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Home My WebLink AboutPermit Building 1991-10-08JOB NUMBER *zz> 225 Fifth Street Spri ngfield, Oregon 97 477 LOCATION OF PROPOSED WORK:F ASSESSORS MAP:1?€9'7f,-7/TAX LOT:eza1 LOT:BLOCK:SUBDIVISION PHONE: STATE:ztP ?/z*/7A3r,4+ra A:fr q R: q>ADDFIESS: CITY: NEW - REMODEL ADDITION DEMOLISH OTHER 'x*DESCRIBE WORK: MECHANICAL: ELECTRICAL: ADDRESS//aa EXPIRES PHONECONTRACTOR'S NAME CONST. #rafro-zcoNTRAcroR # G EN ERAL: PLUMBING RANGE: # OF BDRMS _ OFFICE USE - LAND USE: WATER HEATER: FLOOD PLAIN * OF UNITS: QUAD AREA: * OF BLDGS: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: # OF STORIES CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24hour recording. AII 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. REQU!RED 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, grouting. [---l Framing - Prior to cover. OtherFoundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover, Underground Plumbing - Prior to filling 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. A Blocking and Set-Up - When all blocking is complete.lnsert - After fireplace approval and installation of unit. 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 water and sewer. Sanitary Sewer - Prior to f illing 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 filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prior to filling trench.[--l Fence - When completed 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. .ESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 ZONING CODE: r E E r r r E E r E E d Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type \/ - lnterior - Corner - Panhandle - Cul-de-sac Setbacks PL.HSE GAR ACC N S E THE PROPOSED WORK IN THE-Frsronrcal Drsrnrcr oR oN THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: 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 Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Receipt Number: - Date /o-8-2/ ewed Date Paid Received By: Plan Check Fee: VALUE (A) X $/SQ. FT- Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge /fi*.2, ADDITIONAL COMMENTS Wood Stove/ lnsert/Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and 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 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 ORS 701.055 will be used on this project. 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 front of the property, and the approved set of plans will remain Date on the site at all times during const ruction. aSig natu re MISCELLANEOUS PERMITS Mobile Home State lssuance State Su rcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge /ne4 Total Miscellaneous Permits fraf, Ae>2O (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) /{6.o d>€ DATE PAID /d42r AMOUNT RECEIVED RECEIVED BY VALI DATION: RECEIPT NUMBER //5: ^- FT. C'TY OF OFEGOIV 225 FIFTE STRBBT SPRTNGFTEL,D, oREGoN 97477 INSPECIION REQUBSTz 726-3769 OFPICE: 726-3759 t Permits are non-transferable and expireif vork is not started within 180 daysof issuance or if vork is suspended for 180 days. 2. CONTRACTOR Electrical Contr t Addres Ci ty Phone ST,TItN(;FIELo EI".ECTRICAL PERilIT APPLICATION City Job Number 3. CO}TPI,ETE FEE SCBEDUI^E BELOV A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less $ 85.00 uach additional 500 sq. ft or portionthereof $ 15.00 Each Manuf'd Home or -l.todular Dvelling Service or Feeder $ 40.00 iB. Services or Feeders Installation, Alterations or Relocation: 200 amps or less I201 amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect Only C. Temporary Services or Feeders Installation, Alteration or Relocation Sum ONtY $ s0.00 $ 60.00 s100.00 $130.00 $300.00 $ 40.00 Supervisor License Number Expiration Date Constr Contr. Number Expiration Date iA-\to'Q I Signa Supervising Electrician 200 amps or less $ 40.00 Over 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see "B'r aboveC 0wners Name Address Ci ty OIINER INSTALI.ATION The installation is being made on property I own vhich is not intendedfor sale, Iease or rent. Owners Signature: L6roto-'n"." q€[^13&3 D. Branch Circuits Nev, Alteratlon or Extension Per Panel One Circuit S 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation $Sign/0utIine Lighting- $Limited Energy/Res $ Limited Energy/Comm S ST,BTOTAL OP ABOVE 5Z State Surcharge TOTAL 40 40 20 .00 .00 .00 .00 60 DATB: RECETVED BY: 5 36 g - YOF sl"trNGFtriLo ab 225 FIFTE STRBET SPRTNGFTBID, OREGON 97477 INSPBCf,I0N REQUBSTT 726-3769 0FPICE: 726-3759 1 LOCATION OF INST.e "4 IJGAL DBS(N,IPTION JOB DBSCRIPTION Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI*ATION ONIY Electrical Contracto Address ci Supervisor License Number Expiration Date Constr Contr. Number Expiration Date s lng Electrieian Ovners Address Name Ci ty Phone O9NER INSTALI-ATION The installation is being made on property I own vhich is not intended for saIe, Iease or rent. Ovners Signature: DATB: ELB TRICAL PERilIT APPLICATION City Job Number 3. COHPI,ETB FEE SCBEDULE BBLOTT A. Nev Residential-Single or MuIti-FamiIy per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portionthereof S 15.00 Each Hanuf'd Home or -Modular DvellinsService"r@ | g4o.oo B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect 0nly Temporary Services or Feeders Installation, Alteration or Relocation ON Sum /2 - s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c 200 amps or less $ 40.00 0ver 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see rrB't above D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional" Circuit or vith Service or Feeder Permit S ?.00 E. Miscellaneous (Service/feeder not included) ST'BTOTAL OP ABOVB 5Z State Surcharge TOTAL $ 40.00 $ 40.00 $ 20.00 s 36.00 RECETVED 5 ? e , 0 r0-€- -Each installation Pump or irrigation Sign/0utline Lightine_ Limited Energy/Res Limited Energy/Comm +'? A/ t Fa-- *J I (,lt ? r9ls ,9 \ v /,*,fer,6.qu,- ) &w7,vc- //a.rtz7a #r %ru.ya 6r*f Q oe€A I I I I I / ---_.-:: I