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Home My WebLink AboutPermit Demolition 1993-12-07RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 SP]lI JOB NUMBER e./822 225 Fifth Street Spri ngfield, Oregon 97 477 a LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: 7 TAX LOT:n,/%o BLOCK:SUBDIVISION zlP..STATE:e/4 .CITY: ADDRESS: OWNER: NEW - FIEMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: El Er'\TOl/^A l . ADDR EXPIRES PHONECONTRACTOR'S NAME MECHANICAL: PLUMBING GENERA CONST. CONTRACTOR # RANGE: g OF BDFIMS: - OFFICE USE - LAND USE: WATER HEATER: FLOOD PLAIN * OF UNITS: OUAD AREA: * OF BLDGS: SECONDARY HEAT SQUARE FOOTAGE: OCCY GROUP: * OF STORIEST ZONING CODE: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. Thls 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. will be made the following work day. REQUIRED INSPECTIONS f ru1 Temporary Electricw Rough Mechanical - Prior to cover. 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. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Flreplace - Prlor to faclng materials and framing lnsp. Final Buildlng - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Foundation - After forms are erected but prlor to concrete placement. B Other Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taping. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After lnstallation. Post and Beam - Prior to floor insulation or decking.lnsert - After flreplace approval and lnstallation of unit. 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 Connections - When home has been connected to water and sewer. Sanitary Sewer - Prlor to filling 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. Fence - When completed Slreet 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 cover. ?>u:a PHoNE: ?#*n 7= tl Electrical Service - Must be approved to obtain permanent electrical power. tl tl E Setbacks PL.HSE GAB ACC N S E rS THE PROPOSED WORK lN THE HISTORICAL DISTRICT, OR ON THE HISTOFICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac 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' Receipt Number:- Plans Reviewed By Date Plan Check Fee: Date Paid Received By: VALUE (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS FEE AD|E> (c) N0 FT. FT. -ltr-ls/fiT PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge ITEM Fixtu res Residential Bath(s) Sanltary Sewer Water Storm Sewer Mobile Home Wood Stove/ lnsert/ Fireplace Unlt Dryer Vent (D) N0Vent Fan Mechanical Permit lssu ance State Surcharge Total Permit MECHANICAL PERMIT Fu rn ace Exhaust Hood By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain sig Date on the site at all t es during construction. MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) /g-- -2e /g-? TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER /2^2'?7 OREGO'UCITY OF SPRINGFIELD The following prolect as submitted has the lollowing zoning, and does not require specilic iailc u$oBLEglr,rcAL pBRI{rr AppLrcATroN225 TITTE STREEf,approval. 477SPRINGFIEII)OREGON 97 INSPBCTION REQUBST: 726-3 d.-1,OPEICE: '726-3759 1. LOCATION OF Electrical Contractor Address ci Phone Supervisor License Nurnber Expiration Date Cons tr Contr. Number Exp iration Date Slgnature of Supervising Electrician Ovners Name,TV { F: t Address Ovners Signature: DATE: city Job Nvnber ?7/1ft=- 3.COHPI.ETB FEB SCEEDT'I,B BELOS A Nev Residential-Single or HuIti-Family Per dvelling unit. Service Ineluded:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dvelling Servlce or Feeder $ 8s.00 $ 1s.00 s 40.00 B Services or Feeders Insta1lation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amPs - 601 amps to 1000 amPs- Over 1000 amps/voIts Reconnect Oniy $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c _a Temporary Services or Peeders Installation, Alteration or Relocation Sum permits are non-transferable and expire if vork is not started vithin 180 days of i""u"nce or lf vork is suspended for 180 days. 2. COIURACTOR INSTALI,ATION ONLY 200 amps or less E 201 amps to 400 amPs - Over 401 to 600 amps 0ver 600 amps or 1000GTls $ $ $ se 40 55 80 rg 00 00 00,B" a56Til a ciq ?FP P6on",^a1-77V28 OSNER INSTALI.ATION The installatlon is being made on property I or.rn vhich is not intended for sale, lease or rent. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit - $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - $ 40.00 sigi,zoutrine Lighting- $ 40.00 q?.- D E. SUBTOTAL OP ABOVB 5Z State Surcharge TOTAL \BCBIVED 5 _=_____ <r?.2. ----__7- I,EGAL DBSCRTPTIOH2i*-a7 az* I