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Home My WebLink AboutPermit Building 1993-11-03SPrlINGFIELO q3RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726'3759 LOCATION OF PROPOS RK: ASSESSORsJ MAP: h, JOB NUMBER 225 Fifth Street Spri ng f ield, Oregon 97 477 b\r' TAX LOT: LOT BLOCK:SUBDIVISION To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspecticns requested befbre 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be rnade the following work day. REQUIRED INSPECTIONS I Temporary Electric Rough Mechanical - Prior to cover. Site lnspection - To be made after excavation, but prior to setting forms. Underslab Plumbing/ Eleclrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Foundation - After forms are erected but prior to concrete placernent. Masonry - Steel location, bond beams, grouting. Rough Eleclrical - Prior to cover Eleclrical Service - Must be approved to obtain perrnanent electrical power. Fireplace - Prior to facing materials and framing lnsp. [-_] Framing - prior to cover I/Ceiling lnsulation - prjor to COVET rywall - Prior to taping Final Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work is complete. al Building - When allquired inspections have beenapproved and building is completed. I [l Unaerground plumbing - prioru to filling trench. Underlloor plumbing/ Mechanical - Prior to insulation or decking. Posl and Beam - prior to floorinsulation or decking. [-l ftoor lnsulation - prior to - decking. Sanitary Sewer - prior to fillingtrench. Storm Sewer - prior to fillingtrench. Water Line - prior to fillingtrench. Rough plumbing _ prior tocover. Wood Stove - After installation. t_ns31t - After fireptace approvalano ,nstallation of unit. Curbcut & Approach _ Afterrornts are erected but prior toplacement of concrete. Sidewalk & Driveway _ Af terexcavation is complete, forn)sand sub-base materiai in place. Fence - When completed. MOBILE HOME INSPESTIONS l-l Btocking and Set.Up _ When ail.+ blocking is compleie. Plumbing Connections _ Whennome has been connected towater and sewer. Electrical Connection _ When P]::lllg, set-up, ano prumbinjrnspections have been approvedand the home is connected tothe service panel. Y ^r (I PHONE ztPSTATE: \.t1OWN ADDRES CITY: NEW -- FIEMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: PLUMBING: MECHANICAL: - EXPIRES PHONEADDRESSCONTRACTO ELECTRICAL: GENERA CONST. CONTRACTOR ,' RANGE: * OF BDRMS: C OF UNITS:ZONING CODE: FLOOD PLAIN WATER HEATER: _ OFFICE USE _ LAND USE: SECONDARY HEAT SQUARE FOOTAGE: QUAD AREA: # OF BLDGS CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: g OF STORIES: I street rrees - when all required.< trees are planted. Final - After all required #ji[#d]"',##{iif# tl r [--l Final Plumbing - When ailtJ plumbing work is complete. [-l other ) Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Set ks P.L,HSE ACCGAR N S rs THE PROPOSED WOHK lN THE IIISTORICAL DISTRICT, OFI ON THE HISTOBICAL REGISTER? -- lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED:E BUILD]NG 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 Cocle, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances, Receipt Number:-_._==-_-- DatePlans Rcviewed By Plan Check Fee Date Paid Received BY: BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT VALUE (A)it).C-,') Total Value Building Permit Fee State Surcharge Total Fee Main Garage Carport Systems Development Charge is due'on all undeveloped properties within the City limits which are being improved.SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE N0 FT. FT. F-r. (c) Plumbing Pelmit State Surcharge Total Charge Wood Stove/lnsert/Fireplace Unit' Dryer Vent MECHANICAL PERMIT (D) Mechanical Permit lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan N0 By signatr.rrt:, I stiitc ancl agree' that I have caref ully examined the corrpletecl application and do hereby certify that all informationhereonistrueandcorrect,ancllfurthercertify that any and all work performed shalt be done in accordance with the Orclinances of the City of Springfield' and the Laws of the State of Oregon pertaining to the work described herein, ancl that NO OCCUPANCY will be made of any StrUctUrewithoutpcrmissionoftheBuildingsafetyDivision. lfUrtherCertifythatonlycontractorSandemployeeswho are in compliance with ORS 701'055 will be used on this proiect. ree to ensure that all required inspections are roper time, that each adclress is readable at the permit card is located at the f ront st to I further ag requested at the P from the street' th roved set of Plans will remainappanof the ProPertY, uringon the site at Signatu Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - tl Curbcut - tl Demolition State Surcharge (E) Total Mis cellaneous Permits TOTAL AMOUNT (A, B, c, D, and E DUE (excluding electrical) Combined) VALIDAI'ION RECEIPT NUM E R IDATE PAID AMOUNT REC E RECEIVED BY \- 1 C'TY OF OFEGO'U 225 Pl.frg, STREEf, SPRINGFIEID, oREGON 97477 INSPECf,ION REQUESTT 726-3769 2o. oPFrcE: 726:4759 ."eui_ftisc*, Date-r(/:{g3/.? SPR!NGFNEUO SUBTOTAL OP ABOVE 5Z State Surcharge TOTA-L PERHIT APPLICATION Sign/Outline Lighting Limited Energy/Res -Li.mi ted Energy/Comm 00 City Job Nunber PEE SCEBDI,ILE BELOS Single or Multi-Family per dvelling unit. Service Included: I tems Cos t L000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or -Modular Dvelling Servlce or Feeder s 8s.00 s 1s.00 s 40.00 Services or Feeders InstalIation, Alterations or Relocation: % Lb O Sum 1 OP Signature \i \<rD I ULrb Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 1r 2 80 days. INSTALI.ATION ONLY Elec t r Contractor Address Ci ty Supervisor License er Expiration Date Constr Contr umber Expi ra t Da te ure of Supervising Electri 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- 0ver 1000 amps/volts -Reconnect 0nly 200 amps or less 201 amps to 400 amps -over 401 to 600 amps -Over 600 amps or 1000-voTts Temporary Services or Feeders InstaIlation, Alteration or Relocarion B c E s s0.00 s 60.00 $100.00 s130.00 s300. 00 s 40.00 $40 $ss $eo see 00 00 00 o ci Phone OVNER The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Onners D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit -l- S 35.00 €5Each Addi t ional Circui t or vi th Service or Feeder Permi t $ 2,00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation ttgtt "[o* 00 00 00 Ovners Add ress Y s 40. s 40. s 20. $ 36. RBCEIVED t 5 CD