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Home My WebLink AboutPermit Building 1994-07-13RESIDENTIAL PERMIT APPLICATION lnspectlons:'zzo.gzog Offlce:72A8759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: SPRINGF 2 TAX LOT OO AO SUBDIVISION:BLOCK: _Z7ZfOWNER:PHONE: ztP;CITY STATE: ADDRESS:1o,32' NEW- BEMoDEL ADDtloN -r"t DEMoLtsH orHER r ^J OESCRIBE WORK:ON 4Oce 46'7+ Ptto -, CONTRACTOR'S NAME ADDRESS wooD EXPIRES PLUMBING: GENEBAL: MECHANICAL: ELECTRICAL: CONST. CONTRACTOR #PHONE 7 Lll ttr I - OFFICE USE - WATER HEATER: # OF UNITS: LAND USE:OUAD AR ZONING CODE: FLOOD PLAIN: r OF BLDGS: SECONDARY HEAT: SQUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: RANGE: OCCY GROUP: I OF STORIES: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day. REOUIRED INSPECTIONS l--l femporary Electrlc Rough Mechanlcal - Prlor to cover. flll Flnal Plumblns - When alla plumblng work ls complete. 171 Flnal Electrlcat - When all4 electrlcal work ls complete,m [-l Underslab PlumblnglElectrlcal/lJ Mechanlcal - Prlor to cover. l7l Footlno - After trenches are4 excavaied. l-l Masonry - Steel locatlon, bond|J beams, groutlng. : M Foundatlon - After forms areU erected but Prlor to concrete placement. w w @ tl E E B w a w tl tl a w E E Slte lnspectlon - To be made after excavatlon, but prlor to settlng forms, Underground Plumblng - Prlor to lllllng trench. Underlloor Plumblngt Mechanlcal - Prlor to lnsulatlon or decklng. Post and Beam - Prlor to floor lnsulatlon or decklng. Floor lnsulatlon - Prlor to decklng. Sanltary Sewer - Prlor to fllllng trench, Storm Sewer - Prlor to fllllrrg trench. Waler Llne - Prlor to filllng trench. Rough Plumblng - Prlor to cover. Rough Electrlcal - Prlor to cover. Electrlcal Servlce - Must be approved to obtaln pgrmanent olectrlcal power. - -r,,i Flreplace - Prlor to faclng materlals and lramlng lnsp Framlng - Prlor to cover. WalltCblllng lnsulallon - Prlor to cover. Drywall - Prlor to taplng Wood Stove - After lnstallatlon. lnserl - After flreplace apProval and lnstallatlon ol unlt. Curbcut & Approach - After lorms are erected but Prlor to placoment of concrete. Sldewalk & DrlvewaY - Alter €xcavatlon ls comPleto, lorms and sub-base materlal ln Place' Fence - When completed Street Treee - When all requlred trees are planted' Flnal Bulldlng - When all requlred lnspectlons have been approved and bulldlng ls completed. Other - MOBILE HOME INSPECTIONS Flnal Mechanlcal - When all mechanlcal work ls comDlete, Blocklng and Set.Up - When all blocklng ls complete. Ptumblng Connectlons - *nun home has been connected to water and sewer. Electrlcal Connectlon - When blocklng, set-up, and Plumblng lnspectlons have been aPProved and the home ls connected to the servlce panel. Flnal - Aftor all required lnspectlons are approved and porches, sklrtlng, decks, and ventlng have been lnstalled. JoBNUMBE^ ?/096,< 225 Fltlh Stroot Sprlngfleld, Oregon 97 477 I , OF BDRMS: -tl tl ,,. .. .' l . |). Lot faces Lot sq. ftg. Lot coverage Topography Total helght Loxype -YJlntertor I - Corner - Panhandle - Cul-de-sactl ., -S THE PROPOSED WORK TN THE . HlsToRlcAL DlSTRlcr, oR oN THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Hlstorlcal Coordlnator prlor to permlt lssuance' APPROVED: HSE GAR ACCP.L. N W E SQ, FT. X $/SQ. FT. - VALUE BUILDING PERMIT ITEM /26*?Z z ?7,60 , (' 't'- (A) 4g sb zauatn hilf), Garage Carport MD/5AZ?Total Value Bullding Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permlt ls granted on the express condltlon that the sald constructlon shall, ln all respects, conform to the Ordlnance adopted by the Clty . of Sprlngf leld, lncludlng the Development Code, regulating the constructlon and use of bulldlngs, and may be suspended or revoked at any tlme upon violatlon of any provisions of said ordlnances. 75,7 3 By: -fq?Date Receipt Numbe Date Pald: Recel Plan Check Fee: SYSTEMS DEVELOPMENT C (B) HARGE (SDC)lrc Zj (/ Systems Development Charge ls due on all undeveloped propertles wlthln the City llmlts which are belng lmproved. ITEM Flxtures Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home 7-'4>' .aa a/4a .A? No *7e (c) PLUMBING PERMIT *)c3 .4 FEE 7A.:" Plumblng Permlt Stato Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert / Fl replace Unlt Dryer Vent ///, 2Z:,P AQ'./+ (D) No /e-G Vent Fan Mechanlcal Permlt lssuance State Surcharge Total Fermlt MECHANICAL PERMIT Furnace Exhaust Hood v-* &By slgnaturq I state and agree, that I have caref ully examlned the completed appllcatlon and do hereby cerilfy that all lnformatlon hereon ls true and correct, and I f urther cerilfy that any and all work performed shall be done ln accordance wlth the Ordlnances of the Clty of Sprlngfleld, and the Laws of the State of Oregon pertalnlng to tho work descrlbed hereln, and that NO OCCUPANCy wlll be made of any structure wlthout permission of the Bulldlng Safety Dlvlslon. I further certlfy that only contractors and employees who are ln compllance wlth ORS 701.O55 wlll be used on thls proJect. I further agree to ensure that all requlred lnspectlons are requested at tha proper tlme, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans wlll remaln e;ilon the slte at all times durl constructlon. Slgnature Date MISCELLANEOUS PERMITS Moblle Home State lssuance Stato Surcharge Sldewalk - ft Curbcut - ft Demolltlon State Surcharge Total Mlscellaneous Permlts (E) TOTAL AMOUNT DUE (excludtng etectrtcaD /ffi,.5G (A, B, C, Q and E Comblnod) VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVEO BY s FT. FT. FT. CITY OF OFEGO'V 225 FIFTH STREET SPRTNGFIELD ,OREGON 97 n f-7 INSPECTION REQT EST z -12 OFFICE: 726-3759 1. LOCATION OF I,EGAI DESCRIFTION JOB DESCRIPTION, f//z{€t € Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for L80 days. 2. CONTRACTOR INSTAII,,ATION ONLY Expiration Date Signature of Supervising Eleetrician I::,llJ'$3%B:'J'.iiUxFI$:1Ir'# rr"- SPNINGFIELE following Lt$g ELECTRICAT PERUIT APPLICATION Ci ty Job Nu-mber FEE SCEEDUTE BELOS Nev Residential-Sing1e or Multi-Family per dvelling unit. Service Incl-uded:ftems Cost g 3. A B Sum $ 40.00 Electrical Contractor /)rtl t {zrc- Services or Feeders Installation, Alterations or Relocation: Address t''/ /,Y7 Ata'200 amps or less 20L amps to 400 amps -40i- amps to 600 amPS - 60L amps to 1000 amPs- 0ver 1000 amps/volts - Reconnect 0n1Y Ci ty ,//a Phone 2zc /?o / Supervisor Li.cense Number to> 3r Expiration Date /o q5 constr contr. nunber 74 fa6 Temporary Services or Feeders Installation, Alteration or RelocationC 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL 200 amps or less $ 20L amps to 400 amPs - $ over 4b1 to 600 amps -l $ Over 600 amps or 10oOlo-fTs se s 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 above 00 00 00 Btt 40 55. 80. ett $ Bs.oo $ 15.00 f/,oo zY,/1? 0vners Name l/',F;/'ZzTyv e Address ci trr Phone D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit / $ 35.00 72u rich Additional Circuit or vith Service -or Feeder pli,ii,"=' ' '"" f $ 2.00 /-6! " E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0ut1ine Lighting- Limited EnergY/Res - Limited EnergY/Comm OVNER INSTALT,ATION The installation is being made on pr"p"itv I ovn vhich is not intended for saIe, lease or rent' Ovners Signature: $ 40.00 $ 40.00 $ 20.00 $ 36.00 5 DATE: RECEI --*#E-RECEIVED G VVU rrv. NAI.IE OR COHPANY: LOCAT IOI.I:2 DEVILOPHENT TYPE:& D. D/ BUiLDING SIZE: I. STORH DRAINAGE iMPERVioUS SQ. FT. 2 SANITARY SThIER-CITY NO. OF PFU'S (See Reverse) 4 NO. OF PFU'S (Use PFU Total TRANSPORTAT ION NO OF UNITS X TRIP RATE X COST PER TRIP x s424.3 1 x x s424.31 x s424.31 T siz +7 x so.2o3 PER SQ. FT. X 542.08 PER PFU $15.125 PER PFU + StO HI'IMC ADI'i FEE 7/"tGs- Ft. s o,2 3 CITY0FSPRINGFIELDsYsTEHsDEvELoPMENTCIIARGE I,IORKSHEET' (cotlHERCIAL & RESIDENTIAL) ,/) 3 s Fr Item 2 Above) Mlt,HC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADHINISTRATIVE FEES BASE E(AB0VE) x .05 o ,1q S Coord i n or TOTAL SDC I TOTAL.HI,IMC SDC SUBTOTAL (ADD ITEHS 1,2,3 & 4)