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Home My WebLink AboutPermit Building 1994-05-27SPRI,{GFIELE, a JOB NUMBEB 225 Fifth Street Sprl ngf leld, Oregon 97 477 TAX LOI SUBDIVISION RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office:726.3759 LOCATION OF PRO WORK: ASSESSORS MAP: LOT - BLOCK: AI PHONE:a <1a- 43 ?/ STATE:4r*-CITY: ADDRESS: oWruen: ( DEMOLISH OTHER DESCBIBE WORK: ADDITION TNEW- REMODEL ADDRESS PHONE coco C 3CONTRACTOR'S NAME ELECTRICAL: MECHANICAL: PLUMBING: GENERAL: NST. NTBA TOB # \\ t\\ \ - OFFICE USE - RANGE: r OF UNITS: LAND USE: WATER HEATER: ZONING CODE: FLOOD PLAIN: * OF BLDGS: QUAD AREA: SECONDARY HEAT: SOUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: I OF STORIES: To request an lnspectlon, 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 after 7:00 a.nr. wlll be made the followlng work day. REOUIRED INSPECTIONS Temporary Electrlc [--l Rough Mechanlcal - Prlor toU cover. Flnal Plumblng plumblng work - When all ls complete. Sile lnspection - To be made after excavation, but prior to setting forms. Rough Electrlcal - Prlor to Flnal Electrlcal - When all electrical work ls complete.cover. Underslab Plumbing/ Eleclrical / Mechanlcal - Prlor to cover. Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flna! Meqhanlcal - When all mechanlcal work ls complete. K Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and lramlng lnsp. ,K Flnal Buildlng - When all regulred lnspectlons have been approved and bulldlng ls completed.Masonry - Steel locatlon, bond beams, groutlng. ,K Framlng - Prlor to cover' ,K Foundatlon - After forms are erected but prlor to concrete placement.WalltCelllng lnsulatlon - Prlor to cover, E Underground Plumbing - Prior to fllllng trench.Drywall - Prlor to taplng. MOBILE HOME INSPE TIONS Underlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decklng.Wood Stove - After lnstallatlon. Post and Beam - Prlor to lloor lnsulatlon or decklng.lnsert - After flreplace approval and lnstallatlon of unlt. Blocklng and Set.Up - When all blocklng ls complete. Floor lnsulation - Prlor to decklng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connectlons - When home has been connected to water and sewer. Sanitary Sewer - Prior to fllllng trench.Electrical Connection - When blocking, set-up, and plumblng lnspectlons have been approved and the home ls connected to the servlce panel, Storm Sewer - Prlor to fllllng trench. Sidewalk & Drlveway - After excavation ls complete, forms and sub-base materlal ln place. Water Llne - Prlor to filling trench, Fence - When completed. Rough Plumblng - Prlor to cover. Slreet Trees - When all requlred trees are planted. Flnal - After all required lnspectlons are approved and porches, sklrtlng, decks, and ventlng have been lnstalled. E tf =rr, ??42 8 3H- , OF BDRMS:- E tl E [-_lortrer- E E E ....... -o 1i.t .. 4 t .\, Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac S THE PROPOSED WORK TN THE. HISTORICAL DISTBICtr, OR ON THE HISTOR]CAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Hlstorlcal Coordinator prlor to permit issuance. APPROVED w PL.HSE GAR ACC N S W E BUILDING PERMIT ITEM SQ. FT. Maln;;;;," 3rr4- X $/SQ. FT,\6ALUE ',., /'S?a Z'' 3 (A) €rr f,Or2Q, Carport 49s 54,ss Total Value Bulldlng Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permlt ls granted on the express condition that the sald construction shall, in all respects, conform to the Ordlnance adopted by the City of Springfleld, includtng the Development Code, regulating the construction and use of bulldlngs, and may be suspended or revoked at any time tAz,4t---f-oaA--P Plan Check Fee: Date Paid Receipt Numbe Flecel upon violation of a f said ordinances. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) - OGxS -Systems Development Charge ls due on all undeveloped properties wlthln the City limits which are being improved. ITEM Flxtures Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE (c) No FT. FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Tolal Charge ADDITIONAL COMMENTS 4otrfre?rax at ft4ztzE e Wood Stove/ lnsert/ Fl replace Unlt Dryer Vent (D) N0Vent Fan Mechanlcal 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 cerilfy that any and all work performed shall be done in accordance wlth the Ordlnances of the City of Springfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY witl be made of any structure wlthout permission of the Buildlng Safety Division. I further certify that only contractors and employees who are ln compllance with ORS 701.055 will be used on thls prolect. I further agree to ensure that all required inspections are requested at the proper tlme, that each address ls readable lrom 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 times durlng con ure26rnn", Date lon MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - ft Gurbcut - ft Demolltlon State Surcharge Total Mlscellaneous Permlts (E) TOTAL AMOUNT DUE (excludlng electrlcal) (A, B, C, D, and E Comblned) f5 RECEIVED BY DATE PAID AMOUNT VALIDATION: RECEIPT NUMBER t HJD-,W s- -Z-=-Q.l I OREGO'VCITY OF 225 TTYTH STREBT SPRINGFIELD, OREGON 97477 INSPECTION REOITBST3 726-3769 0FFICE: 726-3759 1 LOCATION OF ,T'k LEGAI JOB DBSCRTPTION SPtrr.;GFIELD as submtttod br roquire speci{ic EI,E TRICAL PERUIT A?PLICATION BELOg Nev Residential-Single or Multi-Family per dvelling unit Service Included: I tems 1000 sq.ft. or Iess Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder Cos t $ 8s.00 $ 1s.00 $ 40.00 Services or Feeders InstaIIation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs -401- amps to 600 amPs - 601 amps to 1000 amPs- Over l-000 amps/volts - Reconnect OnIY One Circuit l- $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 The lollowlng proiccr ronino, and does not apprwal. 3 7 A B Sum Permlts are non-transferable and expire if vork is not started within L80 days of issuance or if vork is suspended for 180 days. 2. COI,ITRACTOR INSTALI,ATION ONLY OVNER INSTALLATION The install-ation is being made on froperty I ovn vhich is not intended for sale, lease or rent' Electrical Contractor- Address t Ci tv Phone Supervisor License Number Expiration Date Constr Contr' Number- Expiration Date Signature of Supervising Electrician Ovners Name Addre Ci ty PhoneT{6 -4?7/ Temporary Services or Feeders Insiallation, Al-teration or Relocation 200 amps or fess $ 40.00 Over 600 amps or 1000-tilts see I'B'r above Branch Circuits Nev, Alteration or Extension Per Panel- ?<fry? $ s0.00 s 60.00 $100.00 s130.00 $300.00 $ 40.00 C Signature: D E. Miscel-faneous (Serviee/feeder not included) -Each installation Pump or irrigation Sign/Out1ine Lighting Limited EnergY/Res - Limited Energy/Comm s $ $ $ 40.00 40.00 20.00 36.00 DATE: SUBTOTAL OF ABOVE 52 State Sureharge 32 Administrative Fee TOTAL -3€+ 't rol---------.-----_90 a.a RECEIVED B 5 ---77-f- -..! CITY OF SPRTNGFIELD Clty Hell Sprlngicld, Orcoon , r Development Services OFFICIAL RECETPT 21E35 19 Rec'd From Address tl 'l Received For F oo 0r * go q<z2/Amount Received BY SIGNATURE \,,.-/ I :t -- ,'