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Home My WebLink AboutPermit Building 1991-07-25SPRINGFIELE,qRESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOS WORK: ASSESSORS MAP: JOB NUMBER 225 Fifth Street Spri ngf ield, Oregon 97 477 TAX LOT: LOT:BLOCK SUBDIVISION PHON E: ZIP:STATE: OWNER ADDRESS: CITY: Cf,xxtct, rrE&.\r *:u, \-q.SftL\-\ DESCRIBE WORK: ADDR PHONI b CONTRACTOCONTRACTOS ELECTRICAL: CONST. MECHANICAL: PLUMBING GENERA \R.Nt-l) RANGE: * OF BDRMS: WATER HEATER _ OFFICE USE _ ZONING CODE: FLOOD PLAINLAND USE: * OF UNITS: QUAD AREA: # OF BLDGS SECONDARY HEAI SQUARE FOOTAGE: OCCY GROUP: * 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 Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work 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. Electrical 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. fffiinat Building - When all f required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting. W"^'"g - Prior to cover' Foundation - After forms are erected but prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to f illing trench.Drywall - Prior to taping. MOBILE HOME !NSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and installation of unit. Blocking and Set.Up - When all blocking is complete. Floor lnsulation - Prior to decking.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 service panel. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prior to filling trench. Fence - When completed. Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover. lo tl r E r E E E E E fl E ilE Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type v - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E , THE PROPOSED WORK IN THE HISTORICAL DISTRICI OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and 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 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 Reviewed By Date Plan Check Fee: Date Paid Receipt Number: Received By VALUE @ (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. 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 Flesidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have carefully 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 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 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 f rom the street, that the permit card is located at the f ront of the property, and the approved set of plans will remainMISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition . State Surcharge Total Miscellaneous Permits (E) VALIDATION RECEIPT NUM DATE PAID AMOUNT RECE RECEIVED BY TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) +tl'L1 site at all during construction. SP,|INGFIELE' RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 0ffice: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: 225 Fifth Street .Springfield, Oregon 97 477,r 5 JOB NUMBER qZ -/_TAX LOT: LOT:BLOCK:SUBDIVISION ? PHON E: On-(STATE:ztP wOWNER: ADDRESS: CITY: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: MECHANICAL: ELECTRICAL: AM AD EXPI PHONERESSCONTRACTOR'S CONST. coN G EN ERAL: PLUMBING coNSrR. TYPE. Y-A,/ _ OFFICE USE - HEAT SOURCE: RANGE: # OF BDRMS WATER HEATEFI: * OF UNITS: LAND USE: SECONDARY HEAT: SQUARE FOOTAGE: QUAD AREA: # OF BLDGS OCCY GROUP: * OF STORIES: zoNrNG coDE: -Ln n To request an inspection, you must call 726-3769. This is a24hout 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 Electric Rough Mechanical - Prior to cover.ffi finat Plumbing - When ail }aplumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover.Electrical 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 ail required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Foundation - After forms are erected but prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - prior to filling trench.l--l Drywall - Prior to taping. Underf loor Plumbing/ Mechanicat - Prior to insulation or decking. MOBILE HOME INSPECTTONS Wood Stove - After installation. Post and Beam - Prior to floor insulation or decking.[--l lnsert - After fireplace approvat - and installation of unit. Blocking and Set.Up - When allblocking is complete. Floor lnsulalion - Prior to decki ng.Curbcut & Approach - After forms are erected but prior toplacement of concrete. Plumbing Connections - Whenhome has been connected towater and sewer. l-_l Sanitary Sewer - prior to fiiling - trench. ,K Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Electrical Connection - Whenblocking, set-up, and plumbing rnspections have been approvedand the home is connected tothe service panel. [--l Water Line - prior to filling - trench.l-l fence - When compteted. Final - After all requiredinspections are approved andporches, skirting, decks, andventing have been installed. Rough Plumbing - Prior to cover.i-_l Street Trees - When ail required - trees are planted. FLOOD PLAIN: E E r Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks PL.HSE GAR ACC N S E S THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - If yes, this application must be signed and 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 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. Recei pt Number:- NA DatePrans nevlEwed dv Date Paid Received By: Plan Check Fee: VALUE (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. 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 Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE No FT. FT. FT (c)I < 7-'()t . r?taS /5^' PLUMBING PERMIT ,7{ aO Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By signature, I state and agree, that I have carefully 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 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 only 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 from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at sd Signature Date st ru cti MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk --.-- ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E) * 7{ VALIDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BYTOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) OF OREGO'U 225 FIFTE STREET SPRTNGFTELD, oRBGoN 97477 INSPECf,ION REQUESTz 726-3769 oFFICE: 726-3759 1. LOCATION INSTATLATION LEGAL DESSRTPTION /2-04-2€*/2, a7a4>/ JOB DBSCRIPTION Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COI{TRACTOR INSTALI.ATION ONIY Address Ci Phone 7+l- AA3L Supervisor License Number /0rls Expiratio" o^t" /O' / - (')- Erectricar contractor Cf S 80onl,im.,,,7ryfO ELBCTRICAL PERHIT APPLICATION I City Job Number ?/o824 3. COHPLBTE FEE SCBEDULE BELOS A. Nev Residential-Single or HuIti-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 B Services or Feeders Installation, Alterations or Reloca t ion : 200 amps or less 20L amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/voIts Reeonnect 0n1y 00 00 00 00 $300.00 $ 40.00 c ab 200 amps or less $ 201 amps to 400 amps _ $ Over 401 to 600 amps _ $ Over 600 amps or 1000 volts s sl'tttt,rGF tr.uo I SUBTOTAL OP ABOVB 5Z State Surcharge TOTAL Sum l-$ s0. $ 60. s100. $130. Constr Contr. Number au41 Temporary Services or Feeders Installation, Alteration or Relocation ExpirationDate l l lL Signa of Supervising Blectrician Ovners Name Address n+k1n, 51h, D. Branch Circuits Nev, Alteration or Extension Per Pane1 One Ci rcui t I $ 35.00 3 5'. oO Each Additional Circuit or vith Service or Feeder Permit $ 2.00 40.00 55.00 80.00 ee ilBfi above Ci ty Phone 7+1 -X,4o1 OIJNER ON The instaLlation is being made on property f ovn vhich is not intended for sale, Iease or rent. 0vners Signature: DATE: Miscellaneous (Service/feeder -Each installation Pump or irrigation $ Sign/outline Lighting- $ Limited Energy/Res $ Limited Energy/Comm S E not included) 40.00 40. oo 20. oo Jb. oo t " 453b.4s RECEIVED BY: 5