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Home My WebLink AboutPermit Building 1997-02-27SPFINGF!ELD RESIDENTIAL PER}IIT APPLICATION CITY OF SPRINGFIELD CO!!}!I'NITY SERVICES DIVISTON BUILDTNG SAFETY a Page 1 rlob Number: 921400A 225 North Fifth Street Springfield, OR 97477 LocaUion of Propoaed Work: L275 S 2ND ST Assessors l"tap #: 18030220 Lot: 10 Block: Office fnspect.ion Line 725 -3759 726 -3769 Tax Lot #: Subdivision: 00000 WILLAMETTE SPilNGFIELD, Owner t COZY HOIIES AddTess .. L7L7 CENTENNIAL BLVD Describe Work: RENEW PERMfTS FOR FINAL Phone #: 747-8704 City/State/zi-p: SPRINGFIELD, OREGON 97477 NEW QUAD AREA: 5RSW -- oFFICE USE -- LAND USE: 1111 ZONING CODE: LDR To regueet an inspection, call the 24 howr recording aL 726-3769. A11 inspections reguested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. --- REQUIRED INSPECTIONS --- FINAL PITITMBING - When aII plumbing work is compleEe. FINAIT MECIIAIIICAL - When al-I mechanical work is complete. FINAL ELECTRICAL - When all el-ectrical work is complete. FrNAL BUTLDTNG - when all required inspections have been approved and the building is complete. Item Main Garage FINAL INSPECTION Tota1 Va1ue Building Permit Fee Surcharge/edmin TOTAL FEE --- BUILDING PERMTT --- Square Feet x $/Sguare Feet (A) Val-ue 0.00 0.00 800.00 800.00 15.00 L.20 L6.20 --- PLUIIBING PERMIT --- Item FINAL INSPECTTON Plumbing Permit Surcharge/Admin TOTAL CIIARGE (c) Fee 15.00 15.00 1.20 t6.20 --- UECIIAI{ICAI. PERMIT --- FINAL TNSPECTION Mechanical Permit Issuance surcharge/edmin 15.00 15.00 10.00 L.20 TOTAL PERMIT (D)26.20 IsPFII.GFIELD r7ob Nnnber: 9214OOA a Page 2 --- urscELlAt{Eous PERtrrTs ___Surcharge/Admin INSPECTTON TOTAL MISCELI.ANEOUS PER}IITS 0.00 37.80 (E)37.80 --- TOTAL A}ToT,I\rr DUE ---(Excluding EIect,rical )unless otherwise noted (A, B, C, D, and E combined) CHECK AT.ID BUUJDING PERMTT - - - 96.40 --- BUIIDTNG VAI,I'E, PI.AII This permit is granted on t,he express condit.ion that the said constructionshal-l, in all respects, conform to the ordinance adopted by the city ofsprj-ngfield, including the Development cod.e, regurating the consEruction anduse of buildings, and may be suspended or revoked at any time upon viorationof any provisions of said ordinances. --- ADDITIONAI. COMMEIITS --- By signature, f Etate and agree,that I have carefully examinedthe compleEed applicaLion and do hereby certify that all information hereonis true and correct, and f furt.he r certify that any and aLL work performedshaLl- be done in accordance with the Ordinances of the City of Springfield,and the Laws of the State of Or egon pertaining to the work described herein,and that NO OCCUPAI{Cy wiII be made of any structure without permission of theCommunity Services Division,Building Safety. I further certify that onlycontractors and employees who are in compliance with ORS 701.055 wil1 beused on this project. r further agree to ensure that all required inspeetions are re guested at, t.heproper time, t,hat, each address is readable from the street that the permitcard is focated the front of the property, and the approved set of planswil-I remain site at all times during cons truction. -27-?7Eurete --- VALIDATION --- 2qReceipt Number Date Paid Amount Received: Received By: ') 0 (,0 .n w irt,trlF4t;F tEL(J 225 FIFTH STRNET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 I 0 IN JO o t mi ts are non vork is not issuatrce or Electrical Contractor .l L,DL "rll'.r,ud-'2,1 47 ELECTRICAL PERHIT APPLICATION Ci ty Job Number q I4NA SCHNDULE BELOV Service Included: Items Cos t $ 8s.001000 sq.ft. or Less Each additional 500 sq. ft or Portion thereo f Each Manuf'd Home or Modular Dvelling Sertice or Feeder $ 1s. oo . s 40.00 Services or Feeders lnstallatiot-r, Alterations or Relocation: s s0.00 s 60.00 s1oo.00 s130.00 $300.00 s 40.00 'P ION o t\ B C D Nev Residential-Single or lluf,i-furilY Per dvelling unit' 180 daYs. 2. CONTRACTOR INSTALLATION ONLY ON -transferable and exPire started vithin 180 daYs if work is susPended for s I Sum aEove Addr Ci ty Supe ESS ?l7A ttl,,.,7 , ** 6{'' itrsPhone rVlSO License Number Expiration Date o*1 -L2 "7 Constr Contr' Number /.1 |fl--?? 200 amps or less ;oi ;;; to 4oo amPs -401 amps to 600 amPS --601 amps to 1000 amPS- Over 1000 amPs/volts ---.- Reconnecr 0n1Y SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL I TemporarY Services or Feeders iirl"if"iiot, Alteration or Relocatlon 200 amps''or less 201 amPs to 400 amPS --- 0ver 401 to 600 amPS - 0ver 600 amPS or 1000 volts Expira t ion Da te Signature o f Sup ervising Electrician 0wners Name Add re cir Phone I STALLATION DATE: I 00s40sss $80 see .00 .00 rrBlr \ Branch Circui ts Nev, Alteration or Extension Per PaneL One Circuir I $ 35.00 3'\ - Each Addi tional Circuit or vith Service ;;-F;;;"'Permit - S 2'oo Miscellaneous (Service/feeder not included' The installation is being made on Droperty I own vhich is not intended ior'saIe, Iease or rent' 0r^rners Signature: -Each i.nstallation Pump or irrigation Sign/Outline Lighting.-- Li.mi ted EnergY/Res - Limited EnergY/Comm ca s $ s 40.00 40.00 20 .00 36 .00 RECEIVED B 5 3:U) // T -r]1TT\- CITY OF OREGON ol/ sPr ;qtELO The a3 nol requlro ap*ltlc u00 225 F],YrE STREET sPRrNcSIErD, OREGON 97477 Zonfts)Li)L-* . EIJCTRfCAL PERfiIT APPLfCATfON TNSPBCTTON $EOrrESr:OPEICB: 726-3759 tzffiJjp_l-s-,L"1 Atrnor6eO 1. LOCATTON OP TNSTALI.ATTON I,SGAL DESCRTPTION ,4' JOB DESCRIPTION AT .RM SYS City Job Nunber COHPI^ETE PBB SCEBDT'IJS BBLOV D Items Cost Sum $ 8s.00 s 1s.00 s 40.00 $ 50.00 s 60.00 sr00.00 $130.00 s300.00 $ 40.00 70100 A. Nev Resldential-Single orHulti-Fanily per.dvelling uni t.Service fncluded: permits are non-transferable and expireif vork is not started vithin fgO days-of lssuance or if vork is suspended ?or180 days. CO}rTRACTOR TNSTALIATION ONLI .7-10"1 ,. i'llectrical ContractorADT SECURITY Address 70 NE HANCOCK Ci ty PDX 972L2 phone 284-3265 x22 Supervisor License Number 893 JLE Explration Date 10-1-96 1000 sq.ft. or less Each additional 500 --- sq. ft or portion thereof Each Hanuf,d Home or -Hodular Dvelling Service or Feeder Services or Feeders fns tallation, or Relocation: AI';_era tions 2 200 amps or less 201 amps to 400 amps - 401 amps to 600 amps - 601 amps to 1000 amps- Over 1000 amps/volts - Reconnect Only constr contr. 26-209 cLEExpiration Da Slgnature of Su Omers Address Number te 4-29=94 :> triclan C. Temporary Services or'Feedersfnstallatlon, Alteratlon or Relocation 200 amps 201 anps 0ver 401 0ver 600 or less S 40.!00to 400 amps - S 55.00to 600 amps - $ 80.00 amps or 1000-G'Ifs see nB{ affi Ci ty Phone'),t7-t792- D. Branch Circults SUBTOTAL OP ABOVE 5Z State Surcharge + TOTAL Nev, Alteration or Extension per panel One Circuit S 35.00 . Each AdditionalCircuit or vlth Serviceor Feeder permit _ $ .2.00 Hiscellaneous (Servlce/feeder not included) -Each installatlon Pump or lrrigatlon Si gn/Ou tline Ligh t ing- Limi ted Energy/Res - OVNER The installation is being nade onproperty I ovn vhlch is not lntendedfor sale, lease or rent. 0vners Signature: DATB: E s 40.00 s 40.00 s 20.00 $ 36.00 RSCEIVBD 5 o0-00 1 .60-zreI-- l, JOB DESCRIPTION Pcrmits arc non-transferable and expire it vork is not started vlthin 180 days of issuance or if vork ls suspended for 180 days. 2. CO}rITACTOR INSTALI.ATION ONLY lilcc trical Cont rac tor Addr:css 3l'lO l,t )<,s* I 11h lr,ore 3431353 BLECTRICAL PE.RHIT APPLI CATION Ci ty Job Number o COHPLIiTE I'EB SCIIEDULB BELOV Nev Residential-Single or HuIti-FamiIY Per dvelling unit' Service Included: I tems Cos t $ Bs.oo $ 15.00 s 40.00 200 amps or less 20L amps to 400 amPs - 0ver 40L to 600 amps - Over 600 amps or 1000 volts s 2.00 5t.r ilN(;l: ll:Lt) 1000 sq.ft. or less Each addittonal 500 sq. ft or portion t lre reo f Each Manuf 'd llome or Modular Dwelling Service or Feeder STMTOTAL OP ADOVE 5f State Surcharge TOTAI, Services or Feeders Installatlon, Alteratlons or Relocation: 200 amps or less 201 anrps to 400 amps - 401 amps to 600 amPs - 601 amps to 1000 amps- Over 1000 amps/voIts - Reconnect 0nIY s s0.00 $ 60.00 $100. 00 $130. 00 $300.00 s 40.00 00 00 00 ee ilB" a6oTe Branch Circui ts Nev, Alteratlon or Extension Per Panel One Ci rcui t Each Addi t ional Circui t or vi tlr Service or Feeder Permi t s 35.00 Air,'i 225 III}TII STRJ':Ii]' ' sPruNGFIllLt), 0RIiGON ylnl iHspr,.crroN REQUIIsT 7?-6-3-t69 u[X1-0FPICE: 7?.6-3759 i t-Ztr4l"'3. 1. riff.g INSTA.LLATION t -i c;/ 1t,')l LBGAiffo3 L DESCRITTIION 'i;.'- La Sum B Supervisor License Ndnrber 2DB Ll (, lixpiration Date Cons I r contr. Number Z/ES / Ii>:piration Date -7 of Su pc IS EIec t ri cian D Ouners Name ,1^ 0 Temporary Services or Feeders Installatlon, Alteration or Relocation Ci ty Arld ress t1.t4 C E s $ $ s 40. 55 BO D (I Ci ty 1il Ptrone 147 ?l OVNIiR IN:;'TALLATION The instaLlation is being made on property I ovn vhich is not interrded for sa1e, lease or rent. Ovners Signaturc: DATE: RIiCEI l'liscellaneous ( Service/ feeder -Each installation Prrmp or irrigation + S Sign/0utline Lighting- $ Limi ted Energy/Res - S Limi ted Energy/Comrn S not included) 40.oo w 40.00 20. 00 IiI.:(:I.:IVT:1) IIY 5 4 €rugp't /o-/-?-l (r/ Ra/tSti a:Ma€ SPrrI]\rGFIELO RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 LocArroN oF PRoPosED woRK: /27-5z h, JOB NUMBER 225 Fifth Street Spri ng f ield, Oregon 97 477 /) ASSES-SORS MAP:TAX LOT: LOT:BLOCK:SUBDIVISION To request an inspection, you must call 726-3769. This is a 24 hour recording. All rnspections requested befcre 7:o0 a'm. will be made the same working day, inspections requested after 7:00 a.m. will be made the foiiowing work day. REOUIRED INSPECTIONS f-l TemporarY Electric ll x. Site lnspection - To be tnade af ter exca'ration, bu'' Prior to setting forms. K & Rough Mechhnical - Prior to cover. Final Plumbing - When all plumbing work is complete. Final Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work is complete. Blocking and Set-Up - When all blocki ;'lg is compiete. Plumbing Connections - When home has been connected to water and sewer. Eleclrical Connection - When blocl<ing, set-up, and plumbing inspections have been approved and the honre is connected to the service panel. Final - After all required inspecticns are approved and frorr:r'les, skirting, decks. and ventinq have br,en irrstalled. El Rough Electrical - Prior toGcover. r & K K,, E K K t Underslab Plumbing/ Eleclrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, boncj beams, grouting. Foundation - After forms are erected but Prior to concrete placement. Electrical Service - Must be approved to obtain Permanent electricai power. Fireplace - Prior to {acing materials and framing lnsP. Framing - Prior tc cover, Wall/Ceiling lnsulation - Prior to cover. Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPE TIONS K Underground Plumbing - Prior to filling trench. Underlloor Plumbing/ Mechanical - Prior to insulation or decking Posl and Beam - Priot to flocr insulation or decking. Floor lnsulation - Prior to decking. Sanilary Sewer - Prior to fi:linll trench. f_-j Storm Sewer -- Prior to filiin,) trench. Waler Line - Prior to filling trench. Rouglr Piuntbing - Pr!.'rr to X[ OrVwatl - Prior to taring Wood Stove - Af ter !nstallation lnserl - Aiter fireplace aPProval erld instailation of un.'. l'- I Curl.lcu! & Approach - Afteru fornrs are e rccted bt t ':ricr to 1.;iacernent ol concrete. Siclewalk & Driveway - After {rxcavation is coi"ipietc, fo:'rns and sub-base n::ttc ria! in PIace. I--l Fence - Vy'hen ccr:roleted. Streei t-rces._ 1.,,;t::n 3ii ic1;rrire.i 1,.jrl .i d, r i)lirrli.-.,:, Pi-IONE STATE * & CITY: ADDRESS OS,'NER: DEMOLISH OTHER DESCRIBE WORK: NEW r-he.ruooel ADDlrloN - PHONEEXPIRESADDRESS GENERAL: __a_y/4l&_ PLU M BI NG CONST. CONTRACTOR # ELECTRICAL: ---- RANGE # OF BDFIMS: OUAD AREA HEAT SOURCE: FLOOD PLAIN WATER HEATER: CONSTR. TYPE: - _ OFFICE USE _ OCC'/ GROTJP: .--. SECONDAFY HEAT SOUARE FOOT,AGE: ZONING CODE: , OF STORIES:.--=- LAND USE: X X.aover. r-!ti I AD tl E tl fl r ,,r, ?74a 7 CONTI]ACTOR'S NAME ilaz Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L HSE GAFI ACC iS IHE PROPOSED WOFIK IN.IHE r.ilsioFilcAL olsTRrcT, oR oN THF. HISTORICAL REGISTER? --_._lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: N .) VALUE (A) adz^soFru X $/SO. FT. 66?o Total Value Building Permit Fee State Surcharge Total Fee 2Z6.g / y'}o -3D9,zo BUTLDING PERMIT ITEM SQ. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This perrilit is grantr:d on the express condrtion that the said construction shall, in all respects, conform to the Ordinance ardopted by ttre City of Springfield, including the Developrnent Cocle. regulating the construction and use of builcJings, and may be suspended or revoked at any time upon violation of any provisions of said ordrnances. 'cviewed 3yPI 4/-/",?3- Plan Check Fee: __QO Date Pairl: Receipt Number Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B)N/^ Systenrs Dcveloprrrent Charge is due on all undevelopecl properties witlrin the City limits which are being improvecl. zr.o S (c) N0 FT. FT. FT. <O SO. J4a- Fixtu res Residential Bath(s) FEE *5o,o? Plumbing Permlt State Surcharge Total Charge PLUMBING PERMIT lTEtvl Sanitary Sewer Water Storm Sewer Mobile Home ADDITIONAL COMMENTS tloue ueflQ\tu lkanZ -wlTtt ffi?utfl"EwilTs_DF tuul )(Ua7 ??/Mrq) .4s Ag.q4qex6/OA-W y'aru/fi 4/@ru/alfr Wood Stove/ lnsert/Fireplace Unit Dryer Vent (D) N 245 tn/L) / 5 9€ o. aa a5 Vent Fan Mechanical Permit lssuance State Surcharge Total Permit M ECHANICAL PERMIT Furnace Exhaust Hood N"1 By signature, I st;rtc and agree, that I have caref ully exarnined the compietc'<1 alrpiication and do hereby certtfy that all information l:e rec:n is tiue and correct, and I f urther certify that any and all lv<.rrk performeci shall be done in accordarrce with the Ordinarrcus cl the City of Springf ield, and the Laws of the State of Olcgon pertaining to the work described lierein, and lirat NO OCCUPT\NCY will be made of any structure without perrnrssion of the Building Safety Division. I further certif y tlrat orrly contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I f urther agree to cnsure that all required inspections are requested at the proper time, that each address is readable from the street, that tl'le permit card is located at the front of tlre property, ano thc approved set of plans wlll remain Date K,onu, :33-- on the site irnes d u)!*Tnstruction. (--'c- MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) J1a?oPlaa fslt* ' TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 5L4./5 VALIDATIOI'J: RECEIPT NUM DATE PAID AMOUi{T REC RECEIVED AY T E -E 2.25 11I[TII STRI':IiT SI'IUNGFIT,:LI)' ORI|GO}'I 9 INSPP,CTION REQUIIST: oFPICE: 7?-6-3759 uK_ lli'o!.r, nn 4-z-t.s P,LECTRICAL PBRHIT AP PLICATION City Job Number SCIIEDULB BBLOII Nev Residential-Single or HuIti-PamilY Per dwelling unit' Service fncluded: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portlon tlrereo f Each Manuf 'd ltome or Modular Dwelling Service or Feeder $ 8s.00 $ 15.00 s 40.00 :;t.lllt{(;l:lt:LD SUBTOTAL OT ADOVB 5f State Surcharge TOTAI, % 1.ON OII INST PTION I} DE P ts are non-transfera ble and expire if vork is not starte d wlthin 180 daYs of issuance or if vork ls suspended for 180 days. 2. CONIRACTOR INSTALLATION ONLY Iilcctrical Contrac tor nddr:ess 3/ZOo /ftt 3/3'.<<z 20 -'/c Services or Feeders Installatlon, Alteratlons or Relocation: 200 amps or less I ior u*p" to 4oo amps T 401 amps to 600 amps - 601 amps to 1000 amPs- Over 1000 amps/volts - Reeonnect OnIY One Ci rcui t Each Addi t ional Ci rcu i t or vi t lr Serv or Feeder Permi t A Sum B L $ s0.00 $ 60.00 Ci ty Plrone $100.00 $130.00 $300.00 $ 40.00 s 3s.00 not included) 40.00 20. 00 Supervisor License Ntimber Expirarion Date I Constr Cont r. Number 2/,<9 / Expiration Date -/ -z Si rre f.sing [.leetrician Ouners Name A<ld rcss City I'lronr: OVNER ALLATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Osners Signature: DATE: RIiffiI Temporary Services or Feeders Installatlon, Alteratlon or Relocation 200 amps or less $ 40'00 over 4b1 to 6oo amps - S Bo.oo ! 0ver 600 amps or 1000 voITs see I'Brr above Branch Circults Nev, Alteratlon or Extension Per Panel C D ice /t /\ \\_p s 2.00,!\ E.l'{iscellaneous ( Service/ feeder -Each installation Pump or irrigation $ sign/outline Ligtrting- $ Limi terl Energy/Res - S 5 IIIiCI']IVI.iD I}Y: d) A\4ry) c- /\\X-7g ,ONEGO'UTTV OF s!"UNGFTI:L[:) t ab 225 FIFTB STRBET SPRINGFIEIJ, oRBGON 97 477 INSPBCTION REQITBSTT 726- OFPICE: 726-3759 ELECTRICAL PERI{IT APPLICATIONLDK OF INST Permits are non-transferable and expireif vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. City Job Number CO}TPI.BTB FEE SCHEDULE BBLOV New Residential-Single or HuIti-FamiIy per dvelling unit. Service Included: Items Cost ttot 7-[$ a- 1 A tffryk?\'ffilT con l).(<l)Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 *5.* (c g 1s.oo 7O,* $ 40.00 $130.00 $300.00 $ 40.00 aSoE 40.00 00 00 00 L- 2. E1 Ad Ci Su Expiration Date Constr Contr. Number Expiration Date Si ture of Supervi trician Ovners Name Address Ci ty Phone OIJNER INSTALLATION The installation is being made on property I or*rn vhich is not intended for sale, lease or rent. Ovners Signature: DATE:z- RECEIPT Temporary Services or Feeders Installation, Alteration or Relocation Services or Feeders Installation, Alterations or Relocat ion: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect 0n1y STIBTOTAL OP ABOVB 5Z State Surcharge TOTAL CONTRACTOR ONLY B l- ectrical Contract dress Phone pervisor cense Ntimber 00 00 00100. s $ $ 50. 60. c 200 amps or less t- $ 40.00 201 anrps to 4oo amps - $ 55.00 0ver 401 to 600 amps _ $ 80.00 Over 600 amps or L000 volts see rrBrr g D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pttmp or irrigation Sign/0utIine Lighting- Limited Energy/Res Limited Energy/Comm $ $ s $ 40. 20. 36. 5 2ta/n.7s RECEIVED BY: 2^*,75 \-c {cllcwin zoning, nitc.l approval. RESID ENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726'3759 JOB NUMBER q 225 Flfth Street Sprln0f leld, Oregon 97 477 ) ,7-7{.', ODJ LOCATION OF PRO M TAX LOT: AS BLOCK:SUBDIVISION LOT: To request an inspection, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons request lnadethesameworklngday,lnspeCtionSrequestedafterT:0oa.m.wlllbemadethefollowlngwork REOUIRED INSPECTIONS D( ru*o"rarv Electric >( X Rough Mechanlcal - Prlor to oover. Rough Electrlcal - Prior to (:over Flreplace - Prlor to fatlng materlals and framlng lnsP. Framlng - Prior to cover. Wall/Celling lnsulalion - Prlor to cover. Wood Stove - After lnstallatlon lnsert - After flrePlace aPProval ancl lnstallation of unlt. Curbcut & APProach - After forms are erected but Prlor to placement of concrete. Sidewalk & DrlvewaY - After excavatlon ls comPlete, forms and sub-base materlal ln Place. Fence - When completed Street Tleee - When all requlied trees are planted' NlZ'finat Plumbing - when all F{ ptumblng work ls complete. dFlnal Electrlcal - When all A{ electrlcal work is comPlete' lVaFlnal Mechanlcal - When all .l ( mechanical work ls complete. ]TFlnat Bulldlng - When all Arequlred lnsPectlons have been approved and building ls comploted. ed before 7:00 a.m. w day. lll be Other Blocking and Set.UP - When all blocking ls comPlete. Plumblng Connectlons - When home has been connected to water and sewer. Electrlcal Connectlon - When blocklng, set.uP, and Plumblng lnspectlons have been aPProved and the home ls connected to the servlce panel. al - After all requlred Site lnspectlon - To be made af ter excavatlon, but Prir:r tcr settlnO lorms. Underslab Plunlbing / Electrlcal / Mechanical - Prior to cover. Footlng - After lrenches are excavated. Masonry - Steel locatlon, bon(l beams, grouting. Foundatlon - After forms are erected but Prlor to concrete placement. Underground Plumbing - Prlor to fllllng trench. - Prlor to on Posl and Beam - Prlor to floor lnsulatlon or decklng. Floor lnsulallon - Prior to clecklng. Sanltary Sewer - Prior to fllling trench. Slorm Sewer - Prlor to fllllng trench. Water Llne - Prlor to fllllng trench. D( rl X X "K "K E X. X tr \/i etecrrlcal Service - Must be A"pptoved to obtain Permanent electrlcal Power. Xx ,K fiotr*ult - Prlor to taplng MOBILE HOME INSPECTIONS lnspectlons are approved and porches, sklrtlng, dbcks, and venting have been lnstalled. PI]ONE l7r ?tr/z/ZIP: L STATE: ?q 7 7?OL/ CITY: OWNER: ---, ADDRESS: NEW I/ REMODEL ADDITION DEMOLISH OTHER F.D-fDESCRIBE WOFIK ADDFlESS 3v3t3f)tu /1s EXP 7 qrl ELECTRICAL: CONTRACTOT1'S NAME MECHANICAL: -,--- PHONE Ja'7_6-7!L 1qrl37a CONST. CONTRACTOR '' (] F- N F t1A L.: trt tJMflll'lG: T, /,tl--€. T C ros s- 3+P: 7- CONSTR. TYPE: HEAT SOURCE: RAI.IGE: r OF BDRMS: ZONING CODE: FLOOD PLAIN ,{ OF STORIES: --- WATER HEATER SECONDARY HEAT SO LAND USE: , ot: uNl'rs OUAD AREA: ,, OF BLDGS OCCY GROU umbl Rough Plumblng - Prlor to cover. ,. i lD *tr o tl Lot Type - lnterlor A CbrnerI -- Panhandle - Cul-de-sac GARP.L.HSE ACC N 40'#L S ttu E S THE PROPOSED WORK IN THE HtsToRtcAL DtsTRlcL oR oN THE HISTORICAL REGISTER? - lf yes, thls appllcation must be signed and approved by the Hlstorlcal Coordinator prlor to permlt issuance. API)FIOVED: 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 rtay bc strspended or revoked at any time ewecl By ExSQ. a/*D+dqp*ro oi4 o)(A) Beceipt Numl.let:-- Recei ordlnances. BUILDING PERMIT Value ITEM Main Garage Buildlng Permlt Fee State Surcharge Total Fee rus/€6s 74sr les, ::":"."1:;"?iru:Hd' ., Date Paid Systems Developrnent Charge is due on all undeveloped propertles wlthln the City llmits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B)N/ ADDITIONAL COMMENTS #1 ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE /?2,t' aca------/--b2,l: FT. FT. FT. (c) Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ flreplace Unlt Oryer Vent /zr 3G,79 tuA 4s-o---_i_---- (D) {o2'/o oa I ve l.?e MECHANICAL PERMIT Mechanical Permit lssuance State Surcharge Total Permlt Fu rnace Exhaust Hood Vent Fan By signature, I state and agree, that I have caref ully examined the completed application and do hereby certlfy that all lnformatlon here<;n ls true and correct, and I f urther certify that any and all work performed shall be done in accordance wlth the Ordinances of the Clty of Sprlngf ield, and the Laws of the Slate of Olegon pertainlng to the work described hereln, and that NO OCCUPANCY will be made of any structure without pertnission of the Building Salety Divislon. I further certify that orrly contractors and employees who are ln compliance witlr ORS 701.055 will be used on thls proiect. 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 ls located at the fronl of the property, and the approved set of plans will remain,TYon the site at al Slgnature g constructlon. Date TOTAL AMOUNT DUE (excluding electrlcal) (A, B, C, Q and E Combined) I MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition %a2-L-z-73 AMOUNT RECEIVED - RECEIVED BY -- - _//,G/2 Lot faces W Lot sq. rrs, 5Al9 Lot coverage -fr% roposraphy X5/b Totat hetsht t2r,5 * *f Bbd.SITE tlkz No4 -.----r- VALIDATION: RECEIPT NUMBEII, DATE PAID INGFIELr, RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 ?fr, JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 ,A) LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT:BLOCK: TAX LOT: SUBDIVISION PHONE: ADPI STATE: * v:7---7CITY: ADDRESS: OWNER: 5,- z?4 b'= hztDz4trut; fyL ) BEMODEL ADDITION DEMOLISH OTHER 7:_TDESCRIBE WOFIK: \r er'' NEW PLUMBING: MECHANICAL: ADDRESS EXPIRES PHONECONTRACTOR'S NAME ELECTRICAL: GENERAL: CONST. CONTRACTOR # V-N 3? 7s)2ffi7-zt?4 ?KErrn LAND USE: WATER HEATER: _ OFFICE USE -.,1/ * OF BDRMS: RANGE: ZONING CODE: FLOOD PLAIN: E OF UNITS: 5's c' AL SECONDARY HEAT: SQUAFIE FOOTAGE: OCCY GROUP: * OF STORIES: QUAD AREA: # OF BLDGS CONSTR. TYPE: HEAT SOURCE: To request an lnspection, you must call 726-3769. This ls a24hour recording. All lnspections requested before 7:00 a.m. wl made the same working day, lnspections requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS Temporary Electrlc Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be macie after excavation, but prior to setting forms. [--l Rough Electrical - Prior toU cover.Final Electrical - When all electrical work is complete. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtaln pernlanent electrical power. Final Mechanical - When all mechanical work is complete. X Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. Final Building - When all required inspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, grouting.Framlng - Prior to cover. Foundalion - After forms are erected but prior to concrete Other ent.Wall/Ceiling lnsulalion - Prior to cover. Underground Plumbing - Prior to filling trench.l--l Drywatt - Prior to taping MOBILE HOME INSPECTIONS Underlloor P!umblng/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnserl - After fireplace approvql and installation of unit. Blocking and Set.Up - When all blocking is complete. Floor lnsulalion - Prior to decking.Curbcul & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Water Llne - Prlor to filling trench. Slreet Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover. qz(lac tDir/Vr//,urqre _LA<_ E E tl E E fl tl E E E E l--l Sidewalk & Driveway - After 'J excavation is complete, forms and sub-base material in place. l--l Fence - When completed. tl E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac. ks PL.HSE GAR ACC N S E IS THE PROPOSED WORK IN THE HISTORICAL DISTBICI, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPBOVED: VALUE -&f*€e ffss 53pa(A) 5m;% BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fee SQ. FT. X $/SO. FT.ITEM Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This perrnit is granted on the express condition that the said conslruction shall, in all respects, conform to the Ordinance adopted by the City of Spri ngfield, 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. Receipt Number:_ Plans Floviewed By Date 5 Date Paid Received By: Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Resldential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) FT. N0 FT. PLUMBING PERMIT FT. Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have carefully examlned the completed application and do hereby certify- that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, 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 Divislon. I further certify that only contractors and employees who are ln compliance with ORS 701.05S will be used on this proiect. 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 permlt card is located at the front of the property, and the approved set of plans will remain Date -.-_- X g natu re on the site at all times construction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) y';zze TOTAL AMOUNT DUE (excluding electricat) (A, B, C, D, and E Combined) *S,rq /2 -/r- - 1L 5, g?DATE PAID AMOUNT FIECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER