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Home My WebLink AboutPermit Building 1992-10-19ELO RESID ENTIAL PERMIT APPLICATION lnspections: 726'3769 Oflice: 72O-3759 LOCATION OF PROPOSED WORK:I 1.X-o "4 ASSESSOBS MAP: JoB NUMBER 7Z/4o5 225 Fltlh Street Sprlngfleld, Oregon 97477 TAX LOT:DG/n-h SUBDIViSIONi- A ZIP:9't47 8STATE()r t -sa,7b? N CITY: ADDRESS: OWNER: Slai*t t DEMOLISH OTHER DESCRIBE WORK NEW ----- FIEMODEL --,- ADDITION PHONEEXPIRES PLUMBING MECHANICAL: ELECTRICAL: CONST. CONTRACTOR #ADDRESS Il e. . rr'-:oi 6 attr .s< lf-- CONTRACTOR'S NAME GENERAL: -: Drr'"5 ftr# _ OFFICE USE _ # OF BDRMS OUAD AREA: RANGE: FLOOD PLAIN WATEN HEATER SECONDARY HEAT: SQUABE FOOTAGE: , OF BLDGS: --=-_-_===.--- ZONING CODE: OCCY GROUP: ---- - , OF STORIES: --. - -- CONSTR. TYPE HEAT SOURCE: LAND USE: # OF UNITS To request an inspectlon, you must call 726.3769. Thls ls a 24 hour recordlng' All lnspectlons reques made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the lollowlng work ted before 7:00 a.m. wlll be day. TemporarY Electrlc REOUIRED INSPECTIONS | '- | nough Mechanlcal - Prlor to L-l t;oveI. Flnal Plumblng - When all plumblng work ls comPlete. Slte lnspectlon - To be made alter excavatlon, but Prior to setting forms. Rough Electrical - Prlor to Flnal Electrlcal - When all electrlcal work is comPlete.cover. Underslab Plumblng/ Eleclrlcal / Mechanical - Prior to cover. Eleclrlcal Servlce - Must be approved to obtain Permanent electrlcal Power. Flnal Mechanical - When all mechanlcal work ls comPlete. Footlng - After trenches are excavated.Fireplace - Prlor to faclng materlals and framlng lnsP. Flnal Bulldlng - When all requlred lnspectlons have been approved and building is completed.Masonry - Steel location, bond beams, groutlng.Framing - Prior to cover. Other m Foundation - After forms are erected but Prlor to concrete placement. Wall/Celllng lnsulation - Prior to cover. Underground Plumblng - Prior to ftlling trench.J--] Drywatl - Prlor to taplng MOBILE HOME TNSPECTIONS Underlloor Plumblng/ Mechanlcal - Prlor to insulatlon or decking.Wood Stove - After lnstallatlon. Post and Beam - Prlor to floor lnsulatlon or decklng.lnsert - After flreplace approval and lnstallatlon of unit. [-71 Blocklng and Set'UP - When allt& blocklng ls comPlete. n Floor lnsulation - Prior to decking.Curbcut & APProach - After forms are erected but Prior to placement of concrete. q Plumblng Connecllons - When home has been connected to water and sewer. K]Sanltary Sewer - Prior to filling trench.w Electrlcal Connectlon - When blocklng, set-uP, and Plumblng inspections have been aPProved and the home ls connected to the servlce Panel. Slorm Sewer - Prlor to fllllng trench. Sidewalk & DrlvewaY - After excavation ls comPlete, lorms and sub-base materlal ln Place. Waler Llne - Prlor to fllllng trench. Fence - When completed' Rough Plumblng - Prlor to cover. w [--l Str€et Trees - When all requliedU trees are Planted. nal -ulred PHoNE: (-urtn?")'7't I - tr Z 8 x I tl tl fl tl E n L] tl ACCP.L,HSE GAR E Lot faces Lot sq. ftg. Lot coverage TopographY Total helght Lot Type _S THE PFIOPOSED WOFIK IN THE--.HrsroRrclL Dtsrntcr, oR oN THE HISTORICAL REGISTER? _- lf yes, thls appllcatlon must be slgned and approved bY the Hlstorlcal Coordlnator prior to permit lssuance' APPROVED: lnterlor Cbrner - Panhandle - Cul-de-sac 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 tlre Ordinance adopted by the City of Sprlngfield, including the Development Code, regulatlng ttre construction and use of bulldings, and may be suspended or revoked at any tlme upon vlolation of any provlsions of sald ordinances' Ptan check r"e, *---&-r 2"t-- dBv -zQ&2' DatePIS Date Paid Feceipt Number: Received BUILDING PERMIT VALUE,t6ee ,lo eFaoftr/,T fi' (A) ac,a- Total Value Bulldlng Permit Fee State Surcharge Total Fee /.2€76.?5 Garage Carport ITEM Main Systems Developtnent Charge ls due on all undeveloped properties withln the City limits which are being improved. SYSTE 6fr_ MS DC)GEEVELOPME ADDITIONAL COMMENTS ITEM Fixtures Flesidentlal Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE -?A,1i). -A'4lDq -/ ?aot? .). - aO 72"r6F er,(c) N0 FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge MECHANICAL PERMIT Fu rnace Exhaust Hood Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent (D) ca NoVent Fan lssuance State Surcharge Total Permlt By slgnature, I state arrd agree, that I have carefully examined the completed application and do hereby certlfy that all lnformation hereon ls true and correct, and I f urther certify that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngf leld, and the Laws of the State of Oregon pertainlng 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 ln compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper tlme, that each address is readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain on the slte at all times durlng co Slgnature lon MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolltion Total Mlscellaneous Permlts (E) ps* State Surc harge %-o /e-z{ ,( -o TOTAL AMOUNT DUE (excludlng electrlcal) (A, B, C, Q and E Comblned) a//H' d * 2-EIVED DATE PAID AMOUNT REC RECEIVED BY VALIDATION: RECEIPT NUMBER _- N S Fr. ,/-- FT. ./ Z---------1+- ir t/7- "" ctfY oF 225 FITTB STREEf, ,.'.. -I SPRTNGPTBLD, OREGON 97477, , INSPECII0N REQTEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF LEGAL DESCRIPTION JOB 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 INSTALI,ATION ONLY Electrical Contractor Address ci ty-Phone Supervisor License Ndmber Exp iration Date Constr Contr. Number Expiration Date Signature of Supervising Blectrician Ovners Nanie 1000 sq.ft. or less pach additional 500 sq. ft or portion t hereo f Each Manuf'd Home or Hodular DveIling Service or Feeder efi, $ 1s.00 __4 $ 4o.oo -U?..-T- s 50. oo $ 60.00 $100.00 $130.00 $300.00 $ 40.00 s see It 00 oo o0 B" aEG- BLBCTRICAL PBRHIT APPLICATION : :llt:,j:,.ir..,City'J ob Number 9ZlVa5|- 3-!'--{0HPLETE I?EE SCIEDULE BELOV A Nev Residential-Single or ily per dvelling uni t. Servi nc luded: I tems Cos t Sum $ Bs.oo Zorir B Services or Feeders Installation, Alterations or Relocation: 200 amps or Less 20L amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect Only 200 amps or less 201 amps to 400 amps -Over 401 to 600 amps _ Over 600 amps or 1000 volt c Temporary Services or Feeders Insta1lation, Alteration or Relocation $ $ $ 40. 55 BO daar""" %E t9%G fY, city .{ru Phone / OIINER INSTALI,ATION The installatlon is being made on property I own vhich is not intended for sale, Iease or rent. Ovners Signature: D. Branch Circuits Nev, Alteratlon or Extension Per Panel s 3s.00One Circui t Each Addi tional Circui t or vi th Service or Feeder Permi t Miscellaneous ( Service/feeder -Each installation Prrmp or irrigation S sign/outline Lighting- $ Limi ted Energy/Res $ Limi ted Energy/Comm $ SUBTOTAL OT ABOVB 5Z State Surcharge TOTAL a. E $ 2.00 not included) 40.00 40.00 20.00 Orr- DATE:A* RECEIPT RECEIVED II t 5 has t iir;