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HomeMy WebLinkAboutPermit Building 1991-05-22SPRII\rG SUBDIVISIONBLOCK: ELE, 4 ---7' TAX LOT:g*+# O16,aO LOT:D,uLP. 4zz- LOCATION OF PROPOSED WORK: ASSESSORS MAP: RESIDENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726-3759 225 Fifth Street Spri ngf ield, Oregon 97 477 JoB NUMBE " 7/4/88 m. ztP, A>/a} PHONE: STATE: R: ADDRESS CITY: NEW - REMODEL ADDITION DEMOLISH OTHEFI DESCRIBE WORK: ELECTRTCAL /v,/, €0r \ CONST. PHONADDRESSeCONTRACTOR'S NAME MECHANICAL: G EN ERAL: PLUMBING \\5cU r) \ €- _ OFFICE USE - RANGE: * OF BDRIVIS: LAND USE: * OF UNITS: OCCY GROUP: ZONING CODE: FLOOD PLAIN: WATER HEATER * OF STORIES:SECONDARY HEAT: SQUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: QUAD AREA: * OF BLDGS: To request an inspection, you must call 726-3769. This is a24hour recording. AII 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 fl Temporary Electricll Site lnspection - To be made after excavation, but prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Footing - After trenches are ted. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but Prior to concrete placement. Underground Plumbing - Prior to f illing trench. Underf loor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Floor lnsulation - Prior to decking. SanitarY Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Water Line - Prior to filling trench. Rough Plumbing - Prior to cover. Rough Mechanical - Prior to cover. Rough Electrical - Prior to cover, Electrical Service - Must be approved to obtain Permanent electrical power. Fireplace - Prior to facing materials and framing lnsP. Framing - Prior to cover, Wall/Ceiling lnsulalion - Prior to cover. [l Drywall - Prior to taoing lnsert - After firePlace aPProval and installation of unit. Curbcut &APProach - After forms are erected but Prior to placement of concrete. Final Plumbing - When all plumbing work is complete. Final Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work is complete. Final Building - When all required inspections have been approved and building is completed. Other MOBILE HOME INSPECTIONS pl Blocking and Set'UP - When all F blocki ng is comPlete. E Plumbing Connections - When home has been connected to water and sewer. Sidewalk & DrivewaY - After excavation is comPlete, forms and sub-base material in Place' I--1 Fence - When comoleted' l-1rl Street Trees - When all required I rJl tr;es are planted. f.7 Electrical Connection - WhenlF utocxitlg, set-uP, and Plumbing insPecti6ns have been apProved "nd th. home is connected to the service Panel' I-C:l Final - After all required L l i;;;;ctions are approved and' '""tli"s, skirting' dec\s,,11o venting have been lnstarreu' E E E Wood Stove - After installation. tr 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 I HE PROPOSED WORK IN THE 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: VALU gpo l5g ,,15,l-5.Q5 (A) BUILDING PERMIT Total Value SQ. FT. X $/SQ. FT.ITEM Main Garage Carport Building Permit Fee State Surcharge Total Fee 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 Fleceipt Numbe Plan Check Fee Date Paid Received By: SYSTEMS DEVELOPMENT C (B) HARGE (S D Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE .75 N0 FT. FT. FT. ]5;5(c) Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance 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 further 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 ignatu the site at al ,times uring construction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -.- ft Curbcut --- ft Demolition State Surcharge AS Total Miscellaneous permits c (E) TOTAL AMOUNT DUE (exctuding etectricat)(A, B, C, D, and E Combined) AMOUNT RECEI E DATE PAID RECEIVED BY VALIDATION: RECEIPT NUMBER (D 225 FIFTB S1AEET SPRINGFTELD, oREcoN 97477 TNSPECTION REQTIESTt t\6_jt6g OPFICE: 726-3759 1 OF JOB Permits are non-transferableif vork ls not started vithin SPTIINGFTELO BLECTRTCAL PERHIT APPLICATION City Job Nunber COHPLETB FEE SCIIEDUI,A BELOY t 3 h Nev Residential-Sing1e orHulti-Family per dvelling unit.Service Included: ftems Cost 1500 sq.ft. or less $ 95.00 Each additional 500 sq. ft or portion thereof g 15.00 Each Manuf,d Home orof issuance or if vork ls suspend L80 days. Sum 80 expi re days ed for COIiTRACIOR INSTALI..ATION ONLY cal Contractor Address ci Supervisor Li cense Expiration Date Constr Contr. Expi ra t i Signa Ovners I'lame Address Ci ty ne OIINER INSTALI..ATION The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent. rs Si dL Hodular Dvelling Service or Feeder $ 3s.00 ts Services or Feeders (10 Branch Circuitsincluded). Insta1lation, Alterationsor Relocation: i00 amps or less 101 amps to 400 amps -40L amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reconnect 0n1y C.Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps or less $ 35.00 201 amps to 400 amps - $ 4O.OO over 4o1 to 6oo amps - $ go.oo 0ver 600 amps or 1000 voTis see rrgn "f,ffiD. Branch Circuits Nev, Alteration or Extension per panel One Circuit Tvo to ten Circuits Each Addtrl ten orportion thereof $ 1s.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation g 36.00Sign/0utline Lighti.,g- $ 36. oOSignal Circuit orlimited energy panel S 36.00 STETOTAL OF ABOVE 5Z State Surcharge TOTAL $ 3s.00 $ 60.00 $ e0.00 $130. 00 $300.00 $ 3s.00 5 $ 3s.00 $ s0.00 E PT OFEGOff Phone of Supervising Electri ber te RECEIVED BI: 5 ,'ID co