The URL can be used to link to this page

Home My WebLink AboutPermit Building 1991-07-18SP]l LE' RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: \ JOB NUMBER 225 Fifth Street Spri ngf ield, Oregon 97 477 TAX LOT: BLOCK:SUBDIVISION PHONE ZIP:STATE: OWNER: ADDRESS: CITY: ITION - DEMOLISH OTHER DESCRIBE WORK: NEW- REMODEL ADDRESS EXPI EScONTRACTOR # GENE ELECTRICA CONST. CONTRACTOR'S NAME PLUMBING MECHANICAL: \I]P.J v€- \ A1 t _ OFFICE USE _ * OF BDRMS: ZONING CODE: FLOOD PLAIN WATER HEATER:RANGE: Y OF UNITS: LAND USE: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: 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 7:00 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 Temporary 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. q Footing - After trenches are excavated.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. OtherFoundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taping. MOBILE HOME INSPECTIONS Underlloor 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. 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. rm Sewer - Prior to filling Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place.trench Line - Prior to filling trench. Rough Plumbing - Prior to cover. nal - After all required Street Trees - When all required trees are planted. inspections are approved and porches, skirting, decks, and venting have been installed. @ \J , E r tl E l-l Fence - When completed. Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type Seslnterior - Corner - Panhandle - Cul-de-sac J THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTOFIICAL REGIST Coordinator prior to permit issuance. APPROVED: US His lf yes, this apptication and approved by t signed to r ical VALUE /5 .crc> .1s 15.r5 d) (A) X $/SQ, FT. sED OO Total Value Building Permit Fee State Surcharge Total Fee BU!LDING PERM!T |TEM SO. rr Main Garage Carport NG VALUE, PLAN CHECK UILDING PERMIT construction s in all respects, confo Development Code, reg ng the Plan Check Fee: Date Paid Receipt N Rec !LDI A ranied on the express conditiThis perm buildings, and may be sus upon violation of any provis of Springadopted by the ans Reviewed By Date the said the Ordinance uction and use of or revoked at any time said ordinances. including the SYSTEMS DEVELOPMENT CHARG (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 ?5 (c) FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge N0 ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fi replace Unit t, Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rn ace 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 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 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 all times during construction. r ?-? Signatu Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Total Miscellaneous Permits C (E) Demolition State Surcharge Sidewalk Cu rbcut 6,,Q,, TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) DATE PAID AMOUNT RECE RECEIVED BY VALIDATION: RECEIPT NUMBER PL.HSE GAR ACC N S E C)L) _-\_nlq1 C'TY OF onEGorv 225 TIPTB SIRBEf, sPRrNGrrBLD, OREGOI| 97477 INSPBCIION REOIIBST: 726-3769 oPFICE: 726-3759 1.OP 5}'TIIN(iFIELE, BLBCTRICAL PBRTIIT APPLICATION City Job Nunber COIIPI,EIE TBE SCBBDT'I,B BEIOU New Residential-Single or Hulti-Family per dvelllng unlt. Service Included:Items Cost 1500 sq;ft. or less $ 85.00 Each addltlonal 500 -sQ. ft or portlon thereof $ 15.00 Each Manufrd Home or Modular Dwelling Service or Feeder H 3 A. B. Sum Permlts are non-transferable and expireif vork ls not started vithln 180 daysof lssuance or if vork ls suspended for 180 days. 2. CONIRACTOR INSTAI,LI\TION ONLY C Electrical Contractor Address Servlces or Feeders (10 Branch Circuits included). Installation, Alterations or Relocation: -L $ 35.00 t ct 'q4.o'#4 Supervisor License Number 33q s,J Explratlon Date \O Z-- Constr Contr. Number Explration Date (3 I of Supervislng Blectrlcian Owners Name Address ci Phone J OITNER INSTALIATION The lnstallatlon is belng nrade onproperty I ovn vhlch ls not lntendedfor sale, Iease or rent. Oyners Slgnature: DATE: 100 amps or less V 101 amps to 400 amps -6 401 amps to 600 amps -601 amps to 1000 amps 0ver 1000 amps/vo1ts Reconnect Only $ss $60 $e0 $130 $3oo$rs 00 00 00 00 00 00 C. Temporary Services or FeedersInstallation, Alteratlon or Relocation 200 amps or less $ 201 amps to 400 amps - $ Over 401 to 600 amps $ 0ver 600 amps or 1000 vofts see ,8, affi- 3s.00 40.00 80.00 $ 35.00 $ 50.00 D. Branch Clrcuits Nev, Alteratlon or Extenslon Per Panel One Circuit Two to ten Clrcults Each Addtrl ten orportion thereof $ 1s.00 B. Mlscellaneous (Servlce/feeder not lncluded) -Each installatlon Pump or irrigation $ 36.00sign/outline Llghtlng- $ 36.00 Signal Cireult or llmited energy panel_ $ 36.00 ST'BTOTAL OF ABOVB 5Z State Surcharge TOTAL RECBIVED BI:I 5