HomeMy WebLinkAboutPermit Building 1995-02-17SPRIh{GFIELO
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSOBS MAP;
LOT
efr,
JOB NUMBER
225 Fif th Street
Sprlngf leld, Oregon 97477
TAX LOT:
SUBDIVISION:ELOCK:
OWNEB:
CITY:
ADD
STATE:
PHON E:
ztP
DESCRIBE WOFIK:
NEW
-
REMO ADD N DEMOLISH OTHEN
PLUMBING:
BESS EXPIRES PHON ECONTRACTOR'S NAME
GENERAL:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
SE_E
t
U
I
'vL/
tt- oFFtc
RANGE:
* OF UNITS:
LAND USE:
WATER HEATER:
FLOOD PLAIN:
ZONING CODE:
# OF BDRMSCONSTFI. TYPE:
HEAT SOURCE:
OCCY GROUP:
I'OF STORIES:
QUAD AREA:
E OF BLDGS:
SECONDARY HEAT
SOUARE FOOTAGE:
To request an lnspectlon, 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 following work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When all
plumblng worl( ls complete.
Slte lnspectlon - To be made
after excavation, but prior to
settlng forms.
X Rough Electrical - Prior to X Flnal Electrical - When all
electrical work is complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
Final Mechanical - When all
mechanical work ls complete.
lv/Footlng - After trenches are,A\rxcavated.Flreplace - Prlor to faclng
materlals and tramlng lnsp.
K Flnal Building - When all
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.tr
K
,tr
Framlng - Prlor to cover.
NTFoundatton - After forms are
F{erected but prlor to concrete
placemont.
Other
Wall/Celllng lnsulation - Prlor to
cover.
Underground Plumbing - Prior
to fllllng trench.Drywall - Prlor to taplng
MOBILE HOME INSPECTIONSEUnderlloor Plumblng/ Mechanical
- Prlor to lnsulatlon or decklng,Wood Stovo - After lnstallation,
]{ Posr and Beam - Prlor to {loorGtnsulatlon or decking.lnsert - After flreplace approval
and lnstallatlon of unit.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prior to
placoment of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prlor to filling
trench,
Sidewalk & Driveway - After
excavation ls complete, (orms
and sub-base material in place.
Water Llne - Prlor to filling
trench.
Fence - When completed.
Rough Plumblng - Prior to
cover.
Stroet Trees - When all requlred
trees are planted.
Final - After all required
inspectlons are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.
E
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Ty1
v
-
lnterior
Y"r,n.,
E -
Panhandle
-
Cul-de-sac
IS THE PBOPOSED WORK TN THE .
HISTORICAL DISTRICtr, OR ONTHE HISTORICAL REGISTER?
-
lf yes, thls applicailon must be slgnedand approved by the Hlstorlcal
Coordinator prlor to permit lssuance.
APPROVED:
P.L,HSE GAR ACC
N
S
E
Total Value
Bullding Permit Fee
State Surcharge 7.Ca
Total Fee
r;^
+4 /4,2r
56 zo
X $/SQ, FT. = VALUE
3a
/z?l
SO
BUILDIN
ITEM
Main
Garage
Carportat+_
ERMIT
SO. FT.
.5$
(A)
PV.t_LqtNG VALUE, PLAN CHECKAND BUILDING P'ERMIT
Thls permit is granted on the express condlllon
P 4#rReviewed By
/3?7,
/.2
hat salthe dconstrUontlalnhasltrespecconforms,to Ordhe ln anceadedbopthevoSvrldelpnclngudthengDevemelopntCodlatnreg u cohes trucns ti on dan U se ofbudandngS,Sbe USmay ndedpe or atrevoked a tl m enyUpononoanypofSAdannces.
Plan Ch kEC Fee:t )leDa Pald o et(,JecRelNUpmbe
Rece
SYSTEMS DEVELOPMENT CHARGE (SDC
(B)c
Systems Development Charge ls due on all undevelopedproperties within the City limits which are being lmproved.
ITEM
Fix t u res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING.PERMIT
N0
FEE
FI
FT.
FT.
(c)
Plumbing Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
I
Mechanical permit
lssuance
State Surcharge
Total Permlt
MECHANTCAL PERMIT
(D)
N0
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carofully examlnedthe compteted apptication and do hereby cerilfy that alllnformatlon hereon is true ancl correct, an j I turther cerilfythat any and all work performed shall be done ln accordancewlth the Ordinances of the Clty of Sprlngfield, and the Lawsof the State of oregon pertarnrng to the work descrrbedhereln, and that NO OCCUPANCy will be made of anystructure wlthout permission of the Bulldlng Safety Dlvlslon.I further certify that only contractors anOlmptoyees whoare ln compliance with ORS 70.1.055 wlll be used on thlsproject.
I further agree to ensure that all requlred lnsrequested at the proper ilme, that each add
from the street, that the permlt card ls Iof the property, and the approved set
pectlons are
ress ls readable
ocated at the front
of plans wlll remalnon the slte at all mes duri
Date
V./ Slgnature
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk .._- ft
Curbcut --_..__ ft
Demolitlon
State Surcharge
P ' ,(e*al ,'*il, ttltr 7 70
Total Mlscellaneous permits (E)
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVEDTOTAL AMOUNT DUE (exctuding electricat)
(A, B, C, D, and'E'Combtned)RECEIVED BY
/G
,87
of
3
CITY OF SPR OFEGO'V
SPRIltlGFIELl,
as submftod has the fcllowiroquirespecific land usF,1
225 TIPTE SIREET
SPRINGFTEIJ, OREGoN
INSPECTION REQIIEST:
OFFICE: 726-3759 Authorizod
1. LOCATION INSTALLATION
I,EGAI DESCRIPTTON
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI,ATION ONLY
Electrical Contractor
Address
Ci ty Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expi ration Date
Signature of Supervising Electrician
U P L ELBsIRTcaL PERt{rr APPLrcArroN
{City Job Nunber 1Sw7.r-
FEE SCMDI'LE BELOS
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
s 8s.00
$ 1s.00
$ 40.00
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 0niy
974
7
Sum
s s0.00
s 60.00
$100.00
s130. o0
$300.00
$ 40.00
Ci 'f2 Phone 7 76 -7?9+
OI]NER INSTAII,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
rs gna
DATE:
RECEI
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
over 4b1 to 6oo amps
-
$ Bo.oo
Over 600 amps or 1000-oTts see I'B, above
Nev, Alteration or Extension Per Panel
one circuit t./ $ 35.00 str
Each Additional
Circuit or vith Service
or Feeder Permi t I $ 2.oo -ry
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
SLgn/Out1ine Lightirg-
Limited Energy/Res
-_
Limj.ted EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Admini.strative Fee
TOTAL
c
D
.)oP,
E
$ 40.00
$ 40.00
$ 20.00
$ 36.00
@
RECEIVED
5
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