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Home My WebLink AboutPermit Building 1994-02-07SPRII\lGFIELD RES!D E.NTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 h, JoB NUMBE " ?y'*>* 225 Fifth Street Spri ngf ield, Oregon 97 477 2LOCATION OF PROPOSED WORK: ASSESSORS MAP:TAX LOI e2uaz- BLOCK:SUBDIVISION -Par Zo(€ ZIP:STATE:2x PHoNE: ?//-trfOWNER ADDRESS CITY: cUNE*TEO DEMOLISH OTHER t, DESCRIBE WORK: NAME EXPIRES PHONEESSCONTRACTOR MECHANICAL: ELECTRICAL: CONST. NTRACTOR # G EN ERAL: PLUMBING E- \/ A/' t - OFFICE RANGE: ZONING CODE: FLOOD PLAINLAND USE: * OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769, This ls a24hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS Temporary Electrlc Rough Mechanical - Prior to cover. pl finat Plumbing - When all lAplumblng work is complete. lVl Final Electrical - When alllA electrical work is complete. Sile lnspection - To be made after excavation, but prior to setting forms. .,,^:'\ U ndersla(Pt u mui iO I etectrical / ruechaniclL-- P-rie,/ to cover. E Rough Electrical - Prior to cover. ,x Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireptace - Prior to facing materlals and framlng lnsp. tr Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.[X Framing - Prior to cover.ou* No utlla"uiJ) Drt lroXttu?-E Foundation - After forms are erected but prior to concrete placement.Wall/Celling lnsulation - Prior to cover.t U E l'JffilAf"i,li"ln'."oins - Prior Xl Drvwan - prior to tapins. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. Posl and Beam - Prior to floor insulation or decking.lnserl - After flreplace approval and lnstallation of unlt. 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 of concrete. Plumblng Conneclions - 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 servlce panel. Slorm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in Place. Waler Line - Prlor to filling trench. Fence - When completed. Street Trees - When all requlred trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.tr Rough Plumbing - Prior to cover. +. ill IDD (3RSC, I WATER HEATER: # OF BDRMS: - E tl E E E tl tl tl Lot faces Lot sq. ftg. Lot coverage Total height Lot Type -- lnterior - Corner - Panhandle - Cul-de-sac S backs P.L.HSE GAR ACC N S E IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL BEGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator 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, 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. L -q-7r Plans Reviewed By Date Receipt Numbe Date Paid Received By: Plan Check Fee:?{.o= VALUE 24Aa:r6--- X $/SO. FT, Soao.oo 3 F.' o Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT, Carport _72:Cr_fu_ /,"€ Main Garage l.q3 40,,/ s Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHAR (B)wf:,?# ADDITIONAL COMMENTS ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home ?-0,0 0 l,a 6 Z (c)2t.0 0 N0 FT. FT. FT. PLUMBING PERMIT FEE LA,oo Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit M ECHANICAL 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 f urther 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 {rom the street, that the permit card is located at the front the approved set of plans will remain Signatu re Date - 7- 7 sd 1e ru ct io of the pro on the sit, TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Combined) 83.do DATE PAID AMOUNT RECEIVED R=CEIVED BY VALIDATION; RECEIPT NUMBEB MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) I /-2q-z (A) 2-"€4 JOB NO.74 oo-ts CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (coMl'IERcIAL & RESIDENTIAL) 7*r C.oteNAIIE OR COMPANY: ?a -7 s v5ry 3t l10z?i4 z -o2 1o z-LOCATION: Lee - k>ot arflDEVELOPMENT TYPE: BUILDING SIZE:8x rz (NCL U 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) 3 5 p Burdick TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X x $424.31 x _ x $424.31 x x $424.31 ADMINISTRATIVE FEES BASE CHARGE (SUBT0TAL AB0VE) X .05 e*,L Z LOT SIZ lo4 x $0.203 PER SQ. FT. X $42.08 PER PFU a. Ft. $ $ 4. SANITARY SEWER-MWMC N0. 0F PFU',S _x $15.125 PER PFU + $10 MI,IMC ADM FEt $ (Use PFU Total From Item 2 Above ) l,tt.lMc CRE0IT IF APPLICABLE (SEE REVERSE) TOTAL-MWMC SDC SUBToTAL (ADD ITEMS 1,2,3 & 4).L SDC Coordinator L q TOTAL SDC $LztL OBEGO'UC'TY OF L 225 ?TYIE SlRBEf, SPRIIIGPIBLD, OREGoN INSPECTION RBOTIBST: OFFICE: 726-3759 i''t 97477 L zoning, and approval. q-./aozf as eubmitted has thsdoes-not reguire speci;:t iaflo use LO -Lr1-q SPflINGFIELO ELBSIR.ICAL PERHIT City Job Nunber ? Authorlzod sisn*ur" qL co{pr.rr.Tp. pEE SCmDUIJ BELog 1.oP ?rsrlfrarti r. tqait A. Nev Residenti t i-Fami Iy Service Included: ingle or dvelling unit. Items Cost a1-S per Sum Permits are non-transferable and expire if vork is not started vithin 180 days oi i""u.nce or lf vork ls suspended for 180 days. 2 COT{ItsACTOR INSTALI*{TION ONLY EIectr I Contractor Address ci Supervisor Licens Exp lration Date Sigoature: DATE: 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Hanuf'd Home or Modular Dvelling Servlce or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amPS- 0ver 1000 amps/volts - Reconnect OnIY ;) B c $ 8s.00 $ 1s.00 $ 40.00 $130. oo $300.00 $ 40.00 $ 3s.00 $ 2.00 U9 50.00 60.00 00100 ( $ $ Temporary Services or Feeders Installation, Alteration or RelocationConstr Contr. Expirat 0rners Name Address s.3 s. €, ci ty OC^Phone 1,4t -37{i a6oE D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service ^or Feeder Permit \A E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0utIine Light ing- Limi ted EnergY./Res SUBTOTAL OF ABOVE 5X State Surcharge TOTAI 200 amps or less $ 201 amirs to 400 amps - $ over 4b1 to 6oo amps - $ 0ver 600 amps or 1000ToTls se 40.00 55.00 80.00 e trBr a OSNER INSTALI,ATION The installation is being made on property I own vhich is not intended for sale, lease or rent.$ 40.00 $ 40.00 $ 20.00 $ 36.00 5 of Supervising Elect r te RBCBIVED Cb g C"J^-n