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Home My WebLink AboutPermit Building 1994-08-29!" RESIDENTIAL PERMIT APPLICATION lnspectlons: 726-3769 Office:726-3759 SPRII\lGFIELr, LOCATION OF PROPOSED WORKI '54 S 38/h.? JOB NUMBER 225 Flfth Street Sprlngfleld, Oregon 97477 ASSESSORS MAP:/s c"2 0G /s TAX LOT:D 56 <:zP LOT BLOCK:SUBDIVISION: -lL-PHONE: ZIP:STATE: 74 7-'7b3 a-.<- CITY: ADDRESS: OWNER: ADDITIONx=DEMOLISH OTHER DESCRIBE WORK: NEW- REMODEL &kL ADDRESS PHONE I 't CONTBACTOR'S NAME MECHANICAL: ELECTRICAL: PLUMBING; GENERAL: CONST. CONTRACTOR # OUAD AREA: gRS(\ * OF BLDGS: - OFFICE USE - ZONING CODE: FLOOD PLAINLAND USE: * OF UNITS: SECONDARY HEAT SQUARE FOOTAGE: # OF BDRMS: _ WATER HEATER: OCCY GROUP: * OF STORIES: CONSTR. TYPEI HEAT SOURCE: To request an lnspectlon, you must call 726'3769. Thls ls a24 hour recordlng. All lnspecilons requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS Temporary Eleclrlc Rough Mechanlcal - Prlor to cover. Flnal Plumblng - When allplumblng work is complete. Slte lnspectlon - To be made after excavatlon, but prlor tosettlng forms. E Rough Electrlcal - Prlor to ry Flnal Electrlcal - When altelectrlcal work ls complete.cover, Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover.ry Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flnal Mechanlcal - When allmechanlcal work ls complete. tl Footlng - After trenches are excavated.F Flnal Bulldlng - When allrequlred lnspectlons have been Masonry - Steel locatlon, bond beams, groutlng. Flreplace - Prlor to faclng materlals and framlng lnsp.approved and completed. building is N tr ry Framlng - Prlor to cover. F Foundallon - After forms are erected but prlor to concrete placement. Other Wall/Cblllng lnsulatlon - prtor to cover. Underground Plumblng - Prlor to fllllng trench.Drywall - Prlor to taplng. Underlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decklng. MOBILE HOME INSPECTIONS Wood Stove - After lnstallatlon ry F Post and Beam - Prlor to floor lnsulatlon or decklng.lnsert - After flreplace approvsl and lnstallatlon of unlt. Blocklng and Set.Up - When allblocklng ls complete. Floor lnsulatlon - Prior to decklng.Curbcul & Approach - After forms are erected but prlor to placement of concrete. Plumblng Connectlons - Whenhome has been connected to water and sewer. Sanltary Sewer - Prior to fllling trench. Storm Sewer - Prior to fllllng trench. Sidewalk & Orlveway - After excavatlon ls complete, forms and sub.base materlal ln place. Eleclrical Connection - When blocklng, set.up, and plumbing lnspections have been approved and the home is connected tothe servlce panel. Water Llne - Prlor to filling trench.[-l Fence - When compteted. Slreet Trees - When all requlred trees are planted. Final - After all required inspections are approved andporches, skirting, decks, andventlng have been lnstalled. l-l Rough Plumbing - Prior tolJ cover. Z**7,a,i I I FIANGE: tl Lot Type - lnterior - Corner - Panhandle - Gul-de-sac l,l Yj'+ ,rr Setbacks : P.L.HSE GAR ACC N S W E Lot faces Lot sq. ftg. Lot coverage Topography Total helght ,- THE PROPOSED WORK IN THE -. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this appllcatlon must be slgned and approved by the Historlcal Coordinator prior to permit lssuance. APPROVED: BUILDING PERMIT ITEM SQ. FT. Main Garage VALUE TSCr). Cri) x $/so. FT. 3 CA4)z-/, 8o qO Carport Total Value Building Permit Fee State Surcharge Total Fee ,"3-t?sc|-^ilr. ----(A) ec.1E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, ln all respects, conform to the Ordlnance adopted by the City of Springfleld, including the Development Code, regulating the constructlon and use of bulldings, and may be suspended or revoked at any tlme upon vlolation of any provlsions of sald ordlnances.5*p1 ?.ltlqq z) By: By 0ate Beceipt Nu Plan Check Fee: Date Paid Recei SYSTEMS DEVELOPMENT C (B) HARGE (SDC) d Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Resldential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE 6(c) No FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge - FT. ADDITIONAL COMMENTS I (^ Lo.r\J{ Wood Stove/ lnsert/Flreplace Urrit Dryer Vent MISCELLANEOUS PERMITS Mobile Home State issuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) (D) CK N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed appllcation and do hereby certlfy that all lnformatlon hereon is true and correct, and I f urther 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 pertainlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Divislon. I further certlfy that only contractors and employees who are ln compliance with ORS 701.055 will be used on thls project. I further agree to ensure that all required lnspections are requested at the proper tlme, 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 remaln Slgnature Date on the site at all ti uring constructlon. TOTAL AMOUNT DUE (excluding electrlcal) (A, B, C, D, and E Combined) (tr.q5 t% DATE PAID AMOUNT RECEIVED BECEIVED BY VALIDATION: RECEIPT NUMBER 7 */2 -74 { CITY OF SPR OREGO'U 225 FTFTfl STREET SPRINGPIEI,D, OREGON INSPECTION REQTIEST: OFFICE: 726-3759 974 72E,N6e r\-Li-qq !SPFIHGFIELC' us€ EI,ECTRICAL PERHIT APPLICATION City Job Number FEE SCEEDIILE BBLOII Nev Residential-Single or Multi-Family per dvelling unit Service Included: Items 1000 sq.ft. or less Each additionai 500 sq. ft or portion thereof Each Manuf 'd llome or Modufar 'Dvelling Servi.ce or Feeder Cos t $ 8s.00 s 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: The followlng prolect ae submftted hrs the zoning, and does not require specilic land aooroval. 7t zonins LD(- -. 1 A B c Sum 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. COMRACTOR INST,ONLY Electri Address I Contract 200 amps or less 201 amps to 400 amps '-T- 40L amps to 600 amps -601 amps to 1000 amps_ Over 1000 amps/volts Reconnect 0n1Y Tb -Each installation Pump or irrigation Sign/Out1ine Lighting- Limited Energy/Res Limited Energy/Comm Phone 52 lo $ s0.00 s 50.00 s100.00 $130.00 s300.00s 40.00 $ 2.00 wo cir Supervisor Lice Expiration Date nse Number t@ constr contr. Number k[O Expiration Date .q5 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps - $ 55.00. -over 4b1 to 6oo amps - $ 8o.oo' -Over 600 amps or 1000 voTts see ttStt tffi Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Serv or Feeder Permit $ 3s.00 t Signa of Electrician rs Name Address Ci ty Phone ALI,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Omers Signature: DATE: E. ' Miscellaneous (Service/feeder not included) D 00 00 00 00 40 40 20 36 $ $ $ $ 5 SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTALRECEIVED 2N