HomeMy WebLinkAboutPermit Building 1994-10-31LOT
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BLOCK:
I.IGFIELD
B
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TAX LOT
JOB NUMBER
LOCATION OF PRO
ASSESSOFIS MAP:
lnspectlons: 726.3769
0fflce: 72A$759
ESIDENTIAL
ERMIT APPLICATION
SUBDIVISION:
225 Flfth Street
Sprlngfleld, Oregon 97477
PHONE:23r
(=)'aSTATE:ZlPi C1 1
J,
CITY:
ADDRESSI
OWNER:
L\. \z_{g St
NEW
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REMODEL ADDITION DEMOLISH OTHER
DESCBIBE WORK:
ADDBESS CONST.
CONTRACTOR ,I PH6:f6qs
N
E
co
MECHANICALI
ELEfiRICAL:
PLUMBING:
GENEBAL:
- OFFICE USE -
WATER HEATER:
r OF BDBMS:
FIANGE:
QUAD AREA:
I OF BLDGST
OCCY GROUP:
r OF STOBIES:SECONDABY HEAT:
SOUABE FOOTAGE:
CONSTR. TYPEr
HEAT SOURCE:
LAND USE:FLOOD PLAIN:
/ OF UNITS:ZONING CODE:_
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day,
EQUIRED INSPECTTONS
Rough Mechanlcal - Prlor to
cover.
al Plumblng - When altplumblng work ls complete.
Slte lnspectlon - To be mado
after excavatlon, but prlor to
settlng forms.
ugh
E
E
R
4Temporary Etectrlc'
Underelab Plumblng/ Eloctrlcal /
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Foundatlon - After forms are
erected but prlor to concrete
placemont,
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulatlon or decklng.
cover,
Electrlcal Servlce - Must be
approved to obtaln permanent
olectilcal power.
Flreplaco - Prlor to faclng
materlals and framlng lnsp.
Framlng - Pr],or. to cover.
{i
WalllCelllng lnstilatlon - prlor to.
cover.
Wood Stovo - After lnstallatlon
Flnal Eleclrlcal - \Alfren allelectrlcal work ls complete,c
Flnal Mechanlcal - When allmechanlcal work ls complete,
I Bulldlng - When all 'J
[l Masonry - Steel locatton, bond
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beamg, groutlng.
lnsulatlon - Prlor to
decklng.
Sanltary Sewer - Prlor to fllllng
trench.
Slorm Sewer - Prlor to filllng
trench.
Rough Plumblng - Prlor to
cover.
lnserl - After flreplaco approval
and lnstallatlon of unlt.
Curbcut & Approach - After
forms are erected but prlor toplacoment of concrete.
Sldewalk & Drlveway - Af ter
excavatlon ls completc, forms
and sub.base fnaterlal ln place,
requlred lnspectlons have beenapproved and bulldlng ls
completed,
fr-l other '
MOBILE HOME INSPECTIONS
[-l Blocklng and Ser.Up - Whep ail
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blocklng ls complete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Electrlcal Connectlon - When
blocklng, set.up, and pturpblng
lnspoctlons have been approved
and the home ls connected to
the servlce panel,
Flnal - After all requlred
lnspections are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
[l Underground Ptumblng - prlor
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to fllllng trench.
{t"*"t
- Prtor to taptns.
tl
F
#
[-_l Water Llne - Prlor to filting
'J trench.[l Fence - When completed.
w Stroot Treos - When all requlred
trees'are. planted.
Electrlcal - Prlor to
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typ
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lnterlor .
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Corner
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Panhandle
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Cul-de-sac
r )/t
P.L.HSE GAR
N
S
E
IS THE PROPOSED WORK TN THE .
HlsToBtcAL DtSTRtgr, OR ON,. THE HISTOFICAL REGISTER?
lf yes, thls appllcailon must be slgnedand approved by the Hlstorlcal
Coordinator.prlor to permlt lssuance,
APPROVED:
BUILDING PERMIT
ITEM SO. FT.
Main
Garaoe
Carport
Total Value
Bulldlng Permit Fee
,State Surcharse +39O
Total Fee
VALUE
(A)
X S/SQ. FT,
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt ls granted on the express condltlon that the saldconstructlon shall, ln all respects, conform to the Ordlnanceadopted by the City . of Sprlngf leld, lncludlng theDevelopment Code, regulailng the construcilon and -use otbulldlngs, and may be suspended or revoked at any tlmeupon vlolatlon of any provlslons of sald ordlnanceg.
Plan Check Fee:
DatePlansBovlewed By
Date Pald:
Recelpt Numb
Fecelved By:
SYSTEMS DEVELOPMENT CHARGE (SD
(B)
Systems Development Charge ls due on all undevelopedproperties wlthln tho City llmlts which are belng lmproved.
t
Resldentlai Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
N0
+U/o
FT.
FT.
(c)
PLUMBING PERMIT
ITEM
Flxtures r
Plumblng Permit
State. Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
State surcharse { 3O/O
Total Permlt (D)
N0
Mechanical Permlt
lssuahce
Furnace
Exhaust Hood
Vent Fan
By slgnature, r state and agree, that r have carefuily examrnedthe completed appilcailon and do hereby cerflfy that alllnformatlon hereon ls true and correct, and I f urther cerilfythat any and ail work performed shail be done rn accordancewlth the Ordlnances of the Clty of Sprlngfleld, and the Lawsof the State of Oregon pertalnlng to tho work descrlbedhereln, and that NO OCCUpANCy wlll.be made of anystructure wlthout permlsslon of the Bulldlng Safety Dlvlslon,I further cerilfy that only contractors and employees whoare ln compllance wtth ORS 7O1,OS5 wlll be used on thlsproJect.
I further agree to ensure that all requlred lnspecilons arerequested at the proper trme, that each address rs readabrefrom the street, that the permrt card rs rocated at the frontof the property, and the approved set of plans wlrr remarnon the slte at all tlmes durlng constructlon.
Slgnature
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk _ ft
Curbcut _ ft
Demolltlon
State Surcharge
Total Mlscellaneous permlts (E)
TOTAL AMOUNT DUE (exctudtng etectrtcat)(A, B, q O, and E Comblned)
L
K78
DATE PAID
AMOUNT BECEI
RECEIVED BY
VALIDATION:
BECEIPT NUMBER
a
PP
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Date
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c /b6S
CITY OF OREGON
SPBINGFIELE'
zoning, ancj rJoeonot..',.,',i
ring
oquiie speclfic land uso
1
225 FITTE STREEf,
97471 7 r,.,ns- L-D!r-.-SPRINGPTELD ,OREGON
INSPECTION REQIIEST:7W.379e.1v)_.,!\
OFPICE: 726-3759
AtrthorEed Sigr*tur.e U n^3.
BLECTPJCAL PERT{IT APPIJCATION
City Job Nunber ?7/669
COHPI,STE EEE SCEEDUI,E BEIOS
New Residential-Single or
Mu1ti-Family per dvelling unit.
Service Included:ftems Cost
1000 sq.ft. or less
Eaeh additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
s 1s.00
$ 40.00
ON K lniYJA"o*A
B. Services or Feeders
Installation, Alterationsr(L or Relocation:
200 amps or less
201 amps to 400 amPs
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401 amps to 600 amPs _
601 amps to 1000 amPs-
Over 1000 amps/volts
Reconnect Oniy
c.
D.
LEGAL
Supervisor License
Expiration Date
6
.3u.r: 5
Sum
f.t
Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
2. COIiITRACTOR INSTALI,ATION ONLY
Electrical Contractor cn
Address I
ci Phone \rq-t56 A
$ s0.00
s 60.00
s100.00
s130.00
$300.00
$ 40.00
I
Constr Contr. Number
Expilation Date
ture of ing Electrician
Ovners
Address
Ci ty Phone
OSNER INSTALI.,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Orners Signature:
DATE:
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less S 40.00
over 4b1 to 600 amps
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$ 8o.oo
0ver 600 amps or fbOO-voTts see nBu a66
Branch Ci rcui ts . .-
s-t*
;.Od-
one Circuit I
Each Additional
Circuit or vith Servig ,or Feeder Permit 2] l.
t<c Nev, Alteration or Extension Per P anel
$ 3s.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
$ 40.00
s 40.00
$ 20.00
s 36.00
5
RBCEIVED
*
-Each installation
Pump or irrigation
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Sign/0utIine Lighting--
Limited Energy/Res
Limi ted Ener[y/Comm
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