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Home My WebLink AboutPermit Building 1995-07-25N6*fpv-g31*' 4to 3 SPFl tr.rGr=telo JOB NUMBER BLOCK: TAX LOT: LOCATION oF pRopoSED WoFK: _ __lsD ASSESSOBS MAP 1-oz- RESID ENTIAL PERMIT APPLICATION lnspections; 126.3t69 Office: 726.3759 225 Flf th Street Springfleld, Oregon 97477 LOT: - SUBDIVISION: -4- PH ON E:-4so t ztP: 4aut) STATE:p. ADDRESS o<e3 Q74 t "7 /Ao?z Sttt -{4. OWNER: CITY: DEMOLISH OTHER DESCR'BE WORI( NEW ___- nEMoDEl.-_\_ ADDrrroN coco N N TRACTOR ,EXPIRES PHONE ST. ge4 ,SB CONTBACTOR'S NAME ADDRESS CfS MECHANICAL: ELECTRICAL G EN EBA L: PLUMBING - OFFICE USE - LAND USE: / OF UNITS: _ HEAT SOUBCET .--_- RANGE: , OF BDRMS QUAD AREA: , OF BLDGS SECONDABY HEAT: SQUARE FOOTAGE: WAIEB t-tEATER:_-.-- OCCY GBOUP , OF STORIES FLOOD PLAIN: ZONING CODE;-- To request an lnspection, you must call 726.3made the Sanle workjng clay, lnspections rcq Tornporary Electric 769. Thls ls a 24 hour uested af ter 7:00 a.rn. REQUIRED tNS Rough Electrlcal - prior tocover, ry ry ry Flreplace r prlor to faclngmaterlals and framlng Inspi Framlng - prlor to cover. [--l Wood Stovo - After lnstaltailo.n recordlng. All lnspectlons requested before 7:OO a.m, wlll bo made tho followlng wort( day. PECTIONS will be Slto lnspcction - -l-o be macjoafter excavation, but prior tosetting forrrrs. U-nderslab plumbing/ Electrical /Mechanlcal - prior to cover. Footlng - Af ter trenches areoxcavated. Masonry - Steel locatlon, boncjbeams, grouting. Foundallon - After forms areerecled but prior to concreteplacemen t, Underground plunrbing _ prior to flllinq trench. E 3 ff i'l',: lJ,?:f,j,',?,,"' y,";X;,?,';;l m frl',',i,?i^u#lt;,l,iror ro ,oor E 5g?i,];suratron - Prior to ffi Sanitary Sewer - prior to fliltngF trench. [-l Srorm Sewor - prior ro fiiltn9 - trench. Water Lino - prlor to Iillinglrench. m ffi nough Mochanlcat - prlor lo_--1 COVer.fVl rtnaf ptumbing - When att*f ptumbtng work ts comptete. M Flnal Etectrlcat - When ail-7y etectrical work ls complete. m lt'] Elecrrtcat Servtco - Must bel: approyed to obtaln permanentr otectrlcal powor, Flnal Mecharrlcal - When allmechanlcal worl< ls complete. Flnal Buildlng - When allrequtred.lnspectlons have beenapproved and bulldlng iscomptetgd, E O thor Wall/Colllng lnsulatlon - prlor tocover. Rough Plurnbing - prlor to cover. Eleclrical Connoction _ WhenD-rocl(tng, set.up, and plumbtnglnspoctlons have been approvedand the home ls connected tothe servlce panel, Flnal - After all requiredlnspections are approved andporc.hes, sklrtlng, decks, andventlng havo been lnstalled. Lns:lt - After ftreptace approvqlano lnstallatlon of unlt. . Curbcut & Approaclr - Af terIorms ars erected bUt prior loplacemont of concretn. Sldewalk & Drlveway - A,terexcavatlon l9 completo, formsand sub.base materlal in place, Fence - Whon completed. Slreet Troes - When all requlredtrees are planled. MOBILE HOME INSPE TIONS [-l eJocking and Set.Up _ When ail - blocktng ls compteie. Plumbing Connections _ Whenhomo lras been connected towater and sewer. -.5 - i\n A) h a(i t? r Drywall - prlor to taplng. Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac IS THE PBOPOSED WORI( IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? -- llyes, thls applicatlon must be slgned and approvcd by the Historical Coordlnator prior to pcflnit issuance. TOTAL AMOUNT DUE (excludlng electrlcal) (A, B, C, D, and E Comblned) APPROVED VALIDATION: BECEIPT NUMBEF DATE PAID AMOUNT RECEIVED ---_ P.L,HSE GAR ACC N S E BUILDING PERMIT ITEM SO. FT. Main Garage Total Value Bullding Permit Fee state surcharse \93 + U.q6 Total Fee (A) VALUE \ 06.31 x $/so. FT. t. Pf- Carport -\{,ssD- 1g.se BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permlt is grantcd on the cxprcss co|.rcliliori tlrat the said construction shall, in all respects, conform to ttre Ordinance adopted by thc City of Springfield, includlng the Development Code, regulating the coDstruction and use of bulldlngs, and may be suspended or revol(cd at any time upon violation of arry provisions of said ordinances. Plan Check Fee: .----- rDat[:?.'\K Plans Rbv}ewc<J 13y r/aq,tqq Datc Pald Recel pt N urnt:cr:--..... Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B)6 Systems Developmcnt Charge ls cJue on all undcveloped properties within thr: City linrlts whiclr are bcing inlproved, ITEM Flxtu res Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home !t2- FT. FT. g5 .9"Fr. so 3.ls,{8.e 55.P PLUMBING PERMIT FEE -Ao,- Plumblng Permlt State Surcharge Total Charge P..LB + t.3g (c) ADDITIONAL COMMENTS , Wood Stove/ lnsert/ Flreplace Unit Dryer Vent Mechanlcal Permlt lssu ance State Surcharge .?B +,1E Total Permlt (D) rs- ga & 5. [o' I3- ../\) LO B- \',s-9_ 1 9lrVent Fan MECHANICAL PERMIT Furnaco Exhaust Hood N0 I By slgnature, I statc and agree, that I have carctully examlned the completed appticatlon and do hereby cerilly that all lnformatlon hereorr ls true and correct, ancJ I lurther cerilfy that any and all work performed shall bc done in accordance wlth the Ordinanccs of thc Clty of Sprlngf ield, and the Laws of the Stato of Oregon pertalnlng to thc work descrlbed hereln, and that NO OCCUPANCy wiil tte maclo of any struclure wlthout perrnission of the Bulldirrg Safety Dlvlslon. I [urther certl,y that only contractors and employees who are In compllance wtth ORS 701.05S wilt be used on thls prolect, I further agree to ensurc that all requlrecl lnspections are requested at the proper tlme, that each address ls readable from tho slreet, that the permlt card Is I of the property, and the approved set of pla wiil remal n ll tlm du 0 Date d at the f ront on the slte nstructlo MISCELLANEOUS PERMITS Moblle Home Stale lssuance State Surcharge Sidewalk - ft Curbcut ' f t Demolltlon Total Mlscellaneous Permlts (E) ruu,ct-- (tr*L,6 €f,etf3ur*lirr€?, 6q.o3 4oo - Jz- G{.ca *s.1 _u5-4a$ RECEIVED BY - - z. -b N0 \ C'TY OF OFEGO'V The lollowing project as submifleiJ h;s: the zoning, and does not roquire speci.fic lond approval. SPRt tELf, f.)llow:ng use BLECTRTCAI PERHIT APPLICATION225 FTPTS STREET SPRTNGFTELD, OREGON 97477 INSPEC;TION REQTJEST: 7 7 oFFICE: 726-3759 Authorized 1. LOCATION OF INSTALLATTON rgo 3'1th r IJGAL DESCRTPTION JOB DESCRIPTION Permits are non-transfer and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONIRAC:TOR INSTALI,ATION ONLY EIec trical con t'".tot C{ S thnhffu, (,lU Address signarure- NM 3. coMptETE FEE SCEXD{II,E BELOV A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular Dvelling Service or Feeder s 8s.00 s 1s.00 s 40.00 B Services or Feeders Installation, Alterations or Relocation: 2 Sum 5c.oo Signa ture of Supervising Electrician Ovners Name Address Ci Phone 05lo OVNER INSTALTATION The installation is being made on property I ovn vhich is not intended for sal-e, lease or rent. Onners Signature: DATE: 200 amps or less i 201 arnps to 400 amps _401 arnps to 600 amps _ 60L amps to 1000 amps_ 0ver 1000 amps/volts Reconnect 0n1Y 200 amps''or less 201 amps to 400 amps -Over 401 to 600 amps 0ver 600 amps or 1000 voT[ SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL Miscel-Ianeous ( Service/feeder -Each installation Pump or irrigation $ sign/Out1ine Lighting- S Limi.ted Energy/Res $ Limited Energy/Comm S s see uBu aEiE- not included) 40.00 40. 00 20. 00 I'h. oo 3,-{d)q2 $ s0.00 s 60.00 $100.00 s130.00 s300.00s 40.00 cit Phone 4iil 1?tD Supervisor cense Number I b 8b S Expiration Date Constr Contr. Number 038+ Temporary Services or Feeders Installation, Alteration or Relocation C Expiration Date q - r-q I $ 40.00 s 5s.00 $ 80.00 I D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit I S 2.00 th.OO E l, RECEIVED 5 qt 19 City Job tt*U", 2*/6O la-t -05