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Home My WebLink AboutPermit Building 1993-08-30RES!D ENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726-3759 LOCATION OF PROPO ASSESSORS MAP: efr, JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 TAX LOT: SUBDIVISION al4 LOT: --- BLOCK: PHONE: /S ? OtQSTATE:ZIP: ^1, /z g 1{ a7/z'CITY: ADDRESS OWNER: NEW . FIEMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: EXPI RESADDRESS PHONE ,/q t( G-,az E-eo--;JELECTRICAL: PLUMBING MECHANICAL CONTRACTOR'S NAME GENERAL: CONST. CONTRACTOR # I ) t Iv II OF BDRMS: WATER HEATER:RANGE: _ OFFICE USE _ ZONING CODE: FLOOD PLAIN: r OF UNITS: LAND USE: SECONDARY HEAI SQUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: r OF STORIES: OUAD AREA: # OF BLDGS To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested 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 Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover, Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grou.ting.Framing - Prior to cover. Foundation - After forms are erected but prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.f_l Drywall - Prior to taping. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. Post and Beam - Prior to floor insulation or decking. locking and Set.Up - When all lnsert - After flreplace approval and installation of unit. blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to ter and sewer. Sanitary Sewer - Prior to f illing trench.Electrical Connection - When blocking, set-up, and plumbing Slorm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. nspections have been approved and the home is connected to the service panel. Water Line - Prior to filling trench. Street 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. 6?sztarE,F c+zb -58C E E E E E E E r E E tl E E E [-_l Fence - When completed. E E Lot faces Lot sg. ftg. Lot coverage TopographY Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac ks P,L.HSE GAR ACC N S E , THE PROPOSED WORK IN THE ._..IISTORICAL DISTRICT, OR ON- THE HISTORICAL REGISTER? - lf yes, this application must be slgned an<i approved bY the Historlcal Coordinator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is grantecl 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 may be suspended or revoked at any tlme upon violation of any provisions of said ordinances. Plans Reviewed BY Date Receipt Numbe Plan Check Fee: Date Paid Recelved By: BUILD!NG PERMIT VALUE (A) SQ. FT. X $/SO. FT.ITEM Main Garage Carport Total Value Bullding Permit Fee State Surcharge Total Fee Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) {B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE I ffi (c) No FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood i i By signature, I state and agree, that I have carefully examined the completed application and do hereby certlfy that all lnformation hereon is true and correct, and I further certlfy 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 pertaining to the work described herein, and that NO OCCUPANCY wlll be made of any structure without permission of the Building Safety Divlsion. I further certify that only contractors and employees who are ln compliance with ORS 7O'1.055 wlll be used on thls project. I further agree to ensure that all requlred lnspections are requested at the proper time, 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 remain Slgnatu Date on the site at all times during MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) q) DATE PAID RECEIVED AMOUNT VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D and E Combined) FT.l5@ SID'IINGFTEL[) The {ol!owi prciect as submitted has the ll',f'''LI-% 225 FITTE STREEI SPRTNGFTELD, oRBGON 97 477 INSPECIION REQIIESTz 726-3 OFFICE: 726-3759 roqui;e sPec ilic land EIJCTRICAL PERilIT APPLICATION City Job Number 4z r>q4 rEE BELOV Nev Residential-Single or HuIti-FamiIy per dvelling unit. Service fneluded:Items Cost $ 8s.00 769 f' :. Electricar contrac tot L-4. /l,/tt/tS C/u/ 1 LOCATION OF INST Plct +A IJGAL DESCRIPTION i-t (la b<q I /,.))61 JOB DESCRTPTION 7 utnt IVAL/LE Harrl* Permits are non-transferable and, expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COI{TRACf,OR INSTALI,ATION O}.ILY Address c Ci ty OVNER INSTALI.^ATION The installation is being made on property I ovn which is not intended for sale, Iease or rent. Orrners Signature: DATE: RECEIPT *: B. 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_ Over 1000 amps/volts _ Reconnect 0n1y c SIETOTAL OF ABOVE 5Z State Surcharge TOTAL $ 1s.00 I g 4o.oo -4o" $ s0.00 $ 60.00 $100.00 $130.00 s300. 00 $ 40.00 1o Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Hanuf'd Home or Modular Dvelling Service or Feeder Ci ty e ?r-n Phone -)47 - o(// Supervisor License Ntimber 3ooG, J Expiratio n Date ( C) -Qf Constr Contr. Number Exp iration Date GI :\q4 Signature of Supervising Electrician Ovners Name r€AilCrS f, UC| Address / f,7 ,/ / 2 14 ///?ft' aq I lrP Phone "')L'O+5? Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less S 40.00 201 amps to 400 amps - $ 55.00 Over 600 amps or 1000 volts see 'rBrr above Nev, Alteration or Extension Per Pane1 One Circuit S 35.00 sach Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utIine Lighting_ Limi ted Energy/Res Limited Energy/comm - $ 40.00 s 40.00 s 20.00 s 36.00 o!- 5 OREGO'U RECEIVED BY: c1 4 6c- D. Branch Circuits a ,t CITY OF SPR'A'GFIELD OREGO'V DEI{ilOPMENTSEPY'GES ADMINISTRATION PLANNING / BUILDING PUBLIC WOEKS M ETROPOLITAN WAST EWATER M ANAGEM ENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726-3753 MOBILE HOME AND MANUFACTURED HOME AGREE},IENT I'NITS TO BE PLACED IN A PARK As required by the City of Springfield Development Code and/or the State of Oregon, I understand and agree, as shom by my signature on this form, that vith tne ann 118h,,h.'i AIfff .#ry'ts for a home to be located at , Springfield, Oregon, City Job Number W fvillmeet or exceed the belov listed minimum setbacks. - Home Setbacks - 10 feet fron a park building - 20 feet from any public street - 5 feet from any rear space line or interior space line - 5 feet from the edge of a park street - 2 feet from the interior edge of a park sidevalk Accessory Structure Setbacks - 1.0 feet from a park building - 20 feet from any public street - 5 feet from the edge of a park street - 2 feet from the interior edge of a park sidevalk - 3 feet fron an interior space line or rear space line I further state, by my signature beIov, that I have been provided vith thefolloving information : - Manufactured Eome Blocking Requirements - Electrical Connection - Minimum Requirements for Permanent Steps .Q- ::-c, -c7 , i DetE- SPRINGFIELO l i I I IlI I 1 i I { to t 157 N. 12" . n4 SPR I NG LA NE MOBILE PARK I j I oN b DOCUiJIENI PREPARiD BY: JAOK BACI(ES GNEAT WESIER..I HOMES. INC. 5024 MAIN ST. sPRrNcFttLD.0R 97478 ; ; II ,0 <r I^ir% b t f't aq \$b I \t-) xq o CY A {s \tl[l. h\ t ir. t \ i I-i \\$ E I I I j I i I-l I i I-r- II I FINCH Js $ 0\ 4 1 kur (w"r /./.r I I I I s{}Jlr rlIH tll-El {Nrn lo urYus ,lt' (BPT t]CTAGI]N) 0x39V IgTCm{ LIYSIG ROOU f c7) IN UA.Sffi BEDROOU 3 0x5BV t0'tr GREAT WESTERti H0f\,{ES' INC 5024 l"/ain Sii'eet Spring{ieid, 0H 9i178 Plr.726'2171 L4 x 44 18D., Froni Liviag Boom 14 0x39V 12'.t 3 L?'.t PIan ]E-4U01 586 SQ rT B'8, r'[Rw00 a 'Iifestyle' home By GUERD0N P. 0. Bor 537 StayLon, 0regou 97383 503-?69-6333 J TAILE E H ,tall liull8ft 042-401 P?f,OJTT sIT.IP CD@eeL o) ciZa ZO-O - (5 -cior:aHco7o'53 -c2>< - |4=oz,aH=capsP{oAi- |lrlo-<caPcu E-.c)L):O-CDtf) oR^rx 8l: J. B. BI.ACX orlE DR urt SEPTEUBER 2?, 199I nSrsot I 0-21-19:,1 le-t0-t19l B^trhy BROC}IURE u00c nwBtt L2-44401ooG i II . C'TY OF OREGO'U SPRTNGPTELD, oREGoN 97 477 INSPECTION REQLIESTz 726-3769 OPPICE: 726-3759 S:fr:9 1 OP T Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. CO}ITRAC;TOR INST ELECTRICAL PERHIT APPLTCATION City Job Nunber COHPLETE PEE SCHEDULE BELOU Nev Residential-Sing1e or HuIti-Family per dvelling unit. Service fncluded: I tems Cos t The lo!!o".'ino prolect es submitted has the SPrlTTTGFIELO 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular DveIIing Service or Feeder Services or Feeders fnstallation, Alterations or Relocation: STDTOTAL OP ABOVE 5tr State Surcharge TOTAL w? A B c Sum ON s 8s.00 s 1s.00 s 40.00 50. 00 60.00 100.00 1 30. 00 300. 00 40.00 d Electri Add ress cal Contract rv 1 sor cense Nu 200 amps or less 201 amps to 400 amps -401 amps to 500 amps -601 amps to 1000 amps- Over 1000 amps/vo1ts -Reconnect 0nIy Hiscellaneous (Service/feeder -Each installation Pump or irrigation S Sign/Outline Lighting- S Limi ted Energy/Res S Limited Energy/Comm $ \r\ Ci ty Supe Phone mber q45S s $ $ $ s s Expiration Date, Constr Contr. Number .1 Expiration Date Signature of Supervising Blectrician 2. 0vners Name Add res ,V Ci ty Phone TION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Signature: DATE: Temporary Services or Feeders InstaIIation, Alteration or Relocation 200 amps or less S 40.00 201 amps to 400 amps - S 55.00 over 401 to 600 amps - $ 80.00 0ver 600 amps or 1000 voT[s see ttgtt "f,f,!fi Branch Circuits Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Additional Circuit or vith Service or Feeder Permit $.2.00 )D. E not included ) 40.00 40.00 20. 00 5 BRECBIYED