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Home My WebLink AboutPermit Building 1999-10-26 \~ .,' RESI D ENTlAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: /71!)~ : ~ '" ~'Ro h SPRIN,GFIELD i BLOCK: L~t./lw-, ('VI fe.~~/';" J OWNER: ADDRESS:' / f) '2:. 0 CITY' Jpr,J"j.f,;.;) DESCRIBE WORK' 1+tld NEW REMODEL A STATE: tP 1<.. Fo dl~( d%/ /O,P{ .z 2,60.(J [.. DEMOLISH ADDITION OTHER JOB NUMBER 33# ,f;~ 225 Fi fth Street Springfield, Oregon 97477 __ TAX LOT: SUBDIVISION: /8 I t::n:) PHONE: (jV}) Vt/97'0'7 ZIP: 97Y;7 Elec., 5e.r,v/",C). t..(/e>h<. :..C";"T... .' .' CONST. CONTRACTOR'S NAME ADDRESS' , CONTRACTOR,# GENERAL' . <+/{41, t...V#C;;l cOa-(5h,rfJo~'{ %3c;~kikil';t;d/ .5 ;;)'5~L/ ,- - C VI to .~. r::!(.c.frt( t./7S- W 2-....i ~v<- QUAD AREA' # OF SLDGS' OCCY GROUP: # OF STORIES: WATER HEATER: ,,', '", - OFFICE USE - , LAND USE: , # OF UNITS: , . . '1 .~ .'"'"':.. ! ....,;' '. CONSTR. TYPE: HEAT SOURCE: RANGF' ,EXpIRES <~ PHONE '6/o1/1J/ 7'1d 695/ fry/) J</3-71..'j7 FLOOD PLAIN: ZONING CODE: # OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: To request an Inspection, you must call 726.3769, This Is a24 hour recording. All Inspections requested before 7:00 a,m, will be made the same working day, ,Inspections requested atter 7:00 a.m. will be made the following work day, D Temporary Electric D Site Inspection,..... To be made atter excavation, but prior to setting forms, D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. D Footing - After trenches are -excavated.', D Masonry - Steel location, bond beams, grouting. ~ Foundation - After forms are ~ erected, but prior to concrete placement. D Underground Plumbing - Prior to filling trench. D Underlloor Plumbing/Mechanical - Prior to Insulfitlon or decking. D Post and Beam - Prior to floor Insulation or decking, - D Floor Insulation :.- Prior to decking, D Sanitary Sewer,- Prior to filling trench. " D Storm Sewer ~ Prior to Hlllng trench. D Water Line ~ 'Prior to filling trench, ',',,', t.,' D Rough Plumblng~' ,Prior to cove~ - ( '! REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. 1'\71 Rough Electrical ,..... Prior to ~ cover. ['{71 Eleclrlcal Service - Must be ~approved to obtain permanent electrical power, D Fireplace - Prior to facing materials and framing IIlSp, D Framing - Prior to cover, D Wail/Ceiling Insulation - Prior to cover.' ' , , o Drywall~ Prior to taping, D Wood Stovo - After Installation, D Insert - After fireplace approval and Installation of unit. DCurbcllt & Approach - After , forms are erected but prior to placement of concrete. o Sidewalk & Driveway - Atter , excavation Is complete, forms and 'sub-base material In place, , \ : ,"'I D Fe~ce~ .When cor,'plefed. D ,s.t~eet Trees -;Yvll"en afr'requlred trees are, planted. ' .' , D Final Plumbing - When all . ,plumbing w()rl< Is complete. ~ Final Electrical - When all ~ electrical work is complete. o Final Mechanical - When all mechanical work Is complete, ~ Final Building - When all ~ required Inspections have been approved and building Is completed, rsa Other ..i.M..etJ='/n8d 'UJlqv 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 Conneclion - When . blocking, sel.up, and plumbing Inspections have been approved and the home is connected to the service" panElL ", . I '\ ~ ~'oi ......, \ D Final - After all required , Inspections are approved and porches, skirting, decks, and venting have been Instal/ed, '" : ,) i:~:;:~:;;l}~t. . ([ 'j :...{ . .: ~ " '..; .;~ Lot faces . ,",. ' ,,' , "Lot sq,ftg::', Lot Type IS THEPROPOSED WORK ~NTHE .: HISTORICAL DISTRICT, OR ON ' , THE HISTORICAL REGISTER? If yes,thls application must be signed and approved, by the Historical Coordinator prior to permit Issuance. Setbacks ' I P.L. HSE GAR ACC' N Interior Lot coverage Corner S ". Panhandle' Cul.de'sac Topography w Total height E , APPROVE!;): ~.~-- '... II':::..' ..;t '1.;" ., '.,. ':'"'' Ii!' iM.. BUILDING VALOE, PlAN CHECK AND BUILDING PERMIT 4,.\ ... BUILDING 'PER~IT 'il. . 'i}" 'if ITEM SQ, FT. X $/SQ, FT, VALUE This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. /IJ Zu Main " Garage Carport \', Plan Check Fee: ~.JjH~ ,E'JJa. :2Coo Date Paid: Total Value Receipt Number: '<2- ~ - :$. Z~ .s s-: 7ip SYSTEMS DEVELOPMENT CHARGE (SDC) Building Permit Fee State Surcharge z,. ~ +- I 'I:> Received By: ' Total Fee (A) Plans,Reviewed By D,ate Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved, (B) PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures -~/aAL W/~/h? /~<: /N -GA<?A-z:::r ~~. NO Residential Bath(s) FT, Sanitary S!3wer Water FT, FT. Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT, Furnace By signature, I state and agree, that I have carefUlly examined the comple'ted application and do hereby certify that all Information hereon is true and correct, and I further certify that any and ali 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 Divl~lon, I further certify that only contractors and employees who are in compliance with ORS 701,055 will be used on this project. Exhaust Hood NO Vent Fan Wood Stove/Insert/Fireplace Unit,' Dryer Vent , . 'Mechaiikal Pelmi!""" Issuance State Surcharge 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 on the site at all times during construction. ,Xs.lgnature PAA. ?, ~ / Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk u Date ' ft Curbcut Demolition VALIDATION: RECEIPT NUMBER ~n/<L DATE PAID /~~!'5'5' AMOUNT RECEIVED . 114.0?, ~ RECEIVED BY ir. ~_ "-" State Surcharge -P~~ 2h/~ Total Miscellaneous Permits (E) -S61~1 TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) .......~ --""* ".-." ') O~( 11/98 10: 22 . 'B59t~I'?26 3689 1 :'t'" \. ., . SPFDDEV. SER. 141 001 The fOllowing project as submitted has the following zoning, ,and does: not require specific land use approval. 0 n 225 PI Zoning , L I" FrS STREET ' , ,,(' _0 q , SPRINGFIELD, OREGON flJ!1'477 \ C) 0.. \Q . I ) INSPECTION REQUEST: Au7~;\l~~nature C2.Q. OFFICE: 726-3159 . . (j . 3. 1. LOCATION OF INSTALLATION (.OJ () (j 1110 A(.~ a...R LEGAL DESCRIPTION /7/Q~ ~ '11- /O/b8: , . , .JOB DESCRIPTION ! . ,. ~ , ,:5&t"1'/ec. c#lit.)dA I NIlkJ C!/A&/..~r , ' ! \ i Permits are non-transferable an~ expire if work is not started vithin 180 days of issuance or if work is suspended for 180 days. ., .. ... i The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signat~re: ~~i~-:~----~;~~;r~--~~------- RECEIVED 'BY: - ~/t7'. "_ ~vJ '-"'\' , . . 'ELECTRICAL PERMIT APPLICATION .Ci ty .Job NUJIlbe~ 97'/4 f3&-, ---:-; - COMPLETE PEE S~a.r,1JULE ~ELOV . A. New Residential-Single or Multi-Pamily per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Kanuf'd Home. or Modular. 'Dwelling Service or Feeder Ser~~ces or Feeders Installation, Alterations or Relocation: 200 amps or less 20I'amps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Items Cost Sum ! 2. CONTRACl'OR INSTALLATION. ont , "B. Electrical Contractor, b.\V"\o\d~ ~,~.chtQ.. Address ::L\IS-u..). ,),V'~.~:}€.. Ci tyF"0~ . Phone.~ Lf~-)d-'11 Supervisor License Number 'dS'0f) ~', Expiration Date \() [)\ ()\ . . Constr Contr. Number \ '-r::;a..~d- Expiration Date C5;:r 'lJ~{) I . I Signature of Supervising Electrician ~~~4'~ i own~Nanie~tJ.Lc.J(L Address c:2,s-, OkAo S~ Ci ty$:{f2r:.) n Phone L{.~ f !,-gL/D7 . ' UV .. . O'llNER INSTALLATION $ 85.00 $ 15.00 $ 40.00 /$ 50.00 $ 60.00 $100.0Q $130.00 $300.00 $ 40.00 5"0. " 0 C. Temporary Services or Feeders Installation~ Alteration or 'Relocation 200 amps"cri:- less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits .. New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Service, . or Feeder Permi t ~ $ 2~00 --z<tf' Miscellaneous (Service/feeder not included) -E~ch,installation ., Pump or irrigation Sign/Outline Lighting Limited Energy/Res L~m~ted Energy/Comm E. 5. SUBTOTAL OF ABOVE 7~StateSurcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 ' *'52. ~ _ t :~.~ J. ';'" '. _I!::n 20 ., , ,'+