected to water and sewer. Sanltary Sewer - Prlor to fllllng trench.Electrlcal Connection - When blocklng, set-up, and plumblng lnspectlons have been approved and the home ls connected to the servlce panel. E Storm Sewer - Prlor to fll'llng trench. Sldewalk & Drlveway - After excavatlon ls complete, forms and sub-base materlal ln Place. Water Llne - Prlor to fllllng trench. Fence - When completed. Rough Plumblng - Prlor to cover. Stroet Treee - When all requlrad trees are planted, Flnal - After all required lnspectlons are approved and porches, sklrtlng, decks, and ventlng have been lnstallecl.tl a21/a * MECHANlCAL: , OF BDRMS: -EE n E tl [--lother- tl E ': r .i ..-- til Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type _ - lnterlor - Corner - Panhandle - Cul-de-sac S THE PROPOSEO WORK TN THE. -HISTORICAL DISTRICf,, OR ON THE HISTORICAL BEGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Hlstorlcal Coordlnator prlor to permlt lssuance. APPROVED: P.L.HSE GAB ACC N S W E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permlt ls granted on the express condltlon that the sald constructlon shall, ln all respects, conform to the Ordlnance adopted by the City of Springfleld, includlng the Development Code, regulating the construction and use of bulldlngs, and may be suspended or revoked at any tlme upon vlolation of any provisions of said ordlnances. /v2u8 Plans Bevlewed By /2zz- a Date Receipt Numbe = Recelved By: Date Pald:6:722Plan Check Fee: VALUE / %z?rzao i^ Er&& BUILD!NG PERMIT 6,J3.qa*.fl Total Value Bullding Permit Fee State Surcharge Total Fee st\k\."il. (A) SO. FT. X $/SQ. FT.ITEM Maln Garage Carport Systems Development Charge ls due on all undeveloped propertles wlthln the City llmlts whlch are belng lmproved. SYSTEMS DEVELOPMENT CHAR (B) GE (SDC) D6e; ITEM Flxtures Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE I (c) N0 FT. FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS EL+f Vi ,, ; r dF Wood Stove/ lnsert/Flroplace Unlt Dryer Vent (D) N0Vent Fan Mechanlcal Permlt lssuance State Surcharge Total Permlt MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed applicailon and do hereby certlfy that all lnformatlon hereon ls true and correct, and I f urther certlfy that any and all work performed shall be done ln accordance wlth the Ordlnances of the Clty of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY wlll be made of any structure wlthout permission of the Bulldlng Safety Dlvlslon. I further certlfy that only contractors and employees who are ln compllance wlth ORS 701.055 wlll be used on thls project. I further agree to ensure that all requlred lnspectlons are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans wlll remaln lgnaturex, Date on the sl all times durlng constructlon MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolltlon State Surcharge Total Mlscellaneous Permlts (E) TOTAL AMOUNT DUE (excludlng electrlcal (A, B, C, D, and E Comblned) i5.3r / 7 74a. c 47AMOUNT BECEIVED RECEIVED BY DAI'E PAIO VALIDATION: RECEIPT NUMBER ctlYoF City Job Nunber OFFICE: 726-3759 u"-kJtA*HPI.^ETB FEE SCHEDULE BELOY 1. LOCATION OF fip A Nev Residential-SingI Hulti-FamiIy per dwel Service fncluded: fiJ,f$*f'"T:f;fecrRr CAL PERHIT APPLICATION %lolltcwlng 200 amps or less 201 amps to 400 amps -0ver 401 to 600 amps _0ver 600 amps or 1000 volts 225 FTFTB STREET SPRINGFIEI.^D ,oREGoN 97477 INSPECTION RBQT,BSTZ 726-3769 ,u IAGAL DESCRIPTION/9o5 oz u 61y'rc JOB DESCRIPTTON Permits are non-transferable and expireif vork is not started vlthin 180 days of issuance or if vork is suspended for 180 days. 2. CO}ITRACf,OR INSTALIATION ONLY Electrical Contractor Address ci ty-Phone Supervisor License Ndmber Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician ovners na e Jfq hSf..lol<l1 Address & 1,000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Hanuf'd Home or Modular DweIIing Service or Feeder eorIing unit. Items Cost $ 8s.00 s 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Reloca t ion: 200 amps or less l-- 201 amps to 4OO "rps -401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 arnps/volts Reconneet Only C. Temporary Services or Feeders Installation, Alteration or Relocation Sum B s s0.00 $ 60.00 s100.00 s130.00 s300.00 $ 40.00 SL* 00 00 B" aBiE $ 40. $ ss. S 80. see rl 00 city \204.Phone 72A -/39 6T OIJNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. rs Signature: DATE: RECEIPT D. Branch Circuits Nev, Alteratlon or Extension Per Panel One Ci rcui t $ 3s.00 Each Additional Circuit or vith Service or Feeder Permi t / S 2. 00 Zf. E. Miscellaneous (Serviee/feeder not included) -Each installation Pump or irrigation sign/outline Light ing- Limi ted Energy/Res Limi ted Energy/Comm .52,@ 2,60@-Li!_ 5G, t'o $ $ s s 40. 40. 20. 36. 00 00 00 00 STDTOTAL OP ABOVE 5Z State Surcharge TOTAL 5 3% J...r..ua aLLu '*v\ff'ryry r RECEIVED BY: