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Home My WebLink AboutPermit Building 1992-09-21SP'IINGFIELD --- frt7t@ -bw*tL-l 03 3 =11 )__cc)ol LOT:BLOCK: LOCATION OF PROPOSED WORK: ASSESSORS MAP TAX LOT: JoB NUMBE, --?-2-].3)f- 225 Fifth Street Springfield, Oregon 97 477 RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 l6fNl PHoNE: -3-?S: lE ] 8;- - q1!+Qg_7:_lt)a LL STATE: -OA CITY: =--- ADDRESS: OWNER: WSrrW-u'dL NEW - REMODEL ADDITION DEMOLISII OT}IEFI DESCRIBE WORK: / 7.e/ //_-4 e > .^{211H, MECHANICAL; - EXPI RES PHONENAMECCONTRACTO ELECTRICAL: PLUMBING GENEBA coNsl'l-. CONTRACTOF] / FIANG E: SECONDATIY tltrAT: QUAD AREA: - OFFICE USE _ LAND USE: WATER HEATER: g OF STOFIIES: , OF BLDGS: ---OCCY GFIOUP: --- FLOOD PLAIN: ZONING CODE: # OF tsDRMS: -, .--. SQUARE FOOIAGE: # OF UNITS: -- CONSTR. TYPE: - -.- HEAT SOURCE: - - To request an inspection, you must call 726-3769. This is a 24 hour recordinq. All inspections recluested before 7:oo a.tn. will be made the same working day, inspections requested a{ter 7:00 a.m. will be tnatie the followirlg work day. REQUIRED INSPECTIONS Rough Mechanical - [)rior to cover.t_l Firral Plumbing - When all plunrbing work is complete.l___l temporary ElectricII Sile lnspection - To be madc after excavation, but Prior to settir-rg forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but prior to concrete placcment. Undergrouncl Plumbing - Prior to filling trench. Urrderlloor Plumbing / Mechanical - Prior to lnsulation or decking. Post ancl Beam - Prior to floor insulation or decking. Floor lnsulatiotr - Prior to <jecking. Sanitary Sewer - Prior to fillin-c; trench, Slorm Sewer - Prior to filling trench. Rough Plumbing - Prior to cover. Rough Electrical - Prior to cover Electrical Service - Mttst tre approved to obtain Pcrrllan(lnt electrical power. Fireplace - Prior to facing materials and f raming lnsp. Framing - Prior to cov(-'I Wall/Ceilirrg ltrsttlaliotr - ['tiot t<.r cover. [-l Drywall - Prior to taoins Wood Stove - Af ter itrstall.rliritt lnserl - After f ircplacr-' ir111-rtoval and installation of unit. Curbcut & APProach - Af lor forms are erected but Prior to placement of cotlcrele. Sidewalk & DrivewaY - After excavation is comPletc, fortns and sub-base material irt Plat;c, Fence - When comPleted Street Trees - When all required trees are planted. Final Electrical - Wlten all electrical worl( is corrtPlete. Final Mechanical - When all rnechanical work is complete. Final Builditrg - When all required inspections have [:een approved and building is completed. L] L:,] orhor IA Blockirrg arr<l Scl.tJp - Wlrerr ;rll blor:king is corrtplete. IA Plumbilrg Connections - Wllerr horne ltas been connected to water and sewer. r4 Electrical Conneclion - When l'llocking, set-up, arrd plurnbing inspr.ctions have bcen aPProved and the home is <;orrtrected lo lhe service parrel. Final - After all requited inspections are approved and porches, skirting, decks, and venting have been installed. TZ SUBDIVISION: I E tl L] fl r tl n tl Water Line - Prior to filling trench. l_l MOBILE HOME INSPESI-IONS E n tl L] t_l t:]E Lot faioL,s Lot sq. ftg. Lot coverage Topography Total height L<,rt lype v'J ln tericlr Corner Pantrandle Cul-cle-sac Setbacks FISE GAR -. '*E PROPOSED WORK IN THE IIISTORICAL DISTRICT, OR ON THE HISTOHICAL REGISTER? -. lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED Pt_. N E_l ACC BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said conslruction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of builclings, anci may be suspended or revoked at any time r-rpon violation of any provisions of said ordinances. DatePlans Reviewed By Plan Check Fee: Date Paid Rcceipt Number:. Received By BUILDING PERMIT VAI.UE (A) so. FT. x $/so. F'r.ITEM Main Garage Carport Total Value [3uiltiirtg Pe't tttit ['ce State Surcltitrgi: Total Fee Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTSPLUMBING PERMIT ITEM Fixtures Besidential Bath(s) Nl Sanitary Sc.wcr l]. Water f l, 'Storm Sewcr ttrT- Mobile Home FEE (c) JS,oo /5:.f/s.5 Plurnbing Pcrrllit St;rtc Surclt;rt11c Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) Vent Fan Mechanical Pcrtnit lssuance State Surcharge Total Perrnit MECHANICAL PERMIT [tu rnace Exhaust I'lood No By signature, I state;rnd agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certify that any and all work performed shall be done In accordance with the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any strLrcture without permission of the Building Safety Division. I further certify that only contractors and employees who are in cornpliancc with ORS 701.055 will be used on this prolect. I f urther 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 is located at the fronl of the property, and the approved set of plans will renrain Date !-: l/-- VL -- Signature on tho sltc' at all es rluring construction MISCELLANEOUS PERMITS Mobllc l'lorrre Slate lssuancc State Surch.iroe Sidewalk Curbcut Demolition State Surcharge Total Miscellaneous Permlts (E)/p=2, Ir fr los,,oa 2o,o-Q s,as VALIDATION: FIECEIPT NUMBER 424? DATE PAID AMOUNT FIECEIVED TOTAL AMOUNT DUE (excluding; eleclrir;al) (A, R, C, D, ;rntl E Conrl;inccl) / 16.oo TIECIIVED AY W I r-]g ; f )'0 V6 tl. #/3 f 'nrry ' 4rub_ /a tu h It -$$ I J {s 7?ul !I 1 2 lssued by QB Date R OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. This state- ment is required for residential building, electrical, mechanical, and plumbing permits. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 38: I own, reside in, or will reside in the completed structure. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. A . ff# My general contracto , i, *aru., otL rn f F Contractor registration number t-tb uq1 I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR \3. B.l I I I will be my own general contractor. lf I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. lf I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that ! have read and understand the lnformation Notice to Property Owners about Construction Responsibilities on the reverse side of this form. 'i lrr lq ) nat m p can Date CONSTRUCTION CONTRACTORS BOARD 0244J 8191 Permit No:q) )3es Address:is-l N ))tA.,trt3 br, WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT 3 t .fr .-Y CITY OF SPRINCFIELD, OREGO'V 225 FTrfl]E SIBBET SPRTNGFTBLD, ORBGON 97477 : INSPECTION REOUBST: 726-3759 .) \ - OPFTCE: 726-3759 'l I SPT iFIELD BI,BqIRICAL PERHIT APPLICATION City Job Nunber . COITP-IJT& TEE SCEBDI'IJ BBLOV Nev Residential-Single or Hulti-Family per dvelling unit. Service Ineluded:Items Cost 1000 sq.ft. or less nach additional 500 sq. ft or portion thereof Each Manuf'd Home or -Hodular DveIIing Service or Feeder / Services or Feeders Installation, Alterations or Relocation: s 8s.00 s 1s.00 s 40.00 APK _13 ,*55r- 1 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 COIIltsACf,OR INSTALI.ATION ONLY trieal Contractor ss Ci ty Phone Supervi e Nunber Expirati e Cons t Contr. ration Date Signature of Supervising Blectrician 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 A Sum 4> B s s0.00 s 60.00 s100. 00 s130.00 $300.00 s 40.00 Name Ci ty Phone OgNER The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Signature: DATB: c.Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or 1ess $ 40.00 201 amfs to 400 amps - S 55.00 over 4b1 to 600 amps - $ 8o.oo 0ver 600 amps or 1000-voTts see "B' affi Branch Circuits Nev, Alteration or Extension Per Panel I One Circuit S 35.00 Each Additional Circuit or vith Service or Feeder Permit S 2.00 B. Miscellaneous (Service/feeder not included) D u7.: a{d!6ss -Each installation Pump or irrigation sign/outline Ligh t ing- Limited Energy/Res -Limited Energy/Comm s 40.00 s 40.00 s 20.00 s 36.00 STIBTOTAL OP ABOVB 5Z State Surcharge TOTAL RBCBI\IED 5 p