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Home My WebLink AboutPermit Plumbing 1994-08-01RESIDENTIAL PERMIT APPLICATION lnspectlons: 726.3769 Office: 726-3759 FIELE, JoB NUMBE a o ruD E'a 225 Flfth Street Springfleld, Oregon 97 4?l LOCATION OF PROPOSED WOBK: ASSESSORS MAP;/2^a 3Bf-.-2./TAX LOT %aa LOT BLOCK:SUBDIVISION PHONE: ztPSTATE:?72>v -O)arOWNER: ADDRESS: CITY: ADDRESS EXPIRES PHONE ELECTRICAL: CONTRACTOFI'S NAME DESCRIBE WORK: MECHANICAL: PLUMBING: GENERAL: CONST. CONTRA TOR # BANGE: * OF BDRMS: - OFFICE USE _ WATER HEATER ZONING CODE: FLOOD PLAINQUAD ABEA: * OF BLDGS: SECONDARY HEAT: SQUARE FOOTAGE: LAND USE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m, wlll be made the same worklng day, lnspectlons requested after 7:0O a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS Temporary Electrlc f] l:.:nn Mechanlcat - Prtor to ffi Finat,ptumbing.- When an - cover. -+- plumblng work is complete. Slte lnspectlon - To be made after excavatlon, but prlor to settlng forms. Rough Eleclrlcal - Prlor to Final Electrical - When all electrical work is complete.cover, tl Underslab Plumblng/ Electrlcal/ Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flnal Mechanical - When all mechanical work ls complete, Footlng - After trenches are excavated.Flnal Building - When all requlred lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng. tl Foundatlon - After forms are erected but prlor to concrete placement. Other Underground Plumblng - Prlor to fllllng trench. MOBILE HOME INSPECTIONS Underlloor Plumblngl Mechanlcal - Prlor to lnsulatlon or decklng. Post and Beam - Prlor to floor lnsulatlon or decklng.lnsert - Alter flreplace approval and lnstallatlon of unlt. Blocklng and Set.Up - When all blocklng ls complete. Floor lnsulatlon - Prlor to decking.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanltary Sewer - Prlor to fllling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prlor to fllllng trench. l_l Sldewalk & Drlveway - After 'J excavatlon is complete, forms and sub-base materlal ln place. Water Llne - Prlor to fllllng trench. Fence - When completed. Rough Plumblng - Prlor to cover. Streel Trees - When all requlred trees are planted. Final - After all required inspections are approved and porches, sklrting, decks, and venting have been lnstalled.w # OF UNITS: - fl tf tl E tl l-l Flreptace - Prlor to faclng - materlals and framlng lnsp. l--l Framlng - Prlor to cover. l-l Wall/Celllng tnsulatlon - Prlor to|J cover. J-l orywall - Prlor to taptng. [---l Wooa Stove - After lnstallatlon.ll E tl tl tl tl :PL.HSE GAR ACC: N S E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac -TS.THE PROPOSED WORK TN THE - HISTOBICAL DISTBI T, OR ON THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPBOVED: VALUE (A) X $/SO. FT. Total Value Buildlng Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condltion that the said constructlon 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 lre suspended or revoked at any tlme upon violation of any provisions of sald ordlnances. Receipt Number:- Plans Reviewed By Date Date Pald Recelved 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 Besidential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE ?t?4 E (c) FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge . FT. ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rn ace Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned the completed appllcation and do hereby certlfy that all lnformatlon hereon ls true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the Clty of Springfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed herein, and that NO OCCUPANCy will be made of any structure without permission of the Bullding Safety Divislon. I further certlfy that only contractors and employees who are in compllance with ORS 701.0S5 wlll be used on lhls 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 permit card ls located at the front of the property, and the approved set of plans will remaln Date a uri Slgnature on the slte tructlon. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -_ ft Demolitlon State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (exctuding electrical) (A, B, C, Q and E Comblned) a*/-?qDATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: BECEIPT NUMBER I FT. CITY OF SPF'A'GFIELD, OBEGO'V Tho lollowlng proiecl as eubmltto'rJ h* the iJnini, "noabes not require speciiic lanu approval. SP}rIlTGFIELE, uso EI,ECTRTCAL PER}IIT APPLICATION City Job Nunber %o a7/ SCMDIILE BELOS Nev Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost L225 FTFirH STREBT SPRTNGFIELD, OREGON INSPECTION REOIIEST: 0FFICE: 726-3759 1. LOCATION '\{sl*u*ur* Airhorlred ggnature- U r-l--:r-6ffltrIrFm *ff/r> t 2-A LEGAL JOB DESCRIPTION 2. CONTRACTOR INSTALLATION ONIY 6l_d D,Electrical Contractor Oq-tLt-*^, ' )7a3 SS- 4 oe@o Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL $ 8s.00 ee trBrr aEove L Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if r^rork is suspended for 180 days. I Address i{ 6 L*t l6 Ci ty e-- t, r-^-"-- Yno"e 6) '1o17 - Supervisor License Number Expiration Date to *7s Constr Contr. Number -/s 77 ? Expiration D_ate Signa ture of SuPervising Ovners Name l-.1,1-Cs4-rrzly.-t Address ?ob +6\ Ci ty .v<r phone {t6 ^\1o/ $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Rel-ocation: 200 amps or fess 201 amps to 400 amps -401- amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amps/volts - Reconnect 0n1Y Temporary Services or Feeders Installaiion, Alteration or Relocation 200 amps or less 201 amps to 400 amPs -Over 401 to 600 amPs - Over 600 amps or 1000 volts Braneh Circuits Nev, Alteration or Extension Per Panef One cireuit .-/ $ 35.00 3* Each Additional Circuit or vith Service oi reeaet Permi t /O $ 2 ' 00 lZ* MiseelLaneous (Service/feeder not included) -Each instal-lation Pump or i.rrigation $ 40'00 Liili ted Energy/Re. -- $ 20 ' 00 B L- t $ s0.00 $ 60.00 $100.00 $130. 00 $300.00 $ 40.00 $ $ ) S c. D E 40.00 55.00 80.00 OVNER INSTATLATION The installation is being made on property I ovn vhich is not intended f or sal-e, lease or rent ' Ovners Signature: 5 7 DATE: RECEIVBD fo/6 1- I l+ )/ - ffiE 7/.ta'r- 15 4fl/,uq /DlFl ru x/Sal V,kr,z,7 Gr:zt'*+)%sy'hc 225 FIFTH STREET SPRTNGFTELD, OREG0N 97477 INSPECTION REOTJEST.. 726-3769 0FFICE: 726-3759 1. LOCATI OF INSTALLATI LEGAL DESCRIPTION JOB DESCRIFTION Permits are non-transferable and expire if vork is not started vithin I'80 days of issuance or if vork is suspended for 180 days. 2. COI{TRACTOR INSTALLATTON ONLY Electrical contrac rcr StMg -JUyefL Address city LU 7'Phone /-,P.''<-7a7 7 Super,visor License Number Explration Date Constr Contr. Number Expiration Date O Signature of Supervising Electrician SPRINGFIELE' BI,ECTRICAL PERHIT APPLICATION Ci ty Job Nunber 3. COHPTETE FEE SCEEDULE BELOS A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost L000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or -Modular Dvelling Service or Feeder $ 40.00 B Services or Feeders Installation, Alterations or Relocation: SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL C One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscell-aneous (Service/feeder not included) 200 amps or less $ 50.00 201 amps to 400 amps - $ 60.00 over 1b00 amps/volts - $300.00 Reconnect oniy = $ 4o.oo @r* Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amfs to 400 amps - $ 55.00 - over 4b1 to 600 ambs - $ 80.00 - over 600 amps or rbOO voTEs see rrgtt "ffi Branch Circuits Nev, Alteration or Extension Per Panel -Each installation Pump or irrigation $ sign/outline Lighting- $ Liili ted Energy/Res -- S Sum z D 0vners Name Address Ci ty Phone OVNER INSTATLATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE: 40.00 40.00 20.00 36.00 RECEIVED BY: 5 L -/'tdfu<ae fu-aF.r /{) " o ?- 60 /.20 -Z'T'F' -1 CITY OF SPRINGFTELD Fire & Life Safety 3r' 1q l 3'lJ JD(of ilof1/t L -\>-ql FIRE DAI4AGE P.EPOP.T OR ELECTRICAL HAZARD DATE: TO: FROl,'l: SUBJECT: Bu i I d'i ng Depa rtmen t Spri ngf i el d F'ire Department Structurai Damage to Bui 1 d'ing |lo lb,zl')obw LO trt /^ 77. b*Address or location of buildinq Name of o!/ner G ?allcs Tyoe of building ./0 5 Dwe'l I i ng, Srore, l^jarehouse, etc. S c ?zzf7 ( Estimated value of bui'lding Estimated'loss to bui'ldinq 5 Date of fire Location of dama-oe in building Roof, Wal I , Exterior, interior, etc. ) Structural weakness as a resu'lt of the fire (Burned raf ters, Beams, .-1oists, etc. ) Addj tional pert'inent information El ectrical Hazard CC: ( Siqned lllirinc, 0utlets, etc. ) i\,(..tI ( l' i I RESIDENTIAL PERMIT APPLICATION lnspectlons: 726.3769 Offlce: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT ELO JOB NUMBEB b 225 Fifth Street Sprlngfleld, Oregon g7 4ll L )Z 2-TAX LOT:eO Zo-n OWNER:PHONE:q\3 CITY:0fl-q,\l rqztPSTATE: \ 0rY5\o -:l ADDRESS: L 'P.r. qCDESCRIBE WORK:,.S\ NEW - BEM.DEL -{-ADDITION DEMOLISH OTHER EXPIRES PHONE( \x,^Jr5 PLUMBING: GENERAL: MECHANICAL: ELECTRICAL: CONST. CONTRACTOR #CONTRACTOR'S NAME FCU'N'< -S..'"TUSI}ODRESS - OFFICE USE - ZONING CODE: OUAD AREA: I OF BLDGS: SECONDARY HEAT SQUARE FOOTAGE: , OF BDRMS: - LAND USE: OCCY GROUP: * OF STORIES: FLOOD PLAIN: CONSTR. TYPE: HEAT SOURCE: # OF UNITS: - WATER HEATER:RANGE: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspecilons requested before 7:00 a.m. wlll bemade 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. Flnal Plumbing - When allplumblng work ls complete. Slte lnspectlon - To be made after excavatlon, but prlor to seltlng forms. Rough Electrlca!, - Prlor to ft flrraf Etectrlcat - When ailr--\electrlcal work is complete.cover. n Underslab Plumblngl Electrlcal/u Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flnal Mechanlcal - When all mechanlcal work ls complete. Footlng - After trenches are excavat€d.l-l Flreplace - Prtor to factng - materlals and framlng lnsp. ffiflnat Buitdtng - When alt ,/.ArJequlred lnspectlons have been approved and building ls completed.Masonry - Steel locatlon, bond beams, groutlng,x E Framlng - Prlor to cover. Foundatlon - After forms are er€cted but prlor to concrete placement. Other - Wall/Celllng lnsulatlon - Prlor to cover. Underground Plumblng - Prlor to lllllng trench.fioo*"tl - Prlor to taplng Underlloor PlumblnOl Mechanlcal - Prlor to lnsulatlon or decklng. MOBILE HOME INSPECTIONS 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 placement of concrete. Plumbing Connectlons - When home has been connected to water and sewer. Sanltary Sewer - Prlor to fllllng trench.Eleclrlcal Connection - 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 excavatlon ls complete, forms and sub-base material in place. Water Llne - Prlor to filling trench. Fence - When completed, Slreet Trees - When all requlred trees are planted. Flnal - After all required lnspections are approved and porches, sklrting, decks, and ventlng have been lnstalled. [-l Rough Plumblng - Prlor toU cover. o E tl tf t Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac (- iS THE PROPOSED WORK rN THE - HISTORICAL DISTRI T, OR ON THE HISTORICAL REGISTER? - lf yes, thls applicatlon must be slgned and approved by the Hlstorlcal Coordinator prlor to permit issuance. APPROVED: P.L.HSE GAR ACC N S W E VALUE 41:.5' X $/SQ, FT. Total Value Building Permit Fee State Surcharge Total Fee y'o2 72 ftrl*4);--tzzrAi r?*? t BUILDING PERMIT ITEM SO. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permit is granted on the express conditlon that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfleld, includlng the Development Code, regulating the constructlon and use of buildings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordinances. Plans Date Beceipt Nu Plan Check Fee: Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties wlthin the City limlts which are being lmproved. ITEM Flxtures Besidential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) N0 FT. FT. PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ Insert/ Flreplace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed appllcatlon and do hereby cerilfy that all lnformatlon hereon is true and correct, and I f urther cerflfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed herein, and that NO OCCUPANCy will be made of any structure wlthout permission of the Bullding Safety Divislon. I further certify that only contractors and employees who are ln compliance with ORS 701.05S wlll be used on thls project. I further agree to ensure that all requlred lnspections are requested at the proper ilme, 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 / Slgnature Date on the es durl MISCELLANEOUS PERMITS Moblle Home State issuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excludlng electrtcat) (A, B, C, Q and E Comblned) 1), ?fFt) :7',r DATE PAID AMOUNT BECEIVED BECEIVED BY VALIDATION: RECEIPT NUMBER . . :.:,-'!+ fi - \1, *rr (1zz Atr A/,4 FT.