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Home My WebLink AboutPermit Building 2000-01-10yln 7a ArFl rcz /-r7o uJ'fr q-l/aru RESIDENTIAL PERMIT APPLICATION lnspect Off ice: SPRINGFIELD :ions: 726-3769 726.3759 &fr, JOB NUMBER 225 Fifth Street Sprlngfleld, Oregon 97477 tu_ LOCATION OF PROPOSED WORK: ASSESSORS MAP:/701 za 43 TAX LOT D%7@ LOT BLOCK:SUBDIVISION OWNER:PHONEi 2tP;a'LCITYISTATE: ADDRESS: Tzzz 7 ' /'{Zf a ADDITION DEMOLISH OTHERLNEW- REMODEL DESCBIBE WORK: 54;6kgr? (ettcl el^,l. L, CONTRACTOR'S NAME ELECTRICAL: MECHANICAL: PLUMBING: GENERAL: CONST.CONTRACTOR# EXPIRES r' PHONE RANGE: , OF BDRMS: - OFFICE USE - LAND USE: WATER HEATER: ZONING CODE:C OF UNITS: QUAD AREA: * OF BLDGS: SECONDARY HEAT: SQUARE. FOOTAGE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an Inspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be made the same worklng day, lnspectlons requested af ter 7:00 a.m. wlll be made the followlng work day. , REQUTRED TNSPECTTONS l--l Temporary Electrlc Slte lnspectlon - To be made after excavatlon, but prior to setting forms. Underslab Plumblngl Electrlcal/ Mechanlcal - Prlor to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prlor to concrete placement. Underground Plumblng - Prlor to lllllng trench. Underlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decklng. Sanltary Sewer - Prior to filllng trench. Storm Sew€r - Prior to filling trench. Water Llne - Prlor to filling trench. F7 nougtr Mechanlcal - Prlor to ,lal cover. ffi nough Etectricat - Prior toI*over. ffi rlnat ptumblns flplumblng worl<- When all ls complete. Electrlcal - When all electrlcal work is complete. Flnal Bulldlng - When all required lnspectlons have been approved and building is completed. Other /S/b? MOBILE HO Blocking and Set.Up - When all blockln0 ls complete. Plumbing Connectlons - When home has been connected to water and sewer. Electrlcal Connection - When blocklng, set-up, and plumbing lnspections have been approved and the home is connected to the servlce panel. Final - After all required lnspections are approved and porchcs, sklrtlng, decks, and ventlng have been Installed. E "x, ,Xt"-'ng - Prlor to cover' ffiwattCelllng lnsulatlon - Prlor to /acover. ffo*"ll - Prlor to taplng' Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flreplace - Prlor to faclng materlals and framlng lnsp. Wood Stovo - Afler lnstallation. lnsert - After flreplace approvsl and lnstallatlon of unlt. Curbcut & Ajrproaclr - After forms are eru;cted but prior to placement of concrete. Sidewall< & Drlveway - After excavation ls complete, forms and sub-base material ln place. Fence - lvhen cci'rpieted. Str€€t Trees - When all required trees are planted. lrVI Flnat Mechanlcal - When alllAmechanlcal work ls complete. X IV[ Post and Beam - Prior to floor F{ lnsulatlon or decklng. h/ Ftoo, lnsulation - Prior toA{deckins. E Rough Plumblng - Prlor to cover. FLOOD i)LAIN: E E E EE Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - - lnterlor - Corner - Panhandle ! - Cul-de-sac i _ .HE PROPOSED WORK tN THE.. HISTORICAL DISTRICT, OR ON THE HISTOFIICAL REGISTER? - lf yes, thls applicatlon must be slgnedand approved by the Historlcal Coordinalor prlor to permit lssuance. APPROVED: PL.HSE GAR ACC N S E Total Value Bullding Permit Fee State surcharse 3?Of /r7O Total Fee (A) X $/SQ. FT.VALUE {7 ca /o BUILDING PER IT -ra f?- s66 Garage Carport ITEM Main SQ. FT. This perrnit is granted on the Gxpress conditlon that the said construction shall, in all respects, conform to the Ordlnanceadopted by the City of Springfield, includlng the Development Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordinances. Receipt Number:_ Plans Reviewed By Date c HNLA EC K D NI E, PEG UIR IT Plan Check Fee: Date Paid Received By: BUI LDI NG AND BUIL SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls 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 PLUMBING PERMIT N' FEE f:I FT. (c) Plumblng Permlt Stato Surcharge Total Charge ADDITIONAL COMMENTS I Wood Stove/ lnsert/ Fl replace Unit Dryer Vent MECHANICAL PERMIT /nr frt (D) o f,o No I _,/v/D Mechanical Permlt lssuance State Surcharge Total Permlt _/f oo /;0 Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformation hereon is true ancl correct, and I f urther cerilfy that any and all work performed shall be done in accorrJance wlth the Ordinanccs of the Clty of Sprtngfleld, and the Lawsof the State of Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCy will be made of any structure wlthout perrnission of the Bullcling Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 7O1.OS5 will be used on thlspro,ect. I further agree to ensure that all required inspections are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the frontof the property, and the approved set of plans wlll remaln tr, :D,2-lm m L{ DATE r..lPAt) €+ EIVE D Slgnature Date on the site at all ti durlng construcilon. VAI-IDATION: HECEIPT NUMBER LrlF AMOUNT REC RECEIVED BY MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - ft Curbcut tt Demolltlon State Surcharge ,/kt/, ' - ' Total Mlscellaneous Permits (E) TOTAL AMOUNT DUE (excludtng etectrica, P- / fr(A, B, C, Q and E Qomblned) ' l.;' i i i: .- 43,2* FT. clTV 6!F Strl?OFEGO'U SPFINGFIELE, lc) does not Zoning SPRINGFIEID, OREGON INSPECTION REQUEST: OFPICE: 726-3759 L Date trrtOTtcE: THIS PEIIMITSHALL EXPIRE IF rHEWonm;; ,;-,.,,, AUTHORIZED UNDER THIS PERMIT IEilffd[.NTCAI PERI{IT APPIJCATION aTpOMMENCED OR lS ABANDONED FOR 26-a|,|ffs6 DAy pERtoD. citv %/) 3. COHPT,ETE FEE SCEEDTII,E BELOV Job Nunber New Residential-Single or Multi-Family per dvelling unit. Service Included:Items CostI,EGAL DESCRIPTIONll o7 ,.u 44 0q16-D DESCRIPTION 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. CONTRACTOR INSTALI..ATION ONLY Electrical Contractor Address I OqL M 7 1 LOCATION OT INSTALI,ATIONrhf1AI A B t( Sum Ynone 7"&/. -aA.Y\ $ 40.00 Services or Feeders InstaIlation, Alterations or Relocation: 200 amps or less 3-201 amps to 400 amPs - 401 amps to 600 amps - 601 amps to 1000 amps- 0ver 1000 amps/volts - Reconnect OnIY Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 40.00 over 4b1 to 600 ambs - $ 80.00 Over 600 amps or rbooETts see uBu a6i6 Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35'00 Each Additional":i;;::i":;r:iil,'ervice g z.oo @- Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/Out1ine Lighting- Limited EnergY/Res - Limited EnergY/Comm qs / 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular Dwelling Service or Feeder SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAL t s Bs.oo I s;, r, D $ 1s.00 = $ s0.00 s 60.00 s100.00 $130.00 $300.00s 40.00 Ci ty Supervi-sor License Number Expiration Date, Constr Contr. Number I ,{3 1 Expiration Date oo Signa ture of Supervis tr EIN Ovners Name Address I c{ }9 ?-fn-q Jttt--l' Ci ty So v- i ncli r--lz{ Phone 1u r :31oX OITNER INSTALLATION c. D EThe installation is being made on property I ovn vhich is not intended for sale, lease or rent. Onners Signature: DATE: l(t 6c1 c> RBCEIVED - l1- 2 5 7€o7 5 tn $ 40.00 $ 40.00 $ 20.00 $ 36.00 SPRTNGFIELO RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED 225 Fifth Street Sprlngfleld, Oregon 97477 /?2s * ASSESSORS MAP:7o q3WORK: 37b TAX LOT:0 ffitro LOI BLOCK:SUBDIVISION PHONE: STATE:ZIP:o /.tzf a 7ztCITY: ADDRESS: OWNER: NEW - REMODEL <_ ADDITION DEMOLISH OTHER DESCBIBE WORK: Ol"*zl< T EXPIRES 5 PHONE t31 CONTRACTOR'S NAME MECHANICAL: ELECTFIICAL: lAantJ<I r< CONST. CONTRACTOR # GENERAL: PLUMBING - OFFICE USE - NOTIGE:FLOOD I)LAIN SQUARE FOOTAGE THISPERMIT FOR OUAD AREA:LAND USE; * OF UNITS:, OF BLDGS! ,rr AH 952-(ISNOTOCCY G CONSTR. TYPE: 0090. Yoit # OF STORI ES:r.e..l--*---;-:+-HEAT SOURCE Notificatior wArER n eerEhr.[ bet]'lthl !''eilol'RANGE: To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspectlons requested af ter 7:00 a.m. wlll be ma<Je the followlng work day, REOUIRED INSPECTIONS Temporary Electrlc Rough Mechanlcal - Prlor to cover. al Plumbing - When all umblng worl( ls complete. lnspectlon -@::Electrical - Prior to al Electrlcal - When all -4 4 electrlcal work ls complete.-'f- tpE Qr,^ul Underslab Plumblng/ Electrical / Mechanlca! - Prlor to cover,Electrlcal Servlce - Must be approved to obtain permanent electrlcal power. Final Mechanical - When all mechanlcal work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framlng lnsp. Building - When all red lnspectlons have been Masonry - Steel locatlon, bgnd beams, groutlng. approved and bulldlng is completed. ng - Prlor to cover. Foundatlon - After forms are erected but prlor tg concrete placemont.lCclllng lnsulatlon - Prlor to ll Unaerground Plumblng - Prlor 'J to rllllng trench. l-l Underlloor Plumblng I Mechanlcal Prlor to lnsulatlon or decklng. I - Prlor to taplng. MOBILE HOME INSPECTIONS Wood Stovo - After lnstallatlon. Post and Beam - Prlor to lloor lnsulatlon or clecklng.lnsert - After flreplace approvql and lnstallatlon of unlt. Blocking and Set.Up - When all blocklng ls complete. Floor lnsulation - Prlor to decklng.Curbcut & AJrproaclr - After forms are erected b(rt prior to placoment of concrete. Plumbing Connectlons - When home has been connected to water and sewer. Sanltary Sewer - Prlor to filling trench,Electrical Connection - When blocking, set-up, and plumbing lnspections have been approved and the home is connected to the servlce panel. Storm Sewer - Prlor to fllllng trench. Sidewalk & Drivewav - After excavation ls complete, forms and sub-base materlal ln place. Water Llne - Prlor to filllng Fence - When coilrpleted. ugh Plumbtng - Prlor to Str€ot Trees - When all roqulred trees are planted. Final - After all required lnspectlons are approved and pgrches, sklrtlng, decks, and ventlng have been lnstalled.cover, JoB NUMBE " -3 3J55 z- 1 d'L Dtaetd Po+r*rrod I C-aaJ"^-l "PAc-^ c"a+- ADDRESS 5t't SLlt- E E [-l other fl fl E E E E ,!:;ll .,t (-IS THE PRoPOSED WoBK TN THE.. HISTORICAL DISTBI T, OR ON THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the H lstorlcal Coordlnator prlor to permlt lssuance. APPROVED: BUILDING lUe LAN CHECK AND BUILDING P , E RMIT Thls permlt is granted on the express condition that the said constructlon shall, ln all respects, conform to the Ordlnance adopted by the City of Springfleld, includlng the Development Code, regulating the constructlon and use of bulldings, and may be suspended or revoked at any tlme upon violation of any provislons of sald ordlnances. Plan Check Fee: Date Paid Receipt Number:- Received By: Plans Reviewed By Date Systems Development Charge ls due on all undeveloped propertles withln the City limits which are being lmproved. ADDITIONAL COMMENTS 4Note: rc:r - Building Inspector may require ldditional plans information, md/or fees for the completion of this project. Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - - lnterlor - Corner - Panhandle ! - Cul-de-sac I '-a/,2--f- 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 further cerflfy 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 pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY wlll be made of any structure wlthout permission of the Bulldlng Safety Dlvislon. I further certify that only contractors and employees who are ln compllance with ORS 701.055 will be used on thls proiect. 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 wlll remaln on the slte at all tl Slgnature PL.HSE GAR ACC' N S E VALUE 4L aoo 2-61.e L6qr FT. (A)>q(.+f MtT Total Value Building Permit Fee State Surcharge Total Fec '. /! X $/SQ. FT. BUILDING PER ITEM SO. Main Garage Carport SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ITEM Fixtures Residentlal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home 4o FEE r'l oLl lL (c) Nc FT. FT. PLUMBING PERMIT FT. Wood Stove/ lnsert / Fl replace Unit Dryer Vent (D) N0Vent Fan Mechanical Permlt lssuance State Surcharge Totat Permlt MECHANICAL PERMIT Furnace Exhaust Hood MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolltlon State Surcharge Total Mlscellaneous Permits (E) TOTAL AMOUNT DUE (excludins electrtca tl *yA'-yt (A, B, C, D, and E Comblned) nbl 5g qlI tl VAI-IDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY Date s durlng constructlon. -T-* /r/2,/gt q'/ Plumblng Permlt State Surcharge Total Charge