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Home My WebLink AboutPermit Building 1996-10-10SPR FIELORESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726.3759 JOB NUMBE 225 Fifth Street Spring fleld, Oregon g7 427 LOCATION OF PROPOSED WORK:a 2G-<\-*-rq*=t ASSESSORS MAP:-? 6b Bz- I A.TAX LOT:\ Q.7eo LOT: - BLOCK:SUBDIVISION PHONE: ADDRESS: GTLSTATE: OWNER:Bgr--r 1'?-,<- -ts..E-T)- CITY:ztP Qt 1 tv\ ! rvll r+clJ Br rkiFrt-r'i-> NEW - REMODEL ADDITION DEMOLISH OTHER 'Ee-'r-tA.G'T)Fu- tr--ae+DESCRIBE WORK: ADDRESS PHONEU CONTRACTOR'S NAME MECHANICAL: ELECTRICAL: i)--q *EXPIR PLUMBING: GENERAL: CONST. CONTBACTOR # - OFFICE USE - LAND USE: WATEFI HEATER: FLOOD PLAIN SQUARE FOOTAGE: # OF UNITS: BANGE: QUAD AREA: # OF BLDGS OCCY GROUP: r OF STORIES: , OF BDRMS: _-- SECONDARY HEAT - CONSTR. TYPE: HEAT SOURCE: To req made uest an inspectlon, you must call 726'3769. This is a24hour recordlng. All inspections requested before 7:00 a.rn, wlll bethe same working day, lnspections requested after 7:00 a.m. will be made the following work day. REQU!RED INSPECTTONS l--l Temporary Etecrric w w Rough Mechanicat - prior to cover.W Final Plumbing - When allplumblng worl( is comptete. Site lnspection - To be madc after excavation, but prior tosetting forms. Rough Electrical - Prior to E 6 N Final Electrical - When allelectrical worl< is complete.cover. l--l Underslab plumbing/ Electrical / - Mechanical - Prior to cover.Electrical Service - Must be approved to obtairr permanent electrical power. Final Mechanical - When allmechanical worl< is complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. Final Building - When allrequired inspections have beenapproved and building is completed.Masonry - Steel locatlon, boncj beams, groutlng. JX rramt.,g - prior to cover. Foundatlon - After forms are erected but prior to concrete placement.Wall/Ceiling lnsutation - prlor to cover. l'Jfliffifi.:lin'."0''n - Prior ,ryJ o,r*u, - prror to rapins Underlloor Plumblng/ Mechanical - Prior to lnsulatlon or decklng. MOBILE HOME TNSPECTIONS Wood Stove - After lnstallation Post and Beam - Prior to floor lnsulation or decking.[-_l lnsert - After fireplace approvqt - and lnstallation of unit. [--l Blocking and Ser.Up - When ail.J blocklng is complete. Floor lnsulation - Prior to decki ng.Curbcut & A1:proach - After forms are erected bUt prior toplacemcnt of concrete. Plumbing Connections - When home has been connected towaler and sewer. Sanitary Sewer - Prior to filling trench. Slorm Sewer - Prior to filling trench. Sidewalk & Drlveway - After excavation is complete, forms and sub-base material in place. Electrical Conneclion - Whenblocking, set.up, and plumbing inspections have been approvedand the home is connected tothe service panel. Water Line - Prlor to filling trench. Fence - When completed Final - After all requiredinspections are approved andporches, skirting, decks, andventing have been lnstalled. Rough Plumbing - Prior to cover.[_l litreet Trees - When all required - trees are planted. B:aeer"'l 4-.=:a1;- {-L ZONING CODE: ---. il [-*-l other .k Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior -- Corner - Panhandle - Cul-de-sac Set P.L.HSE GAR ACC N S E i IS THE PROPOSED WORK iN THE HISTORICAL DISTRICT, OR ON TIIE HISTORICAL BEGISTER? - lf yes, this application must be signed arrd approved by the Historical Coordinator prior to permit issuance. APPROVED: k 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 Rcviewed By Date Receipt Numbe Plan Check Fee: Date Paid Received By: BUILDING PERMIT ITEM SO. FT. Main Garage Carport VALUE []oo.rrD l,rtp *LZ,X9 (A) X $/SQ. FT. t)a-x €or ft,e+, la.- E@.'so_ X"),o,o Total Value Building Permit Fee State Surcharge Total Fee Systems Development Charge is due on all undeveloped properties within the City linrits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS [s, or) ["zo t GrLd(c) N0 FT. FT. FT. | 8+=wr,.rfl (w-tr.srm-...i Fixtures Residential Bath(s) FEE \c),Q o Plumbing Permit State Surcharge Total Charge PLUMBING PERMIT ITEM Sanitary Sgwer Water Storm Sewer Mobile Home Wood Stove/ lnsert/ Flreplace Unit Dryer Vent Mechanical Permit (.ff.r u*c..r*0 lssuance State Surcharge Total Permit (D) G,.iL) \s,dn \ o.()D 1,.Li} Vent Fan MECHANICAL PERMIT Fu rnace Exhaust Hood No a- By slgnature, 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 certi{y 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 perrnission of the Buildlng 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 tlre street, that the permit card ls located at the front of the property, and the approved Date t of plans will remain un \ Stgnature on the site at all struction MISCELLAN EOUS PERMITS Mobile Home State lssuance Stale Surcharge Sidewalk - ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Pennits (E)lb, VALIDATION Lo-[(7 -qu ' l(t RECEIPT NUMBER b)-b42l^ EI ED DATE PAID AMOUNT REC RECEIVED BY TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) #{Q €h+e,, aG,\t\, 1*(,,.'2=0 225 FIriTE SIREET SPRTNGFTELD, OREGON 97477 INSPECTION REQUEST: 726-3769OFPICE: 726-3759 LEGAL ON JOB DESCRTPTION z"nir^3 LIIY-,lw-Ptz,'q? firu C IIhIGFIELO ELECTRTCAL PERHTT APPLICATION Ci ty Job fi[rrm[sr COHPLETE FEE SCffiDtJI-E BELOV th€ f esidential-Single or -Family per dvelling unit.ce Included: f tems Cos t crizorJ Signature 3 A Electrical Contractor Address Ci ty Phone Expiration Date \D\ Constr Contr. Number Expiration Date 3'\3. Signat of Supervising Electriciarrc 0vners Name Ne Mu Se 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manuf,d Home or - Modular Dvelling Service or Feeder Services or FeedersInstallation, Alterationsor Relocati.on: 200 amps or less L- 201 amps to 400 amps - 401 amps to 600 amps - 601 amps to 1000 amps-over 1000 amps/volts - Reconnect Only 200 amps''or less 201 amps to 400 amps - Over 401 to 600 amps -.Over 600 amps or 1000-7oITs Temporary Services or FeedersInstallation, Alteration or Relocation vR lti rvi Sum s 8s.00 s 1s.00 s 40.00 s s0.00 s 60.00 $100.00 s130.00 $300.00s 40.00 fl,* Permits are non-transferable and expireif vork is not started vithin 180 diysof issuance or if vork is suspended ior180 days. 2. COIVTRACTOR INSTAI,LATION ONLY B $40 Sss sB0 see .00 .00 .00rrB,, aE6tE- Addr Ci ty ess Z .s 2-a- ru <7 Phone 72b -4AS'?L OI'NER TNSTALTdTION The installation is being made onproperty f ovn vhich is not intendedfor sa1e, lease or rent. Ovners Signature: DATE: D. Branch Circuits Nev, Afteration or Extension per panel One Circui t Each Addi tional Circuit or vith Seror Feeder Permi t 8P E. Miscell-aneous (Service/feeder not included) -Each installation Pump or irrigation S 40.00Sign/Ourline Lighting- S 40.00Limited Energy/Res - S 20.00Limited Energy/Comm S 36.00 "?$ 3s.00 S 2.oo 6.O5SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL.RECETVED B a 1. LOCATION OF INSTATLATTON Seef Supervisor. License Number 33qUS ffry rzz<,r'lr'zA"t