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Home My WebLink AboutPermit Plumbing 1993-12-06RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: JOB NUMBER 225 Fifth Street Springf ield, Oregon 97 477 Sos ^/, Rqofu ST ASSESSORS MAP:/702- 3/ , S TAX LOT ov3 LOT:BLOCK:SUBDIVISION: PHONE ? z/zeZIP: I z5 OKSTATE: /Ez'zz F-Arrlr.n I rOWNER: ADDRESS: CITY: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: MECHANICAL: ADDRESS EXPI RES PHONE eLol)ru- CONTRACTOR'S NAME ELECTRICAL: CONST. CONTRACTOR # G EN ERAL: PLUMBING RANGE: * OF BDRMS: _ OFFICE USE _ LAND USE: WATER HEATER: ZONING CODE: FLOOD PLAIN: * OF UNITS: QUAD AREA: # OF BLDGS SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: CONSTR. TYPEI HEAT SOURCE: To request an inspection, you must call 726-3769. Thls ls a 24 hour recording. AII inspections requested before 7:00 a.m. will be made the same working day, lnspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS I Temporary Electric Rough Mechanical - Prior to cover. JX 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. Electrical Service - Must be approved to obtain permanent electrlcal power. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materlals and framlng lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. OtherFoundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking.lnsert - After flreplace approval and lnstallatlon of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulalion - Prior to decki ng.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 f illing 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.l-l 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 ?s/zzs E tl tl E E tl E tl tl E E E E [-l Drywall - Prlor to taping. n Wood Stove - After installation. Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac I tS tHE PROPOSED WOBK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: P,L.HSE GAR ACC N S E 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 Receipt Numbe Plan Check Fee Date Paid: Received By: BUILDING PERMIT ITEM SQ. FT. X S/SQ. FT. : VALUE (A) 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 FEE EqzalllFcf /e"o No 3al! FT. FT. ( 5o'-FT. (c) PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit 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 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 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 Building Safety Division. I further certlfy that only contractors and employees who are ln 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 from the street, that the permit card ls located at the front of the property, and the approved set of plans will remain atlA{l times during construction.(l-^ x-a*' re Date U on the site Xign",u "E#zl 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 Combined) 36.?f,AMouNT REoETvED 7G,-'i' BEoETvED BY 45:nL, -')2_ DATE PAID VALIDATION: RECEIPT NUMBER 3€N /,75 /Z'zL i') OREGO'UC'TY OF The follcwing project as submidad has the loll zoning. trrct does'not roquire specific land use A Sr -*{GFIELO EIJCTRICAL PERI{IT APPLICATION225 YTYTE STRBBT SPRTNGPIEID, OREGoN 97477 INSPBCTION REOTIBST z 726-W&9 q;U.012 OPPICB: 726-3759 Authorized Sign 1. LOCATION OP INSTALI,ATION LBGAL DBSCRIPTIONDf 1r ,-l C,}o0 DBSCRIPTION permits are non-transferable and expire if work is not started vithin 180 days of issuance or lf vork ls suspended for 180 days. 2. COI|TRACTOR INSTALI,ATION ONLY Qa t2 4sCityJob Nunber PEB SCEBDTII,E BELOV Nev Residential-Single or HuIti-Family per dvelling unit. Service Included:Items Cost, $ 85.00 Sum ,:,' 1000 sq.f t. or less Ur^tcur, L Each additional 500 Electrical Contractor Address 8+- Ci ty Ynone 4 *L - Al3 L Supervisor L ense Number It I .s Expiration Date l0-i -95 Constr Contr. Number Expiration Date q-t-q ,L of Supervis I trlcian Ovners Name Address 5O Cl ty ,ipnone 14b-*3 82 O9NER INSTALI.ATION The installation is belng made on property I ovn vhlch is not intended for sale, Iease or rent. Ovners Signature: DATB: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps- 0ver 1000 amps/volts Reconnect Only Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 Over 401 to 600 amps $ 80.00 0ver 600 amps or 1000 voTts see ttgtt "fiffi sq. ft or portion thereof Each Hanuf'd Home or Hodular DweIIing Servlce or Feeder Services or Feeders InstaIIation, Alterat ions or Relocation: SUBTOTAL OP ABOVB 5f State Surcharge TOTAL $ 1s.00 $ 40.00 B CriS F\t nfu ro.,CIrnn. 50.00 60.00 100.00 s $ $ $ $ $ 130.00 300.00 40.00c c D. Branch Circuits Nev, Alteration or Extension Per Panel 'one circuit I $ 35.00 35.oa Each Additional Circuit or vith Service or Feeder Permit $ 2.00 B Miscellaneous ( Service/feeder -Each installation Pump or irrigation $ sigir/outline Lighting- $ Uimited Energy/Res S Limited Energy/Comm $ not included) 40.00 40.00 20.00 5 36.ool,T5 3b. {rq RECEIVBD ) SPRINGFIELI) RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 LOCATION OF P SED WORK: ASSESSORS MAP: LOT: - BLOCK: ?fr, JOB NUMBER 225 Flfth Street Sprlngfleld, Oregon 97477 TAX LOT: SUBDIVISION: PHONE: .Z(-t r Sf--5oq ZIP: N STATE:Sprir JGFreur:>CITY: ADDRESS: OWNER: NEW- REMODEL ADDITION DEMOLISH OTHER D Asr-(Lt IDESCRIBE WORK MECHANICAL: ELECTRICAL: ADDRESSS NAME Til l.to c,bCONTRACTO PHONEEXPIRES -n^ CONST. CONTRACTOR # GENERAL: PLUMBING * OF BDRMS: - OFFICE USE - LAND USE: ZONING CODE: FLOOD PLAIN WATER HEATER: E OF UNITS: RANGE: SECONDARY HEAT SQUARE FOOTAGE: OUAD AREA: r OF BLDGS: OCCY GROUP: r OF STORIES: CONSTR. TYPE: HEAT SOURCE: l--_l Temporary Electricll Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work ls complete. Site lnspection - To be made after excavation, but Prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrlcal work ls complete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrlcal power. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated. Flnal Bull dlng - When all nspections have been and building isFireplace - Prlor to faclng materlals and framlng lnsP. ired I ap Masonry - Steel location, bond beams, grouting. completed. Olher Foundation - After forms are erected but prior to concrete placement.Wall/Celling lnsulation - Prlor to cover. Underground Plumbing - Prior to filling trench.l--l Drywall - Prlor to taping MOBILE HOME INSPECTIONS Underlloor Plumbing / Mechanical - Prior to insulation or decking.Wood Slove - After lnstallatlon. Post and Beam - Prlor to floor lnsulation or decking.lnsert - After flreplace aPProval and lnstallatlon of unit. Blocking and Set.Up - When all blocklng ls complete. Floor lnsulation - Prlor to decklng.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 ls connected to the servlce panel. Storm Sewer - Prlor to fllllng trench, Water Llne - Prlor to fllllng trench. Rough Plumbing - Prior to cover. Street Trees - When all requlred trees are planted. Flnal - After all required lnspectlons are approved and porches, sklrtlng, decks, and ventlng have been lnstalled. ?3 ^i'J o{z-q)12g To request an inspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspectlons requested before 7:00 a.m' wlll be made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS E E l--l Sidewalk & Driveway - AfterlJ excavation ls complete, forms and sub-base materlal in Place. I--l Fence - When comPleted. E ,MTtng - Prlor to cover' E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac IS THE PROPOSED WORK IN THE HISTORICAL OISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the Hlstorlcal Coordinator prior to permit lssuance. A,PPROVED: P.L.HSE GAR ACC N S W E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is grante<j on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfleld, including the Development Code, regulatlng the construction and use of bulldings, and may be suspended or revoked at any tlme upon violation of any provisions of sald ordinances' Plan Check Fee: - Plans Reviewed BY Date Beceipt Numbe Date Pald Recelved BY: VALUE .ZSaaary24 7i (A) X $/SQ. FT. Main Carport Garage Total Value Bulldlng Permlt Fee State Surcharge Total Fee 25@r KBs-o BUILDING PERMIT ITEM SQ. FT. ,?3 Systems Development Charge is due on all undeveloped properties withln the City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITTONAL COMMENTS ITEM Fixtures Resldential Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE N0 FT. FT. FT. (c) Plumblng Permlt State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N0 Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent Vz i By signature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformatlon hereon ls true and correct, and I f urther certlfy that any and all work performed shall be done ln accordance wlth the Ordlnances of the City of Sprlngfleld, and the Laws of the State of Oregon pertalnlng to the work descrlbed herein, and that NO OCCUPANCY wlll be made of any structure without permission of the Buildlng Safety Dlvlslon. I lurther certlfy that only contractors and employees who are ln compllance with ORS 701.O55 wlll be used on thls project, I further agree to ensure that all required lnspectlons are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain on the site at times during constructlon Date VALIDATION Mechanical Permlt lssuance State Surcharge Total Permlt (D) MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - (t Curbcut - ft Demolitlon State Surcharge Total Mlscellaneous Permlts (E) TOTAL AMOUNT DUE (excludlng electrical) (A, B, C, D, and E Comblned) ure IRECEIPT NUMBEFI DATE PAID AMOUNT RECEIVED RECEIVED BY