HomeMy WebLinkAboutPermit Building 1991-06-28P]lI
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBER
225 Fifth Street
Spri ngfield, Oregon 97 477
LOCATION OF PROPOSED WORK:C)2_ t,
ASSESSORS MAP:l-7 oo)74 lz TAX LOT:I (" loo
LOT:lt6 BLOCK:SUBDIVISION rt-
OWNER Breeden Bros. r Inc PHONE:(so3) 686-9431
ADDRESS 366 East 4Oth
glTy. Eugene STATE:Oregon 97405ztP:
DESCRIBE WORK:
NEW X REMODEL ADDITION DEMOLISH OTHER
CONTRACTOR'S NAME ADDRESS
Euqene
CONST.
CONTRACTOR #
27
EXPI RES
tt/30
PHONE
686-9431G EN EFIAL:Breeden Bros.
PLUMBING Absol-ute Plurnbing Eugene 20-2PB 6/30 345-3055
MECHANICAL:Marshalls Springfield 25790 12/23 747-7445
ELECTRICAL:Thornton Eugene 20-706c s/Zt 686-1628
_ OFFICE USE -
QUAD AREA:
* OF BLDGS:
LAND US E, llll FLOOD PLAIN
* OF UNITS:ZONING CODE:LD
OCCY GBOUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOUFICE:
* OF BDRMS:e H/"SECONDARY HEAT:
SQUARE FOOTAGE:EL-WATEFI HEATER:RANGE:
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:OO a.m. wiil be
made the same working day, inspections requested after 7;00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Eleclric ffi-nougfr Mechanical - Prior to
-
cover.
ffi Rough Electrical - Prior to
-
cover.
fffinal Plumbing - When ail
-
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
,K Final Eleclrical - When all
electrical work is complete.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.K Electrical Service - Must be
approved to obtain permanent
electrical power.
ffil-finat Mechanical - When atlq mechanical work is complete.
lp-Footing - After trenches are
'+( excavated.EI Fireplace - Prior to faclng
materials and framing lnsp.
xf,# il,.#' l i:??; #J it,,x" o u
" "approved and burilding is
completed.Masonry - Steel location, bond
beams, grouting.(tt"-tng - Prior to cover'
,KI WattlCeiling lnsulation - Prior to+ cover.
fforvwall - Prior to taping.
E-Foundation - After forms are
erected but prior to concrete
placement.
Other
pf'Underground Plumbing - Prior!J to filling trench.
Jaf una".lloor -Plumbinj/ Mechanicat4---'\ - Prior to insulation or decking.
ffieost and Beam - Prior to flooru insulation or decking.
MOBILE HOME INSPECTIONS
Wood Stove - After installation
lnsert - After fireplace approval
and installation of unit.
Blocking and Set-Up - When ail
blocking is complete.
tl Floor lnsulation - Prior to
decki ng.K 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 filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the sei'vice panel.
Storm Sewer - Prior to filling
trench.
fp SiA"*ulk & Driveway - Af ter|3l excavation is complete, forms
and sub-base material in place.
Water Line - Prior to filling
trench.[--l Fence - When completed
Rough Plumbing - Prior to
cover.
Trees - When all required
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.K'trees are planted
4t
S F.'Q^.',
I I
VNR.a + /v1
E
r
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
J0-%lal
Lot TylDe
/nr.rio,
-
Corner
-
Panhandle
-
Cul-de-sac
ks NTTHE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED
4A7l,A,
ACCP.L.HSE GAR
N /7'/2./
S 17'(fo
E
I1i)
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.
dBvNSEV
Plan Check Fee:
Date Paid
Recei pt Number:
Recei
zQ3. d,=
G-te-qt:of3?
EB
VALUE
lof,l.?o
(A)
2r t?.
X $/SO. FT.
3 .10 93,14'L1q2 . tLt t
Total Value
Building Permit Fee
State Surcharge
Total Fee
qo \bxx
4o6.e
--ne,?416,70
BUILD!NG PERMIT
ITEM SQ. FT.
Main
Garage
Carport
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
Mobile Home
FEE
/?1,6a3
(c)2
N0
FT.
FT.
FT.
,13
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ta 1 ,50
?,6 '
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
MECHANICAL PERMIT 6 .oo
4,6a
7e-ro
/O, od
/.7/
?,oo
(D)37,2E
Mechanical Permit
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 certif y
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 lvho
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 ls located at the front
of the property, and the approved set of plans will remain
I
Iu-(o-q
Signatu re
Date
on the site at all ti during construption.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewark 6 4 n
curbcut X tl ,,
Demolition
State Su rcharge
Total Miscellaneous permits
17./.
/ 7. 6c;
(E),q ,LO
TOTAL AMOUNT DUE (exctuding etectricat)(A, B, C, D, and E Combined)?3
RECEIPT N
DATE PAID
AMOUNT R
RECEIVED
UM B
BY
VALIDATION
ECEIVE
6/r
"
/ Dale
N" cf /1,aa
225 YIYIB STREET
SPRTNGPIELD, OREGON 91477
INSPECTION REQI.IEST I 726_3769
OFFICE: 726-3759
1. LOCATION INSTALI,ATION
LEGAL DESCRIPTTON
o
JOB DESCRTPTION
u/
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COI-ITRACf,OR INSTALI-A,TION ONLY
Electrical Contractor
Address (fl6 E 3 qfr rtk
Ci ty '1,
Supervisor License Number ,1C11 C,
Expiration Date C- t-q
Constr Contr. Number J('-.)tl lpc
SPRINGFIELE,
I
BIJCTRICAL PERHIT APPLICATION
City Job Nunber qt
3. COHPI,RTE PEB SCEEDTII^E BELOS
Nev Residential-Single or
HuIti-['amiIy per dvelling unit.
Service Included:
Items Cost
%
f d-A.
lr Sum
100 amps or less
101 amps to 400 amps
-401 anps to 600 amps
-601 amps to 1000 amps-
over 1000 amps/volts
-Reconnect Only
200 amps or Less
201 amps to 400 amps
-over 401 to 600 amps
-Over 600 amps or 1000ET[s
Expiration Date /0-t-q
Signature of Supervi
INSTALT,ATION
Name
c
5. SUBTOTAL OF ABOVE
5Z State Surcharge
TOTAI,
S 1s.oo %.q
3s.00
40. o0
80. oo
ee ,iB,r aEilif
1500 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each H_anuf ,d Home or
Hodular Dvelling
Service or Feedep
s 8s.00 3sm
$ 3s.00
Services or Feeders (10 Branch Circuitsincluded). Insta1lation, Alterationsor Relocation:
3-
B
s
s
$
s
$
$
$
$
s
s
$
$
35 .00
.00
.00
.00
.00
.00
60
80
130
300
35
Temporary Services or FeedersInstallation, Alteration or Relocation
I
trician
Address
D. Branch Circuits
Nev, Alteration or Extension per panel
one dircuit
Tvo to ten Circuits
Each Addt,I ten orportion thereof $ 1s.00
35.
50.
00
00
Ci ty Phone
The installation is being made onproperty f own vhich is not intendedfor sa1e, lease or rent.
Ovners Signature:
Miscellaneous (Service/feeder not included)-Each installation
Pump or irrigation g 36.00Sign/outline Lighting- S 36.00Signal Circuit orlimited energy panel_ S 36.00
E
DATE:
PT
RECETVED BY:
aoo
pnone (l flt I (tt KJ