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Home My WebLink AboutPermit Building 1992-01-10SPR!,{GF!ELE, h,wLOCATION OF PROPOSED WO TAX LOT:ASSESSORS MAP: Spri ngfield, Oregon 97 477 225 Fifth Street JOB NUMBER RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 OWNER ADDRESS: CITY: PHONE: STATE:ZIP: ADDITION MOLISH OTHER DESCRIBE WOR NEW- REMODEL ADDRESS ACTOR #EXPI 88 N PC CONST. CONTRACTO ELECTRICAL: GENERAL: PLUMBING RANGE: * OF BDRMS: _ OFFICE USE _ WATER HEATER: ZONING CODE: FLOOD PLAINQUAD AREA: * OF BLDGS: SECONDARY HEAT SQUARE FOOTAGE: CONSTR, TYPE: HEAT SOUFICE: LAND USE: # OF UNITS OCCY GBOUP: * OF STORIES: To request an inspection, you must call 726-3769. This is a24 hour 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. REOUIRED INSPECTIONS l-l 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. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Fooling - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but prior to concrete placement. Underground Plumbing - Prior to filling trench. Underf loor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Floor lnsulation - Prior to decking. Sanitary Sewer - Prior to filling trench. Slorm Sewer - Prior to filling trench. Water Line - Prior to filling trench. Rough Electrical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Fireplace - Prior to facing materials and framing lnsp. Framing - Prior to cover. Wall/Ceiling lnsulation - Prior to cover. | - Prior to taping. 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. Street Trees - When all required trees are planted. Final Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work is complete. inal Building - When all uired inspections have been approved and building is completed. Other MOBILE HOME !NSPE TIONS Blocking and Set.Up - When all blocking is complete. Plumbing Connections - When home has been connected to water and sewer. Electrical Conneclion - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover. LOT: - BLOCK:SUBDIVISION: - MECHANICAL: E E E [-l Fence - When completed. fl tl P.L.HSE GAR ACC N S E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac acks S 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. Recei pt Number:- Plans Reviewed By Date Plan Check Fee: Date Paid Received By: VALUE @ (A) X $/SO. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING 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 (c) N0 FT. F-r. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rn ace 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 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 from the street, that the permit card is located at the front of the property, and the approved set of plans will remain at Date on the site at construction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E)DATE PAID AMOUNT R RECEIVED VALIDATION: RECEIPT NUMBE TOTAL AMOUNT DUE (excluding electrical (A, B, C, D, and E Combined) FT. C'TY OF OREGOIU SI'IIINGFII:LO ab 225 FIFTE STREEf, SPRTNGFTELD, OREGoN 97 477 INSPECTI0N REQUESTz 726-3769 OFPTCE: 726-3759 PERHIT Ci ty Job Nuurber Resident i HuI t i-FamiIy Service Ineluded: I tems 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or -Hodular Dvelling Service or Feeder B. Services or Feeders Insta1lation, Alterations or. Relocation: c 200 amps or less 201 amps to 400 amps -Over 401 to 600 amps _Over 600 amps or 1000 volt l-":F*' 1. LOCATION OF INSTALI.ATION'>v I.EGAL12:42 7 JOB DESCRIPTION Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI.ATTON ONLY Electrical Contractor ciry €ts++Zphone 7{t/-4,/? Supervisor License Ntimber 74/ / > Expiration Date_,/e f -72 constr Contr. Nunber /.41#y' Expiration Date f27>72 Signat of Supervising Electrician Owners me Address ci ty-Phone OIINER INSTALI^ATION The installation is being made on property I own vhich is not intendedfor saIe, Iease or rent. Ovners Signature: DATE: RECEIPT 200 amps or less 201 amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Temporary Services or Feeders Installation, Alteration or Relocation SCEEDULB BELOII aI-Single or per dvelling unit. Cos t $ 8s.oo s 1s.00 $ 40.00 Sum $ s0.00 $ 60.00 $100.00 s130.00 $300.00 $ 40.00 $ 40.00 $ ss.00 s 80.00 s see ttBtt above D. Branch Circuits Nev, Alteration or Extension Per Panel onb circuit 435.00 7*- Each Additional re- Circuit or vith Service or Feeder Permi t / S 2. 00 A. Hiscellaneous (Service/feeder not included) .00 .00 .00 .00 STETOTAL OF ABOVE 5f State Surcharge TOTAL E -Each installation Pump or irrigation $ 40 Sign/outline Lighting- S 40 Limited Energy/Res S 20 Limited Energy/Comm S 36 RTCEIVED BY: >-5 eaaress V 7 / c/O F( rC z' -