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Home My WebLink AboutPermit Building 1998-06-23RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: SPFIIhlGFIELE' a \--, BLOCK: JoB NUMBEa%242- 225 Fifth Street Springfleld, Oregon 97477 TAX LOT:e5>: SUBDIVISION PHONE: ZIP:STATE:2R,CITY: ADDRESS: OWNER: _.d ADDITION DEMOLISH OTHER DESCBIBE WORK: NEW- REMODEL MECHANICAL; ELECTBICAL: EXPIRES NECONTRACTOR'S NAME CONST. CONTRACTOR'f GENERAL: PLUMBING RANGE: I OF BDRMS: - OFFICE USE - LAND USE: WATER HEATER: ZONING CODE: FLOOD PLAIN * OF UNITS: OUAD AREA: E OF BLDGS: SECONDARY HEAT: SQUARE. FOOTAGE: OCCY GROUP: * OF STORIES: CONSTR. TYPEI HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. will be made the same worklng day, lnspections reguested after 7:00 a.m. wlll be macle the followlng work day. REQUIRED INSPECTIONS Temporary Electrlc f/ nou9h Mechanlcat - Prlor to - cover. Flnal Plumbing - When att plumbing worl( ls complete. Slte lnspectlon - To be made after excavation, but prior to setting forms. a Rough Electrical - Prior to cover.Final Electrical - When att electrical work is complete. Underslab Plumbing/ Electrlcal / Mechanlcal - Prlor to cover.Eleclrical Servlce - Must be approved to obtaln permanent electrlcal power. m Final Mechanical - When all mechanical work is complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. W Final Building - When all required lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.V Framlng - Prior to cover. Foundatlon - After forms are erected but prlor to concrete placemont. Other WalllCelting lnsulatlon - Prlor to cover. Underground Plumbing - Prior to filling trench.m Drywall - Prior to taping MOBILE HOME INSPECTIONS Underlloor Plumblng / Mechanlcal - Prior to lnsulatlon or decklng.Wood Stovo - After lnstallation Post and Beam - Prlor to floor lnsulatlon or decklng,lnsert - After flreplace approval and lnstallation of unlt. Blocking and Set.Up - When all blocklng ls complete. Floor lnsulation - Prior to decklng.Curbcut & Approaclr - 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 plumblng inspections have been approved and the home is connected to the service panel. Storrn Sewer - Prlor to filllng trench. Sidewalk & Driveway - After excavation ls complete, forms and sub-base materlal in place. Water Llne - Prlor to filling trench.l--l Fence - When cci,rpleted. Rough Plumbing - Prior to cover. [itreel Trees - When all requlred trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and ventlng have been lnstalled. _7^2V?€ *- K E tl E E E E tl tl E tl tl E E V E E (Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Typ6 - lnterlor - Corner - Pbnhandle l - Cul-de-sac IS THE PROPOSED WORK TN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: PL.HSE GAR ACC N S E VALUE zdzzr-* ,, (A)-{/2- Main Carport Garage Total Value Building Permit Fee State Surcharge Total Fee ii' X $/SQ. FT. BUtLDtNG PERMIT ITEM SQ. FT. BUILDING TTNIUE, I5TRru CHECK AND BUILDING PERMTT Thls permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfietd, 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. Receipt Number:_ Plans Reviewed By Date Plan Check Fee: Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tl-re City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblte Home rc-% FEE /*_4_ a FT. (c)ffi,2a-1'--r- PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan No Wood Stove/lnsert/Flreplace Unit Dryer Vent (D) Mechanical Permit lssuance State Surcharge Total Permit By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certify that all lnformation hereon is true and correct, and I f urther certify that any and all work performed shall be done in accorrJance with the Ordinanccs of the City of Springfield, 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 Buildirrg Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.0S5 will be used on thls 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 permlt card ls located at the front d the approved set of plans will remain at alst Slgna Date st rutimes during of the on the MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Mlscellaneous Perrnits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Comblned) 8#Z 7.9€DATE PAID AMOUNT RECEIVED BECEIVED BY VALIDATION: RECEIPT NUMBER FT. . FT. 1 LOCATION OF INST:35 a.3J DESCRIPTION JOB DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 1,80 days. 2. CONTRACTOR INSTALI-.ATION ONLY Electrical Contracto Address Ci ty Pnone A16 *3 6{ Supervisor License Number 32y2s Expiration Date /o-/^ ?P Constr Contr. Number /o Expiration Da te b *"7 7 -?q S Supervising Electrician Ovners Name Address r/ cir Phone qJ1 -20 7{ OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. 0wners Signature: DATE: RECE 5F GFIELO ELECTRICAL PERUIT APPLICATION 3. COHPLETE FEE SCEEDT'LE BELOS A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost C One Circui t Each Additional $ 3s.00 i-000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home. or Modular Dvelling Service or Feeder s 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less I 201 amps to 400 amPs __40L amps to 600 amps _ 601. amps to 1000 amps_ Over 1000 amps/voIts Reconnect 0n1y Temporary Services or Feeders Installation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Exterrsion Per Panel 200 amps"or less $ 40.00 20L amps to 400 amps - S 55.00 over 4bL to 60o amps - $ Bo.oo Over 600 amps or 1O0O voTts see rrg, "ffi![ not rsQdP NOflCE: S PERMITSHALT EXP'RE IF IHE WOBKAU ED OB^JOER IHIS IS ABA PERMITIS NOI ON REQLTESfTIIv rrZ6+0J 6t 726-3759 NDONEDFOR CitY Job Nunber Q*o t"u1 Di,', 7 INSPECTI OFFICE:R,0r) 1/ B Sum Soaos s0.00 s 60.00 $100.00 s130.00 $300.00 $ 40.00 E Circui t or vi th Service ..or Feeder Permi t 4-{- S Miscellaneous (Service/feeder -Each installation Pump or irrigation $ signzoutline Lighting- S t iili ted Energy/Res - $ 2. not 40. 40. 20. 36. oo 48-qo included ) 00 00 00 00 5 SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Admini.s trative Fee TOTALRECEIVED BY: a T-- oo The t zofling, and approvel. nol requke sp€cifrc land use 225 FIFTB SPPJNGFIELD, INSPECTION REQUEST: 7 OFFICE: 726-3759 1. LOCATI OF JOB DESCRIPTION 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. COMRACTOR INSTALI,ATION ONLY ELectrical Co ntractor Address 3 Ci ty ,,/rr 0-a-,tzL vnone 1a86 -dj bS' 5P*JGFIELE, Multi-Family per dvelling unit. Service Included:Items Cost 1000 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 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: ^V Sum B. E 200 amps or le 201 amps to 40 40i- amps to 60 601 amps to L0 0ver L000 amps Reconnect Only s 0 amps 0 amps 00 amps_ /vo1 ts $so S60 $100 S 00 00 00 -/- / Supervisor License Number .'' "3J 5 Expiration Date /o / -2J Constr Contr. Number 5lDt Expiration Date be7-78 Si fSu sing Electrician .i 0vn ers Name Address J3 .l/rut4 JJil Ci Phone ' ?J.j-'"75 INSTALI-ATION The installation is being made on property I ovn r'rhich is not intended for sale, lease or rent. Omers Signature: DATE: C D. Branch Circuits SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Admini.s trative Fee TOTAL Temporary Services or Feeders InstalIation, Alteration or Relocation $130. 00 $300.00 $ 40.00 200 amps''or less 201 amps to 400 amps -Over 40L to 600 amps Over 600 amps or 1000-voFs above $ 40.00 s ss.00 $ 80.00 see ItBfl Nev, Alteration or Extension Per Panel one circuit t $ 3s.oo ${,-qqEach Additional Circuit or vith Service or Feeder Permi t b $ 2.oo A@ Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 RBCEIVED 5 ao ' 'tr--N l-) - tt .l{s*z. of li*usl \--_\--1 . -- 23! tl"en 38an' S+offi7: Sppud f a) C2., ';1- f *t,o l4 Louen- L*0, -5 t. tt(., '.1 ,.ivi i.v i 7aP Fl,oo f2- lrca /i. t'14l/ @ I lc, Zi: v I \I G. G F />' $ U)3rq !<tJ$ LC- f,:r V P.-P lnc.e F touu#'JFrd (-rL o 4 r *1 |?a": lnce redrt* e 6 rru\< \n.l *+ Row\oxe R=Pl*c€, ru,trtT K n--he-a)1 l+tu ru*y' 7L Quxuttg'. P-€ -@PzeO k) /7-H MuJ SqLEb ,i*ren ,onat + krt t 00 oo r1"l (fi tr *7 fl*?lW C.gglpars \,rz+lea., Bent ?*rrr, *3 }--plscs G +rl a-."a JrroK tp B*rtn Poo ^ I €- lJo{, OtD/ F r rc-*€-1L2; c€itt,ttl ?aF*AMr Ltr-p*,e) f % ALL- frwn. D\e,ots ft/2" d a/ tDr+r-l- G1l.-J 4 tLS Bsra Tu[ ]\,r"an lles 5,-terura.C, p I ooe-- 4 .,/g (0-l J iv/ *7 (fr) v Wps Qq)nm - pzu) *b Nen l{Acr- O*.mb*|, ?pnn fua lserrs {U* L,o ht sinw 12 L,q,4f(gbo-. lu Cgrcnr? ril k 're-h'ro / oOtt4, FuafususheD *H P€/il tLla) 8yr d*ru ,/' *q *o &nF+Au r F\cqD T,psr'fruLkb + /)<ur<p a\6)U.r 5 ruE, dwcY= tr2ou 2)ec-roa-lln-a-#eU -rO //_)>rF.ttA /4)k;PaMe. //ru ,*/ *, Gontlaqoz'C6u,r), SalfAd2/ (an8reLt .-.J7orL) g, FLg-fl;tCAL ileu 1-,t*/ Q-+tu, (" Pl,^ m b, /u X )<- I I !'.-( ri' ior*' tr Jrl &n' 5tr5 Qf*tsrta ; y',qrr-, fulilo L KaP,ues ,r/gr; s ToA, €rc/fil l*:y'S g#* (ezur* € Pea) RESIDENTIAL PERMIT APPLICATION lnspectlons: 726-3769 Office: 726-3759 SPFlIn.GFIELT' JOB NUMBER 225 Fifth Street Sprlngfleld, Oregon 97477 *LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT TAX LOT *a BLOCK:SUBDIVISION en . ztpt a72/a- PHONE: STATE:CITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: 'E EXPIRES ?CONTRACTOR'S NAME PLUMBING: GENERAL: MECHANICAL: ELECTRICAL: CONST. CONTFIACTOR , r OF BDRMS: - OFFICE USE - WATEB HEATER:RANGE: QUAD AREA: I OF BLDGS: FLOOD PLAIN: ZONING CODE SECONDABY HEAT: SQUARF. FOOTAGE: LAND USE: OCCY GROUP: I OF STORIES: CONSTR. TYPE: HEAT SOURCE: # OF UNITS: --_ To request an lnspectlon, you must call 726-3769. Thls ls a24hour recording. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be ma<Je the followlng work day. REQU!RED INSPECTIONS [-_l remporary Eleclrlc l-ll Rough Mechanlcal - Prior tofl cover. ffi Rough Elecrricat - Prior to - cover. w E f'f,) Flnal Elecrracat - When ailLH eleclrlcal work is complete. f-fi Flnat Mechanlcal - When ail )4-r mechanical work ls complete. f|] Ftnal Buildlng - When ail\ft requlred lnspections have been approved and building is completed. w Slte lnspectlon - To lre made after excavatlon, but prior to settlng forms. Underslab Plumblng/ Electrlcal / Mechanlcal - Prlor to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prlor to concrete placement. Underground Plumblng - Prior to fllllng trench. Underlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decklng. Post and Bsam - Prlor to floor lnsulatlon or decklng. Floor lnsulation - Prlor to decklng. Sanltary Sewer - Prior to fllling trench. Slorm Sewer - Prlor to fllling trench. Water Llne - Prlor to filling trench, Rough Plumblng - Prlor to cover. tl w E @ o"*^'l - Prlor to taplng Eleclrical Service - Must be approved to obtaln permanent electrlcal power. Flreplace - Prlor to faclng materlals and framing lnsp. Framlng - Prlor to cover. Wall/Celling lnsulatlon - Prlor to cover. Flnal Plumbing - When allplumblng work is complete. Other MOBILE HOME INSPECTIONS Blocking and Set.Up - When altblocklng ls complete. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Flnal - After all required inspectlons are approved andporches, sklrtlng, decks, and ventlng have been lns,talled. Wood Stove - After lnstallation lnsert - After flreplace approval and installatlon of unlt. Curbcul & Alrproach - After forms are erected but prior to placement of concrete. Sidewall< & Driveway - After excavation ls complete, forms and sub-base material in place. l--l Fence - When cci'rrpleted. Str€at Trees - When all requlred trees are planted.tl fl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner .- Panhandle ; - Cul-de-sac Setbac PL.HSE GAR ACC N S E IS THE PROPOSED WORK TN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned arrd approved by the Historlcal Coordinator prior to permit issuance. APPROVED: BUTLDING PERMIT VALUE 2?,4 /52 -tZ!-- A?f63% (A) SO. FT.ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee 'a X $/SQ. FT. 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 tlme upon violation of any provisions of said ordinances. Plans Fleviewed By Date Fleceipt Numbe E,P PER ,l BUILDING \ALU LAN CHECK AND BUILDING MIT Plan Check Fee Date Paid: 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 Flesidential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home 4>€ >2(c) Nr FT. FEEz* PLUMBING PERMIT Plumbing Permit State Surcharge Tolal Charge ADDITIONAL COMMENTS MECHANICAL PERMIT Furnace Exhaust Hood / Wood Stove/ lnsert/Flreplace Unit Dryer Vent r2ra-Zi-a* 26.?o(D) Vent Fan No dr€Mechanical Permit lssuance State Surcharge Total Permit F7 By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformation hereon is true and correct, and I f urther certlfy that any and all work performed shall be done in accordance wlth the Ordinances of the Gity of Springfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Buildirrg Safety Divislon. I further certify that only contractors and employees who are in compliance with OFIS 701.055 wlll be used on thls Proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address ls readable from tlre street, that the permlt card ls located at the front of the property, and the approved set ol plans will remaln Slgnatu Date on the site at all mes durlng 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, q and E Comblned) 49,? VALIDATION L RECEIPT NUMBER -?o143 DATE PAI[') AMOUNT HECEIVED RECEIVED BY rt , / - FT. FT. -4? cPa -