HomeMy WebLinkAboutPermit Building 1993-04-01SPNI]\.GFIELE,
RESIDENTIAL
PERMIT APPLIC
lnspections:726-3769
Office: 726'3759
ATION JOB NUMBER
225 Fillh Street
Spri ngfield, Oregon 97 477\h,
O-r-r) A,ffiLOCATION O F PROPOSED WORK:
ASSESSORS MAP TAX LOT:
LOT:BLOCK:
To request an inspection, you must call 726-3769. This is a 24 hour recording. A!l inspections requested before
made the same v,iorking day, inspections requested after 7:00 a.m. will be made the fcllowing work day'
REOUIRED INSPECTIONS
SUBDiVISION:
BremPorarY
Electric x
B
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K
K
x
x
x
E
K
i:i
><
K.
X.
,,K
L:J
Site lnspection -' To he made
af ter excavatiorr, but Prior to
setting forms.
Underslab Plumbing/ Electrical I
Mechanical - Prior to cover'
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundation - After forms ate
erected but prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
U nderll
- Prior a nor
Post and Beam - Pr,or to flo')r
insulation or decking.
Floor lnsulation - Prior to
decki ng.
Storm Sewef.; i-rior tc fiirinC
trench.
Water Line - Prior to filling '-'
trench.
Rough Mechanical - Prior to
cover.
Rough Electrical - Prior to
cover
Electrical Service - Must be
approved to obtain Permanent
electrical power.
Fireplace - Prior to facing
materials and framing lnsP.
Framing - Frior tL) ccver
Walli Ceiling insulalicn - Prior to
ccver
Drywall - Prior to taPing
Curbcut & "APnrnach - After
lOir;.,g i,.ft,. CreCteU iJi:l frriCr tC
l-ri ?.cem ar]1 0f con-:rc ic'.
Sidev,ralk & DrivewaY - After
r:xcavairon is compicte, for rr:s
and ::ub-base ntaterial irr Place.
[-l Fence - Wher, r:irr'lfrle'ed
MOBILE HOME INSPE TIONS
7:00 a.m. will be
Final Plumbing - When all
plumbing work is comPlete.
Final Electrical - lVhen all
electrical work is complete.
Final Mechanical - When all
mechanical work is complete.
Final Building - When all
required inspections have been
approved ano building is
completed.
Blocking and Set-Up - When all
blocking is comPlete.
Plumbing Connections - When
nome has been connected to
water and sewer.
Electrical Connection - \A/hen
biocklng, set-up, and olutnbing
inspections have beerr approved
and the home is oonnected to
the service panel.
Final - After all required
inspections are approved and
porches, skirttng, decks, and
ve,rting have neen tnstallecr.
xx
,K
lVf Sanitarv Sewer - Prior to liliirg
,Zfl.1tg^6h.'
E(
X
X
l--l Wootl Stove - /rf ter instaliation
lnserl .- After f irePiac: aPProval
and instalietion of itrtit.
Slrael Trllc.s --',r'Jltcrr a!: r,:r:uireil
trec.;;re,rlant::t1.
ZIP:STATE
7 2Z-tr6cl7
OWNER:
ADDRESS
CITY:
(o nq,/>rn e
REMODEL
(_.
ADDITION DEMOLISH OTHER
DESCRIBE WOFIK:
NEW
--P*##234-- eb2o7 t--'),/4 ': = -t '//'ft
PHONEEXPIRESADDRESS
MECHANICAL: ..--.-
PLUMBING
CONTRACTOR'S
GENERAL
CONST.
CCNTRACTOFI ,,
USE _
RAi'lGE:- (1
r t 1<zsGq
:')R.NT
* OF BLDGS: -
OUAD AREA
-oF
* OF BDRMS:OCCY GFIOUP: - -
WATER HEATER:
c OF STORIES:
ZOI.IING CODE:
FLOOD PLAIN
CONSTR. TYPE:
HEAT SOURCE:
LAND USE: -
rz OF UNITS: .
SECONDARY HEAT:
SOUARE FOOTAGE:
anlclumbi
Rorrgh Plumbing - Prior io
c 3ver.@
r*_]
tr
l-l ottrer
Q z+z 7
-<,tr
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
Y mt"rio,
-
Corner
-
Panhandle
-__ Cul-de-sac
Setbacks
%Bs P.L.HSE ACC
i, riE PROPOSED WORI( tN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-.-ll yes, this application nrust be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED
4?o
ZZ2oM/tiWt--i
I_l ?o
GAR
N t+
S 5
VALUE
(A)
-L zoX $/SQ. FI.
/o 7 /4./o
Main
Garage
Carport
s4?sf4o1
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
??tzz
-4,1? eo/ t--"--2/ a9
As+ps
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This porntil is granted on the express condition that the said
cunstruction shall, in all respects, conforrn to $re Orclinance
adopter.i by the City of Spring{ield, inclucling the
Deveiopnrent Code, regulating the construction and use of
builclings, and may be suspended or revoked at any time
cviewcd s/-+ffi:
v:
al
j
upon violation o
Plan Check Fee:
Recelpt Number:
Recei
Date P;rici
i"ieIt:tsdf said ordinances
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) - lrlQr
Systems Development Charge is due on ail undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential tsath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
No
_ruL.3(c)
)9z5,oa
FT.
FT.
F-r.
?6s
Plumbing Permit
State Su rcharge
Total Charge
ADDITIONAL COMMENTS
@
I
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
oo
20
N0 4
(D)
3,a'
3A70
MECHANICAL PERMIT
Mechanical Permit
lssuance
State Surcharge
Total Permit
o<so-4-a t----
__/o,o'
./ ae2F,Furnace
Exhaust Hood
Vent Fan
[Jy signature, i state and agree, that I have carefully examined
the cornpleted application and Bo hereby certify that all
information hereon is true and correct, and I f urther certif y
that any and all work performed shall be done in accordance
with the Ordinances ol the City of Springf ield, and the Laws
of the State of Oregon pertaining to the work described
herein, ancl tlrat NO OCCUPANCY will be made of any
structure wi:h:ut perrnission of the Building Safety Division.
I f urther certtly tl'rat only contractors and cmployees uiho
;!re iri conrr)ii;rnce wrth oRS 7o1.055 will be used on this
pro ject.
i f urther agret: [c.r ensure that all required inspections are
rcquestcd at thc proper time, that each address is readable
f rom the street, that the permlt card is located at the front
of the property, and the approved
n.
u re _,z.
et of plans will remain
t
(,0"u,
llrnqs durion the site at
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Total Miscellaneous Permits
34
/tl.t*/c SAfie
(E)
ftCurbcut
JTAq/E,to
Demolition
State Surcharge
TOTAL AMOUNT DUE (excluciing eiectrical)
(A, B, C, D, and E Combined)
8Z*90 *7ataA
4/1."".,
z3 84
DATE PAID
AMOUi,IT RECEIVFD
RECEIVED BY
'/AulDAT|Cf.l:
htECEIPT NUMBER
o^. /-/&_,</O
,/ -l-'
-
!i....'-F .rni,ct art $Llbmltted hes the teliowing 0h
2.25 I:II.'TII I;TRI|IIT
sPruNGFIliLl), ottl':(:ol'l 97 47'l
INSPIICI'ION REQUIIS'I: 7?-6-3'169
OFI'ICE,: 7?.6'3759 )
1 OP IN
PTION
JO V
Pcrnrits arc non-transfcrable ancl cxplre
iI vorl<. is not started vltlrin 180 days
of issuance or it vork ls suspentled for
100 days.
2. COM'RACTOR IN:;TALITTION ONLY
IiIcc t r ical con r rac ror f\ vwaJ
A<Jdress
T,LECTRICAL PIIITHIT AP PLICATION
fi?Ci ty Job Number
3. COHPLIITII TET SCIIiDULB DBLOV
Nev Residentlal-Single or
MuItl-FamiIY Per duelling unit'
Service Included:
Items Cost
"L1-qn
A
ON 1000 sq.ft. or less
Eaeh addltlonal 500
sq. ft or portlon
t lre reo f
Eaclr Manuf 'd llome or
Modular Druelling
Service or Feeder
Services or Feeders
InstaIIatlon, Alteratlons or
Relocation:
200 amps or less
201 anrps to /r00 amPs
-
40L amps to 600 amps
-
601 amps to 1000 amps-
0ver 1000 amps/volts
-
Reconnect 0nly
SIIBTOTAL OT ADOVE
5I State Surclrarge
TOTAI,
\ s ss.oo 85
A gls.oo LCI
$ 40.00
Sum
rprr 1fif,frf
I
ciry E,t/)tut/ii lr'one 34cl$37.1
Strpervi.sor Lic ense Ndnrbcr 3AlLl5
Iixpiratiotr Date
Ilxpiration Date ,1->3 -q3
Signaturc o[ Supcrvising Electrician
Ouner Narne
Arld r cs s
Temporary Services or Feeders
Installatlon, Alteratlon or Relocatlon
200 amps or less
201 amps to /r00 amPs
-
over /r01 to 600 amps _
Over 600 amps or 1000 volts
00
00
00
00
00
00
$ 50.
$ 60.
$100.
z
$130.
s300.
$ 40.
c
00
00
00
$40
$ss
$80
see
i City l;ou.QA ['lro
D. Ilranch Circul ts
Nev, Alteratlon or Extenslon Per Pane}
One Cl rcui t
Each Addi t ional
Circuit or vitlr Service
or [eeder Permi t
$ 35.00
*rillfnrr*'ro,$ 2.00
Ttre installation is being made on
propcrty f ovn vhich is not intendcd
for sale, Iease or [ent.
ovncrs Slgnaturc:
l'liscellaneous (Servlce/feeder not lncluded)
-Eaclt ins talla t i on
Pumo or irrisation $ 40.00
Sign/OutIirre Liglrting S 40.00
E
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