HomeMy WebLinkAboutPermit Building 1993-03-16BLOCK:LVr, -
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,3 2-o-o
F,E,LD
LOCATION OF PROPOSED WORK: -_-TAX LOT:
SUBDIVISION
ASSESSORS MAP:
Spri ngfield, Oregon 97477
TION
Ittspecllons' /26.3 /6e
0(fice:726.3759
JOB NUMBER
225 Fifth Street
ii;lfi\'iit ,o
PHONE:
zlP'.STATE:
R 7{7 -/y3s
8z V7z
CITY:
l{iaOWNER:
DEMOLISH OTHER
/0'xE'hn
DESCRIBE WORK:
NEW _=-- REMODEL ADDITION
PHONEEXPIBESADDRESSCONTRACTOR'S NAME
GENERAL: B.ra.^ Rxilzrn --
q-MECHANICAL:
ELECTRICAL:
CONST.
CONTFIACTOR #
WATER HEATER:
HEAT SOURCE
_ OFFICE USE _
CONSTR. TYPE:
# OF UNITS:
LAND USE
RANGE:
FLOOD PLAIN:
ZONING CODE
SECONDARY HEAT
SOUARE FOOTAGE:
# OF BDFIMS: =----.--._--
OCCY GROUP:
r OF STORIES:
OUAD AREA:
, OF BLDGS
To request an inspection, you must call 726'3769' This
made the same working day, inspections requested af
REQUI
[-*l remPorarY Electric
,x
is a 24 hour recording'
ter 7:00 a.m. will be m
RED INSPECTIO
Electrical Service - Must be
approved to obtain Permanent
electrical Power"
l-I FirePlace - Prior to {acingI I malerials and framing lnsp'
(5t"-tns - Prior to cover'
'lVf wuttlceiling lnsulation - Prior to
)A "ouur.
,{o"*'tl - Prior to ta,ins'
I*l Wood Slove - After installation'
lnsert - After f irePlace aPProval
and instaltation of unit'
Curbcut & APProach - After
forms are erected but Prior to
placement of concrete'
Sidewalk & DrivewaY - After
excavation is comPlete, forms
anO suO-nase material in Place'
l--l Fence - VJiren comPleted'
All inspections requested before 7:00 a'm' will be
ade the following work daY'
NS
Site lnspection - To be made
after excavation, but Prior to
setting forms.
Underslab Ptumbing / 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 f illing trench.
Underlloor Plumbing/ Mechanical
--Fiio, to insulation or decking'
'F(-7 Final Building - When all
JA{reouired inspections have been
' -rpproved and building is
comPleted'
Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is comPlete'
Rough Electrical - Prior to }d f inal Electrical - When all
Al1ectrical work is complete.cover.
. Final Mechanical - When all
I mechanical work is comPlete'
g'
tr'
Xfr
Other
MOBILE HOME INSPE TIONS
Blocking and Set'UP - When all
blocking is compiete.
Plumbing Connections - When
home has been connected to
water and sewer.
Post and Beam - Prior to floor
insulation or decking'
Floor lnsulation - Prior to
decki ng.
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
Rough Plumbing - Prior to
cover.
r----l
L--J Street Trees - V'liren all required
trees are Planred'
Electrical Connection - When
btoct<ing, set-uP, and Plumbing
inip""tion. have been aPProved
.nd the home is connected to
the service Panel.
Final - After all required
inioections are aPProved and
"o,the., skirting, decks, and
ienring have been installed'
ADDRESS:
*5Q.\Dr,'-\\ CBJ
\
tl
T
k
SED WORK IN THE
THE PROPO oRo
Hls-to RICA ,LD ISTRICT'
signedTHE H ISTORI CAL REG ISTER
It Yes, th is aPPlication Historica\
Coorciinator
io'ved by
prior to perm
the
it \ssuance'.r ^d aPP
APPBOVED:
Lot taces
Lot sq. ttg'
LOt COverage
ToPograPhY
Totat height
LOt TYPE
,- lnterior
.- Corner
Panhandle
-
Cul-de-sac-r45
BUILDING PERMTT VALUE
4q,{b
_fu70
4rc
(A)<?3
13
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SQ. FT. X $'SA. FT.
rhis permit is sranteri on the express condition that thg Sa\d
construction shall, in all rt:spects, 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
1 ';!,:t 'iewedS v
By:
ECAN KHcLPEAVLUGNLDUBITMREPGNLDuBNAD
Date Paid
Fleceipt Number:
Plan Check Fe
Recei
upon violation of any ordinances
SYSTEMS DEVELOPMENT CHARGE D
(B)
Systems Developrnent Charge is due on all undeveloped
properties willrin the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT.
FT.
PLUMBING PERMIT
FT.
Plumbing Perrnit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
Mechanical Permit
lssuance
State Surcharge
Total Permit
By signalure, 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 arr work performed shail be done in accordance
with the Ordinances of the City of Springf ield, and the Lawsof 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 ilrat only contractors and employees who
are in comptiance with ORS 701.055 will be used on thisproject.
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 f rontof the property, and the approved set of plans will remain
Date 3-/d - ?s
on the site at all times duri ng construction.
nat u re
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk _ ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous permits (E)
TOTAL AMOUNT DUE (exctuding etectrica D 5 j ,O 3
(A, B, C, Q and E Combined)RECE|VED BY __L
AMOUNT FIECEIVED
RECEIPT NUMBE
DATE PAID
)zo
I
-a-'/**za--,
VALIDATION:
l.lft foilewins
5t.r ttr'r(;l: tr:Lu ---
Cos t
s 8s.00
$ 1s.00
$ 40.00
.00
.00
.00
s see ltBlr a [ove-
00
00
00
00
0I.o
225 rllntl STluilir
sPIUNGTItiLI)' olt[:G0 N 97477
INSPIICTION REQUI'.S T :7
OFPICF.: 726'3751)
I?,LECTNICAL PLNHIT APPLTCATT ON
City Job Number,
3. COHPLUTIT I'BB SCIIEDULB IIBLOU
Nev Residentlal-Single or
HuItl-FamiIY Per dvelling unit'
Service Included:
SumI tems
1000 sq.ft. or less
Each addlttonal 500
sq. ft or Portlon
tlrereof
Each Manuf 'd llome or
Modular Dvelling
Service or Feeder
$ s0.00
$ 60.00
$100.00
$r30.00
$300.00
$ 40.00
TemporarY Services or Feeders
intioffu,ion, Alteration or Relocation
200 amps or less
ioi ;'npr to 4oo amps
-over /r0t to 600 amPs
-
0ver 600 amps or l'000 volt
Dranch Clrcui ts
Nev, Alteratlon or Extenslon Per Panel
one circuit -*g 35'oo tr
Eaclr Additional I -, Ct)
:l';:::":'r:il1,'u"X3 s z'oo W
l'liscellaneous (Service/feeder not included)
-Each installation
Plrmp or irrigation
Sign/0utline Lighting-
Limi ted EnergY/Res
Limi ted EnergY/Comm
Le{!!2*_441lo<
3
Authorizod Signature
1 A
1
JOB DITSCRIT'TION.q(
Elcctrical Contracto
Pernrits arc non-transferable and explre
if vork is not started vlthin 180 days
;; isst,ance or i I vork ls suspen<led f or
180 days.
2. CO}NRASIOR INSTALTATION ONLY Services or Feeders
Installatlon, Alterations or
Relocation:
200 amps ot l::" +20L anrps to 400 amPs "
401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnect 0nlY
5. SI'DTOTAL OP ABOVB
5f State Surcharge
TOTAI,
B
Address -[ o Bn*(
-n0DJt.
-Ci ty
Supcrvisor License Ntinrbar
Expi ra t ion Da te
Constr Cotrtr. Number
Expiration Date
Signature of Supcrvising Electrician
0uncrs Name
Add ress q_
Ci ty Phonc
ALLATION
c
D
$40
$ss
$80
The installation is being made on
property I own vhich is not intended
E
for sa1e, Iease or [ent'
Ovncrs SlgSature:
s40
s40
$20
s36
aDATE:
RIICEIPT
Irli(:l':IVIil)
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