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Home My WebLink AboutPermit Building 1995-2-10 ~. U4-$ RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 ASSESSORS MAP' LOT' <1 -~e BLOCK' OWNER' Ez;; .., ~hDo/ I ~..;...#~ 7-' ADDRESS" ;t/2~ _.oC~..Y~ .#~- ~ CITY' - -.-' ." ~/3 JOB NUMBER PHONE: '?~-c:::::-'3'-;?'R STATF' ' ~.?-? ZIP' 4?'Y'?) DESCR,IBJfWORK: ~ ~/ /~~ NEW X REMODEL ADDITION _?r~~ ~<4-.-0f DEMOLISH OTHER , -.--., ,0.-1. 'P ....,~ .::- COMsr. CONTRACTOR'S NAME . ADD~SS'~,x'///.!S'~ONTflACTOR' 'EXPIRES PHONE GENERAL:~"'~/~ _~~, ~--=-~-c;r:;>V7"'o X".8~,6..~~ -::r~r$'~ PLUMBING:~.q/~~ $'{'fHL5 \v 151 qs l ~3-~ MECHANICAL:/~?7~;.,/l''S ' a.s29D \a,~~.L{~ ..,41.144:?; ELECTRICAL: ,I /:1' 5d=--?; , 619 fD I 0 .~A ~~ OUAD AREA:15~\$\"-) - OFFICE USE - LAND USE: \\ \ \ FLOOD PLAIN' . . · OF BLDGS: \ · OF UNITS: \ ZONING CODE: ~ OCCY GROUP: ~~N\ CONSTR. TYPE: \/fd · OF BDRMS: 1).' . OF STORIES: \ HEAT SOURCE: ~ r; ~ SECONDARY HEAT: FP WATER HEATER: ~, ,RANGF'. c:;;;;~ SQUARE FOOTAGE: 8ri.'{)\f) To requesl.anlnspectlon, 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 mad~.the following work day. REQUIRED INSPECTIONS ~ Temporary Electric O Site Inspection - To be made after excavation, but prior to setting forms. O Underslab PlumblnglElectrlcal1 Mechanical - Prior to cover. ~ootlng - After trenches are ~ excavated. o Masonry - Steel location, bond ,beams. grouting. ~oundatlon - After forms are ~;rected'but prior to 'concrete placement. o Underground Plumbing - Prior to filling trench. 'ls:?IunderfloQl"1iumbJo;rr;, echan~ ~ -.Prlor to 1~,SUlatlorior clacking. 'fY71 Post and Beam -, Prior to floor ~ Insulation or decking., -, , -~, '_1...-\ K/f Floor Insulation ~ Prior' to" -- "- ~ decking. ~anltary Sewer - Prior to filling ~ trench. ~torm Sewer - Prior to fIIlfng ~ t,.~nch. ~W~ler Line 2.:Prl~; ~ filling ~ trench. "'_ ,,_ . ,,~"\. ~ t<:;.(Rough Plumbing 7 Prior to ~cove~ ~ ~ ./ r.' "... 'l'X1 R~U9h Mechanical -' Prior to,' . ~ cover. ~ G~ ;r..,d.' ~ Rough -Electrical - Prlo; t~ J6r.l cover. l'\7( Electrical Service - Must be ?J approved to obtain permanent electrical power. ; . o Fireplace - Prior to facing materials and framing Insp. ~Fra~lng - prior:to cov~r. 'I"Y'I' Wall/C'elllng InsJlallon - Prlor'lo ~ cover. . , ~ nrywall - Prior 10 taping. o Wood Stove - Aftbr Installation.. o Insert - After fireplace approvel and Installation of unll. '~", - , 'l'V>T 'Curbcul & Appro'ach. - After ~orms are erected but prior to placemont of concrete. . ;::::;;rSldewalk & Driveway - After ~excavatlon Is'completo, forms and sub-base material In place: o Fence, - When ~omPleted. .~ Street Trees - When all requlr~d trees are planted. . . . rv.r Final Plumbing - When all .~Plumblng w9rk IS complet,e. .~ . Final Electrical - w.hen all electrical work Is complete. ~ "K;;;r Final Mechanical - When all ~echanlcal work Is complete. ~Flnal Building - When all ~equlred'lnspectlons have been approved and building I. comPlete~:. 'OOlher MOBILE HOME INSPECTIONS o Blocking and Set.Up - Whep all blocking Is complete. o p,lumblng Connections - When home has been connected to . water and. sewlr. . o Electrical Connection - When blocking, set-up, and plurgblng Inspections have been approved and the home Is connected to ihe service panel. . . o Final - After all required Inspections are approved and porches, sklrtfng, decks, and ventlng have been Installed. Lot TYP~ . .. " :::.....::.~;\f.'Y,i Is THE PROPOSED WORK.tN THE -, . ~ Lot faces ...J::... Setbacks :?2, 'f! / X Interior' I P.L. HSE GAR Acdl "-.HISTORICAL DISTRICT, OR ON Lot sq, fig. IN (pI I THE HISTORICAL REGISTER7 Lot coverage ~ Cornl'r If yes, this application must be signed Topography ~t) " Is /8 I and approved by the Historical Panhandle '. \W ,~t I Coordinator prior to permit Issuance. Total height \~' Cul-de-sac. . (3P{ ") IE I APPROVED: . BUILDING PEiRMIT ITEM SO. FT. X $/SO. FT. .; VALUE '5'&.26> .: 1~,(M.Y.2& /Y../~.,'. /21"?~.$'6 f\1aln 2,.., LJ I ~~ Gatage Carport . /Y17ho.?C '5 32. ~ 4~f~ '. ~71- .s:c,. SYSTEMS DEVELOPMENT CHARGE (SDC) Total Value Building Permit Fee State Surcharge - 2(;;, .f:,o +-/'5'.7'(, Total Fee (A) (B) ~ PLU.MBING PERMIT ITEM FEE Fixtures . Residential Bath(s). N' "1 Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home . -1-.7''2. 1"0 Plumbing Permit State Surcharge 'J."?' +- .s: 7f> Total Charge (C) /s:~./ . ..2f:'J 7. 9/ MECHANICAL PERMIT c.~ 4,5:"D /2~ J "5. (7 0 .,." 0 ,,0._6-0 45 f.o .. . /~.o-.D '=< (,S' ........" l!r ;;:> ? . Furnace Exhaust Hood Vent Fan N' +. . Wood Stovellnsertt::lreplace Un,T!:) Dryer Vent cjA5&d'- tJ tV.J.! MechanIcal Permit Issuahce State 'Surcharge 2-.~. -r- I:> 7 Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk r",tt:; II /7".7S _IS_~ Curbcut :J~ II Demolition C32-~~ Total Miscellaneous Permits (E) -" ~!f TOTAL A'MOUNT DUE (excluding electrical). /;2/)/.77 (A, B, C. D. and E Combined) . ." State Surcharge 1&Y &. ~T7C- 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 Clty.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. Plan Check Fee' '1''''?:5. $~ /-f':.~ Date Paid: Receipt Number: /~2 e? Rec;;!J~r--- Plans Aeviewed By P/0r Systems Development Charge Is duo on all undeveloped properties within tho Clly II mils which are being Improved. ADDITIONAL COMMENTS I~ \\ H~'t 0 Q., ~t6\ 0 II y~ V D [J/t7H :1 _..//A7(:1/'d 1'< /,I} T~, r4mlJ~.!6. (PA<T~'" /LJ z.o.t.l~ ~ 1 ef- 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 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 tho work described herein, and that NO OCCUPANCY will be made of any struclure without permission of the Building Safety Division. I further certify that only contractors and employees who are In. compliance Wllh 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 pro pert , and the approved set of plans will remain on the sit at a I times d~ng constru Ion. ~nature V . -....-~ Date VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVEn RECEIVED BY _ /h 2 c;, 2- .2-//0/5' F /4/7. '77 .~~ ~ The following project as su.bmrtted. has the folio zon1ng, and does not require specific land use 225 FIFTH STREET approval. I '" /J ELECTRICAL PERKIT APPLICATION SPRING~IELD, OREGON 97477 " Zoninr L..-',L./I'L- q C:!...f"\^'-:J INSPECrrON REQUEST: 726-3769/ /-10' ...c,f 'City Job Number ,1LA...Jl "~ OFFICE: 726-3759' Dalo~ "'':') " '. d S' t ~h\ COHPLETE FEE SCHEDULE BELOV l.~~O~S:~~~~A. " \,~~~~fr~N ~l ~e~f')(L _~N~ Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. ) 2. CONTRAcrOR INSTALLATION ONLY , Electrical Contractor JB Electric Address 1786 Balboa Street Ci ty Eaoene Phone 687 - 5770 Supervisor Licen~e Number --la72S Expiration Date" .-- 'n_'_Q~ .. CQnstr Contr. Number 84206~ Expi'ration Date 6-22-95 Sign~tutf SUPw;:sing Electrician " . " -.' / ../ " 1.., ~~ Ovners ~me_rrl "'{~\\)~-...Yt.nrnlUl" V~Js~ \ (\ l~~~-6 Ci ty ~i ~. ",Phone l4b:.b.33~ ~UALLATION The. installation "is being made on property I ovn vhich is not intended for sale, lease or rent. Nev Residential-Single or Hulti-Family per dvelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dvelling Service or Feeder B. 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 Items \ <~ Cost Sum $ 85.00 .fB $ 15.00 rr~ $ 40.00 $ 50.00 $ 60.00 $100.00 '$130.00 $300.00 $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation 5. SUBTOTAL OF ABOVE 5% State Surcharge/o+~ TOTAL :," "" . ~ $ 40.00 $ 55.00 $ 80.00 volts see "B" & above ,200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 Owners Signature: DATE: RECEIPr i: RECEIVED BY: -------~-~-------------- :?-UD / !', <;- . I/-~-... -t~.,- . ._2&:ft!).... -".. 'J. Y/_ d-O . "I'fr,tn:) , J