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Home My WebLink AboutPermit Building 1993-02-04SPR FIELE' RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Of f ice: 726-3759 LocArroN oF PRoPoSED woFlK: -<Zg - dye 7 ASSESSoRS r,,tae, / 7fr- ?/'?/ h, JoB NUMBEa %a/z f 225 Fifth Street Springf ield, Oregon 97477 TAX LOT: LOT:BLOCK: SUBDIVISION PHONE: ZIP:STATE ?7la2-CITY: ADDRESS OWNER: ,( ADDrroN DEMoLtsH orHER DESCRIBE WORK NEW _-- FIEMODEL PHONEEXPIBESADDRESSCONTRACTOR'S NAME GENERAL: .-- MECHANICAL PLUMBING CONST. CONTRACTOB # _ OFFICE USE _ LAND USE: * OF BDFIMS: OUAD AREA: ZONING CODE: FLOOD PLAIN WATER HEATEFI , OF UNITS: HEAT SOUBCE: RANGE: OCCY GROUP: # OF STORIES CONSTR. TYPE: ----.-.-.'------.-..-'.---- To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested before 7:00 a'm. wlll be made the same working day, inspections requested after 7:00 a.m. will be made the following work day' REQUIRED INSPECTIONS Temporary Electric Rough Mechanical - Prior to cover. [7] Finat Plumbing - When all4 plumbing work is cornPlete. Site lnspection - To be made af ter excavation, but Prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is comPlete.cover Underslab Plumbing / Electrical / Mechanical - Prior to cover. Eleclrical Service - Must be approved to obtain Permanent electrical power. Final Mechanical - When all mechanical work is comPlete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and f raming lnsP' Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Other Foundalion - After forms are erected but Prior to concrete placement. Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prtor to filling trench.Drywall - Prior to taping MOBILE HOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insutation or decking.lnsert - After f irePlace aPProval and installation of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut & Approach - After forms are erected but Prior to placement ol concrete. Plumbing Connections - When home has been connected to water and sewer, Sanilary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & DrivewaY - After excavation is complete, forms and sub-base material in Place. Water Line - Prior to filling trench. Fence - When comPleted Slreet Trees - When all required trees are planteC. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.Rough Plumbing - Prior to cover. n /y,4A SECONDARY HEAT SOUARE FOOTAGE: r r E [] E n E E tl E E E E E D r E fl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks HSP.L.GAR ACC N S E IL ,]E PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTOFIICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordrnator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conloim 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. Fleceipt Number: DatePlans Reviewed By Plan Check Fee: Date Paid Received By BUILDING PERMIT ITEM SQ. FT. X $/SO. FT.VALUE (A) Total Value Building Permit Fee State Surcharge Total Fee Main Garage Carport SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developnrent Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE g-n /60-oo /l<-*(c) FT. FT. FT. No7 ? PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace 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 Springfield, and the Laws of the State of Oregon pertaining to the worl< described herein, and that NO OCCUPANCY will be made of any structure without perrnission 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 proiect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable t, that the permit card is located at the front y, and the approved set of plans will remain L> f rom the st on the site all tim Sig natu re Date of the pro u ri ng construction. MISCELLANEOUS 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, D, and E Combined) /48."- J1"€ 2- -2 < -78 aA DATE PAID AMOUNT BECEIVED RECEIVED BY VALIDATION: FIECEIPT NUMBER SON' IY JONES PLUMBING I 15 l Orf inalt St. Sprlnglleld , On gT4lT . (5031 747-2596 . CCBI 78523 ' LICENSE l 20 317PB DATE:,February 15, 1993 Page: I of ?ESTIMATE TO: IIor t-lrwest. Yorrth Corp . Inc . 512(l I:r'arrJ.,l in Blvcl: {t7-A Eugerre . (:lr. 97404 ATTN: Tom Westrum To provir'le a (--6,ppl eLe Plt-tnrb j nct O;reral"i,-rtr ttf All t.lyr fr>llor.ling JOB LOCATION:Remode I Hc,r)r,- 2.85 N. 35tlr . Springf ielcl . Or PHONE: 7,tr6-8653 Systern as Reqtrir-ed f or' llie Pr.oper P lr-rnrb i trr: F'i xl-trl-es . 1- 50 Gal lorr Electric Water l{eater- with a S-Year^ Warranty. \^litlt a Itrip Pan.1- AtrLc'rrrat ic Clot-hes Washer Rough-in, wittr In-Wal I Recesserl Plast ir-' Rc,x wil-h Va Ives1- 33X22 St;rinless SteeI KiLchen sink. wit:lr a "MOEN" +7531 tllrronre single lL:nr-llo Faucet. and with a Chrome Basket Strainer.1- ISE "Barlger" I Garbage Disposal.1- f-li sl rvrasher Ilocrl<-Up .2- Whil-e "(-'Rn NE" Oval SLeel 19X16 5el f-Rimminq Lav. witlt "M()EN" +4621 ('hrr.,mo Single Ilarrdle Lav Faucel-. 2- Wtr.i Le "CRAllE" Ror-rnrl Front Toi let 1.5 GPl,l Flttsh, tvith White Solid PIast.ie Seat. Chrome Trim.1- 5'-0" Wlri te Steel Trrb, with "MOEN" "Posi-Temp'r" +2353 Chrome Pressr-rr-e- Ba l,rnced Tub-Shower Va Ive . wi th Chrome Ti p-Toe I.)t-a i n .1- 34"X,18" Wlrite Fiberqlass Shower Base, vlit-lt "MOEN" "Posi--Temp" +235;? t'lrr-onre Pressure-Ba I ancect Slrorler V.r Ive . O!_bSf: lll_t.trnlr i ttg .I._LCpn_i2* L/2" X [J" f'rostf ree Vacuum Breaker Hose Bibs. Note: Al I Al IAll Al I At I Pernrit-s anr-l Fees By Others. Trerrching And BackfiII By OLhers. Pipe f nsulation To Be Done By OLhers. Wasl.e and Vent Piping to be DWV Plastic. Wat-er Pipirrrl to Be Copper Type "M". with Plastic Ir:,rlation L)evices Llsed For Sound Deadening. J.-rr<-rr:tx:-lr:l II tl srnrE oF oREGoN This certifies lhat the person is registered as provided by I rc-{}c:-{tc-{l,i named hereon law as a GE il corlTR/f,EsIDettteu NO II-ET EI,tPT CORPORATTON NORIHIIEST YOUTH CORPS 51 20 FR ANKLIN BLVD SUITE 7A. EUG€ilE OR 97405-0000 UCTION. cEnflFlcA CONTRTE i...:," ,,:' , Expires: t ACTORS BOARD ::'. u ': , r , .,: SIGNATUnE OF nEGISTnANT i r-I-t lc=-r )e:-r i<-.....-<f f,i-r lc:::::>i! lc:=:5,t lc=:-t t:{ k+l tc-l 1-l t1 \"()l,ll f:()fl'1 I lll rr. I i' ,il ' t til r Il4i { r }l ll: lt()Alll} lllrr.illl.l I lA I lrril, l'l l!'./ll f (\l,l:, n ill) | lt':ii il5tnil. tI tr.:; t!lt iillrrt (lt'fltli, "- l,1lrrv7y1,11l yr)tt cirlrrr:r! rvll,rrr 1,r11i, 1,"ini1. ( tllri 7() l.()2li ,'1 l'1y'rr'fqr'Ir.'1rt1lr:r.l("rr,r; , 1 ,, tr i,,!t,,,til) (.)li:i,ll1.rl(]t, . ,ri lIrlir.t't. ( )n:i ;,r l l(": "l; ltlli,ttllrrtlltl',rr.ir't'ill , ",'rr.l rr rrlr.,,.lr;rr'lrrr,:','.,.tllinilfrrryotr r\l l';/'l)!llllrl l,l,]ljl','ll|.l'j.rl|ll]ll'li,,...ll.rltr,tI.l|,,tirtlr|||l'l\ll.l.lt;ll'lil:;t1.i1'lr CITY OF OREGON 225 FTTtfl STREBT sPRrNGPrEtD, OREGoN 97477 INSPECTT0N REQUBSTz 726-3769 OPFICE: 726-3759 1. LOCATTON OF INSTALI,ATION ?-Zs N Et* <.pFD . I.,EGAI DESCRIPTION2 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 INSTATI.ATION ONLY Electrical Contractor L/+NIL E L&T ?C Address3hLzL cEofrL t*lcc \ city ?LFIB tu-r t*lt cPhone 7 ZL'Ob{1 Supervisor Licens e Number 3'{{Z- S Expiration Date ro--r -qt !: Constr Contr. Number *l Ufq Expiration Date '7 ^ | 't- ci3 Signature of Electrician 0vners Name 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. Oyners Signature: DATE: BIJCTRICAL PERHIT APPLTCATION City Job Nurnber o tq3. cottPIJTE FrE scmDULE BELov A Nev Residential-Single or HuIti-Family per dvelling unit. Service Included: I tems SPFI FIELD 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dvelling Service or Feeder Services or Feeders Installation, Alterations or ReLocation: 200 amps or less t-- 201 amps to 400 amps -401 amps to 600 amps 601 amps to 1000 amps- Over 1000 amps/voIts Reconnect OnJ-y One Circuit Each Additional Circuit or vith Service or Feeder Permi t / 5 LDA a 1-t: Cos t $ 8s.00 $ 1s.00 $ 40.00 130.00 300.00 40.00 $ 3s.00 $ 2.00 *\CO Sum JOB DBSCRIPTIONcoirVi#-'7:":: =t *r.' ' ?'al B c 50.00 60. 00 100.00 ( $ $ $ $ $ Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40. 201 amps to 400 amps - $ 55. over 401 to 600 amps - $ 80. 0ver 600 amps or 1000-voFs see rl 6ove 00 00 00 Brt a D. Branch Circuits Nev, AJ.teration or Extension Per Panel 3o B. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/0utIine Lighting_ Limited Energy/Res Limited Energy/Comm STIBTOTAL OP ABOVE 5I State Surcharge TOTAL $ 40.00 $ 40.00 $ 20.00 $ go.oo 5 RECBIVED 60 ?/ 3/ /4nzt SPRI]tGFIELE, RESID ENTIAL PERMIT APPLICATION lnspections:726'3769 Of{ice: 726-3759 JOB NUMBEH q Aot?L 225 Fifth Street Springfield, Oregon 97477 77q L\rrerrl Zq Tr+LOCATION OF PROPOSED WOBK: ASSESSORS MAP:TAX LOT: LOT: BLOCK:SUBDIVISION CEq€ ZIP:STATE =,T. 7,_ PHONE v49PgOWNER ADDRESS: CITY: \ x-ADDITION DEMOLISH OTHER DESCRIBE WOFIK: NEW - REMODEL PLUMBING: EXPI RESADDRESSCONTRACTOR'S NAME G EN ERAL: NtLL)6ilftt-f,rfi'f- 5l?ofE*rru u-*b-1+u.AG* PHONE MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # , OF BDRMS _ OFFICE USE _ LAND USE ZONING CODE: FLOOD PLAIN WATER HEATER * OF UNITS: RANGE: SECONDARY HEAT: SQUARE FOOTAGE: QUAD AREA: , OF BLDGS OCCY GROUP: # OF STORIES: CONSTR. TYPE: HEAT SOUFICE: To request an inspection, you must call 726-376g. This is a24hour recording. All inspections requested before 7:00 a'm. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day' REQUIRED INSPECTIONS Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete. Site lnspection - To be made after excavation, but Prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is comPlete.cover. Underslab Plumbing / Electrical / Mechanical - Prior to cover. Eleclrical Service - Must be approved to obtain Permanent electrical power. Ftr Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsP. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.B w E Framing - Prior to cover' Other Foundation - After forms are erected but Prior to concrete placement. Wall/Ceiling lnsulalion - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taping MOBILE HOME INSPE TIONS Underlloor Plumbing / Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insrrlation or decking.lnserl - After firePlace aPProval and installation of unit. Blocking and Set-Up - When all blocking is complete. F ::""'-l;;suration - Prior to Curbcut & ApProach - After forms are erected but Prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, and Plumbing inspections have been aPProved and the home is connected to the service Panel. }{a,or. sewer - Prior to fillingH trencn. Sidewalk & DrivewaY - After excavation is comPlete, forms and sub-base material in Place. Water Line - Prior to filling trench. Fence - When comPleted Street Trees - When all required trees are planted. Final - After all required inspections are aPProved and porches, skirting, decks, and venting have been installed.Rough Plumbing - Prior to cover. E Y r E n E E tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR N S E ACC ,S THE PROPOSED WORK lN THE HISTOFIICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: \/ALUE Eooo@ 14.60 v.1b q (A) X $iSQ. FT. Total Value Building Permit Fe.e State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport 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. Plans Reviewed By Date Plan Check Fee: -- Date Paid Receipt Number:- -- Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Besidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE 25-,6) t.?.s ab,T<(c) N0 FT. FT. FT. 4O PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent \ E,lE \o.oo (D) q ()L)N0Vent Fan Mechanical Permit .lssuance State Surcharge Total Permit -- -.1<JilF 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 in{ormation hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the Stale of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Bullding Safety Division. I f urther certify that only contractors and employees who are in compliance with OBS 70'1.055 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 from the street, that the permit card is located at the f ront of the property, and the approved set of plans will remain on the site at a ti mes during construction I signatu Date MISCELLANEOUS 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, D, and E Combined) l3o.z;l - '3o ?l Jrn /, z -/*t 3 2_ DATE PAID AMOUNT RECEIVED FIECEIVED BY VALIDATION: RECEIPT NUMBER