HomeMy WebLinkAboutPermit Building 1993-9-16
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RESIDENTIAL
PERMIT ^PPLlC^TION
Inspection>;: 126.376~J
Office: 726.37,,9
LOCMION OF PROPOSED WOHK'
ASSEsson~~ MAP: _..__
LOT: _.._' __ 30
:SHI'J:~otV /2'0",
_JQJ513 ,.-f."l~....L1A.S
CITY: __CI4I(.t!l ~-rc.reJ ~_,_
OWNER: _.
AoonESS:
-.
5PRINGFIELll li"~,",,.
,1<:"",,-,,,,- \ A.
.u..J ,
BLOCK:
.,; . " n-1.\(\~
JOn NUMBER _.':::..\0\~\)c;t)
225 Fillll Street
Springlield, Oreuon 974/'7
TAX LOT:
2600 "7
SUBDIViSION:
6D '- D8v -;e"'R.e1'\<.E.
~:55
/:< ()
PHONE: ;1-f3c:s:5 -- 66_7.' 31..~'I'_
#/03
C-4. zIP:_93 ,o~.__
STAn~'
DESCRIBE WORK: _-'!Joon ~~ "h'\A~.
~
NEW _, u REMODEL ADDITION
'~T~E~5b~~1~J)1_.~
6~Prr~'E.
DEMOLISH
CONTRACTO!i'S NAME ADDRESS
/', /I . 1<1<-/1 HWY 9'l JJ.
CENERAL'~DUE?" -- NJ:li(fl.1S'vl)l-,,-_~tdiS.e>-vE.__._9.7..<.k;Z.
CON ST.
CONTRACTOR'
66<1'17
PHONE
(,B0-71f>2-
PLUMBINC:
MECHANICAl.: __.
ELECTRICAL 13>, ~. f3u:z....
OUAD AREA
~~_f--~ .
, --\
. ~ iY"
.-.\--
If OF BLOCS'
OCCY GROUI':
II Or- 5TOlll[::::
WATER HEAr lOR: _ _.___
'roo ~
'GLwI, itA-
-_. ,
317
Q'1.'3 "J
..2.0 - J.73c.
OFFICE USE -
LANe, USE: --1-60
. OF UNITS.
CONSTR. TYI'I': -_v...J..J
HEAr sounCE:
. RANC E: ___
EXPIRES
&::717/9.'1
*
_~~_?.J-{O
FLOOD PLAIN:
ZONING CODE: wr2.-
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:~~._=
To request eJII inspection, YOlJ tllust call 72n.3769. Tills Is a 2,lllOur recorrlinn. All inspections requested before 7:00 !l.rn. will !)c
made !tit.: ::<1111/1 wOfl<iflf) clay, ln~;pections requested after 7:00 <t.m. will be made the following work day.
o Te01por;lry Electric
r-vf Site In:;pcctioll - To be made
~afte' I:'.;,;avatioll, hut prior 10
sctlin~l lorms. ~~/C..
o
UndcI:.;lilb Plumhing/Electricall
Mechanical - Plior to cover.
o
Footin~J - After llcnchc~> are
excava!t!ci.
D
Masonry - Stc"~1 location, bone!
beams, grouting.
D
FOUfl(I~tlion - Aller fOI1Jl~~ are
cree ton l)lll Plio' 10 COIH:lIJlc
plac011Ii:nt.
D
Undcl{Jround Plumbing - PriOI
to lillillO lronell.
[]
Underllnor PlullIbil1g/MechaniGal
_ I'd". 10 in::;ul;ltion 01 dt..:Gkill{J.
o
Post nlld Bealll - Prior to floor
insula!li,.n or (J<:.:.:Idng.
o
.
Floor Insulation Prlol to
dcckinu.
D
Sanit;:ny Sewer Prior 10 filling
trencl1.
o
Storm Sewer - Prior to filling
trencll.
D
Water Line
trencll.
PI~(,\r to lilling
D
Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
~Rough Electric;:ll - Prior to
~ cover.
I~ Electrical Service - Must be
approved 10 obtain permanent
electrical power.
I~ Fireplace - Plior to (acing
materials and framing Insp.
~raming - Prior to cover.
I~ Wall/Ceilill!j In~;lIl"tioll - Prior to
cover.
~Drywall - PriOI' to taping.
~ FIIUWAfA.-.
I~ Wood StoW! - Alter installation.
o
Insert - After nreplace approval
and install;t!ion o( unit.
D
Curbcul & Approach - After
forms am l:rectcd but IHior to
pl,Jcemclll uf concrete.
[J
Sidewalk &: Driveway - After
e>:cavation is corllpJete, forms
ami sub-ba~;e Irl3terlal in place.
o
Felice - Wilen complc;tceJ.
I~
Street Trees - When all required
tWllS are rd;1I1turl.
D
Final Plumbing - Wilen all
plumbing worl< is corllpletc.
KYFinal Electrical - Wllell all
~electfical wall, is cOlllplE..:te.
D Final Mecha'nical - When all
mechanical work is cOlllplete.
~ Final Building - Wilen all
~eQuired inspection::; tlavc bw:n
approved and building is
completed.
DOthcr
MOBILE HOME INSPECTIONS
D
Blocking and Set-Up -=- Whl~11 ;.11
blocking is complet/.:.
D
Plumbing Connections - Wlwl1
home has been connected to
watcr and SCVJCr.
D
Electrical Connection - WIII)11
blocking, SChlP; anel pllJlrlt)in~J
inspections have bCI;11 apPl()v.:cJ
and the home is cOl1ncclcd Ii)
the service p<JIlel.
D
....."
Final - After :..Ill requilt:!d
inspections Dre approve:cl and
porches, sl<irling, del;k~;, ;:1Il{J
venting tJCive heen in:.;ll1llud.
Lol faces
Lot TYPte
Lot sq. Itg.
Interior
Lot coverage
Corner
TI.lpoorapllY
Panhandle
Total 110ight
Cul.de.sac
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT
Main
rq .\0
Garage
, ~ ~'t)
Carport
Total Value
Building Permit Fcc
SI;lte Surcharge
101<11 Fcc
(A)
& THE 1'110POSED WORK IN tHE
HISTOI1ICAL DISTRICT, 011 ON
THE HISTORICAL REGISTEFl?
If yes. Ihis application mw;\ be signed
and approved by the Historical
Coordinator prior to permi! i::suano~.
Setuacks
I P.L. HSE GAR ACC
N
~-------
W
----
E
-~---
APPROVED:
VALUE
4\os..~
)
L\.lC' 52J
8).5D
A:53
5..3 D3
SYSTEMS DEVELOPMENT CHARGE (SDC)'/S
(B) AI. A -
PLUMBING PERMIT
ITEM
Fixlures
Residenlial Bath(s)
N'
Sanitary Sewer
FT
Waler
FT
FT.
Storm Sewer
Mobile Home
Plumbing Permit
Slate SUl'chnrge
Tolal Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StovellnsertlFireplace Unit
DIYl;r Venl
Mccllilnic;ll Permit
IS~;ll:.lnce
Slale Surcllarge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
Slate Issuance
State Surcharge
Sldowalk
II
Curbcut
II
Demolition
Slate Surch;uge
~ ~@//a.J
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding eleclrlcal)
(A. 8. C, 0, <lnd E Combined)
FEE
:<'7 .$3
~c;&~
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition 111;llllle snid
construction shall, in all respects, conform to IIle Ordinance
adopted by the City 01 Springfield, including the
Development Code, regulating the coilstruclion and use of
buildings. and may be suspended or revoked at any time
upon violation of any provisions of said ordinances,
Plan Check Fee: __7'2 .~ 3
Dale Paid:
Receipt Number'
Receive~ ~
Plana-k~~~
~~~3
V-5a~-'-
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
_~A<L~_?@&L~.
,;CJ&ieh/.T .I5-~~--.
- ----.------- - ---.--,
~~t/d.#l~
~//~~:! "7" ~
By signature, I state and agree. that I have canJfully eX<lmined
the completed application and do hereby ce1lify thai all
information hereon is true _~lIld correct. and I fUllher certify
that any and all work performed shall be done in nccord:lIlcc
with the Oldlnanccs uf tile Cily of Sprinulield, :lI1d tile l.aw:;
of tile State of Ore011l1 pe11ainlnfJ to the w(ld~ 1I1:::crihcd
hemin, and....tl1al NO OCCUPANCY will be Ft1:ldl) 01 :lIlY
structum without peFmission of Ihe Duildillg Safely ()jvj~i()Fl.
I further certify Itl;tl oFlly contractors and Clllp!OYI,:f:S who
mo in compliance wi III ORS 701,055 will be 11~~F;d on tllis
IJroject.
I further agree to ensurc thai all requircd inspections arc
requested at the proper lime, that each address is readable
from the street, lhat tile permit card is located at ttlC front
of the property. and the approved set of plans will remain
on the site at all times during construction.
Slgnaturn ~..." l f,~
..
Dale
I /3//2.../93
VALIDATION:
/ t9 2.J!b I
DATE PAID 7'-/&" -'[3
AMOUNT I1ECEIVED /-2..2.., ~(
RECEIVED BY ----.. 4-~--
I1ECEIPT NUMBER
.The 1'J!\Qwing !1!oiect 13.$ $\.lbmltted.~es the 1~\lowir tif
. ,...J d....-.' '1....+ re:\ulre $P~Ch.(: land u~e . ~
225 FIFTH STREET zOI'lIng, a.... vO, .-. ~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 approval. ~ /
INSPECTION REQUEST: 726-3769 ZoOni"" Ci ty Job Number Cf 3 2-D 2-
OFFICE: 726-3759 Data iii -\\.0 Jt?J
. - _ ura ~OHPLETE FEE S.l;REDULE BELOV
1. LOCATION OF INSTALLATIOtf'uthonzed Slgnlll . '.
59 7C; ~L.h1/A 1..,1.1, A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
.- .
LEGAL DESCRIFTION
/~2- tf?3 2. ~
a/.-?I"Jn
JOB DESCRIPTION
k7JArv~) ~A?;t5
. .
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 B.
ElectricR Contractor Pf '. fLo C't.5Ll.u
Address y() B.1L AA,~4 \ .
City f1 ~t'f\()~Phone q~e:s-52JD
Supervisor License Number ~ln~
Expiration Date \t'J. \ .l:\~
'Constr Contr. Number Lo\d)S(q
lD 4.~~
Expiration Date
. Signature of Supervising ElectriCian
M~,c/-J.O (l/tA-t
Owners.Name '5~) ~~;
Address
City
. Phone
-OVNER INSTALLATION
- ,
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~;~~----------~I';;~~~-l-----------
RECEIPT #: ' /,Q!2...Sj
RECEIVED BY: .tt:'~
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
Services or Feeders
Installation, 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/volts
Reconnect Only
$ 50.00
$ 60.00
$lOO.OO
$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 volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit ___ $ 35.00 gS-.6-0
Each Additional
Circuit or vith Service
or Feeder Permit $ 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
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
~ c;-: .6'-0
i.7f"
3~,7~