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Home My WebLink AboutPermit Building 1992-06-05SP,lI]'l LO RESIDENTIAL PERMIT APPLICATION f nspections: 726'3769 Oflice: 726'3759 h, -iou rr*u.*7 v< 225 Fit|h Street Springfield, Orcgon 97 477 TAX LOT:aa e ./2 LOCATION OF PROPOSED WORK: 3/ SUBDIVISION: ASSESSORS MAP: OWNER: ADDRESS: Z2Z g9=???-z-' PHONE: srArE: =a7 ,- ztP: 74>Z Tore(luestar]inspecti()n,youmustcallT26.3T69.Tlrisisa24hourrecordin made lhe same working day, inspections requested after 7:OO a'm' will be REOUIRED INSPECTIONS Rough Electrical - Prior to cover. Framing - Prior to cover, Wall/Ceiling lnsulalion - Prior to cover. lnserl - Aftcr flreplace apllroval anrl installatiorr of unit. Curbcut & Approach - After forms are ereoted but prior to placement of concrete. Sidewalk & DrivewaY - Alter excavation is complete, forrns and sub-base material in Place. Fence - When completed Street Trees - When all required trees are planted. g. All inspections requesteci be(ore 7:00 a'm will be rnade the following worl< daY. Final Electrical - When all electrical work is cornPlete. Final Mechanical - Whr:n all rnechanical worl( is comPlete | | TenrPorarY ElectricL-J Site lnspection - To be macle alter excavation, but prior to setting forms. Underslab Pltrmbing / Electrical I Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond bearns, grouting. IA Foundation - After forms are erectecl but Prior to concrete placement. Underground Plumbing - Prior to filling trench. IA Uncterlloor Plunrb - Priol lo insulertiotl Rough Mechanical - Prior to | --l Final Plumlring - When ;ril cover. lJ plurnbing worl< is complete' M r Electrical Service - Mtrst t)e approved to oblain Pcrrt)an()nt electrical power. /I,RBilssn ft'dc-ryr7a7 Fireplace - Prior to facing materlals and framing lnsP. w Final Building - When all required inspections have begn approved and building is completed. a a Other fN orVwall - Prior to taping. V) fuazWood Stove - Af ter irrst;rllation MOBILE HOME INSPECTIONS Blocking and Sel-Up - Wlten all blocking is completc. Plumbing Connections - When lrome has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected lo the service panel. Final - Alter all required inspections are approved and porches, skirting, decks, and venting have been installed. w Post and Beam - Prior to floor insulatiort ()r tle<;l<ittg. f-Vl Floor lnsulalion - Prior toLAJ decxing. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to (illing trench. Water Line - Prior to filling trench. Rough Plumbing - Prior to cover. 2- DEMoLtsH orHEFl NEW -,_-- REMODEL ADDITION PHONEEXPIRESADDRESSCONTRACTOR'S NAME G ENERAL MECHANICAL: ELECTRICAL: , CONST- CONTRACTOB l/ PLUMBING: #+V _ OFFICE USE _ SOUARE FOOTAGE: - SECONDARY HEAT: # OF BDRMS OUAD AREA LAND USE A OF UNITS: r OF STORIF-S: . WATER HEATER: FLOOD PLAIN: ZONING CODEr OF BLDGS: - OCCY GROUP:CONSTR. TYPE: t.IEAT SOURCE: chan 2 2%:z6s_ tl w E tl IE r r r DESCRIBE WORK: t-t0I., l E D Lot faces Lot sq. 'f tg. Lot coveragc Topography Total height Lot 'fype - lnterior - Corner - Panhandle - Cul-de-sac Sctb;tcl<s HSE .) 1I1E PITOPOSED WOHI( IN THE IJISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTE,FI? -.--._,.-.. lF ycs, this application rnust bc signed and approved by the H istorical Coordinator prior to permit issuance.W, q APPROVED: P.L.GAR N >7 ACC S {aZ; V,2a_ E/%D: VALUE (A) /fu I X $/SQ. FT Total Value Building Perrrit Fce St;rte Sr,rrchargc Total Fce /2". sa6./7 /4-67 BUILDING PERMIT ITEM SO. F'T. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERM]T This permit is granted on the express conditiorr tltat the said construction shall, in all respects, con'forrn to tl-re Orclinance adoptecJ by the City of Springfielcl, irrcludirrg the Developrnent Code, rcgulating the construction ancl use of buildings, an<l may lte suspended or rev.oked at any tirne upon violation of any provisions bf said or(linanccs. v2/-2>_ Datc 7?s= Receivcd By Plan Check Fee: Date Paid: Receipt Nurnber: SYSTEMS DEVELOPMENT CHARGE (SDC)?.4.A- (B) .44-Systems Dcveloprnent Charge is due on all undevelopec.l properties witlrin the Cily lirnits which are being improvecl. ITEM Fix t u res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. PLUMBING PERMIT Plumbing Perrnit State Surcharge -fotal Clrilr'(rc ADDITIONAL COMMENTS 2. lae (D) 6> T'',t N0 ,-&ae. / lnsert/ Fireplace Unit Mechanical Permit lssuance State Surcharge Total Permit -/a:/.og MECHANICAL PERMIT Fu rrr acc Exhaust Hood Vent Fan 7arZa7' Weeffitove Dryer Vent 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 f urlher certif y that any and all worl< performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work describecl herein, and tl.rat NO OCCUPANCY will be rnade of any structure without perrnission of the Building Safety Division. I further certify tlrat orrly contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I f urther 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 f ront of the property, and tlrc approved set of plarrs will rem:rin on the site at all tirnt:s during construclion. A/'rfr+ Signature Datc MISCELLANEOUS PERMITS Mobile Home Statc lssuance State Surcharge Sidcwall< f t Curbcut ,- ,. ---- f t Detnolitiot-t Statc Surch;rr.<;c Total Misccllaneous Pernrits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D. ancl E Combined) 1b_,68 VALIDATION FTECEIPI' N DATE PAID AMOUNT RECEIVED RECEIVED BY ---- uMREri { ? 1/ 2 4 €ttl g/ j/z-^fu FT. Fi. Az+*2e __a_ 5t,. r afg(;t: tL LrJ COHPLBTB FEE SCEEDULB BELOS CATION225 FIFTB STREE-I SPRINGTIELD, OREGON INSPBCTION RBQTIEST: oFPICE: 726-3759 97477 726-3769 1 lortaod Permits are non-transferable and expireif vork is not started vithin 180 days of issuance or if work is suspended for 180 days. 2. COIITRACTOR TNSTALI.ATION ONLY Electrical Contractor Address Service Included: Items Cost 1000 sq.ft. or }ess Each additional 500 sq. ft or portion thereo f Each Hanuf'd Home or Modular DveIIing Service or Feeder $ Bs.oo $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: HuIt i-Fam 200 amps o 201 amps t 401 amps t 601 amps t al-Single or per dvelling unit. I Sum B Phone rvlsor lCen ber r less o 400 amps -o 600 amps _o 1000 ampssbqs ..1 ,3D-qr- $ s0.00 $ 60.00 s100.00 $130.00 $300.00 $ 40.00 fuE Ci ty Supe Expiration Date D\ Over 1000 amps/volts Reconnect 0n1y Temporary Services or Feeders Installation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per Panel one Ci rcui t $ 35.00 Each Additional Ci rcui t or vi th Servi ce or Feeder Permit $ 2.00 c Expiration Date Signature of ing Electrician Owners Addres Ci ty Phone 4 OIJNER The installation is being made on property I ovn vhich is not intended for saIe, Iease or rent. Onners Signature: DATE: 200 amps or less $ 40.00 Over 401 to 600 amps _ $ 80.00 Over 600 amps or l-000 volts see rrBrr above L€ E. Miscellaneous (Service/feeder not included) -Each ins taIIat ion Pr.rmp or irrigation $Sign/0utline Lightirg- $Limited Energy/Res - $Limited Energy/Comm $ SIDTOTAL OP ABOVE 5Z State Surcharge TOTAL 40.00 40.00 20.00 36.00 RECEIVED BY 5 p q6mhrl , JOB DESCN.IPTION-&j?-u) .*- [o.l\Ctt, f-e/ constr contr. Number .54014 Fg,_,- 225 FIFTB $NBEf, SPRINGTTBU), OREGoN 97477 INSPBCf,I0N RBQUBST: 726-3769 OFFICE: 726-3759 t!1. LOCATION OT INSTALI.ATION O IJGAL DESC,?.IPTION JOB Permits are non-transferable and explre lf vork is not started vithln 180 days of issuance or if vork is suspended for 180 days. 2. COI{TRACTOR INSTALI,ATION ONLY Electrical Contractor Address Ci ty Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervlslng Blectrlcian ,owners nane Zkit -l,zz< WF Address cltv 5fu2 Phone 7/At 7/JK OTINBR INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. onners Signature: A hbL LJLJ,- sl'rttNGFtG,Lf, MuIti-FamiIy per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwel1lng Service or Feeder 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/volts Reconnect only 7 SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL Items Cost Sum $ 8s.00 $ 1s.00 $ 40.00 $300. $ 40. 50 60 100 $ $ $ $ 00 00 00 00 00 00 130 C. Temporary Services or Feeders Installatlon, Alteration or Relocation 200 amps or less $ 40.00 0ver 401 to 600 amps $ 80.00 0ver 600 anps or 1000 volts see trBtr above gz" D. Branch Clrcults New, Alteratlon or Extension Per Panel One Circuit 1 $ 35.00 V5,do Each Additional Circuit or vith Service or Feeder Permi t 2 $ Z. OO -g E Miscellaneous (Service/feeder -Each installation Pump or irrigation _ $ Sign/0utline Lighting_ $ Limited Energy/Res _ $ Limited Energy/Comm S not included) 40.00 40. oo 20. oo DATE: RECEIVED BY: 2 5 1>a> /7-az-/?-=., aa;a8 B. Servlces or Feeders Installation, Alterations or Relocat ion: a ,a a