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Home My WebLink AboutPermit Building 1997-03-10RESIDENTIAL PERMIT APPLICATION lnspections:726-3769 Of fice: 726-3759 LOCATION OF PBOPOSED WORK: :}PFlINGFIELD ?zcszA %ft, JOB NUMBER 225 Fittlr Strcet Sprirrgtlerld, Oregon 97477 40q 7ru ?^.\/ (EET ASSESSORS MAP:TAX LOT:nrqo LOT:BLOCK:SURDIVISION PHONE: STATE:ztP rOWNER: ADDRESS: CITY: NEW - REMODEL ADDITION DEMOLISI{ OTHER -= DESCRIBE WORK ADDR EXPIIlES PHONE * ?-)Pt. N CT N FIACTOT RCONTRACTOB'S NAME MECHANICAL ELECTRICAL: G EN ERAL: PLUMBING RANGE / OF EDNMS _ OFFICE USE _ WATER HEATEB FLOOO I)LAINQUAD AREA: , OF BLDGS SECONDANY HEAT: SOUANF. FOOTAGE: CONSTR. TYPE HEAT SOURCE: LAND USE: // OF UNITS OCCY GROUP: I OF STORIES: ZONING CODE: --. To request an lnspection, you must call 726-3769. Thls ls a 24 hour rccorcJing, All lnspections re(luestecj beforc 7:00 a.rn. wlll be made the sante worklng day, lnspections requested after 7:00 a.m. wlll be macle the following worl< c1ay. REOUIRED INSPECTIONS [-l Temporary Electric ll l-l Rough Meclranical - Prior to [-7 finrt plurnbing - When ail 'J cover. ta plumbing worl( is complete. Site lnspection - To be madc after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical worl( is complete.c ove r. Underslab Plumbing/ Electrical / Mechanical - Prior to cover.Electrical Service - Must be approved to obtain perrr\anent clectrlcal power. Firral Meclranical - When all firechanical worl( ls cornplete. Footlng - Af ter trenches are excavated.Flreplace - Prlor to faclng materials and f raming lnsp. W Final Building - When all required inspectlons have been approved and buildlng is completod.Masonry - Steel locatlon, bond beams, groutlng.ffi Framing - Prior to cover Foundatlon - After forms are erected but prior to concrete placement. Othcr Wall/Ceilinq lnsulalion - Prlor to c ove r. Underground Plumbing - Prior to fllllng trench.J-l Orywall - Prlor to taping MOBILE I-IOME INSPESTIONS Underlloor Plumblng/ Mechanical - Prior to lnsulation or decl(ing.Wood Stove - Af ter lnstallalion. Post and Beam - Prlor to f loor lnsulation or decklng,lnserl - Af ter llreplace approvql and installatlon of unlt. Blocking and Set.Up - When all blocklnl; is cornplete. Floor lnsulalion - Prior to deckl ng.Curbcut & A1:prroach - After forms are erected but prior to placemcr-r t of concrct<:. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to f llling trench.Electrical Conrrection - When blocking, sct-up, and plumbing inspcctions llive bccn approvcd and tlre trorne is connected to the service panel. Storm Sewer - l)rior to filling trench. Sidewalk & Driveway - Af ter excavation is complcte, foillls ancl sul)-base matcrial in placc. Water Line -. Prlor to filling trench. Fence - !vhen cornpleted lilrest Trecs - When all rcqulred trees are planted. Final - Af ter all required inspections are approved and porches, skirting, decks, and ventin0 have been installed.K Rough Plumbing - Prior to c ove r. L] tl tl tl r tl E Lot faces Lot sq. ftg. Lot coverage To pography Total height Lot Type \/ - lntcrior -- Corner - Panhandle - Cul-de-sac Se t bac l(s PL HSE GAR ACC N c E vfHE PROPOSED WORK iN THE HISTORICAL DISTRICT, OR ON TI-1 E HISTORICAL REGISTER? - ll yes, this applicatlon must be signed arrd approved by the Historical Coordinator prior to permit issuance. APPBOVED: Zfu-=.* VALUE (A)%,_fr_ x $/so. t--T. Total Valuc Building Permit Fee State Surcharge Total Feo BUILDING PERMIT ITEM SO. FT, Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pernrit is granted on the cxpress condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springlield, 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. Plans Rcviewcd l3y Date Plan Check Fee Date Pald Receipt Nurnbcr: Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developmcnt Charge is due on all undeveloped properties within the City linrits whiclr are being improved. PLUMBING PERMIT ITEM Fixtures --/---=Residential Batlr(s) Sanltary Sewer Water Storm Sewer Mobile Home 2/42 /4#rv - 'zE(c) /a -za FEE FT. FT. Fl. Plumblng Permit Slate Surcharge Total Charge NN ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unil Dryer Vent (D) Vent Fan Mechanical Pcrmit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnacc Exhaust Hood By slgnature, I state and agree, that I have caref ully examined tlre completed application and do hereby certify that all information hereon is lrue and correct, and I f urther certif y that any and all work performed shall be done in accordance with the Ordinanccs of the City of Springfield, and the Laws of the Statc of Orcgon pertaining to thc work described hercin, and that NO OCCUPANCY will be made o( any structure wlthout perrnission of the Buil<jing Safety Division. I f urther certify that only contractors and employees who are in cornpliance witl'r ORS 701.05S 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 f rom the street, that the permit card ls located at the f ront Signature - to -q7Date of the property, and the app on the site at all of plans will remain u ction. MISCELLANEOUS PERMITS Mobile Home State lssuance Statc Surcharge Sidewalk - ft Curbcut --- ft Demolitlon State Surcharge Total Miscellaneous Peilnits (E) TOTAL AMOUNT DUE (excludin0 clectric.rl) (A, B, C, D, and E Cornbincd) ,2,22 >e 2 AMOUNT RECEIVED FTECEIVED BY DATE PAID VALIDATION: RECEIPT NUMBER 225 TETE SItsEEE SPPJNGETEU), oREGoN 974n t nn rilspEqtIoN REQT BSE | 726-3769 1 .'"/a--- oPFIcE: 72t37s; J-{<l 1. IOCATION OP INSEIIIJ.{rION TSOS IrH STREET IAGAL DESCRIETTON sERVrcE l1 01 )L, Lt\b89ol JOB DESCRTETTON BRrNG exrsrtuc sERVrcE uP To coDE Permits are non-transferable and expirelf vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days 2. CONItsASIOR INSTAIJATION ONLI Electrical Contractor scoFrELD ELECTRTc Address 3625 wESr lsT AVENUE Ci ty EUGENE Phone 585-8612 Supervisor License Ndmber 5085 Expiration Date lo/L/98 Constr Contr. Number O387o2 ExPiration Date 1'?/2L/e7 Signature of ing trlcian OVners Nane ANVAUCE INVESTMENT CORP Address 32I GOODPASTURE ISLAND ROAD Ci ty EUGENE phone 343-9714 OVNER INSIALIATTON The installation is being made on property f om uhich ls not intended for sale, lease or rent. 0nners Sigaature3 DAIE: slDr$r\l(:l!ilELE Er.pclRrc^r- pE8$fr appLIcaIIoN ciry Job Nnuber 4lo 3, > ry'^couuarr FsE scErDura Baros A. Nev Residentlal-Slngle or Hulti-Fanily per dvelling unit. Service fncluded: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Eaeh Hanuf'd Home or Hodular Dvelling Service or Feeder $ 8s.00 s 15.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less I 201 amps to 400 amps _401 amps to 500 amps _601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect Only c ?emporary Services or Feeders fnstallation, Alteration or Relocation D. Branch Circuits Nev, Alteratlon or Extension Per Panel 200 amps or less $ 40.00 Over 401 to 500 amps _ $ 80.00 Over 600 amps or 1000 volts see "Brf above $ s0.00 $ 60.00 $100.00 $130.00 $300.00 s 40.00 s 3s.00 s 2.00 Sum 24.OO E. Hiscellaneous (Service/feeder not included) One Ci.rcui t Each Additional Circuit or vith Service or Feeder Permit l7 ST'BTOTAL OP ABOVE 5E State Sureharge 3Z City T OTAL -Each installation' Pump or irrigation $ Sign/outline Lighti"s- S - Limited Energy/Res S Limited Energy/Como S 40.00 40.00 20.00 36.00 74.00 3. 70 2.22 D, OREGO'I'C'TY OF RECEEVED BI: 5 79.92 j.. 50.00