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Home My WebLink AboutPermit Building 1994-03-15RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PRO ASSESSORS MAP; LOT P,|I ELD JOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97 477 TAX LOT: SUBDIVISION R oo BLOCK: PHON E: Awe ZIP:STATE: L o --E' OWNER: ADDRESS CITY: D N C,,r-Vci DEL - ADDITION DEMOLISH OTHER Et E^TOtnAt . EXPIRES PHON E c) R#ADDRESSCONTRACTOR'S NAME MECHANICAL: CONST- CONT GENERAL: PLUMBING IQrUD S OF BDRMS: RANGE:WATER HEATER: C OF STORIES: OCCY GROUP: ZONING CODE: FLOOD PLAIN: * OF UNITS: SECONDARY HEAT SOUARE FOOTAGE: QUAD AREA: # OF BLDGS LAND USE: "'liT'l'' CONSTB. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. Thls is a24hour 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' REOUIRED INSPECTIONS Temporary Eleclric 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. a Rough Electrical - Prior to w Final Electrical - When all electrical work is complete.cover, Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Eleclrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. E Fooling - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsP. a Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting. [JJl Ftu-ing - Prior to cover. Other Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover, Underground Plumbing - Prior to filling trench.Drywall - Prior to taping MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Slove - After installation Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace aPProval and installation of unit. Blocking and Set-Up - When all 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 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. 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. q4c0il \ E tl E E E E E E tl E tl E E Lot faces Lot sq. ftg. Lot coverage Topography Total height &td Lpt Type\./ . A tnterio, - Corner - Panhandle - Cul-de-sac ks --rS THE PROPOSED WORK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N S {r4r.ay /o,,U7 E VALUE (A) /L%P2 /a9.7 X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. 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 Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time Date R ?- oi Receipt Numbe By: sionsq Plan Check Fee Date Paid of said ordinancesupon violation of any p SYSTEMS DEVELOPMENT CHARGE (SD q# /NSIALL OLY tltEtl fop ?for<n (B)4-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 N0 FT. FT. FT. (c) PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS lLr 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 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 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 ls located at the front of the property, and the approved set of 5 plans will remain "nfr*St ction the site at al times ufl Signature Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) /A,z= drt//)7 IVED 5DATE PAID AMOUNT RECEIVE VALIDATION: RECEIPT NUMBER 7-[? OFEGO'UC'TY OF SPR 225 PIFTE STREEf, OPFICE: 726-3759 *o"4- |.-J* 1 LOCATTON OF? IJGAL DES(RIPTION7^21:_a,a5€aa t, SPRInlGFIELE, as submlt€d hr the ELECTRTCAL PERHIT APPLICATION Job Nunber spRrNGFrELD, ORBGON 97477 c'- i .r:./ INSPECTION REQUBST: 726-3769 L-DY- -".. - . City /.! ,.'!.1/3. A. COHPI,BTE FEB SCEEDTII,E BBLOV/il . Nev Residential-Single or HuIti-FamiIy per dvelling unit. Service Included: sif vork is not started vithinof issuance or if work is sus 180 days 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manufrd Home or -Modular Dwelling Service or Feeder B. Services or Feedersfnstallation, Alterationsor Relocation: Items Cost Sum $ 8s.00 $ 1s.00 $ 40.00 and expire 180 days pended for 2. COTUNACTOR TNSTALIJITTON ONLY Electrical Contractor Address ci Phone Supervisor License Number Expiration Date constr contr. Number Expiration Date Signature of Supervising Electrician ovners n*" Ufr?z &aazf- Address ture: DATB: 200 amps or less r/' 201 amps to 400 amps - 401 amps to 600 amps - 601 amps to 1000 amps-0ver 1000 amps/volt Reconneet 0n1y 200 amps or less 201 amps to 400 amps - 0ver 40L to 600 amps - over 600 amps or fbOOT6fts Branch Circuits Temporary Services or FeedersInstallation, Alteration or Relocation s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 &az> J-tq- c D. 40. 55. 80. $ $ $ s 00 00 00 I ee ilBrr aSoE s 3s.00 $ 2.00 g clry 4T-c-D phone 2Z/-:?AZi? OIJNER TNSTALI.ATTON The installatioir- is being made on E.property f ovn vhich is not intendedfor sale, lease or rent. Nev, Alteration or Extension per panel One Circuit Each AdditionalCircuit or vith Serviceor Feeder permi t / Hiscellaneous (Service/feeder not included)-Each installation Pump or irrigationSign/outline Lighting-Limited Energy/Ies e- Limi ted Energy/Comm SUBTOTAL OP ABOVB5Z State Surcharge TOTAL $ 40.00 s 40.00 $ 20.00 s 36.00 5 -F RBCETVED n