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Home My WebLink AboutPermit Building 1991-07-23ELE, BLOCK: h, RK:LOCATION OF PROPOSED LOT: TAX LOT: SUBDIVISION JOB NUMBER ASSESSORS MAP: RES+BE}fTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 225 Fifth Street Spri ngf ield, Oregon 97477 PHONE: ZIP:STATE: OWNE CITY: ADD ADDITION DEMOLISH OTHER DESCRIBE WORK: NEWY\ REMODEL EXPIRES PHONEADDRESSNAMECONTR ELECTRICAL: MECHANICA CONST. CONTRACTOR # G EN ERAL: PLUMBING cEu \ i7 -oF WATER HEATER: * OF BDRMS: RANGE: * OF UNITS: LAND USE: ZONING CODE: FLOOD PLAIN: SECONDARY HEAT: SOUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: * OF STORIES: QUAD AREA: # OF BLDGS To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REOUIRED INSPECTIONS [-l remporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and lraming lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Other Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulalion - Prior to cover, Underground Plumbing - Prior to filling trench.Drywall - Prior to taping. MOBILE HOME INSPECTIONS Underf loor Plumbing / Mechanical - Prior to insulation or decking.Wood Stove - After installation. Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and installation of unit.tr tr Blocking and Set-Up - When all blocking is complete. Floor lnsulation - Prior to decking.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. Waler Line - Prior to filling tren c h. Fence - When completed Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover. tr (?t SANL E E tl E E E E E E x Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac PL.HSE GAR ACC N S E Setbacks , THE PBOPOSED WORK I;=!j€. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: VALUE (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport 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 Reviewed By Date Receipt Numbe Date Paid 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 Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE CDI (c) FT. N0 FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit I ssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, 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 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 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 the permit card is located at the front the approved set of plans will remain Sign Date from the street, th times during construct n. of the property, on the site at MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) oo TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) I I VALIDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY Plan Check Fee: _ r5-pd Permit No: Address: lssued Date R OFFICE USE ON STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial box 1 and either box 2A or 28: +^) 1 I own, reside in, or will reside in the completed structure. My general contractor is Contractor registration number I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. 2.4 OR I will be my own general contractor. lf I hire subcontractors. I will hire onlv subcontractors reoistered with the Construction Contractors Board. lf I chanoe mv mind and do hire a oeneral contractor. lwill contract with a contrattor-who is reoistered w'ith the Constructibn Contractors Board and I will immediately-notify the office issuing this building permit of the name of the contradtor. I hereby certify that the above information is correct and that I have read and understand the lnformation Notice to Property Owners about Construction Responsibilities on the reverse side sf this form. Mp, ure o Perm plt t w-7 CONSTRUCTION CONTRACTORS BOARD 0244J 1t90 ENCY PERMIT FILE , WHITE COPY TO ISSUING AG FINK COPY TO APPLICANT @s I / B.E SP,IINGFTELE,olz- ?fr, BLOCK: 77 '702 .zo 3 4LOCATION OF PROPOSED WORK: SUBDIVISION TAX LOT:ASSESSORS MAP: LOT JOB NUMBER RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 225 Fifth Street Spri ngfield, Oregon 97 477 OWNER: ADDRESS: CITY: PHONE:oa L) STATE:O./eq ze'Vf 4t ZE' ADDITION t---'DEMOLISH OTHER DESCRIBE WORK: NEW- REMODEL ELECTRICAL: ADDBESS EXPIRES PHONECONTRACTOR'S NAME MECHANICAL: CONST. CONTRACTOR # G EN ERAL: PLUMBING FIANGE: # OF BDRMS _ OFFICE USE _ LAND USE: WATER HEATER: ZONING CODE: FLOOD PLAINQUAD AREA: * OF BLDGS: SECONDABY HEAT SQUARE FOOTAGE: OCCY GROUP: # OF STORIES CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24 hour recording. All inspections requested before 7:00 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 fl Temporary ElectricLI Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover.Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. J\r{ Footing - After trenches are f4,excavaled.Fireplace - Prior to facing materials and framing lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Other Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.f_-l Drywall - Prior to taping. MOBILE HOME INSPECTIONS Underf loor Plumbingl Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval 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. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Fence - When completed Street Trees - When all required trees are planted. Final - After all required inspections are approved andporches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover. # OF UNITS: - Foundation - After forms are erected but prior to concrete placement. E r E r r r l--l Sanitary Sewer - Prior to filling 'J trench. f--l Storm Sewer - Prior to filling - trench. [--l Water Line - Prior to filling 'J trench. E E E r r Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E fHE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the H istorical Coordinator prior to permit issuance. APPROVED: BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT.VALUE Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee Hrr0./5.* ,7f (A)/5,7s 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. Plan Check Fee Date Paid Receipt Numbe Received By: Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (S D c) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE N0 FT. FT FT. Plumbing Permit State Surcharge Total Charge (c) ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan N0 Wood Stove/ lnsert/ Fi replace Unit Dryer Vent Mechanical Permit lssuance State Surcharge Total Permit (D) By signature, 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 f urther certify that any and allwork performed shall be done in accordance with the Ordinances of the City of Springfield, 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 ORS 701.055 will be used on this project. 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 is located at the f ront of the property, and the approved set of plans will remain on the site at all times during construction. Signatu re Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) VALIDATION: RECEIPT NUMBER 2c7p=_o DATE PAID 7-taP *7/ AMOUNT RECEIVED RECEIVED BY --.7 TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined), 5.7t EW fuY A4'*7' '4<€ ' l2o ' { .hu-) -N tf, d crtrldxr cailWAE (o' r)?co / t0 z-o' f ! I /- /2/ )?p"y 6rt 6v/rd tft,S 70 / /oasa 5nh) It lttn -l ():F + CITY OF SI',IINGFIE,LE, Aie 225 FIFTE STRBEf, SPRTNGFTEID, OREGON 97477 INSPECTION RBQUESTI 726-3769 OPPICE: 726-3759 1.OF Permits are non-transferable and expirelf vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. CO}IIRACTOR INSTALI,ATION ONIY Electrical Contractor Address Ci '{at' Phond Supervisor License Number Expiration Da'te Constr Contr. Number Expiration Date Signature of Supervising Electrician 0vners Address I (1 Ci ty Phone ELECTRICAL PERHIT APPLICATION City Job Number 3. CO}IPI,ETE FBE SCEEDUIjE BBLOS A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portionthereof $ 15.00 Each Manuf'd Home or -Modular Dvelling r Service or Feeder \ $ 40.00 Services or Feeders Installation, Alterations or Relocat ion: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps_ Over 1000 amps/volts Reeonneet 0n1y Temporary Services or FeedersInstallation, Alteration or Relocation Sum 4) B 00 00 00 00 00 00 50. 60. 100. $ $ $ $ $ $ 130 300 40 c 200 amps or less $ 40.00 0ver 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see rrBrr above The installation is being made on property f own vhich is not intendedfor sale, Iease or rent. Signature: Branch Circuits Nev, Alteration or Extension Per Pane} One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 B. Hiscellaneous (Service/feeder not included) -Each installation Pttmp or irrigation Sign/0ut1 ine Ligh ting- Limi ted Energy/Res -Limited Energy/Comm OP ABOVB 5Z State Surcharge TOTAL OIINER $ 40.00 $ 40.00 $ 20.00 $ 36.00 RECEIVED BY: