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Home My WebLink AboutPermit Building 1994-08-09MA RESIDENTIAL PERMIT APPLICATION lnspect Office: SPrlINGFIELE, ions: 726-3769 726-3759 h, JoB NUMBE " ?7raa;> 225 Flfth Street Sprlngfleld, Oregon 97477 e LOCATION OF PROPOSED WORK: ASSESSORS MAP:/3-a -2?TAX LOT:a/Pa LOI - BLOCK:SUBDIVISION: - ZIP:STATE: PHoNE: ;^ e2%OWNER: ADDRESS: CITY: NEW - REMODEL AODITION DEMOLISH OTHER DESCRIBE WORK: ADDR EXPIRES PHONECONTRACTOR'S NAME MECHANICAL: ELECTRICAL: CONST, NTRACTOR # PLUMBING: GENERAL: tDKrr l\/ - OFF]CE USE - WATER HEATER A OF BDRMS: ZONING CODE: FLOOD PLAIN:LAND USE: SECONDARY HEAT: SOUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: * OF STORIES; OUAD AREA: r OF BLDGS:# OF UNITS: - , To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS n femporary Electrlc Rough Mechanlcal - Prlor to cover.l--l Flnat Plumbing - When ail 'J plumblng work ls complete. Slte lnspectlon - To be made alter excavatlon, but prlor to settlng forms. l--l Rough Electrica! - Prlor to|J cover.Flnal Electrlcal - When all electrlcal work is complete. [--l Underslab P]umblng/ Electrlcal / - Mechanlcal - Prior to cover. l\{ Footlng - After trenches areG\ excavated. Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flnal Mechanical - When all mechanlcal work ls complete. Masonry - Steel locatlon, bond beams, groutlng. Flreplace - Prlor to faclng materlals and framlng lnsp. ]\/ rtnat Buildlns - when a[A{requlred lnspectlons have been approved and buildlng is completed. ffFramlne - Prlor to cover. Foundatlon - After forms are erected but prlor to concrete placement. Othor - WalllCelllng lnsulallon - Prlor to cover, Underground Plumblng - Prlor to fllllng trench.n Drywall - Prlor to taplng MOBILE HOME INSPECTIONS Undertloor Plumblng I Mechanlcal - Prlor to lnsulatlon or decklng.Wood Stove - After lnstallatlon Post and Beam - Prlor to floor lnsulatlon or decklng.lnserl - After flreplace approval and lnstallatlon of unlt. Blocking and Set.Up - When all blocklng ls complete. Floor lnsulatlon - Prlor to decklng.Curbcut & Approach - After forms are erected but prior to placem€nt of concrete. Plumblng Connectlons - When home has been connected to water and sewer. Sanltary Sewer - Prlor to fllllng trench.Electrical Conneclion - When blocklng, set-up, and plumblng lnspections have been approved and the home is connected to the servlce panel. Storm Sewer - Prlor to fllllng trench. Sldewalk & Drlveway - After excavation ls complete, forms and sub-base material in place. Waler Llne - Prlor to filllng trench. Fence - When completed. Streel Trees - When all requlred trees are planted. Final - After all required lnspectlons are approved and porches, sklrtlng, decks, and ventlng have been lnstalled. Rough Plumblng - Prlor to cover.E ?>> \ \\\tc RANGE: E fl E tl E E E tl E tl E E tl tl E ' lrH:..lx :t Lot faces Lot sg. ftg. Lot coverage Topography Total helght Lot Type / tnt"rit, - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S W E ( -, THE PROPOSED WORK IN THE - HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Hlstorlcal Coordinator prlor to permit issuance. APPROVED: BUILDING PERMIT ITEM SO. FT, Main Garage VALUE ,/e.(o %fo /a7a 22.-Abrr? (A)?/333 33 X $/SQ. FT. Carport Total Value Building Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permit is granted on the express condition that the said construction shall, ln all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of bulldings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. ans fr"i/ l)dle Receipt Numbe Date Paid Received Plan Check Fee:5d-=> 7*3^9/ SYSTEMS DEVELOPMENT CHAR(B) "ftlt"q Systems Development Charge is due on all undeveloped properties wlthln the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) No FT. PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge . FT. ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent (D) NoVent Fan Mechanical Permlt lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned the completed appllcatlon and do hereby cerflfy that all lnformatlon hereon ls true and correct, and I f urther certlfy that any and all work performed shall be done in accordance wlth the Ordinances of the Clty of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed herein, and that NO OCCUPANCy wlll be made of any structure wlthout permission of the Bullding Safety Divislon. I further certify that only contractors and employees who are ln compllance with ORS 701.0S5 wlll be used on thls project. I further agree to ensure that all required inspections 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 will remaln at all times durlng construction. Date MISCELLANEOUS PERMITS Mobile Home State fssuance State Surcharge Sidewalk - ft Curbcut - ft Demolltlon State Surcharge Total Mlscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, Q and E Comblned) 41Zi--# q 7frDATE PAID AMOUNT RECEIVED BECEIVED BY VALIDATION: BECEIPT NUMBER ?-2*fl onEaoN$ITY OF sPlNtia(lr- _-El f tlre t.,i".",,no prolsci as submitted hao thet 7ar ..;; -ioas rrot require speciflc land225 PIFTB STRBET sPRrNcPIBUt, onBGoIf 97477', TNSPBCTfON REOIIBSI: 726-3 OPPICB: 726-3759 E::.: 1.OP \ EIecLrlcal Contrac Address 2 7tr"- PBRI{IT AIPLICATIONu8{, Slgnature of Supervlsl Electrlcian Ovners Address ci Phone OIJNER City Job Nunber 3 CO}IPI.RTE PEE SCHBDITJ BELOS tlal-Single or HuItl-FaralIy per duelling unir. Service Included:Items Cost 1000 sq.ft. or less S 95.00 Each additional 500sq. ft or portionthereof S l5.OO Each Hanuf,d Home or Hodular Dvelllng Servlce or Feeder S 40.00 B C. Temporary Services or'FeedersInstallatlon, Alteratlon or Relocation 200 amps or less g 40.00 201 amps to.400 amps - $ 55.000ver 401 to 600 amps - $ g0.o0 0ver 600 amps or 1000-ToTrs see ,8" aE'6Tf D. Branch Circuits (.rs Nev, Alteration or Extension per panel One Circulg S 35.00Each AdditionalCircuit or vith Serviceor Feeder permit _ $ 2.00 Hiscellaneous (Service/feeder not included)-Each lnstallation Pump or irrigation !f snlou tline Light tng-Limited Energy/Re Llmited Energy/Comm s $ s s a 4 )Sun Permits are non-transferable and expireif vork ls not started vlthln 180 daysof lssuance or lf vork ls suspended tor 180 daIs., 2. CO}IINACTOR INSf,ALITTION ONLY 60 r00 130 300 40 Servlces or FeedersInstallatlon, Alterattonsor Relocatlon: 200 amps or less i S201 amps to 400 amps - S401 amps to 600 amps - S601 amps to 1000 amps- Sover 1000 amps/volts - S 50.00 00 00 00 00 00 n-.f\:4,)u,v 4rfrzl Phon"SE-ZZ?7 supervisof Llcense Number )52O-S Constr Contr. Number Explratlon Date Explration Date At?: 'CtsIVBD ^.4r{ Z_ / o*"3 The. installatloir is beirig made onproperty I ovn uhich is not lntendedfor salel lease or rent. Ovners Slgoature: E 4 4 2 3 00 00 00 00 ( 0. 0. 0. 6. (5 ST'BTOTAII OP ASOVB5I State Sureharge TOTALa a )O L) I I \ )