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Home My WebLink AboutPermit Building 1991-06-07SPRINGFIELE' RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WOFIK:\Zl3 t.ztoooc- SraEB-t JOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97 477 ASSESSORS MAP t'l oA 35 rr TAX LOT LOT BLOCK:SUBDIVISION Jolrx C Jo Auu O zsb,.rrr ZIP:9741 1STATE:/uYL 12-13 Mopo<- tfz.rtcc*g tPCITY: ADDRESS OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER - tz-zt8Eela.r< DESCRIBE WORK MECHANICAL: ELECTRICAL: - ADDFIESS PHONE 4'2-L74 CONTRACTOR'S NAME EXPI RES CONST. CONTRACTOR # GENERAL: PLUMBING ^)eLa TR. WATER HEATER:RANGE: # OF BDRMS _ OFF]CE USE _ ZONING CODE:* OF UNITS: LAND USE: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: g OF STORIES: OUAD AREA: * OF BLDGS: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24hour 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 l--l Temporary Etectric Rough Mechanical - Prior to cover.x Final Plumbing - When alt plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to B Final Electrical - When atl electrical work is complete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover.Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. tr Final Building - When ail required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Foundation - After forms are erected but prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover, f ,'Jflii:;"i;ljr'.'-tins - Prior J--l Drywar - prior to tapins Underlloor Plumbing/ Mechanical - Prior to insulation or decking. MOBILE HOME INSPECTIONS Wood Stove - After installation. Post and Beam - Prior to floor insulation or decking.l-_l lnsert - After fireplace approvat - and installation of unit. Blocking and Set.Up - When allblocking is comptete. Floor lnsulation - Prior to decking.Curbcut &Approach - After forms are erected but prior toplacement of concrete. Plumbing Conneclions - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Electrical Conneclion - When blocking, set-up, and plumbing inspections have been approved and the home is connected tothe service panel. Water Line - Prior to filling trench. Fence - When completed Streel Trees - When all required trees are planted. Final - After all required inspections are approved andporches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover. OOtoo PHoNE: 'lZG- 84q". I ltl FLOOD PLAIN: r E tl tr x E E E tl E r Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type \/ - lnterior - Corner - Panhandle - Cul-de-sac Setbac -.THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatipn must be signed and approved by the H istorical Coordinator prior to permit issuance. APPROVED P.L.HSE GAR ACC N S E 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 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. Receipt Number:- DatePlans Reviewed By Plan Check Fee: Date Paid Received By VALUE fuoPRer*A6-: Ltp-I_w l5.oD E.1q 15 (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE ls.oo N", - r -) __jo.oa G2-.b 3,tb c1-a? 2 so7 FT. FT. FT. (c) PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, 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 Division. I further certify that only contractors and employees who are in compliance with OFIS 701.055 will be used on this project. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable sdu ,/r4./Sis Date it card is located at the f rontfrom the street, that th of the set of plans will remain t ruction.on the s MTSCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E) ZaL44 AMOUNT RECEIVED RECEIVED BY DATE PAID VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) BI .% --t, q t CITY OF OREGO'V sl'rilN(iFtELt) 225 FTWE STREBf, SPRTNGPTBLD, onBcoN 97477 rNSPBCf,rO[ RBOIIBSI: 726-3769 OFBICB: 726-3759 1. LOCATION OT INSTAIJ.ATION IJGAL DBSCRIPTION JOB Permlts are non-transferable and expirelf vork ls not started vlthin 180 daysof lssuance or lf vork ls suspended for 180 days. 2. COIITRACTOR INSTALIATION ONLY Supervisor Llcense Number ?S 7) S Expiration Date -7 Constr Contr. Number (p)tr.\ Explratlon Date lD_1(-7/ - Slgnature of Supervislng Electrlcian Owners <'2 (_ Address <_- ct Phone OVNBR INSTALU\TION The installation ls belng made onproperty I ovn vhich is not intendedfor sale, Iease or rent. 0yners Slgnature: DATE: BI,BCTRICAL PERIIIT APPTICATION Ctty Job Number 3. COI{PI,ETE TBB SCBBDT'IA BBLOS A. Nev Residentlal-Slngle or Multi-Famlly per dvelllng unlt. Service Includedt Items Cost Sum D 1500 sq.ft. or less Each additlonal 500 sq. ft or portlon thereof Each Manuf,d Home or -Modular DweIIlng Servlce or Feeder $ 8s.00 $ 15.00 $ 3s.00 Servlces or Feeders (10 Branch Circults included). fnstallation, Alterations or Relocation: 100 amps or Iess 101 amps to 400 amps \J 401 amps to 600 amps 7- 601 amps to 1000 amps- over 1000 amps/volts -Reconnect On1y 00 00 00 00 00 00 $ ss. $ 60. $ e0. $130. /--O 90- $300 $ss $ 3s.00 $ 40.00 $ 80.00 $ $ C. Temporary Services or FeedersInstallatlon, Alteratlon or Relocatlon 200 amps or less 201 amps to 400 amps -over 401 to 600 amps -0ver 600 amps or fOOO-Gfis see ,8, a6iilil D. Branch Clrcults Nev, Alteratlon or Extenslon per panel One Circuit Tvo to ten Clrcults Each Addtrl ten orportion thereof E. 5. SUBTOTAL OF ABOVB 5Z State Surcharge TOTAL 00 00 35. 50 $ 1s.00 Miscellaneous (Servlce/feeder not lncluded) -Each lnstallation Pump or irrigation $ 36.00sign/outline Lightine- S 36.00Slgnal Clrcult orIimited energy panel_ $ 36.00 a-oo <ru dr.D RBCBIYED ?/tt 5e7 Erectrtcal contrac w frt/i Elo.!r;< eddress 4nr.- y'Z2zz-zzZf, il- uw 4--* a* Phon&/^ )27 /_