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HomeMy WebLinkAboutPermit Building 1994-05-20RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office; 726-3759 LOCATION OF PROPOSED WORK: JOB NUMBER 225 Fifth Street Spri ng f ield, Oregon 97 477 b41 {ffi1Uuohvf ASSESSORS MAP:t1 01 z2 4z-TAX LOT:SZCZ> LOT:l()BLOCK: o-dCJ-SUBDIVISION: PHONE: 6RSTATE:ztP , ??.1-?? OWNER: CITY: ADD OTHER DESCRIBE WORK: ADDrroN V' DEM.LT.HNEW-. REMODEL ADDRESS CONST. CONTRACTOR #E ECONTRACTOR'S N EXPIRES MECHANICAL: ELECTRICAL: GENERAL: PLUMBING USE - \\ WATER HEATER RANGE: # OF BDRMS - OFFICE LAND USE:\t ZONING CODE: FLOOD PLAIN * OF UNITS: SECONDABY HEAT SOUARE FOOTAGE: OCCY GROUP: S OF STORIES: QUAD AREA: # OF BLDGS CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This ls a24 hour recording. All inspections requested before 7:OO a.m. will be made the same working day, inspections requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS Temporary Electric Rough Mechanical - Prior to cover. [--l Final PlumbinglJ plumbing work - When all is complete. Site lnspection - To be made after excavation, but prior to setting forms. E Rough Electrical - Prior to l'Yl Final Electrical - When allJAelectrical work is complete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Eleclrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. N Footing - After trenches are excavated.K Final Building - When all required inspections have been approved and building is completed. Fireplace - Prlor to facing materials and framing lnsp. Masonry - Steel location, bond beams, grouting.,K X X Framing - Prior to cover,tr Foundation - 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 Underf loor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. K Post and Beam - Prior to floor insulation or decking.lnserl - After fireplace approval and installatlon 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 lnspections 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. Water Line - Prior to filling trench. Fence - When completed. Rough Plumbing - Prior to cover. Streel Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. ,K 6- E tl Other - E E E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot TJpe v Wtnt"rio, - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE.GAR ACC N S E -lo r-,.J..J f . i-HE PROPOSED WOBK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be slgned and approved by the Historical Coordinator prior to permlt lssuance. APPROVED: /(2so\ou.-- s,41:Bg1 X $/SQ. FT = VALUE5_ke-\'l 0P1 Total Value Building Permit Fee State Surcharge Total Fee 3t z?o+ ?fi (A) , BUILDING PERMIT ITEM Main Garage Carport SO. FT. t*:> 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 5^2r -?/ Beceipt Numbe Dat;------7- Plan Check Fee Date Paid: Received By: upon violatlon of any ions of said ordinances. SYSTEMS DEVELOPMENT CHARGE (S (B) D Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Resldential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge ADDITIONAL COMMENTS Pnw A Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood N0 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 pertalning to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Divislon. 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 time, 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 site at all times during construction. Knn.,u, Date 7*-uq, -^ \^ ?< MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) /2 s3/r^f- " TOTAL AMOUNT DUE (excluding electrical) (A, B, q D, and E Combinedt // 8 r€Z L DATE PAI AMOUNT FIECEIVED BY VALIDATION: RECEIPT NUMBER .t ffir+{s.6viewed 69 FT. o' i'? f ,f- rr6-gb i4 IsI 'l-25 $I1'-tll s'tttl':lil:'iiioi,iiittLt), oltr:Gol{ 97rr77 - -- - ^iii;i',;ii;H ituouns'r' 72'6*3't 6e OrrtCr,t 72'6-'Jl5t) 1. LOCATI,ON INSTALLA'TION LEGAL DESCRIPTION 2^ JOB DESCRITTION Elcctrical Contract Add ress Ci ty .jt.t ltN(;l:lt:Lu Qfi ILBCTRIC,tL ATPLI.CATI Service Included: I tems 1000 sq.ft. or less each additional 500 sq. ft or Portlon thereo f Each Hanuf 'd llome or Modtrlar DueIling Service or [eeder Services or Feeders Installatlon, Alterations or Rclocation: ON Cos t $ 85.00 $ ls.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 s see rrBrr aIove \ 4-4, ,O cttY Jotr Nrrllrbec ?/o /6f 3. COHI'LETII I'BB SCIIEDULB IIBLOU A. Nev Resi<lentlal-Single or Urftf-fu*ilY Per dvelling unit' Sum Pernrits are non-transferable and explre it vork is not started vlthin 180 days ;i iur,tnn.u or if vork ls suspendecl for 100 days. 2. CO}N'RACTOR INSTALIJTION ONLY B Supervisor License Ndurber 5 Expi ra t ion Da te Constr Cotrtr. Number /-a--w6D I Expiration Date Signature of Supervising Electrician Ouners Name Arld rcss Ci ty_-- Pltonc OVNER INSTALLATION The installation is being made on propcrty I olrn vhictr is not intended for sale, Iease or rent. 0vncrs Slgnattrrc: olrn:. RECF.I?7' 200 amps or less 201 anrps to 400 amps -- 401 amps to 600 amPs - 601 amps to 1000 amps- Over 1000 amPs/volts - Reconnect OnIY 200 amps or less 20L amps to /r00 amps - 0ver /r01 to 600 amps _ 0ver 600 amps or 1000 volt Temporary Services or Feeders InsiaIIatlon, Alteratlon or Relocationc. D $ 40.00 $ 5s.00 $ 80.00 Dranch Clrcul ts Nev, Alteratlon or Extension Per Panel one circul t --:-$ 35.oo -32\Iiach Addi t ional Circui t or vi tlr Service or Feeder Permit - $ 2.00 -l'liscellaneorrs (Service/feeder not included) -Each installation Plrmp or irrigation Sign/0utIine Liglt ting- Limi ted Energy/Res SUDTOTAT OT ADOVE5l State Surchargeror\t. /32?ry.- c4l E 00 00 00 00 $ 40. $ 40. $ 20. $ 36. ,t,i(:ri TVIiD IIY: 5 5=.zo ) rr.,o,'u TIQ -5 D8