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Home My WebLink AboutPermit Building 1994-07-06I RESIDENTIAL PERMIT APPLICATION lnspectlons: 726.3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: SPFl ELE) Zfr, JoB NUMBE a 77ae 225 Flfth Street Sprlngfleld, Oregon 97 4Zl 5 l.i/\Md ,(- TAX LOI SUBDIVISION: - - *s t ef PHONE: ZIP:STATE: c.f 31)(" - CITY: ADDRESS: OWNER: ef\/A ((-_L 0DESCRIBE WOBK: ADDITION DEMOLISH OTHERNEW- BEMODEL ADDRESS EXPIRES535Co t e o -?s 3,1(r3e^ € CONTRACTOR'S NAME PHONE -73r/J MECHANICAL: ELECTBICAL: PLUMBING: GENERAL: coNsT. CONTBACTOR # # OF BDRMS - OFFICE USE - * OF UNITS: QUAD AREA: * OF BLDGS: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: ZONING CODE: CONSTR. TYPE: HEAT SOURCE: LAND USE:FLOOD PLAIN: BANGE: Rough Plumblng - Prlor to cover. To request made the I i an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll besame worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day. REOUIRED INSPECTIONS n femporary Electrtc Rough Mechanlcal - Prlor to cover. Flnal Plumbing - When allplumblng work ls complete. Slte lnspectlon - To be made after excavatlon, but prlor to settlng forms. n Rough Electrlcal - Prlor to ffi Final Etectrlcal - When ailt- electrical work is complete.cover. Underslab Plumblng/ Electrlcal / Mechanlcal - Prlor to cover.Electrlcai Servlce - Must be approved to obtaln permanent electrlcal power. Flnal Mechanlcal - When all mechanical work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and lramlng lnsp. Flnal Building - When ailrequlred lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.w tl Framlng - Prlor to cover.tl Foundatlon - After forms are erected but prlor to concrete placement. Other - Wall/Celllng lnsulatlon - prlor to cover. Underground Plumblng - Prior to fllllng trench.l--l Drywall - Prlor to taptng Underlloor Plumblngt Mechanlcal - Prlor lo lnsulatlon or decklng. MOBILE HOME INSPE TIONS Wood Stove - After lnstallatlon. Post and Beam - Prlor to floor lnsulatlon or decklng.lnsert - After flreplace approvsl and lnstallatlon of unlt. Blocklng and Set.Up - When ailblocklng ls complete. Floor lnsulatlon - Prlor to decklng.Curbcul & Approach - After forms are erected but prlor toplacement of concrete. Plumblng Connecllons - When home has been connected to water and sewer. Sanltary Sewer - Prior to fllling trench. Storm Sewer - Prlor to fllllng trench. Sidewalk & Drlveway - After excavation ls complete, forms and sub-base materlal ln place. Fence - When combleted. Electrlcal Connection - Whenblocking, set-up, and plumbing lnspections have been approved and the home ls connected tothe servlce panel. Water Llne - Prlor to filllng trench.Flnat - After all required lnspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled. Street Treos - When all requlred trees are planted. , I f tl E tl E '"l''rirj'4 Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterior - Corner - Panhandle - Cul-de-sac S ks ( ; THE PROPOSED WORK }N THE - -AIISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Hlstorlcal Coordinator prlor to permlt issuance. APPROVED: PL.HSE GAR ACC N s W E %-a a,414.'qgx /6.2o(A) X $/SQ. FT. : VALUE Total Value Bullding Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls 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, includlng the Development Code, regulating the constructlon and use of bulldings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordinances. Plans Reviewed By Date Becei pt Numbe Plan Check Fee: Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on all undeveloped properties within the City limits which are belng lmproved. ITEM Flxtures Besidential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE No FT. (c) PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ 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 applicatlon and do hereby certlfy that all lnformatlon hereon is true and correct, and I further cerilfy 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 Bulldlng Safety Divislon. I further certlfy that only contractors and employees who are ln compliance with OBS 701.055 wlll be used on thls project. I further agree to ensure that all requlred inspections are requested at the proper time, that each address ls readable from tho street, that the permlt card ls located at the tront of the property, and the approved set of plans wlll remain on the site at all times durlng Slgnature Date ructlon. MISCELLANEOUS PERMITS Mobile Home State fssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, Q and E Comblned) /1^?*4 4l?DATE PAID AMOUNT RECEIVED BECEIVED BY VALIDATION: RECEIPT NUMBER FT, FT. /z OFEGO'U SPRINGFIELO 1. LOCATION IJGAL DESCRTPTION/bV.r*//- ss>Qa,. JOB DESCRIPTION Permits are non-transferable and expireif uork ls not started vithln 180 days of lssuance or lf vork ls suspended for 180 days., 2. CO}ITRACTOR INSTALI.ATION OM.Y opecific,and hs rhe fotlowiag uqB % ELECTRTCAL PERHIT APPLICATION City Job Nunber q PEE SCEEDT.ILE BELOU Nev Residential-Sing1e or HuIti-FamiIy per dwelling unir. Service Included: I tems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or -Hodular Dvelling Servlce or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or FeedersInstaIIation, Alterationsor Relocation: &nd not 225 PTFrE, STREEI SPRTNGPIELD, ORBGON INSPBCTION REOTIEST: oFPfCE: 726-3759 approyer. 97iE& ) - 7 ON A Sum B glecr|1cal Contractor Address 293 MONROE 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 BUI LDERS Expi ration Date tjlLls5 constr contr' Number 04296'it Expiratlon Date LZIL0/94 Slgnature of I Electrician ci EUGENE Supervisor License Number 0vners Name Address 00 00 00 00 00 00 c Temporary Services or Feeders Installation, Alteratlon or Relocation 200 amps or less S 40.00 201 amps to 400 amps - S 55.00 Over 401 to 600 amps - S 80.00 Over 600 amps or 1000 voTts see *0" aEdG- D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit --' $ 35.00 2{Each Addi tional Circuit or vith Service or Feeder Permi t s 2.00 E. Hiscellaneous (Service/feeder not included) Phone 4BS-0922 29745 Sso s60 s100 $130 $300 $40 4um -7rr ; ci ty-Phone OUNER INSTALI,ATION The. installatioit is beidg made on property I ovn vhich is not intended for sale, lease or rent. Onners Signature: DATB: -Each installation Pump or irrigation SSign/0utline Lighting- $ Limi ted Energy/Res - S Llmi ted Energy/Comm $ STETOTAL OP AI}OVB 5Z State SurchargerorAl r9* t*- 40.00 40.00 20.00 36.00 5 RSCETVED 7?, €,6