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Home My WebLink AboutPermit Building 1993-9-14 (2) RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726.3759 . \ LOCATION OF PROPOSED WORK: :t<ASSESSORS MAP: j '1 () ~ 2. '-t '3 2- 2.'3 LOT: " BLOCt<. OWNER' ADDRESS' Co b I.Q LA t 7 D L-\. !I\."-<!... 5 CITY' P",(-e. A- 'Z-Y'6"L S~~ <; '^ IV DESCRIBE WORt<. NEW I( REMODEL )< ADDITION .. JOB NUMBER '73//fpL 225 Fifth Street Springfield, Oregon 97477 TAX LOT: .!..I-,rf SUBOIVISION' PHON'" 7L(!-f'::)'f2.- STAT'" OV<:'0~ ZIP' Rou<^ DEMOLISH OTHER GENERAl' PLUMBING: I~ . u. -~O ADDf1ESS r/l1tl{ (J I:YlO~ 52..:> C"'-'>c..... L" CON ST. CONTRACTOR' (I""" sf L-/ (.., 20 I PHONE 7 2.(. -fi7~( CONTRACTOR'S NAME MECHANICAl' L rloJ c <.) J. ELECTRICAl' QUAO AREA ~'Q\\ )\.0 . OF BLDGS: ~-~ \ . OCCY GROUP' . OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: \ \ \ \ . OF UNITS' . 1 CONSTR. TYPE: V IV HEAT SOURCE: RANG'" EXPIRES '1 J fa Ji( ~ FLOOD PLAIN' \ nrU ZONING CODE: . OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE:[)[Y') To request an inspection, you must call 726-3769. ThIs Is a 24 hour 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. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical I Mechanical - Prior to cover. K71 Footing - Atter trenches are ~ excavated. o Masonry - Steel location, bond beams, grou.ting. o Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical - Prior to insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. D Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to flll1ng trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. ~ REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. ~ Rough Electrical - Prlor to ~cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. ~ Drywall - Prior to taping. o Wood Stove - After installation. o Insert - After fireplace approval and Installation of unlt. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material in place. o Fence - When completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing work Is complet.e. ~ Final Electrical - When all ~ electrical work is complete. D Final Mechanical - When all mechanical work is complete. -i::71" Final Building - When all ~ required Inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS o Blocking and Set.Up - When ail blocking is complete. D Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. o Final - After all required Inspections are approved and p.orches, skirting, decks, and venting have been Installed. Setbacks I P.L. HSE GAR ACC I I N I I S I VV '1 ~--~ Lot facos , . Lot Type f~ Lot sq. Itg. Interior Lot coverage Corner Topography Total height Panhandle Cul-de.sac BUILDING PERMIT ITEM sa. FT. /JCD X $(SO. FT. - VALUE -.:5/./15" ...63,raoo Main Garage Carport Total Value J-:,,2,50 .~./3 b'>. 4--5 SYSTEMS DEVELOPMENT CHARGE (Sp,C) (B) 06.b B~lIdlng Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Slate Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 6S.~3 i.THE PROPOSED VVORK IN THE "HiSTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? 11 yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED' 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 Cily of Springfield, Including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violatlon of any provisions of said ordinances. 4tJ .~3 ~'5".'7g 99;?- 9', !(/j3Y~ ~n.., , Plan Check Fee: Date Paid: Receipt Number ~/z{~ Pia Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ~~ ..,J&5e .A'u;r / S ~~~/fl~ A'dpl/ /.P~ ,/I. 7JIf7f!l5/J ~AII F. . By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thai all information hereon Is true and correct, and 1 further 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 thai 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 01 the property, and the approved set of plans will remain on the site at all times Juring construction. .~nature~'_~AAA;~ Datp 1- ( c:. '7 '5 VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVEr, RECEIVED BY / /J)_ <;' J 51/~/5' ,) //12 ,:> '0 , ~/l7 .--4 ~ -, , j 225 1'1 1'1'11 ~;'l'llI-:I-:T The follow;o(l proinct AO o"bmillnd hM the fol!owing Sl'lUIlGFIELlJ, Olll':GOIobr9'7/o 71.:..... ,.(,; 'i::iU;',. 0:".'..... ...rld "s" I~SI'I(CTION, RE~U~sT~p.:nG-3'J69 1<:,\0. OI.I'ICr.: 71.6-37J9 ;:dr~ Vy\- L LOW\'Q:ON l).!' I~t^I:;I::ft'PIil~~\'-\ ~,"-'" J. C::VLJR f.l JA~h~r~~~...L'fl'" , ''\" LEGAL m,SCIUI'TION .../ Jh/J? 2-~ 4' "f- //'7 Jon DESCRIPTION <V' J .ILJ ..ec]))vvl.. Permit~ are non-t~ansferable and expi~e if york is not started vithin 100 days of issuance or if work Is suspended for 100 day~. P.LECTllICAL City Job Number q'~//~I -- . COHI'UETl'. PEE SCnEDULp. DELOV I Mav=Residential-Single or Hulti-Pamily per dvelling unit. Service Included: 1000 sq,ft. or less Each additional 500 sq, ft or portion thereof Each Hanuf'd 1I0me or Modular Dwelling Service or Peeder Items Cost Sum $ 85.00 $ 15,00 $ 1,0.00 2, CON1~CTOn IN$TALI~TION ONLY D. Services or Peeders Installation, Alterations or Inectrlcal Contracto~ AA-cf co g'::;"-:.r /.'-t eRelocation: Address x-f'7C1-O 1#14rC.c.Jo.. f?1). Ci ty~:_~_/'c:./ra'hone 7~ - '7f?'Y? Supervisol' \{icense Number ~ S?i, 5 Expiration Date I/.J/C:>~ 95 Con:: t r Con tL'. Numbe r '15 0 j.:: "-)---0 Expiration Date L.j /.?-/ ;:; :;, . Signature of Sup~iS~F.lectrician ~'r~~ ouner~~ne / Address C; ty Phone OVNr.n INSTALLATION i The installation i~ being made on property I ovn vhich is not intended (or sale, lease or rent. Ovners Signature: ~x~;~--~-~---~~;~~~-:r----------- nECRII'l' ft:_~__..La2 $'< HECETVEIlIIY:#~ 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100,00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Dranch Circuits $ 40.00 $ 55.00 $ 80,00 volts see "D" above Nev, Alteration or Extension Per Panel One Ci.rcul t t-/ Each Additionnl Circuit or vith Service or Peeder Permi t _()-<J $ 35,00 '2,:'. $ 2,00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limi ted Energy/Comm' $ 36.00 5. SUDTOTAL 01' AnoVE 5% State Surcharge TOTAl. ~5."~ i ,7"- .'-.M. /F