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Home My WebLink AboutPermit Building 1994-04-19FIELD RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 JoB NUMBE ^ Ttln::a afr, 225 Fifth Street Spri ngfield, Oregon 97 477 LOCATION OF PROPOSED WORK: -J I Nl orth ASSESSORS MAP:/1-o3-XLl LOT ltu-BLOCK: gt,^ \ t ,S d oR '7?L/'|c TAX LOT:6o0,, 5osDco"., He\{crc.h )tlr-t4o tPHONE: "Lt 16 nJ, l1!. P to.*e 3p*t d C,fr,STATE:,rr, JJVI?CITY: ADDRESS: OWNER: D ALfs Gr €rso nd.. t Ubv^aa".d DESCRIBE WORK: ADDITION DEMOLISH OTHERruew H FIEMoDEL EXPIRES PHON E rrt\L {r^sVa ()J3 CONTRACTOR'S NAME IvIECHANICAL: ELECTRICAL: ADDRESS CONST. CONTRACTOR # GENERAL: PLUMBING Sgtuu)\\t\- OFFICE USE - # OF BDRMS WATER HEATER ZONING CODE: FLOOD PLAINQUAD AREA: * OF BLDGST SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: r OF STORIES: CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS To request an inspection, you must call 726-3769. Thls ls a24nour recording. All inspections requested before 7:00 a.m. will be made the same working day, lnspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. 'lV? Footino - After trenches areJZ\xcavaieo. Site lnspection - To be made after excavation, but prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Masonry - Steel location, bond beams, grouting. Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Floor lnsulation - Prior to decki ng. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Water Line - Prior to filllng trench. Rough Plumbing - Prlor to cover. Rough Eleclrical - Prior to Fireplace - Prior to faclng materials and framlng lnsp. Final Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work is complete.Electrical Service - Must be approved to obtain permanent_ - ?";lwu;,^, ,E X. X tZFoundation - After forms are ,rlAlete"t.d but prior to concrete-placement. IVT Underground Plumbing - Prlor ,Fto fitting trench. A@ N? TYf Framlng - Prior to cover..ra\Xlorte, U'|le t il4RMff Wd-os 1r*Ny) Final Building - When all required inspections have been approved and building is completed. MOBILE HOME INSPE TIONS Blocking and Set.Up - When all blocking is complete. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the servlce panel. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Wall/Celling lnsulation - Prior to cover. Wood Stove - After lnstallation lnserl - After flreplace approval and installatlon of unit. Curbcut & Approach - After forms are erected but prior to placement of concrete. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Fence - When completed. Street Trees - When all required trees are planted. SUBDIVISION:- I RANGE: l--l Temporary Electric E E E [-l Drywall - Prior to taping. il r Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Type X tn,urio,. - Corner - Panhandle - Cul-de-sac Setbac w ,')( P.L.HSE GAR ACC N S E S THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the H istorical Coordinator prior to permit issuance. APPROVED:l 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 upon violation of any provisions of said ordinances. Reviewed By ? P tk#k' Recei pt Numbe Plan Check Fee Date Paid: Received By: BUILDING PERMIT ITEM SQ. FT. X S/SQ. FT.VALUE lzeZ,y'=/#e4 (A) Total Value Building Permit Fee State Surcharge Total Fee -G€,5o/?03 2a?s3AnF--e,- Main Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SQ-C)(B) I Cr t) ADDITIONAL COMMENTS L.-0nr Iu()iA,4 I ) L ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE N0 FT. F='.f ^' FT. (c) t) PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ^3,rc 57.?s Wood Stove/ lnsert/ Fireplace Unit (D) N0Vent Fan Dryer Vent Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have caref ully 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 Springf ield, 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 further 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 is located at the front of the property, and the approved set of plans will remain on the site at I times duri ng construction. f ,nn",,," Date MTSCELLANEOUS 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, O and E Combined) 7 ?/,zb /2>AV AMOUNT RECEIVED RECEIVED BY DATE PAID VALIDATION: RECEIPT NUMBER //-, CITY OF SPP"VGFIELD, OREGON 225 FIFIE STREBT SPRINGPIBLD, oRBGoN 97477 INSPITCTIOT{ REQTIBST : OFPICE: 726-3759 zorting, ano doe$ approval. 726f,J.9?t*Z-q Permits are non-transferable and expire if vork is not started vithin 180 days of lssuance or lf vork ls suspended for 180 days. 2. COT{TRACTOR INSTALI..ATION ONLY Electrical Contrac tor JB €bc.*ru- Address nfb sT Ci ty €*rr*,o Phone b(7-{a7a/ Supervisor License Number 317^s sPBti. -a -D The fcllowing project aE submitted has the not require specific land use UDL BIJCTRTCAL PBRilIT APPLICATION City Job Nunber Qrto I-' A Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or -Hodular Dvelling Servlce or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: c D. Branch Circuits New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional 200 amps or less I 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps_ Over 1000 amps/volts Reconnect Only Temporary Services or Feeders Installation, Alteratlon or Relocation 200 amps or less $ 40.00 20L amps to 400 amps - $ 55.00 over 401 to 600 ambs - $ 80.00 0ver 600 amps or 1000 voT[s see I'B* a66iE- Authorizod Gignatu ea couprrrg vBB scBBDUL,B BELos 1 LOCATION OP INSTJ'TA N,ALI,ATIONl'l tt 1"1 0 oGo?)Sum ,t B Expiration Date o Constr Contr. Number f{to-zt Expiration Date Slgnatu of Blectrician Owners Name Vsn-/h.tu{/" Address Ci ty Phone OVNER INSTALI"ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: Circuit or vith Service -or Feeder p"irit---'G- $ 2.oo I-t E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation sign/outline Lighting- Limited Energy/Res Llmi ted Energy/Comm 6a,,ro = s s0.00 $ 60.00 s100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 40.00 $ 20.00 $ 36.00 SUBTOTAL OP AtrOVB 5Z State Surcharge TOTAL ffi,.1u 3P,tlbRBCEIVED -?s 5 6u lra SPQINGFIELI ?-r qv L€9? /t{- tq t, ^;rt/ Pt*, ,b-W /*., tit/U eE-Un lA ',;il a Ls,l t4rr,o *21'^fro+-l*l-fr A|EMO FROM JACKIE MURDOCH CODE ENFORCEMENT OFFICER DEVE LOPM ENT SE RVICES DE PARTM E NT //1\ )" t'/u 2/-*- ^, /^"r;7/*//"ry 4 lAC. u "ail]a tru.d*t /)*ruJ/) fuzl Az 6*J t-(^-e a- , "/rln . tla u-zn "*-"F"J@ CITY OREGOA' ,.-l*/ *-/ "rr /r.""d^ CITY OF OREGOTU The lollowing project as submitted hao the followizonirng, and does not require specific land 225 FIFTB SlBBEf,approval. SPRTNGPTBLD, 0RBGoN 97477 INSPBCTION RBOUEST: 7 OPFICE: '726-3759 Ll 1 OP rized n Permi ts non-transferable and expire if vork is not started vithin 180 days of lssuance or lf vork ls suspended for 180 days. 2. CO}ITRA TOR INSTALI,ATION ONLY Electrical Contrac rcrl]i.P, ELWUa L Address g1 - 5ttoPhone Ci ty Job Nunber COHPI..ETB FEE SCEEDTILE BELOV A. Nev Residential-Single or HuIti-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or -Hodular Dwelling Servlce or Feeder $ 8s.00 $ 1s.00 $ 40.00 SPFlI]\lGFIELO uso BLECTRICAL PBRHIT APPLICATION $300. 00 $ 40.00 rZ B. Services or Feeders fnstallation, Alterations or Relocation: 200 amps or less -J-20L amps to 400 amps 401 amps to 600 amps _601 amps to 1000 amps 0ver 1000 amps/volts -Reconnect 0nIy Supervisor License Number =fi1 Expiration Date t0- r -q5 constr contr, nunaer ffi9ffi V{Zco Expiration Date t ng Electrician Owne Address Ci Phone OIJNER ALI,ATION lhe installatioh is beirig made on rroperty I ovn vhich is not intended or saIe, lease or rent. vners Signature: ITB: $ s0.00 s 60.00 $100.00 $130.00 Sum 5s.00 80.00 ee rrBrr a5ffi 00 g c Temporary Services or'Feeders Installation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional $ 3s.00 200 amps or less $ 201" amps to 400 amps - $ 0ver 401 to 600 amps - $ Over 600 amps or 1000-i6Tfs s Circuit or vith Service, or Feeder Permit a -Each installation Pump or irrigation $ Sign/Outline Lighting- $ Limited Energy/Res _ $ Limited Energy/Comm $ 40.00 $ 2.00 B. Miscellaneous (Service/feeder not included) 40 40 20 36 00 00 00 5. STIBTOTAL OF ABOVB 5I State Surcharge TOTAL TCBIVED uw Lt^hEtE 6-zz - q4 BACKFLOI,I PREVENTION DEVICE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING. SAFETY DIVISION SPrlINGFIELO Offi ce: INSPECTION LINE: 726-3759 7 26-37 69225 Fifth Street Springfield, Oregon 97 477 Job Location:58? r'.t, tqq S+ . Assessors MaP ll:l'l * 03- 7+ S td, aR Tax Lot #:Go 2 $e ilu..\\e \{r.t.t-0wner: Address:e4 15 N!,t-l" tb p t' City:State:oq Backf'low Permit is $15.00 + $0.75 State Surcharge Phone #:(so 3) 0cll^8{o t Li p:1 Qrrl? Se,tSContractor: Address: City: N.n q|Phone #: State:OR tln.ttzip: constr#tion Con ractors Registration #: \1.,,\'$t^A gna Ex pires: By signing this perm'it/qpplication, I agr99 to call for an inspection once the backflow prevention onriLL rras ucen insla'lled and is vis'ible for inspection iiz6-ji6g5.- i aiso iiate that aii information on this application/permit is correct. #-r,q-qt( Date Date of App I i cati on: Receipt #: FOR OFFICE USE ob #: Tota'l Amount Col I ected: ued By: \(=So31 \ tl?:$.-lt, \