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Home My WebLink AboutPermit Building 1996-07-02SP}lINGFTELc, RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: -\ JOB NUMBER o *2, Zfr, 225 Fitth Street Sprlngf leld, Oregon 97477 TAX LOT: LOt BLOCK: ONE: ZIP:STATECITY: ADDRESS: OWNER: EWO DEM HN rvrEcl-{aNrcaL. _ ADD EXPIRES PHONECONTRACTOR'S NAME ELECTRICAL: CONST. CONTRACTOR # GENERAL: PLUMBING - OFFICE USE - , OF BDRMS RANGE: ZONING CODE: FLOOD PLAIN WATER HEATER: # OFTNITS: LAND USE: SECONDARY HEAT: SQUARF- FOOTAGE: QUAD AREA: * OF BLDGST OCCY GROUP: I OF STORIES: CONSTR. TYPE: HEAT.SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All inspections requested before 7:00 a.m. will be made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day. REOUIRED INSPECTIONS [--.l remporary Electrlc ffi Rough Mechanlcal - Prior to - cover. ffiRough Electrical - Prior to - Cover. a Final Plumbing - When all plumblng worl( is complete. Slle lnspection - To be made after excavatlon, but prior to settlng forms. a Final Eleclrical - When all eleclrical work is complete. Underslab Plumblng/ Electrical / Mechanlcal - Prior to cover. Eleclrlcal Servlce - Must be approved to obtaln Permanent electrlcal power. Final Mechanlcal - When all mechanical worl< is complete. Footlng - After trenches are excavated.E E a Flreplace - Prlor to faclng materlals and (ramlng lnsP. w Flnal Building - When all required lnspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prlor to cover. Other Foundatlon - After forms are erected but prlor to concrete placement.Wall/Celling lnsulatlon - Prlor to cover. Underground Plumblng - Prior to fllling trench. MOBILE HOME INSPECTIONS Underlloor Plumblng/ Mechanical - Prior to insulatlon or decklng.Wood Stove - Afler lnstallatlon. Post and Beam - Prior to floor lnsulatlon or decking.lnsert - After flreplace aPProvsl and lnstallatlon of unlt. Blocking and Set.Up - When all blocklng ls complete. Floor lnsulatlon - Prior to decklng.Curbcut & Approach - After forms are erected but Prior to placement of concrete. Plumblng Connections - When home has been connected to water and sewer. Sanilary Sewer - Prior to filling trench,Electrical Conneclion - When blocking, set-up, and plumbing lnspections have been approved and the home is connected to the service panel. Slorm Sewer - Prior to fllling trench. Sidewalk & DrivewaY - After excavation ls comPlete, forms and sub-base materlal in Place. Water Llne - Prlor to filling trench. Fence - When comPleted Rough Plumblng - Prlor to cover. Street Trees - When all requlred trees are planted. Final - After all required inspectlons are approved and porches, skirting, decks, and ventlng have been installed.w I o?-2A,/ SUBDIVISION: ?-2= w tl E fl E E [Xl ow*utl - Prior to taping. E E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Ty1 - lnterior -_ Corner - Panhandle - Cul-de-sac backs IS THE PROPOSEO WORK iN THE HlsroRtcAL OTSTRTCL OR ON THE HISTORICAL REGISTER? - lf yes, this application must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPBOVED: P.GAR E BUILDING PERMIT VALUE /2 €Z>{-_ .rs4r.%-ft z-.* (A)3e.?, SQ. FT. X $/SQ. FI,ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee BUTLDING VALUE, PLAN CHECK AND BUILDING PERMTT This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including the Development Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plans Beviewed By Date Plan Check Fee: Date Paid: Receipt Num Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Besidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home N0 2- FT. 7e, (c) 1222^ad PLUMBING PERMTT Plumbing Permit State Surcharge Total Charge FEE 2A.& /'ca-12 4.4 ADDITIONAL COMMENTS MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan No Wood Stove/ lnsert/ Fl replace Unit Dryer Vent ftrr' (D)24-=2 Mechanical Permit lssuance State Surcharge Total Permit /5*& By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformation hereon is lrue and correct, and I f urther cerilfy 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 descrlbed herein, and that NO OCCUPANCy will be made of any structure without perrnission of the Buildirrg Safety Divislon. I further certily that only contractors and employees who are ln compliance with OFIS 7Ol.O55 will be used on thlsproiect. I further 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 ls located at the front of the property, and the approved set of plans will remain on the site at all times during construcilon. Date Signat MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut -_ ft Demolition State Surchargg Total Miscellaneous Perrnits (E) TOTAL AMOUNT DUE (exctuding electrical) (A, B, C, Q and E Combined)/2/25- ^2^ 3*. AMOUNT RECEIVED DATE PAID VALIDATION: RECEIPT NUMBER FT. FT. RECEIVED BY JOB DESCRTPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTAII,ATION ONLY Electrical Contractor g Address Q.0- Box 8a20I Supervis or License Number 3Z^'/s Expiration Date q constr contr. Number />qrc Expiration Date Signature of Supervising Electricianp u8e ELECTRICAL PERHIT APPLICATTON ob Number ?Z2R?' COHPLETE FEE SCEEDTILE BELOV Nev Residential-Single or MuIti-Family per dvelling unit. Service fncluded:Items Cost Sum 1000 sq.ft. or less $ 85.00 addi tional 500 q. ft or portion $ 1s.00 5t>Fatrrt;F([ t-.tf thereof Each Manuf'd Hom6 or Modular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Rel-ocation: 200 amps or less 201 amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amPs_ Over 1000 amps/volts Reconnect Only The following Proiect as eubmitted h'? th? ;;;';;il ?6ei not require ePecif ic lend approval. ,rt {r Zoning L' L-/ '%,v 225 FIFTH STREET Dat'J t 'b"q lt SPRTNGFTELD, OREGON 97417 ! ,|. ,.d{ INSPECTION REQUEST: 726-3769""* OFPICE: 126-3759 1 3 A t c B C $ 40.00 s s0.00 s 60.00 $100.00 s130.00 s300.00 $ 40.00 ciry €*e,re 1??o!) Phone eX3'83 7 3 Temporary Services or Feeders Instal]ation, Alteration or Relocation 200 amps''or less 201 amps to 400 amps -Over 401 to 600 amps 0ver 600 amps or 1000 vo-ITs $ s s s 40.00 55.00 80.00 ee uBtt a6ove Ovners Name Address ciw 5Tu2 vnone?c/2z%? OVNER INSTALI.,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0vners Signature: DATE: D. Branch Cireuits Nev, Alteration or Extension Per Panel one circui t -!, 3s.00 7 7.Each Addi tional Circuit or vith Service or Feeder Permi t 7 $ 2.00 A. E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lightirg- Limited Energy/Res -Limi ted Energy/Comm SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL J>C> O? $ 40.00 s 40.00 $ 20.00 $ 36.00 5 RECEIVED B *-2 -22 6e 1. LOCATION OF INSTALIJ.TION/? 77na ^n. I^EGAI DESCRIPTION /?-a2-7a-2 1 eL/24,/ 225 PIFTH STREET SPRINGFIEI^D, OREGON 9 TNSPECTION REQI.IEST: OFFICE: 726-3759 ELECTRI yJo 3. COHPLETE FEE SCffiDTILE BELOI] A. Nev Residential-Single or Multi-Family per dvelling unit. Service fncfuded: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Sertice or Feeder s 8s.00 $ 1s.oo s 40.00 B Services or Feeders Ins tallation, Af terations or Relocation: 200 amps or less 201 amps to 400 amps _401 amps to 600 amps _ 601 amps to 1000 amPS_ Over 1000 amps/volts Reconnect 0n1y a; l'R lF-<, F ! I- L () SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Admini.strative Fee TOTAL CAL PERHIT APPLICATION b Number frtrtl&\5naturo 1 Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor U..tc Address 0"0. Box 9,\)o I Ci ty e Phone CXZ .$zz3 Supervisor License Number 3Z?}/S Signature of Supervising Electrician The following proiect as submittEd has the lollowing ,i,"r"!, ii'J?bes not require specific land ugo ,%, approval. Dat+ t I477 726'4f dr') s s0.00 s 60.00 s100. 00 s130. 00 s300.00 s 40.00 Sum .00 .00 .00 see 'tBtt a6ove $ 3s. Expiration Date constr contr. Number 7>qt C.Temporary Services or Feeders fnstallation, Alteration or Relocation Expiration Date 200 amps''or less 201 amps to 400 amps _ Over 401 to 600 amps 0ver 600 amps or 1000-7oITs D. Branch Circuits Ovners N Nev, Alteration or Extension Per $40 $ss $eo Ad Ci TTON The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: One Circuit I Each Additional Circuit or vith Serviqet or Feeder Permit J Panel 005, E. Misceflaneous (Service/feeder not included) -Each installation Pump or irrigation $ Sign/Outline Lighting $ Limited Energy/Res - $ Limited Energy/Comm S J t Phone s 2.00 k_ 00 00 00 40. 40. 20. 36. RECETVED 5 T U_Ib W SPRI}iGFIEI-D EIRE DEPAi.T}1ENT FIRE DAI4AGE REPORT OR ELECTRICAL HAZARD nm0 L q rcG DATE: TO: FROI4: SUBJECT: Building Department Spri ngf i el d F'ire Department Structural Damage to Building Address or location of building tqG 3.1 p =i- Name of ouner l,-C Eu Type of buiiding d-*-t\i (Dwel I j ng,tore, I',lareh e, etc. $86 e)() $l) Est'imated val ue of bui 1di ng Estimated loss to bu'ilding Date of fire ? r l. fG Location of damage in building Q, rq- (Roof , I^lal'l , Exterior, interior, etc. Structura'l weakness as a result of the fire r*Sfe.s - ) (Burned raf ters , Beams , .10'ists, etc.) Additional pertinent information Electrical Hazard A.J \ rQ- \rrr ..r.1 q\,.rr- b*.^..i cc:'J q.S 'te Signed + ir.l ..c> t\^\- GL (!li ri nq , 0utl ets , etc . )