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HomeMy WebLinkAboutPermit Building 1996-03-01SPRII\lGFIELc, RESIDENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726-3759 LOCATION OF PROPOSED WOFIK: Qfr, JOB NUMBER 9t"oTfu 225 Fifth Street Sprlngfleld, Oregon 97477 -55o Pac-urr<--- ASSESSOHS MAP:I -1 0b ?;T 4r\ * LOT - BLOCK: TAX LOT:oSoC SUBDIVISION ()T-1+tPHONE STATE: S- 4CITY: 5% P.+<-'Fr <-' *eo-r r.!<bFv€,,r, Q1+-1 ADDRESS: OWNER: NEW. REMODEL ADDITION DEMOLISH OTHER t,, G * Dei--DESCRIBE WORK: IB1 CONTBACTOR'S NAME MECHANICAL: ELECTRICAL ADDRESS 141 CONST. CONTRACTOR # GENERAL: PLUMBING EXPIRES - PHONE ) RANGE: r OF BDBMS: _ OFFICE USE _ LAND USE: WATER HEATER: ZONING CODE: FLOOD PLAIN I OF UNITS: QUAD AFIEA: r OF BLDGST SECONDARY HEAT: SOUARE FOOTAGE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspection, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REOUIRED INSPECTIONShRough Mechanlcal - Prior to cover. Final Plumbing - When all plumblng worl< is complete, Slte lnspectlon - To be made after excavatlon, but prior to setting forms. Rough Electrical - Prior to B X V FInal Electrlcal - When all electrical work is complete.cover. Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Final Mechanlcal - When all mechanical work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. Final Building - Wherr all requlred lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng. )4 tt"*,ng - Prlor to cover. OtherFoundatlon - After forms are erected but prlor to concrete placemont.Wall/Celllng lnsulatlon - Prlor to cover. Underground Plumbing - Prior to fllllng trench. MOBILE HOME INSPECTIONS Underlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decklng.Wood Stovo - After lnstallatlon Post and Beam - Prlor to floor insulation or decking.lnserl - After f lreplace approvql and lnstallatlon of unlt. Blocking and Set.Up - When all blocklng ls complete. Floor lnsulalion - Prior to deckl ng.Curbcut & Approaclr - After forms are erected but prior to placement of concrete. Plumbing Connections - When home lras been connected lo water and sewer. Sanitary Sewer - Prlor to filllng trench.Electrlcal Connection - When blocking, set-up, and plumblng lnspections have been approved and the home is connected to the service panel. Storm Sewer - Prlor to filling trench. Sidewalk & Drlvewav - After excavation ls complete, forms and sub.base materlal ln place. Water Llne - Prlor to filling trench. Fence - When completed. Rough Plumblng - Prlor to cover. Street Trees - When all requlred trees are planted. Final - After all required inspectlons are approved and porches, sklrting, decks, and ventlng have been lnstalled. a I ulB S{\lc-qcrEE Ft nqrs [-l femporary Electrlc [--l Underslab Plumblng/ Electrical/tJ Mechanlcal - Prlor to cover. I I E E E tl tl E tl E E tl tl E Etl l--l Drywall - Prlor to taplng. tl tl tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type -, - lnterior - Corner - Panhandle - Cul-de-sac Setbac P,L.HSE GAR ACC N S E - lS THE PROPOSED WORK tN THE . HtsToFilcAL DTSTRTCL OR ON THE HISTORICAL REGISTER? - lf yes, this applicailon must be slgnedand approved by the Historical Coordinator prlor to permit issuance. APPBOVED BUILDING PERMIT VALUE (A) o dA) SQ. FT. X $/SQ, FT, ,oo ITEM Main Garage Carport Total Value Building Permit Fee State Su rcharge Total Fee BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT This permit is granted on the express condltion that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfietd, inctuding theDevelopment Code, regulating the construction and use ofbulldings, and may be suspended or revoked at any tlmeupon violation of any provisions of said ordinances. Receipt Number:__._ DatePlans Revieweci nt Date Paid Received By: Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developmcnt Charge is due on all undevelopedproperties wlthin thc City linrits which are being improved. Resldential Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE N0 FT. FT. (c) Plumbing Permlt State Surcharge Total Charge PLUMBING PERMIT ITEM Fixtures ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent \6 , at^r lO rob 3.oO (D) 0o r rJ FEt- MECHANICAL PERMIT No Mechanical Permit lssuance State Surcharge Total Permit Furnacc Exhaust Hood Vent Fan By slgnature, I state and agree, that I hdve caref ully examlnedthe completed application and do hereby cerilfy that alllnformatlon hereon is lrue anct correct, and I f urther cerilfy that any and arr work performed shail be done in accordance wlth the Ordinanccs of the City of Sprlngfield, and the Lawsof the State of Oregon pertainlng to the work described heroln, and that NO OCCUPANCy will be made of anystructure without perrnission of the Bulldirrg Safety Divislon.I lurther certify that only contractors and employees whoare ln compliance with ORS 7O1.OSS wlll be used on thlsproiect. I further agree to ensure that all required inspections arerequesied at the proper time, that each address is readable from the street, that the permit card ls located at the frontof the property, and the approved set of ptans will remaln ufl Signature Date on the site at all t st ru ct lon. MISCELLANEOUS PERMITS State lssuance I State Surcharge Sldewalk -- ft Curbcut - ft Demolition State Surcharge Mobile Home Total Miscellaneous Permils (E) TOTAL AMOUNT DUE (exctuding dtectrieat) (A, B, C, D, and E Combtned) i-r ,11/ vit-toRttott: FIECEIPT NUMBER G DATE PAID 4<e\- AMOUNT RECEIVED 4 ,12 BECEIVED 8Y \evvr FT. r! 1 I TGFIELO The lollowln roning,.ond ,lvI xcqb (?- 225 FIFTH STREET SPRINGFTELD, OREGON 97477 INSPECf,ION REQTIEST: 726-376i9r:: .' ,.' ' ,'* OFPICE: 726-3759 1 ALLATTON LEGAI PTI EI..ECTRICAL PERHIT APPLICATION City Job Number 3. COHPLETE FEE SCMDULE BELOV A I'lev Residential-Single orMuIti-Family per dvelling unit.Servi ce f ncl-uded : I tems Cos t Sum 3 JOBo r \0r 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manuf,d Home or - Hodular Dvelling Service or Feeder Services or FeedersInstallation, Alterationsor Relocation: 200 amps or less 201 amps to 400 amps - 401 amps to 600 amps - 601 amps to 1000 amps-over L000 amps/volts - Reconnect Only s 8s.00 s 15.00 s 40.00 130. 00 300.00 40.00 Permits are non-transferable and expireif vork is not started vithin 1g0 diysof issuance or if vork is suspended ior 1B0 days. 2. COMTRACTOR INSTAITATION ONLY B Electrical Contractor Address Ci ty Phone Supervisor License Number Expiration Date \o 50. 00 60. o0 100.00 s s s s s s C Temporary Services or FeedersInstall-ation, Alteration or RelocationConstr Contr. Number Expiration Date Signature of Su pervising Electriciarr .Z Ovners Name Add ress Ci ty Phone OVNER T ALLATTON The ins talla t ion is bei.ng made onproperty.I ovn vhich is not intendedfor sa1e, lease or rent. Owners Signature: DATE: RXCETPT 200 amps''or less $ 40201 amps to 400 amps - S 55over 401 to 600 amps - S B0Over 600 amps or 1000 voITs see , .00 .00 .00 'Bu aEoiE- D- Branch Circui ts Nev, Alteration or Extension per panel One Circui t Each Add i. t ional Ci rcui t or vi thor Feeder permi t Servicn o\ 5 U- s 3s.00 s 2.00 E. Miscellaneous (Service,/feeder not included )-Each installation Pump or i rri.ga t ion g Sign/Outline Lightirg- SLimi ted Energy/Res - SLimi ted Energy/Comm S SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL. 00 00 00 00 40 40 20 36 5 RECETVED B qt Seef b\ \1 qr') I m