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Home My WebLink AboutPermit Plumbing 1996-8-6 RESIDENTIAL PERMIT APPLICATION I Inspections: 726-3769 Office: 726-3759 ,:" SPRlNGFIELD LOCATION OF PROPOSED WORK: __7"/;/ -a ASSESSORS MAP: /7'67 .....~-./3 , :$::~~? OWNER: ~,....pt;4~t ,R~/E' ,~7/ ADDRESS: /;:?e:::?;d{T ~r . <~;z:-.~_ '/;)_ .-/ DESCRIBE WORK: ,~~/--~ /~~.~ '2 s/ ~r-/~~E7J ?E-~y/C'&::-~P~---- LOT: CITY: - , , NEW REMODEL PHONE CONTRACTOR'S NAME GENERAL: PLUMBING: a-~~ MECHANICAL: ELECTRICAL: . BLOCK: STATE: ~<, .r . tit' JOB NUMBER ~~/~? ADDITION DEMOLISH -- 225 Fifth Street Springfield, Oregon 97477 TAX LOT: c::::::"~ /tC>./ SUBDIVISION: PHONE: 77"') -~82 ZIP:' q 7s/?'/ ~ . OTHER ADDRESS CONST. CONTRACTOR # EXPIRES QUAD AREA: # OF BLDGS: OCCY GROUP: # OF STORIES: ,WATER HEATER: - OFFICE USE - LAND USE: # OF UNITS: CONSTR, TYPE: HEAT SOURCE: RANGE: FLOOD PLAIN: ZONING CODE:' # OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE:_ 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, REQUIRED INSPECTIONS o Rough Mechanlca', :-',prlor to cover. .,.' o Temporary Electrlc o Site Inspection - To be made after excavation, but prior to setting forms, o Uriderslab Plumbing I Electrical! Mechanical - Prior to cover. o Footing - After trenches are excavated, o Masonry - Steel location, bond beams, grouting, o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior , to filling trench. o Underlloor Plumblngl Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking, D Floor Insulation - Prior, to decking. , D Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench, . IVl Water Line - Prlor'to:-iillln'g ~ trench. o Rough Plumblng- Prior to cover. - , o Rough Electrical - Prior to cover, o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover: D Wall/Celllng Insulation - Prior to cover. D Drywall - Prior to taping. o Wood Stove - After Instal/atlon, o Insert - After fireplace approvlll and Instal/atlon of unit. o Curbcut & Approach - After , forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After , excavation Is complete, forms and sub-base material In place. o Fence - Wtwn completed. ::,: o Slreet Treos - When aI/ required trees are planted. ' o Final Plumbing - When all ' . plumbing W9rl< Is complet,e. o Final Electrical - When all electrical work Is complete, o Final Mechanical - When all mechanical work Is complete. o Final Building - When all ' required Inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. ' o Plumbing Connections - When home has been connected to water and sewer, o Electrical Connccl/on - 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 porches, skirting, decks, and venting have been Installed, r' Lot faces Lot Typ~ Lot sq. 'ltg. Interior I P.L. IN Lot coverage Corner Is Topography Panhandle I..w. Total height Cul-de.sac IE BUILDING PERMIT ITEM SO. FT. X $/SO. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary S~wer FT. Water FT. 2V f Storm Sewer FT. Mobile Home Plumbing Permit p; State Surcharge Total Charge ,(C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance Slate Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut ft Demolition Slate Surchargfl Total Miscellaneous Permlls (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) Setbacks HSE GAR ACC VALUE " FEE L~~ /: '2. ~ --. ,.. ~/.~~, - ,~'5 '2 -:;;. ~t:? ,3 THE PROPOSED WORK iN THE, 'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If 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 tbe 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 construc'tlon and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: Date Paid: Receipt Number: Received By: Plans Reviewed By . Date Systems Development Charge Is due on all undeveloped properties within tile City limits which are b,eing Improved. ADDITIONAL COMMENTS By signature, I stale and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the L:aws 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 Lo 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 on the site at all times during construction. Signature ~cIJL:t ~ 2'- {, - Cfc, Date VALIDATION: RECEIPT NUMBER ? ':2 ././ g DATE PAID f?-t::'7b AMOUNT RECEIVED ~ 7.. GJac? RECEIVED BY /'k~ P:/ I itflYlY( I- q3o,S-5~ . . , . bmitted has the O,IOWH I(, The,fol10WlngdPT,c1ect ~:q~ire soeci\lc land use zonmg, and oeS not" , approval. ~ 225 FIFTH STREET ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zonina /1,y ) S J / INSPECTION REQUEST: 726-d~~9 \b/~AQ ,City Job Number (6' ;)4 OFFICE: 726-3759 cW--: Authorized Signature _ _. OOHPtJn J!. 1'.t;1!; SCHEDULE BELOY 1. LOCATION OF INSTALLATION \ qLjL{ ~ ~i- S'Pr~tu~1=Ie.l~ _ A. New Residential-Single or no f'\l" I~ Multi-Family per dwelling uni t. LEGAL DESCRIPTION \" 3Cl/LV '0, ( Service Included: A- \ A r VV\ TI0S{A- (( 'A-f ({') u 00 10 Items Cost Sum B. Services or Feeders Installation, Alterations Electrical Contractor A'M'P\r ;+ec,,^- ~GlIr;1jor Relocation: S''-f S -/-e eM. $ . {; A- r \=~E.\d 200 amps or less 201 amps to 400 amps Ci tyC uc;, '..0 UJ-f', Phone ;3L{ 3-7 ~ So 401 amps to 600 amps , J 601 amps to 1000 amps Supervisor License Number I Q. ("" :l ;) L. ~ Over 1000 amps/volts " ~,n \4ii " ' 10 _ /_ c:;;? Reconnec t Only Expiration Date - J----,-'--'" I -::,..- " i..? I -q~l~ C. Temporary.Services or Feeders Constr Contr. Number (j( 'If;, 1 Installatlon, Alteration or Relocation 10. 1r5.~ Q!:;:~~3;r;ician . ~vne:12~~G.d~rNQ~ D. Branch Circuits Address qL\~ N -8JuJ 0 l- City ~~ ) Phone OVNER \;N'J~LATION JOB DESCRIPTION Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Address qL(~ Expiratio'n Date 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 volts $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limi ted Energy/Res -" $ 20.00 ~. Limited Energy/Comm $ 36.00 The installatiori is beirig made on property I own which ,is not intended for sale, lease or rent. Owners Signature: DATE: 10/11 I q.3 RECEIPT I: I tJt-f t61- RECEIVED BY: /YJ.p)iJtMA.L 5,. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ' tJ... () _ 0 0 v /.00 I_I - CO