Loading...
HomeMy WebLinkAboutPermit Building 1993-09-01CONTRACTOR NAM ADD CONST. ONTRACTOR #EXPIRES r) PHON 4GENERAL: PLUMBING MECHANICAL: ELECTRICAL ).)a SPR FIELEI WOR BLOCK: h, SUBDIVISION TAX LOT LOCATION OF PROPOS ASSESSORS MAP: RESID ENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726-3759 LOT: _--- 225 Fifth Street Spri ngf i eld, Oregon 97 477 PHONE: ZIP:STATE: OW ADDRE CITY: ADDITION EMOLISH OTHER DESCRIBE WO NEW - REMO _ OFFICE USE _ OUAD AREA: # OF BLDGS FLOOD PLAIN: ZONING CODE: , OF BDRMS Final Electrical - When alt electrical work is complete. Final Mechanical - When all mechanical work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but prior to concrete placement. Underground Plumbing - Prior to filling trench. Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Floor lnsulation - Prior to decki ng. Sanilary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Water Line - Prior to filling trench. Rough Electrical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Fireplace - Prior to facing materials and framing lnsp. ing - Prior to cover. Wall/Ceiling lnsulation - Prior to cover. | - Prior to taping Wood Slove - After installation lnsert - After fireplace approval and installation of unit. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. [--l Fence - When completed. Street Trees - When all required trecs are planted. LAND USE: E OF UNITS: OCCY GROUP: r OF STORIES: CONSTR. TYPE: HEAT SOURCE: WATER HEATER:RANGE SECONDARY HEAT SQUAFIE FOOTAGE: To request an inspection, you must call 726-3769. This is a 24 nour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested afler 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS [-l Temporary Electrictt Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. "_D( I )y'Final Building - When all fl required inspections have been/ approved and building is completed. Other MOBILE HOME INSPECTIONS Blocking and Set.Up - When all blocking is complete. Plumbing Conneclions - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover. QZ JOB NUMBER Curbcut & Approach - After fornrs are erected but prior to placement of concrete. E E E E tl tl E E fl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de'sac Setbacks P.L,HSE GAR ACC N S E lS THLv-,1OPOSED WORK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTEFI? - lf yes, this application must be signed arrd approved by the Historical Coordinator prior to permit issuance. APPROVED: 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 Cocje, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions o( said ordinances. Reviewed By DateP Plan Check Fee Date Paid Receipt N umber: Received By VALUE b3 (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. Main Garage Carport Systems Developmcnt 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 (c) No FT. FT. FT. PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge MECHANICAL PERMIT Mechanical Permit (D) N0 lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan 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 Orclinances of the City of Springfield, 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 ORS 701.O55 will be used on this proiect. I f urther 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 property, anci the approved set of plans will remain tionon the si I tirn Signature Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E) RE CEIPT NUMBER VALIDATION DATE PAID AMOUNT RECEIVE RECEIVEDTOTAL AMOUNT DUE (excluding electrical (A, B, C, D, and E Combined) Wood Stove/ lnsert/ Fireplace Unit Dryer Vent J aI ''3"EAB'15ffiS]?{r"> '/.25 lfllnll 5'I'RI':l':'[ sl,ruNGrII|LI), 0ltli(:ot'l 97 47'l INSPIIC:I'ION RDQUIIS'I: 72-6'3'169 0FItICE: 7?.6-3759 JOB DESCRI ON Pernrits arc non-transferable a IiIcc trical Con t rae tor t^ A) Ad<l r:ess 2Iy eP P,LECI'RICAL PINTHIT APPLICATION J *- CitY Job Nunrbcr ]. COHPLU'TII TEE SCNEDULI DBLOV Nev Residentlal-Single or HuIti-FamiIy per duelling unit. Scrvlce Included: Items Cost t \ \q'r\" A D. E \ c Sum lf vork is no( started vlthin 180of issrrance or if vork Is suspen<t 180 days. 2. COI.nTIACTOR INSTALLATION ONLY ci ry I: tAA^ Ltr r'no'e . ? I4-S-I? C Sr,rpcrvi..;or License Ndnrbcr lq-s Expiratiorr Date l*g.< Con:; t r Corr t r. Numbe r Expi ra t ion Da te si ure of Supervisi ng [lectrician Ovners lne Arld rcss \o- 1000 sq.ft. or less Each additional 500 sq. ft or portlon t lrc reo f Each Hanuf ,d ltome or -Hodular DueIIing Service or Feeder Servlces or Feedersfnstallatlon, Alterations or Relocation: 200 amps or less $ 5O.OO201 anrps to 4oo amps - S 60.00401 amps ro 600 amps - g1oO.O0 601 amps ro 1000 amps- $13O.OOover 1000 amps/volrs - $3oo.o0Reconnecr 0nly -i- $ /10.00 S Temporary Services or FeedersInstallatlon, Alteration or Relocatlon 200 amps or less S 4O.OO2ol amps to 4oo amps - $ ss.ooover /rol. to 6oo amps - S so.o00ver 600 amps or 1000-6'fEs sce rrgl ufiffie- Branch Clrcul ts Nev, Alteratlon or Extenslon per panel exp I re days ed for $ 85.00 $ 1s.00 s 40.00 $ 3s.00 $ 2. oo B C i City ['ltonc 0vNrin ALLATION I'he installation is bcing ma<le onproperty f own vhiclr is not intendeclfor sale, Iease or rent. Ovners Slgna trtre: Plrmp or irrigation Sign/OutIine Lighting- Limi terl Energy/iles e- Limi ted Energy/Comrn l'liscellaneous (.Servlce/feecler not lnclu<led)-Eaclr installation s 40.00 $ 40.00 $ 20.00 $ 36.00 SUI}TOTAL OP ADOTIE5f State Surclrarge TOTAI, 4DATE: RIiCNI I'T il: Rli(:riIvr:r) IY;-- 5 ,4 li; ; ; Q.10 t10 ,eol Lq 4 One Ci rcul t Each Additional Circui t or vi th Serviceor Feeder permi t -- FD-16 \10SPR I};GF I E'-} EI RE DEPAii.T}1E.\-T FIRE DAI4AGE REPORT OR ELECTRICAL HAZARD DATE: 2- 13 -q7 TO: FR0l.'l: SUBJECT: Building Department Springfield Fire Department Structural Damage to Building Address or location of building 33d9 LD I Name of ot./ner Type of building la44;& Dnu t r ie, etc. ) Estirlated val ue of bui I di no s @o 6<C Est'imated I oss to bui ld'inq ooo o3 Date of fire 2- 17- q7 Location of damaqe i n bui'ldi nq (Rcof, Wal I , Exterior, interjor, etc. ) Structural weakness as a result of the fire (Burned rafters , Beams, "1oi sts, etc. ) Addi ti onal pert'inent i nforma tion Electrical Hazard ..J orffirh. ,t^=- Aa-!Fo-,-r-a (l,lirinq, 0utlets, etc. ) CC:u,)Z.1-1 SiqnedR". fu *-t.r{rreLB l**l**r SPrrIN FIELD oluoa BLOCK qr, tr'J *t', nll ud Br.39eLOCATION OF PROPOSED WORK: --TAX LOT: SUBDIVISIONLOT: JOB NUMBERRESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Of{ice: 726-3759 PHONE: Qav)-ztPSTATECITY: ADDRESS OWNER: MOLISH OTHER DESCRIBE WORK NEW - REMODEL ADDITION EXPIRES PHONEADDBESS vl4 3c3 4 d (n^^^,rr,'ulU-A CONTRACTOR'S NAME MECHANICAL ELECTRICAL: CONST. CONTRACTOR '{ G EN ERAL: PLUMBING RANGE: # OF BDRMS _ OFFICE USE _ LAND USE: ZONING CODE: FLOOD PLAIN WATER HEATER I OF UNITS: SECONDARY HEAT SQUARE FOOTAGE: QUAD AREA: , OF BLDGS OCCY GROUP: r OF STORIES: 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 Temporary Eleclric Rough Mechanical - Pricr to cover. l-1*lnal PlumbinotZ plumbing *orti - When all is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Eleclrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumbing / Electrical / Mechanical - Prior to cover.Eleclrical 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. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, .grouting. Foundation - After forms are erected but prior to concrete placement. Other Wall/Ceiling lnsulalion - Prior to cover. Underground Plumbing - Prior to f illing trench.fl orywall - Prior to taping. MOBILE HOME INSPE TIONSUnderlloor Plumbing/Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking.lnsert - After flreplace approval and installation of unit. Blocking and Set.Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to f illing trench. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Eleclrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the 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. f. /Rough Plumbing - Prior to19 cover. ASSESSOFIS MAP: 225 Fifth Street Spri ngf ield, Oregon 97 477 "7 Ln . +0q1 tI E f_l Framing - Prior to cover. r Wood Slove - After installation. E tl tl E tl r E r E tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type \i- - lnterior - Corner - Panhandle - Cul-de-sac :ie t bac ks HSE GAR ACCPL. N a E --; TI-{E PROPOSED WORK IN THE r]ISTOFIICAL DISTFIICT, OR ON THE HISTORICAL FIEGISTER? - lf yes, this application must be signed ancl approved by the Historical Coordinator prior to permit issuance. APPROVED BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granteci on the express condition that the said constructron shall, in all respects, conform to the Ordinance acJopted 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' Fteceipt Number:-_==- DatePlans Reviewed By F'lan Check Fee Date Paid Received By: VALUE (A) BUILDING PERM!T Total Value Building Permit Fee State Surcharge Total Fee SQ. FT. X $/SQ. FT,ITEM 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 PLUMBING PERMIT FEE tuoo 3r.Sri rl1" N0 FT. FT. (c) t.(> 30 0()Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) NoVent 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 certif y 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 orrly contractors and employees who are in compliance with ORS 701'055 will be used on this proiect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable f rom the street, that the permit card is located at the f ront of the property, and the approved set of plans will rentain Sign Date \"q .q\ on the site at all times during ruction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E) Slot lqz 4 0a a-)lq 3r Lo DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 3tsa FT.