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HomeMy WebLinkAboutPermit Building 1997-01-03RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726.3759 SPrlINGFIELE} JOB NUMBER 225 Fifth Street Sprlngfleld, Oregon 97 477 o Z 2fr, LOCATION OF PBOPOSED WORK: ASSESSORS MAP;TAX LOI LOI - BLOCK:SUBDIVISION PHONE: ZIP: 7 STATE:CITY: ADDRESS: OWNER: NEW - BEMODEL ADDITION DEMOLISH OTHEFI DESCRIBE WORK: ADDRESS o ? EXPIRES PHONECONTRACTOR'S NAME MECHANICAL: ELECTBICAL: CONST. CONTRACTOR # GENERAL: PLUMBING FIANGE: , OF BDNMS: - OFFICE USE - WATER HEATER: r OF UNITS: QUAD AREA: r OF BLDGS: FLOOD I]LAIN: ZONING CODE SECONDARY HEAT: SQUARF- FOOTAGE: LAND USE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE; To request an lnspectlon, you must call 726-3769. Thls ls a24hour recording. All inspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:OO a.m. wlll be made the following work day. REQUIRED INSPECTIONS [--l Temporary Electrlc Slte lnspectlon - To be made after excavatlon, but prior to settlng forms. Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundallon - After forms are erected but prlor to concrete placement. Underground Plumblng - Prlor to fllllng trench. Underlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decklng. Post and Beam - Prlor to floor lnsulatlon or decking. Floor lnsulallon - Prior to decklng. Sanltary Sewer - Prior to fllllng trench, 'E{ nough Mechanlcal - prtor to )Acover. JYnough Electrlcat - Prtor to,/z4,over. Final Plumbing - When ailplumblng worl< is complete. E E Storm Sewer - Prior to fllling trench. Waler Llne - Prlor to filling trench. Rough Plumbing - Prior to cover. [--l Sidewalk & Driveway - Afteru excavatlon ls complete, forms and sub-base material in place. Flnal Bulldlng - When all required lnspections have been approved and building is completed. Other MOBILE HOME INSPE TIONS Blocking and Set.Up - When all blocklng is complete. Plumbing Conneclions - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumblng lnspections have been approved and the home is connected to the servlce panel. Final - After all required lnspections are approved and porchcs, skirtlng, decks, and ventlng have been installed. ffi Framlng - Prlor to cover..r+ [![wattlCelllng lnsulatlon - Prtor toFl cover. fto*'tl - Prlor to taolng' [-_l WooO Stovo - After Installatlon. Electrical Servlce - Must be approved to obtaln permanent electrlcal power. Flreptace - Prlor to faclng materlals and framing lnsp. lnserl - After flreplace approval and lnstallatlon of unlt. Curbcut & Alrproaclr - After forms are erected but prior lo placement of concrete. Fence - When completed. Slreet Trees - When all requlred trees are planted. 'ly''l flnal Electrlcat - When ail Hetectrical work is complete. |llFlnat Mechanicat - When ail f iltcchanical work ls complete. E E E E tl tl tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac P.L.HSE GAR ACC N S E IS THE PROPOSED WORK iN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: VALUE J?pcT tGqq4=__ "z5e /o,'7o'f 6f / 7,Lt 2327L 35rua (A) BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fee SO. FT. X $/SQ. FT.ITEM Main Garage Carport BUTLDING 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. Plans Fleviewed By Date Receipt Numbe Date Paid Received By: Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) No FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS 2 Wood Stove/ lnsert/ Flreplace Unit Dryer Vent Mechanical Permit lssuance State Surcharge ,7 f t ,4{ Total Permit (D) 15i- n ?!-o Vent Fan MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformatlon hereon is true and correct, and I f urther certlfy 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 the work described herein, and that NO OCCUPANCY will be made of any structure wlthout permission of the Buildlng Safety Division. I further certify that only contractors and employees who are in compllance with ORS 701.05S will be used on thls proiect. I further agree to ensure that all required inspections are requested at the proper tlme, that each address ls readable from the street, that the permit card ls located at the front of the property, and the approved set of plans wlll remaln on the site at all times during con Slgna Date lon slrz//7 MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Penni ls (E) TOTAL AMOUNT DUE (excluding clectrical) (A, B, C, D, and E Comblned) 25825 ,r 2 DATE PAID AMOUNT FIECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER " FT. /5 Ret ,) ..2,//{). N0 Jar- /,2, \ SP}....C:FIELD The following proieci zontng, ancj doegnotapproval. as submittad has the folrequirespecific land us€@ft, rL 225 FIYIE STRXET SPRINGFTELD, OREGON 974 Date INSPECTf0N REQUEST: 726-3769 OFFICE: 726-3759 1 OF r0N ELECTRICAL PERHIT PLICATION Signature Job Nunber 3. COHPLETE FEE SCEEDIILE BELOV Nev Residential-Sj.ng1e orMuIti-Family per dvelling unit. Service Included: f tems Cos t A '1ffiT4)o g*r1?t DESfrEPT?N Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. Sum 2. CONTRACTOR Electrical Contractor Supervisor CENSE at?-43 Expiration Da,. \t) . \ Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name L Address L(4 I cit i1 L Phone 10-707 OVNER ALLATION The installation is being made onproperty I ovn vhich is not intendedfor sale, Iease or rent. Ovners Signature: DATE:/z- 7- 4a 1000 sq. f t. or l-ess Each additional 500sq. ft or portion thereof Each Manuf'd Home. or - Hodular Dvelling Sertice or Feeder s 85.00 s 15.00 s 40.00 B Services or Feedersfnstallation, Alterationsor ReLocation: 200 amps or less 201 amps to 400 amps - 401 amps to 600 amps -601 amps to 1000 amps- Over 1000 amps/vo1ts - Reconnec t OnIy -l- s s0.00 s 60.00 s100. 00 s130.00 s300.00s 40.00 C Temporary Services or FeedersInstalIation, Alteration or Relocation 200 amps''or less $ 40.00 20L amps to 400 amps - $ 55.00 Over 401 to 600 amps - $ 80.00 Over 600 amps or 1000-voITs see rrBrr aEov€ D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuj.t S 35.00 Each Addi tional Circuit or vith Serviceor Feeder Permit S 2.00 E. Miscellaneous (Service/feeder not included) -Each i.ns tallation Pump or irrigation Sign/Outline Lighting- Limited Energy/Res - Limi ted Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAI, TTON ONLY .""Q,s ,qfr'.[Addr Ci ty ne \o L wr) tl s 40.00 s 40.00 $ 20.00 s 36.00 RECETVED to> 5 q3 QrQrlt 1 RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Oftice: 726.3759 :;PFlINGFIELD qil, JoB NUMBE " %48--- 225 Fi ttlr S r rcet Springtlelcl, Oregon g7477 LOCATION OF PROPOSED WORK: ASSESSORS MAP:TAX LOT: LOI ELOCK:SUBDIVISION: -- % OWNER:PHON E ADDRESS: CITY:STATE ZlPi DESCRIBE WORK NEW - REMoDEL ADDlrloN DEMOLISH orHEtl - CONTRACTOR'S NAME ADDRESS CONST. CONTRACTOR ,EXPIII ES PHONE G EN ERAL: MECHANICAL: ELECTRICAL To request an lnspectlon, you must call 726'3769. Thls ls a 24 hour recorcllng. All ln$pections re(tuestecj belore 7:00 a.rn. wlll bemade the sante worklng day, lnspections requested after 7:00 a.m. wlll be made thc tollowlng work day. REOUIRED INSPECTIONS [-_l Temporary Electric Rouglr Mecltanical - prlor to cover. Flnal Pltrrnbing - When allplumbing worl( ls completc. Site lnspoctlon - To be made af ter excavation, but prior tosetting forms. Rough Electrical - prior to QUAD AREA: , OF BLOGS OCCY GROUP: I OF STORIES: WATER HEATEF Underslab Plumbing/ Electrical /Mechanlcal - Prior to cover. Footlng - Af ter trenches are excavated. Masonry - Steel locatlon, boncl beams, groutlng. Foundallon - After forms are erected but prlor to concrete placement. Undcrgrouncl Pltrnrblrrg - Prlor to fllllng trench. Underlloor Plumbing/ Mechanical - Prior to lnsulatlon or decl<ing. Post and Beam - Prlor to floor lnsulatlon or decklng. Floor lnsulation - Prlor to decklng. Sanilary Sewer - Prior to fllling lrench. Storm Sewor - [)rior to fllling trench. Water Llne - Prlor to filling trench. CONSTR. TYPE: -- - OFFICE USE _ LAND USE: , OF UNITS HEAT SOURCE RANGE: cover Electrical Servlce - Must be approved to obtairr perrnancnt electrlcal power. Flreplaco - Prlor to faclng materlals and f raming lnsp. Framlng - Prlor to cover. Wall/Celling lnsulation - Prlor to c over. FLOOD I]LAIN ZONING CODE: r OF BDRMS: SECONDABY HEAT SOUAni: FOOTAGE Final Electrical - When allelectrical worl( is complete. Firral Meclrarrical - When allmechanical worl< ls cornplete, Final Building - Whon allrequlred lnspectlons have beenapproved and building ls com ple tcd. O thor MOBILE I.IOME INSPESTIONS Blocking and Set.Up - When allblocklni; is complete. Plumbing Connections - When trome has been connected to water and sewer, Electrical Corrnection - When blocking, set.up, and plumblng l,rspcctions lravc bc'cn approvcd and tlle ttorno is connecled tothe service panel. Final - Af tcr all requlred lnspcctlons are approved andporchcs, skirting, decks, and ventlnO have been lnstalled. m Curbcut & Alrprroach - After forms are erected but prior toplacemcnt of concrctcr. Sidewalk & Drlveway - Af ter cxcavation ls completc, fornls and sub.base malcrial i11 placo. [--l fence - When compteted {ilreol Troes - Wlren all requlred trees are planted. Rough Plumblng - Prior to cover. 7_7-?z-''- PLUMBING: t_l r_l [--l orVwatl - Prlor ro raping. J I WooO Stove - n frer lnsrailarton. [-.l lnsert - Alter flreplacc approval'J and lnstallatlon of unlt. tl Lot faccs Lot sq. ltg. Lot coverage TopograPhY Total helght BUILDING PERMIT Lol 'ly;.rc - lntcrior -- Corner - Panhandle - Cul-de-sac acl<s PL.HSE ACC N C E GA VALUE APPROVED ITEM Main Garagc Carport SO. FT. X $/SO. t:T. Total Valuc Buil<.ling Permit Foc Statc Surcharge Total Fcc (A) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pernrit is grarrtecJ on the cxpress conclition that the said construction shall, in all respects, conform to the Ordinance adopted by the City ol Springfield, including the Developrnent Coclc, regulating the construction and use of buildings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordinances' DatePlans Reviewed t3Y Receipt Nutnt:c Plan Ctreck Fec Date Paid Received By: Systems Development Charge is due on all undeveloped properties within tlro City linrits whiclr are being improved.SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS FEE (\-) N0 F'r. FT. FT. Rcsldential Bath(s) PLUMBING PERMIT Plumblng Pormlt Statc Surcharge Total Charge Sanitary Sewer Water Storrn Sower Mobilo Hotne ITEM Fixtu res By slgnature, I state and agree, that I have caretully examlned tlre completed application and do hereby certlfy that all lnformation hereorr is true alld correct, and I f urther certlfy that any and all work performed shall be done in accordance wlth the Ordinanccs of thc City o( Springfield, and the Laws of the State of Orcgon pertainlng to thc work described herein, and that NO OCCUPANCY will be made o( any structure without perrnission oI the Buildirrg Safety Divislon. I f urthcr certi[y that only contractors and employees who are in cornpliance wltlr ORS 701.055 will be used on thls proiec t. I f urthcr agree to ensurc that all required lnspections are requested at the proper l,ime, that each address ls roadable (rom tl.re street, that the permit card ls located at the front of the property, and the approved set of plans will remain on the slte at all times during constructlon. Signatu Date ??-7-- -'----' Wood Stove/ lnsert / Flrcplace Unil Dryer Vent MISCELLANEOUS PERMITS Mobile Home Stale lssuance Statc Surcharge Sidewalk -- tt curbcut 7 2- t, Oemolition Stale Surcharge Total Mlscellaneous Perlnits (E) H@ Nt0Vent Fan (D) M ECHAN ICAL PERMIT Furnacc Exhaust Hood Mechanical Permlt lssuance State Surcharge Total Permlt TOTAL AMOUNT DUE (cxclucling clectrical) (A, B, C, O, and E Cotnbitrcd) VALIDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVT..D FIECEIVED BY a II- E TJI1OPOSED WORI( iN THE I{IYTORICAL OISTBICT, OR ON TIIE HISTORICAL REGISTER? lf yes, this applicatlon must be slgned and approved bY the Historlcal Coordinator prior to permit issuance.