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Home My WebLink AboutPermit Building 1994-04-28T RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSOBS MAP: LOT: SPRINGFIELO r/ 2 ?1f, 27 7JOB NUMBER 225 Flfth Street Sprlngfleld, Oregon 97477 TAX LOT: BLOCK: STATE:ZIP: PHONE:74/- /7ys- ADDRESS KZ.Lz/4 r ,r" 2r//CITY: oWruen: {err'oo 6'. Ll v_--7-ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW- REMODEL MECHANICAL: ELECTRICALi CONST. CONTRACTOR #EXPIRES PHONEADDRESSCONTRACTOB'S NAME GENERAL: PLUMBIN RANGE: - OFFICE USE - WATER HEATER: ZONING CODE: FLOOD PLAIN: * OF UNITS: QUAD AREA: I OF BLDGST SECONDARY HEAT: SQUARE FOOTAGE: LAND USE: OCCY GBOUP: I OF STORIEST CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be made the same worklng clay, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REOUIRED INSPECTIONS Temporary Electrlc Slte lnspectlon - To be made after excavatlon, but prlor to settlng forms. Underslab Plumblng/ Electrical/ Mechanlcal - Prlor to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erect€d but prlor to concrete placem6nt. Underground Plumblng - Prior to fllllng trench. Underlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decklng. Post and Beam - Prlor to floor lnsulatlon or decklng, Floor lnsulallon - Prlor to decklng. Sanitary Sewer - Prior to f llling trench. Slorm Sewer - Prior to fllllng trench. Water Llne - Prlor to filling trench. Rough Plumbing - Prlor to cover, Rough Mechanlcal - Prlor to cover. Rough Electrlcal - Prlor to cover. Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flreplace - Prlor to faclng materlals and framlng lnsp. lnserl - After flreplace approval and lnstallatlon of unlt. Curbcul & Approach - After forms are erected but prior to placement of concrete. Sidewalk & Drlveway - After excavatlon ls complete, forms and sub-base materlal ln place. Fence - When completed. Street Tr€es - When all requlred trees are planted. ffiflnat Plumblng - When ail..ANumblng work ls complete. Flnal Electrlcat - When all electrlcal work ls complete. Flnal Mechanical - When all mechanlcal work ls complete. ffiftnat Bultdlng - When ailzGrequlred lnspectlons have been approved and bulldlng ls completed.\----al)(l Framlng - Prlor to cover.? llldlleflEelltng lnsulatlon - Prlor toq'cover. EowwaI - Prlor to raplng. n Wood Stove - After lnstallatlon. MOBILE HOME INSPECTIONS Blocklng and Set.Up - When all blocklng ls complete. Plumblng Connectlons - When home has been connected to water and sewer. Electrlcat Connection - When blocklng, set-up, and plumblng lnspectlons have been approved and the home ls connected to the servlce panel. Flnal - After all required lnspectlons are approved and porchos, sklrtlng, decks, and ventlng have been lnstalled.K E SUBDIVISION: ,t -? / o1) -tlzr;r*-lf y',?/.Zra.e,ar/) PH/>/a ( # OF BDRMS:---- E E norher- l:l ':, Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - - lnterior - Corner - Panhandle - Cul-de-sac ,.HE PROPOSED WORK IN THE - HSTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: PL.HSE GAR ACC N S E BUILDING PERMIT ITEM SO. FT. Main Garage VALUE J {cT:L -.7r 5,7r(A) X $/SQ. FT. a-raa. !t: Carport Total Value Building Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls 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 bulldings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordinances. Plans R6viewed By t/ Date Fleceipt Numbe Plan Check Fee: Date Pald: Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Flxtures Resldential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home n (c) N0 FT. FT. FT. {) ,/ &) PLUMBING PERMIT FEE 7/2ry; Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent (D) Vent Fan Mechanical Permlt lssuance State Surcharge Total Permlt MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned the completed application and. do hereby certlfy that all lnformatlon hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngf ield, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, 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 ln compliance with ORS 701.055 will be used on thls project. I further agree to ensure that all requlred 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 reXn",, Date es durl constructlonon the slte at MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolltlon State Surcharge Total Miscellaneous Permlts (E) TOTAL AMOUNT DUE (excludlng electrlcal) (A, B, C, D, and E Comblned) ?6.7f VALIDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY /,oo PL i 'z u; <,, >zlr; "nt ,-- ( , '{' , 'L N0 CITY OF OREGON 1 I.()CATION OP DBSCRTPTION\o JOB Electrical Con tractor (f-"t Sorr[1ecr,t Address E_b phone Gf,F OE{ iupervisor License Number U ixpiration Date ro/tt' hf onstr Contr. Numbe r -"?fT'" xplration Da TLo !.rrirwing projed as submitted hr the lollowiqg h,: ,lU, ancj does not reqeire specific A1:,)'-6Va;, land * EI.gcrnIcAL PERHTT APPLT.ATT,N 97477 City Job Number Auti^lorizod 3. COHPI.ETE FEE SCEEDTII,E BBLOS Nev Residential-Single or HuIti-FamilY Per dvelling unit' Service Included: 225 ETYTr SI?BET SPRINGPIEI^.D, OREGON INSPEC'TION REQTIEST: OFFICB: 726-3759 SP'lI'{GFIELO I tems 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Hanuf'd Home or Hodular DveIIing Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: c. E Cos t $ Bs.oo s 1s.00 $ 40.00 s see rrB*a5oE 00 00 00 .oo Sum2 permits are non-transferable and expire ii vork is not started vithin 180 days ;i i;;;"t"" ot lf vork ls susPended for 180 days. 2. CONTRACTOR INSTALI^ATION ONLY 5>$ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Lgnature of SuPervls rng Electrician ners Name dress Phrn":%?5- 200 amps or less / 201 amps to 400 amPs - 401 amps to 600 amps - 601 amps to 1000 amPs- Over 1000 amPs/volts - Reconnect OnIY TemporarY Services or Feeders instaffaiion, Alteration or Relocation 200 amps or less 201 amps to 400 amps - Over 401 to 600 amPs - Over 600 amPs or 1000 volt Branch Circuits Nev, Alteration or Extension Per Panel one circuit $ 35'oo Each Additional Circuit or vith Service ot-r""autPermit , " $ 2'00 ? Hiscell-aneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting-. Limited EnergY/Res - Limited EnergY/Comm SUBTOTAL OF ABOVE 51 State Surc\rarge TOTAL te/$ 40.00 $ ss.oo $ 80.00 s 40. $ 40. $ 20. $36 ty r installation is being made on -p;;ty-i-;vn vhich is not intended sale, lease or rent' ers Signature: OVNBR INSTALI,ATION ar>e> l ]IVED 5 \-^ cLtv4 A. D.