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Home My WebLink AboutPermit Building 1993-01-15RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Of(ice: 726-3759 LOCATION OF PRO E ASSESSORS MAP: LOT: I}.GFIELE' 5+JOB NUMBER 225 Fifth Street Sprin+Oregon 97477 BLOCK: TAX LOT: SUBDIVISIO STATE: OWN CITY: ADD ZIP: ADDITION DEMOLISH OTHERREMODEL DESCRIB NEW ADDRESS EXPIBES PHONECONTRACTOR'S NAME GENERAL: PLUMBING: ELECTRICAL: CONST. CONTRACTOR # BANGE: _ OFFTCE USE _ LAND USE: WATER HEATER: QUAD AREA: * OF BLDGS: FLOOD PLAIN: ZONING CODE SECONDARY HEAT: SQUAFIE FOOTAGE: OCCY GROUP: * OF STORIES: CONSTR. TYPE HEAT SOURCE: To request an inspectlon, you must call 726-3769. This ls a24 hour recording. All inspections requested before 7:OO a.m. will be made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS l--l Temporary Electric Rough Mechanlcal - Prior to cover. Final Plumbing - When atlplumbing work is complete. Site lnspeclion - To be made after excavation, but prior to setting forms. Rough Electrical - Prlor to Final Electrical - When all electrical work is complete.cover, Underslab Plumbing/ Electrical/ Mechanical - Prior to cover.Eleclrica! Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. Footlng - After trenches are excavated.Fireplace - Prlor to facing materlals and framing lnsp. Final Building - When att requlred lnspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.Framing - Prior to cover. Foundatlon - After forms are erected but prlor to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover, Underground Plumbing - Prior to Iilling trench.l-_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 fireplace approval and installation of unit. blocking is complete. Floor lnsulation - Prior to decki ng. bing Conneclions - When Curbcut & Approach - After forms are erected but prior to placement of concrete. 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 fllling trench. Sidewalk & Drlveway - After excavation is complete, forms and sub-base material in place. Water Llne - Prlor to fllllng trench. Fence - When completed. Slreet Tr€es - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and ventlng have been lnstalled. Rough Plumbing - Prior to cover.w MECHANICAL, # OF BDRMS: - # OF UNll'S: --_ E E E E E Y Lot faces Lot sg. ftg. Lot coverage Topography Total height Lot Type _ - lnterior - Corner - Panhandle - Cul-de-sac - , THE PROPOSED WORK IN THE'-HtsronrceL DtsTRtcT, oR oN THE HISTOFIICAL REGISTEFI? - lf yes, this application must be signed and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N S E VALUE (A) x $/so. FT. Total Value Building 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 condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfi Development Code, regulating the Plans Reviewed By ber: By: Date ld, including the Plan Check Fee: Date Paid Recei pt Rec truction and use of buildings, and may be suspen or revoked at any time of said ordinancesupon violation of any provi SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. FT. PLUMBING PERM!T Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan No Wood Stove/ lnsert/Fireplace Unit Dryer Vent (D) Mechanical Permit lssuance State Surcharge Total Permit By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all in{ormation 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 Division. I further certify that only contractors and employees who are in compliance with OFIS 701.055 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 permit card ls located at the front of the property, and the approved set of plans will remain on the site at all times during construction. t5-q9Date ( I Signature MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, D, and E Combined) IRECEIPT NUM ER E VALIDATION DATE PAID AMOUNT RECEIVED BY ]=tu oo J, ':'-"":"crTY oF', srnlN(;FrI:Lo c land uso stu 225 FTFTE STREEf, SPRINGFIELD, oRBGoN 97477 INSPECTION REQLJBST z 726-3769 0FPICE: 726-3759 City Job Number 43oas + 3. COHPITTE SCMDULE BELOS A., Nev Residential-single orHuIti-Family per druelling uni r. Service fncluded: I tems Cos t S + I.]EGAI DESCRIPTION I ) 03 1l oo)01 e JOB DESCRTPTION 2. COMIRACf,OR INSTALI.ATION ONLY Electrical Contractor Palmer,/phil iPs Address 3170 Meadow I:ne City Eugene Phone 588-6121 ELECf,RICAL PERHIT APPLICATION s 8s.00 s 1s.00 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manufrd Home or -Modular Dvelling Service or Feeder I B. Services or FeedersInstallation, Alterations or Relocation: 200 amps or less -r'201 amps to 400 amps 401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reconnect 0n1y i c 200 amps or less 201 amps to 400 amps -over 401 to 600 amps -0ver 600 amps or 10O0loT[s L^De ,'', .A. D-fi 1. LOCATION 3 Permits are non-transferable and expireif vork is not started vithin 190 daysof issuance or if vork is suspended ior180 days. Sum $ 40.00 ,lo*' 130.00 300.00 40.00 S $ s $ $ s $ $ $ s 50 60 40 55 00 00 00 # 100 Supervisor License Ndmber Expiration Date L0/ 92 ?719e, Constr Contr. Number Z0-L79C Expiration Date LO/gZ.;\ ".! Temporary Services or FeedersInstallation, Alteration or Relocation Signature o r 'l'ising Electrician Ovners Name Torn Address 7t l R^r^V'rn t Ci ty Phone C- tK:- OIINER D. Branch Circui ts Nev, Alteration or Extension per panel One Circuit S 35.00 Each Addi tional Circuit or vith Service or Feeder permit _ S 2..00 _ Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40Sign/outline Lighring- S 40Limited Energy/Res - S 20 Liml ted Energy/Comm S 36 SUBTOTAL OF ABOVE 5Z State Surcharge TOTAL 80 il8il .00 aEiJE .00 .00 a ee The installation is being made onproperly I ovn vhich is not intendedfor sa1e, Iease or rent. Ovners Signature: E, 5 .00 .00 .00.00 -- DATE: ; RECEIPT RECEIIIED -1 # uho''Jv lvL;;a eo"6afso-laoct uabt+ e,2rf CITY OF OREGO'V SPRt.-r.iFlELD DEVELOPMENT SEBVICES PUBLIC WORKS M ETBOPOLITAN WASTEWATEN MANAGEM ENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726-3753 MOBILE HOME AND HANUFACTURED HOME AGREEMENT UNITS TO BE PL4CED II'1 A PARK As req uired by the City of Springfield DeleloPm ent Code and/or the State of 0regon 'I understand and agree, as shovn by riy signature on this form, that vith th val o tt for a hom e to be located at Sp ringf ield , 0regon, Ci ty Job l'lumber Iv meet o exceed the belov listed minimum setbacks' Home Setbacks - 10 feet from 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 - 10 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 from an interior space line or rear space line I further state, by my signature belov, that I have been provided vith the folloving inforrnation: - Manufactured Home Blocking Requirements - Eleetrical Connection - l{inimum Requirements for Permanent Steps /- / s-^? 3 gna t t'e Date t4/x 53 ACT I 427 flnt/,J )/oe i=€ Ap/& d/ &lL h.. ,{ "t \ t&s $ I.\9 *r \: _ng.:s\\F\ .\JNL ,r..{ t 10 t\ 1o I* $i( f lrl '04 \\stt F- t4 f- f.J $ ]) \:N{,$ tr $Ss q***' fn*.,r- 7 +1-t S5 7 5T n rrf l'/,r-[:L fh-r*" u-le-V r|atmtzzt ;(r,Y /q ^ <_ /zt lt r { ^*_-;_ ril,i,;r e_ I 0I