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Home My WebLink AboutPermit Demolition 1996-02-15RESIDENTIAL PERMIT APPL!CATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WOFIK: ASSESSORS MAP: SP,lIhrGFIELr) 2fr, JOB NUMBER 225 Fifth Street Sprlngf leld, Oregon 97 477 { TAX LOT: SUBDIVISION: - to LOT:BLOCK: OWNER ADDR CITY:STATE: PHONE: ZlPi NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WOR S NAIVTE EXPIRES P E ELECTRICAL; MECHANICAL: PLUMBING: GENERAL: CONTR CONST. CONTRACTOR # - OFFICE USE _ I OF BDRMS: WATER HEATER: FLOOD PLAINLAND USE:QUAD AREA: r OF BLDGS: SECONDARY HEAT: SOUARE FOOTAGE:RANGE: OCCY GROUP: A OF STORIES: ZONING CODE: CONSTR. TYPE: HEAT SOURCE: # OF UNITS: - To request an inspectlon, you must call 726'3769. Thls ls a24nour recordlng. All inspections reguested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTTONS Temporary Electric Rough Mechanlcal - Prlor to cover. Flnal Plumbing - When altplumbing worl< ls complete. Site lnspection - To be made after excavatlon, but prior to settlng forms. Rough Electrical - prior to Flnal Electrical - When ail electrical work ls complete.cover. Eleclrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Final Mechanlcal - When all mechanical work is complete. Flreplace - Prlor to faclng materlals and framing lnsp. Flnal Buildlng - When all required lnspectlons have been approved and building is completecl.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prlor to cover, Foundatlon - After forms are erected but prlor to concrete placement. her Wall/Celling lnsulatlon - Prlor to cover. Underground Plumblng - Prior to filllng trench.l--l Drywall - prtor to taptng.LD Undertloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decklng. MOBILE HOME INSPECTIONS Wood Stove - After lnstallation. Post and Beam - Prior to floor lnsulatlon or decking.lnserl - After flreplace approval and lnstallatlon of unlt. l-_l Blocking and Set.Up - When ail - blocking ls complete. Floor lnsulatlon - Prlor to decklng.Curbcut & AJ:proach - After forms are erected but prior toplacemont of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanllary Sewer - Prior to f llling trench. Storm Sewer - Prlor to filling trench. Sidewalk & Driveway - After excavation ls complete, forms and sub.base material in place. Eleclrical Connection - When blocking, set-up, and plumbing lnspectlons have been approved and the home is connected to the service panel. Water Llne - Prlor to filling trench.[-l Fence - When compteted, Streel Trees - When all requlred trees are planted. Final - After all required inspections are approved andporches, skirting, decks, andventing have been lnstalled. [-l Underslab Plumblng/Electrical/lJ Mechanlcal - Prior to cover. I I ll Footlng - After trenches arelJ excavated.tlfl tl E tl / tl tl t] i#"?: Prumbrns - Prior to i] Lot faces Lot sq. ftg. Lot coverage TopographY Total helght Lot Type - lnterior -- Corner - Panhandle - Cul-de-sac ks PL HSE GAR ACC N S E rS THE PROPOSED WORK iN THE HISTOFIICAL DISTRICT, OR ON THE HISTORICAL FIEGISTER? - lf yes, this application must be signed and approved bY the Historical Coordinator prior to permit issuance. At)PROVED: VALUE (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fec BUILDING PERMIT ITEM SO. 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. Receipt Number:- Plans Reviewed t3y Date Plan Check Fee 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 Fixtures Flesidential Bath(s) Sanitary Sgwer Water Storm Sewer FEE e (c) t N0 FT FT, FT. Plumbing PLUMBING PERMIT State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certify that all information hereon is true and correct, and I f urther certily 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 pertainlng to the work described herein, and that NO OCCUPANCY will be made of any structure wlthout permission of the Bulldirrg Safety Divislon. I further certify that only contractors and employees who are in compliance with OFIS 701.055 will be used on thls proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address ls readable from the street, that the permit card ls located at the front at I tirnes during co ,-t s- qb Slgnatu re Date and the approved set ofof the pro on the sit, plans will remaln tion. MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State SurcharOe Total Miscellaneous Permits (E) IrK TOTAL AMOUNT DUE (excludirfg electrical) (A, B, C, Q and E Comblned) D DATE PAID AMOUNT REC RECEIVED VALIDATION: RECEIPT NUMBER c6l4- CITY,OF OREGON 5I}ffIN(;FIELc, The tolkneing. prqcd rl rls,mlRed ImS th0 tellot0dn0 i,;FrGB, and doeo nca nqdn rpeofie tsnd uea approval.lD(- aft, Zoni 225 FTTTH STREET SPRINGFIELD, OREGON INSPECTION REOUEST: OFPICE: 726-3759 sfllral->n b Te6a'tW 1 OF TTON I.EGAI DESCRTPTION L JOB DESCRTPTION Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 1.80 days. 2. COIIIRACTOR INSTALI.ATION ONLY Electrical Contractor Address Ci ty Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician 0vners Name t-tJ Address ELECTRICAL PERUTT APPLICATTON Job Nu-mber 3. COHPIJTE FEE SCMDULE BELOI{ A. Nev Residential-Sing1e orMulti-Family per dvelling unit. Service fncluded: ftems Cost Sum Ci ty OIJNER INSTALLATION The installation is being made onproperty f ovn vhich is not lntendedfor saIe, lease or rent. Ovners Signature: DATE: 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manuf'd Home. or - Modular Dvelling Service or Feeder s 8s.00 s 1s.00 $ 40.00 Services or FeedersInstallation, Alterationsor 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 C Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps"or Less u- S 40.00 201 amps to 400 amps - $ 55.00over 401 to 600 amps - S 80.00 Over 600 amps or 1000-voITs see uBu aEoiil D. Branch Circuits t-|,t-Nev, Alteration or Extension per panel One Circuit $ 35.00 Each AdditionalCircuit or vith Serviceor Feeder Permit g 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $Sign/0utline Lighting- SLimited Energy/Res - $Limited Energy/Comm $ SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Admini.s trative Fee TOTAL B $ s0.00 s 60.00 s100.00 s130. 00 s300.00s 40.00 4x--|- Ph""" 114a +\S+ 40.00 40.00 20.00 35.00 5 RECEIVED B 1 4a ao