The URL can be used to link to this page

Home My WebLink AboutPermit Building 1991-05-24RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 JOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97 477 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT:no 3 BLOCK: TAX LOT: SUBDIVISION STATE:ZIP L-ADA dL PHON E:f -77L-Bou6A Er r.lbaAOWNER ADDRESS: CITY: r A@lL-W*n-a IhDffEJ NEW - REMODEL ADDTTTON x=- DEMOLTSH OTHER DESCRIBE WOFIK: MECHANICAL: ADDRESS PHONE lo CONTRACTOR'S NAME ELECTRICAL: EXPIRES GENERAL: PLUMBING CONST. CONTRACTOR # \ I \\\ \ _ OFF]CE USE - WATER HEATER: LAND USE: # OF UNITS FLOOD PLAIN: ZONING CODE SECONDARY HEAT: SQUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: * OF STOBIES: QUAD AREA: g OF BLDGS: 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 Electric t___J [--l nough Mechanical - Prior to - trover. J{ finat Plumbing - When attHplumbing work is complete. ffi final Electrical - When allHelectrical work is complete. Ji7 u nde rf looralf,fiEE-ilM ec han icat P ri o r fir-THIEIlro n-or d ec k i n g. VPo"t and Beam - Prior to floor $in"rtation or decking.F tpf founOation - After forms arezflerected but prior to concrete placement.Ef walttCeiling lnsulation - Prior toAcover. fi"r*ull - Prior to taoing' Other MOBILE HOME INSPECTIONS Blocking and Set.Up - When all blocking is complete. Plumbing Connections - When home has been connected to water and sewer. Eleclrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. J! final Building - When all .A,required inspections have been approved and building is completed. Final - After all required inspections are approved an-d porches, skirting, decks, an{ venting have been installed. 1,.. 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. Underground Plumbing - Prior to filling trench. Floor lnsulation - Prior to decking. Sanitary Sewer - Prior to filling trench. Slorm Sewer - Prior to filling trench. Water Line - Prior to filling trench. [![ nougtr Electrical - Prior toHe over. ,K Final Mechanical - When all mechanical work is complete.Electrical Service - Must be approved to obtain permanent electrical power. Fireplace - Prior to facing materials and framing lnsp. Framing - Prior to cover. Wood Stove - After installation lnsert - After fireplace approval and installation of unit. Curbcut & Approach - After forms are erected but prior to placement of concrete. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Xr"n"" - when completed \.4 Rough Plumbing - Prior to ,)4cover. Street Trees - When all required trees are planted. Ft - ,92/.' L41 rv66Delg- w-- \a.NU) RANGE: # OF BDFIMS: -- r r tl E E Lot faces Lot sq. ftg. Lot coverage Topography Total height \515 Lot Tvoe \/ - lnterior - Corner ) - Panhandle/ - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E I,5"THE PROPOSED WORK IN THE HISTORICAL DISTRICT. OR ON r / THE HISTORICAL REGISTER? /YO lf yes, this application must be signed and approved by the Hlstorical 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 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. -,/ 23Jte, 5- 7 -7 / Reviewed ByP Da Receipt Numbe Plan Check Fee Date Paid Received VALUE 3? 79 4,33 1o48o,* (A) X $/SO. FT. ?4fuTotal Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport Systems Development Charge is due on all undev"lop"\d properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) N/(B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE N0 2501r E14oJ Z-, FT. FT. FT. (c) fi?' PLU M BING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit Dryer Vent Z/r^t . '<!o z5 .n/25L?,(D) N0 1D,oa Vent Fan Mechanical Permit lssuance State Su rcharge Total Permit MECHANICAL PERM!T Furnace Exhaust Hood By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front Sig Date property, and the app of plans wiH tructiontime of the on the rematn MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition Total Miscellaneous Fermits (E) 5go State Surcharge TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Combined) \,}ft,FC. R VALIDATION RECEIPT NU DATE PAID AMOUNT RECEI RECEIVED BY C'TY OF SPR onEGorv 225 FIFTtr SI3EBT . . SPRINGPIBLD, oREGON 97477-,,*, rNsPBCrroN RBQUBST: ZZ6IrZO$. % 100 amps or Iess 101 amps to 400 amps 401 amps to 600 amps -601 amps to 1000 amps_ 0ver 1000 amps/vo1ts Reconnect 0nly 200 amps or 1ess $ 201 amps to 400 amps _ $ Over 401 to 600 amps _ $ Over 600 amps or 1000 volts s S]rTIINGFIELO One Circuit Two to ten Clrcults Each Addt,l ten orportion thereof ..,\ ' \ JOB Permlts are non-transferable and explrelf nork ls not started vlthln 180 daysof lssuance or lf vork ls suspended for 180 days. COI{TRACTOR INSTALI.J\TION ONLY EIe cal Contractor Address Cl ty BIJCTRICAL PBRHIT APPTICATION Nunber rEE SCBEDUI.E BBLOV A. Nev Residentlal-Slngle or Multi-Famlly per dvelling unlt. Service Included:ftems Cost Sum 1500 sq;ft. or less Each addltlonal 500 sq. ft or portlon thereof Each Manuf,d Home or -Modular Dwelllng Servlce or Feeder $ 85.00 $ 1s.00 $ 3s.00 B. Servlces or Feeders (10 Branch Circults included). Installation, Alteratlons or Relocation: [4'1 $ 35.00 $ 60.00 $ 90.00 $130.00 $300.00 $ 3s.00 ela\c Supervlsor Ll Explration Da r Cons Expl tr . Number lon Date ture of Supervlslng BIec 0vners Name Address ct ,ALIATION The installation ls belng made on property I ovn vhich ls not intendedfor sale, lease or rent. Ovners Signature: DATE: C. Temporary Servlces or Feeders Installatlon, Alteratlon or Relocatlon 3s.00 40.oo 80.00 ee trBr aEEfrd D. Branch Clrcults New, Alteratlon or Extenslon Per Panel E $ 35.00 $ 50.00 $ 1s.00 E. Mlscellaneous (Servlce/feeder not lncluded) -Each lnstallation Pump or irrigation Sign/0ut1ine Lighting- Slgnal Circuit or tlimited energy panel \ SIIBTOTAL OF ABOVB 5Z State Surcharge TOTAL $ 36.00 $ 36.00 $ 36.00 5 RECBIVBD {b OD a) C'TY OF SPR OREGO'V 225 PIFTH STRBBf, SPRTNGTIBIJ, ORBGON 97477 INSPBCITON RB0IIEST: 726-3769 OFPICE: 726-3759 1 0r BI.ACTRICAL PBRHIT APPLICATION City Job Number. 3. COHPI,ETB trBB SCIIEDTIIT BELOV A. Nev Residentlal-Single or Multi-Family per dvelllng unlt. Service Included: Items Cost SPT-TNGFII:LI) One Circuit Tvo to ten Circults Each Addt,I ten orportion thereof E 5. STIBTOTAL OP ABOVB 5I State Surcharge TOTAL h I.EGAL ,+rDl) Permlts are non-transferable and expireif work ls not started vlthln 180 daysof lssuance or lf vork ls suspended for 180 days. 2. CONTRACTOR INSTALIATIOTI ONLI Erectrrcal contractor 6l ll'S {/e.fii'.. Address 3F0'A' (l $ry-€la sq t Phone 3V3,/353 Supervlsor License Number 7€o's Expiratlon Date 6- gt Constr Contr. Number ')6 c Explratlon Date Slgnature of Supervlslng Electrlcian C- Temporary Servlces or Feeders Installation, Alteratlon or Relocation 100 amps or less 101 amps to 400 anps L-. 401 amps to 600 amps 601 amps to 1000 amps- over 1000 amps/volts -Reconnect Only 200 amps or less $ 35.00 0ver 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see rrBrr above JOB DESCRIPIIONl/*(m A-o Sum 00oo:- $ $ $ $1 $g $ 35 60 90 30 00 35 w00 00 00 00 00 00 Ovners Name Address t+1 E(., ci a4- nsl OSNBR INSTALI,ATION The installation ls belng made onproperty I ovn vhich is not lntendedfor sale, Iease or rent. Ovners Slgnature: DATE: D. Branch Clrcults Nev, Alteratlon or Extenslon Per Panel d--- $ $ 35. 50. $ 1s.00 Miscellaneous (Servlce/feeder not lncluded) -Each installation Pump or irrigation _ $ 36.00 Sign/Outline Lighting $ 36.00 Signal Clrcuit or Iimited energy panel $ 36.00 RECBIVED 3 1500 sq.ft. or less $ 85.00 Each additlonal 500 sq. ft or portion thereof $ 15.00 Each Manufrd Home or -Modular Dvelling Servlce or Feeder $ 35.00 B. Services or Feeders (10 Branch Circults included). Installation, Alterations or Relocation: