The URL can be used to link to this page

Home My WebLink AboutPermit Building 1991-06-28RES'DENTIAL PERIIIIIT APPLICATION lnspections: 726-3769 Ottice:726-3759 LOCATION OF PROPOSED RK: ASSESSOFIS MAP: LOT: v JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: BLOCK:SUBDIVISION X r Y X { X PHONE ZIP:STATE: OWNER: ADDRESS: CITY: ADDITION DEMOLISH OTHERNEW-- REMODEL DESCRIBE WORK: MECHANICAL: - EXPIRES PHONEADDRESSCONTRACTOR'S NAME CONST. CONTRACTOR # GENERAL: PLUMBING RANGE: # OF BDRMS WATER HEATER: _ OFFICE USE _ ZONING CODE: FLOOD PLAIN * OF STORIES: OCCY GROUP * OF UNITS: LAND USE: SECONDAFIY HEAT SQUARE FOOTAGE: QUAD AREA: * OF BLDGS: CONSTR. TYPE HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:oo a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS Temporary Electric K K Rough Mechanical - Prior to cover.x'Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but Prior to setting forms. Rough Electrical - Prior to M Final Electrical - When alllA electrical work is complete. IVf finat Mechanical - When allN mechanical work is complete. cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsP. K Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting. Xl Framing - Prior to cover, Other Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.Elotr*u'l - Prior to taping MOBILE HOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace drpproval and installation of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut & Approach - After forms are erected but Prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & DrivewaY - After excavation is complete, forms and sub-base material in Place. Water Line - Prior to filling trench. Fence - When comPleted' Rough Plumbing - Prior to cover. Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.x' r E Foundation - After forms are erected but prior to concrete placement. r E Er r r E T ks HSE GAR ACC S E J THE PRO POSED WO RK IN THE HISTORICAL DISTRICT'OR ON THE HISTORICA L REGISTER? lf yes, this aPPlic ation must be signed and aPProved by the Historical Coordinator Prior to permit issuance' APPROVED Lot iaces Lot sq. ftg' Lot coverage ToPograPhY Total height Lot TYPe ,- lnterior -- Corner - Panhandle _- Cul-de-sac x BUILDING PERMIT ITEM SQ. FT. X $/SO. FT,VALUE (A)46,fi Total Value Building Permit Fee State Surcharge Total Fee Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall,ln 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 4:/-7/ Reviewed BP Date ISt Plan Check Fee: Date Paid Receipt Number: Recei upon violation of a said ordinances SYSTEMS DEVELOPMENT CHARGE (SDC) ,vq(B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mot,ile Honie FEE /5,oo ,7E /Vtr). N0 FT. FT. FT. (c)/5 ?S PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fi replace Unit Dryer Vent /o oo (D) fa 2b o N0 M/p, /Sao Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther 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 OFIS 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 on the site at al mes during c Signatu Date tion. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding etectricat) (A, B, C, D, and E Combined)%11 ER l VALIDATION RECEIPT NUM DATE PAID AMOUNT RECEI RECEIVED BY PL. N z€lz5 sa'rrrrGr:lI:L(J 1' -1 l?rcAr' ?il .o'atSALIrrroN 225 FIFTB STRBEI SPRTNGFTEIJ, OREGoN 97477 INSPECTION REQUESTz 726-3769 OFFICE: 726-3759 EI.^ECTUCAL PERHTT APPLICATION Ci ty Job Number 7/o7/6 3. COHPI.RIB I'BB SCHEDI.'LB BELOV Nev Residential-Single or HuItl-FamiIy per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion . thereof Each Hanuf'd Home or Hodular Dvelling Service or Feeder $ 8s.00 s 15.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: Qtu ?00 amps or less 201 arnps to 400 amps _401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/volts Reconneet Only SIJBTOTAL OF ABOVB 5tr State Surcharge TOTAL A IJGAL DESCRIPTTON t40 3latt ct gl oo I JOB DE$CRTPTIoN Kqvv\ Dd\ e Permits are non-transferable and expireif vork is not started vithin 180 days of issuance or if vork is suspended for 180 days 2. CONTRACf,OR INSTALLATION O}ILY Electrical conEactor Blr/s f,*.{t'' "3(7o Lo- l(ts Sum Address Ci ty at \{ phone 3W-B>3 Supervisor License Nilmber %-s Expiration Date lO - '/ 7 Constr Contr. Number ?o%q c Exp iration Date L/'7 9, Signa ture o t Supervising Electrician t? Owners Name cer o?t/v^c".,.f Address 4q"-< Ci ty J.Phone OVNER INSTALINTION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE: RECEIPT *:zll z Temporary Services or Feeders Installation, Alteration or Relocation 50.00 60.00 100.00 130. 00 300.00 40.00 2,6-ilq.t" not included) 40.00 40.00 20. oo s $ $ $ $ s c 200 amps or less $ 40.00 201 amps to 400 amps _ $ 55.00 Over 401 to 600 amps _ $ 80.00 0ver 600 amps or 1000 volts see rrBrr above D. Branch Circuits Nev, Alteratlon or Extension Per Panel one circuit / S 3s.oo 3S.OcJ Each Additional Circuit or vith Service or Feeder Permi t q $2.oo&oo E Hiscellaneous (Service/feeder -Each installation Pump or irrigation S Sign/outline l,ighting- S Limi ted Energy/Res $ Limi ted Energy/Comm : S 4?,oo5 RECEIVED BY:0