HomeMy WebLinkAboutPermit Building 1990-03-12F
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Date
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Plumbing
.. RESI":N AL..
APPLICATION/PERMIT
225 North |th Stv'eet
Springfield, )r'egon 97477
bulLdLng DLDLSLOru
7 26- 37 53
SPFIINGFTEL.D-
37?? t2Pd)at)a sTJob Loeaticn:
Douh/a< &aiDa,tS
Ic,s, Ipt #Aesessors Map #
Subdiuision:
Otmer:7"lrr i kar\ Smnr+
(r)D - 3y/Phone:Address:
OR ? ?qDZoLzip
fr o*orro,n z Tt^to
ffi an oant ' SerA ' un/'* '
t-l Nea
d.5Value'_?Date of App Lieation
Desct"Lbe lfotk
fueoo*tl
General
Llechanical
E
It ia the tespoaaibility of the petmit hotd,er to see tlnt alt inspeetiow ee nad,e at tle prope" tine, that eaeh addtees is readabie
fron tlu atteet, and thdt the penrtt catd, ia Luated at the frcnt of tlte propetty.*SuiUing Nuicion ap?.w-ed plan slnll remain on tVe Building Site at aLL- ttmes.
SuDe El-ec tr:c 1an
PI?OCEDU,qE F1R INSPEC?I)U NA.UEST:CALL726-3769(yeeotdez,) state youb City desigrnted iobraquested and. uhen 4ou uiLL be readq for inspection, Cont?aeto?s cr A,mers rctne and phoneliLL be nade the eone dcg, requests nade after 7:00 on urill be nade the ncst rnrking dig.
'ntmbez,, job aCiress, type of inspee;icn
nunber. P.equests recei\gd befcre 7:00 c:i
Iour Citg Desigr,ated Job Nunber fs:
Reouired fnsoecticns
SIIE INSPECTION: to be nade after
ereansation, but prior tc set up of
fonne.
ANDERSLAB PLUMBING. ELEC?RICAL &
],ECH/.|IICAL: lo be nade before ang
txtk i,s eooeted.
INSULATION/VAPOR BARRTER IIISPICTIO\I :
?o be made aftet, aLL insulaticn avd
required oapot' boriers @e in place
but before ory lath, Wpsun bcarC or
tnll couering is appli.ed, and. before
ag ir*ulation is concealed.
DRWALL fNSP1CTI)N: Ic be nwde
VFet, dT-Ewit-;s in place,
but pnior to any taping.
MASQW: Steel Loeation, bond
66d{gz.outing or oerticals in
accordotee Llith U,B.C. Section
2415.
DEt.l)Lr?rclt 0R :.iow)
Sanitey seaer capped at ptopet4i Lire
Septic totk p,tlped and filled rrtth gz,a:sel
Final - h1ten abase itens are ecrnpleted
anid uhen Cenclition is eomplete o" strae-
ture mooed od prerrises cleaneC up.
a
fr roormG & FIUNDATTzN: ?o be naceI I @"t t"en n;;-a?;-e=caated and
forns are erected, but prior to
pout ttzg ccncreta.
I
A
E
fr posr AND BEAI,|: To be nade prLoz, to'tA TG;;tEl;o1 floor iraulZtior, or
decking.
1 ... 1 ROUGH PLU,,!BII|G. ELECIRICAL & I,IECH.tvt
u?itLL these Lnspeetloris haue been
UND1RCROUTID PLUMEING, SEffEP., W.ATER.
inetttqCt: To be maCe pr"tot, to ftl-
T@-66nches.
UIIDERFLOOR PLA,ETNG & I,IECIIANICAL :
floor insu1,ation or decking.
of
nade and approued.
E!!E|!ASE: Prtor to plccirg faeing
^at;AAG ad before |"r"t rs inspeb-
tion.
?RillINC: ltust be req-uested after
apptooal of rough plurbing, eleatrt-
cal & meclnnical, AL! tooftng
btacing E chittmeys, etc. rntst be
. cotnpleted. llo ucrk i.s to be con-
. cecled until this inspection lns
'been rwde anC appro'"^ed.
After irrctallation is
Hcnes
VOODSTOI/E:
anpleted.
CURB & APPRCACH APPAN:
e.e "r..ctA-frt pil."After fornsto pow.ing
coflc?ete.
SLDWALK & DRT,EI|IAI: Eor aLL con-
crete paoittg tvtthin street right-
of-teA, to be maCe aften aLL esea-
oating conrplete & fotn uork & sttb-
base naterLal in place.
n
E
n
n
I
IENCE: h4ten complete -- Prouide
gates or mooable sections through
P.U.E.
ALL project conditions, such as the i-nstallation of street trees, co:tpT,etion of tie
required LanCsccpit:g, etc., mtst be satisfied befote the BUfLDINC FIIIAL can be requested.FilIAL PLUMSIilG
FTNAL IiECHANICAL
FINAL ELECTRICAL
FINAL BUILDING:
Electrical, anC
The Einal Building rnspection mtst be requested after the linal Plunbing
Meclnnical fnspections hqtse been nade and approueC.
Blocking otd Set-up
Plunbing connectiona -- aa,)e? otd, uatet
Electrieal Cannection - Blocking, set-uz
and plunbing connectione rntst be apptct;ed
before requesti-ng eleetrical inspeetio:'t
Aceesso?i Builinng
Piral - After. pcrekes, skit'ting, decks,
etc. ee c.cmpZeled.
Page 1 of 2*ALL I,IANHCLES AND CLEANOU?S IIUS? BE ACCESSIBLE, ADJUSTIIEIII ?O BE I,IIDE /'T NO CCST TO CI?Y
{
&
ppt& /no*-
JOB NO.
Lot Sq. ?tg.
% cf Lct Ccuerage
# of Stories
total Height
Topography
Building t
State
?otal Clnrgee
Total
Mobile llorne
SOLAR ACCESS REQ.-L-co d
Bedrooms:
LCT TWE
_ Intez,iot,
_ Co?ner
_ Panhard.Le
Cul-de-sac
Souz.ces i'uoe
lleat
tou"e
D^^^
Building Vqlue & Permit
This pernn t is gnanted on the erp"ess condition tLnt the said constraetionshall, in aLL z,espects, conform to the Crdinance adopte,L liy the City ofSpringfield, ineluding the Zoning Cvdinance, regulating thb ccnstrubticn
od..use of buildings, utd may be suspended ot, revokeC it cry tine upon oic-
Lation of anA prcuisions of said Ordir,ances.
)Ztlonq ZzE )4ry Vq.r,za
9^/?=72
Daf,e
f ilAW CAREFULLy EXAIIINED tle eontpleted application for penrit, a?td do
hereby certif_y tlat aLL *tformatibn hereoi ie tmte and. cZrreet, and. Ifuttker cez,tifg that any ard. aLL uork performed alnll be dote in accor-
dance vith the Ordinances of the City of Springfield, ad the Lat;e of the* State of oregcn pertaining to the lurrk Cesbribid herern, cnd. tlta.t NO OCCU-
Pl.llcy ttll be nud.e of arlA structure uithout petmisaion of the Buitding DL-tision. I futther cettiiy thtt otly conttactope a.d. etplcyeea uho arZ in
eonpliance uith ORS ?01.055 uiLL be used on thie project
3- /2 fd
Lot Faees -
Setbaeks
P.L House Caraae Aceess
No"th
Eost
South
llest
ITEII SQ. F?G x Value
lbin \q2a q,bDtl.lt_
Geace
Carport
Aceessoru
.tttff\-i.N
TCTAL VALUE\
{tsclue)S.D.C. i.5 s:
5;2 Check
Date Paid://-%1
v Reeeipt
Signed:
Plumbing Permit
Ilg person shall cartsttuct, instal?., al-ter ot change anA neD cr ecisting
plwnbing or drainage systal in ulole or in patt, unless sueh pet,son is- the
Legal possessor of a ualid plunbet,'s License, eseept that a pe?son nay do
plunbing uoyk to propertA whieh is oumed, Leased or operated by the appli-
cdltt.
NO FEE
E
-
*
IIEM
Ptbtw,es
Residential (1 bath)
Saner
UMfrUL
a-2
ePlunbing Penrit
State
Total
La-
portion of this
by the Electica Con
done bg tm Electrteal
Cont"aeto?, the el,eetr.ieal t slnll not be oaliC untilthe Label has been eigned
A e,.,,/Ert erd Cirsai t s
Setoiee
State
?otal
Electricol Permit
Wlere Sta,te Las requires tlnt the electr.ieal uork be
-- ENCROACHMENT --
FEE
ea
{e
7,
?otal CTtoaes __,-
Mechonicq! Permit
Echanst HooC
Hcodstotse
Vent Eot
Permit fssuutce
Mechanical Per,nrtt
Seeurity Deposit
Stotaae
Mainteranee
Ctsbeut
Sida,talk
!ence
EleetricaL La.bel
TOTAL At41uttT DUE: *Date
.bb.Db'
NC.
6_oo
7hr*6q,
(s-d
SP]lI]{GFIELE,
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
q002L5
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97 477
Sqqq Uuuqrnio;
\TAX LOT:ASSESSORS MAP:
LOT BLOCK:SUBDIVISION
STATE:
PHONE:
ztP
OWNE
ADDR
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NAME ADDRESS EXPIRES PHONE
ELECTRICAL:
MECHANICAL
PLUMBING:
G EN ERAL:
coN
CONST.
CONTRACTOR #
\
3RF-O-'
_ OFFICE USE _
# OF BDRMS:
WATER HEATER:RANGE:
ZONING CODE:
FLOOD PLAIN:LAND USE:
A OF UNITS:
SECONDARY HEAII
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 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
Temporary Electric 4q
Rough Mechanical - Prior to
cover_fl
#,
4
ffi
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior
^qd
to Final Electrical - When all
electrical work is complete.
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.
ng - After trenches are Final Building - When all
required inspections have been
approved and building is
completed.
excavated Fireplace - Prior to facing
materials and framing lnsp.
Masonry - Steel location, bond
beams, grouting.
@
w
@
Framing - Prior to cover.q
4
Foundation - After forms are
erected but prior to concrete
placement.
Other
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
q 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
decking.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Conneclions - When
home has been connected to
water and sewer.q
q
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.
Water Line - Prior to filling
trench.l--l 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.
oA\oo
CITY:
E
E
E E
E
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 rN 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
VALUE
stJl(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
AN D 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
Plan Check Fee:
Date Paid
Receipt Number:
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
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
4AOc)
/ 3:>ebA:=
ADDITIONAL COMMENTS
Wood Stove/ Insert/ Fireplace Unit
Dryer Vent
3'l
./ t7(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 carefully 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 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
from the street, that the permit card is located at the front
plans will n
riall
of the prope
tion
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
ti5ss
I
RECEIVED
AMOUNT REC
DATE PAID
VALIDATION:
RECEIPT NUMBER
?so
set
on
ctfY oF
st'tllNGrrELo
225 TIFTB STREE;r
SPRTNGFTELD, oREGoN 97477
INSPECTION RBOIJEST. 726-37
0FHICE: 726-3759
1 ON
ELECTRICAL PERHTT APPLICATION
Nunber
FEE SCEEDUI^E BELOV
Residential-Single orr dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Hanuf,d Home or
Hodular Duelling
Service or Feeder
$ 8s.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Reloca t i on:
0i!
200 amps or less I
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps_
Over 1000 amps/volts
Reconneet 0nly
ALI.ATIa
DESCRIPTTON AZ
JOB DESCRIPTION
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COtlTRAgtOR INSTALI,ATION OM,Y
)
Sum
B
ErectricaL contrac r* I o,rI(L-Cl €C.
Address 6n/g__
Ci ty
Expiration Date
Constr Contr. Number 3vv>7
Expirationoare V-Z b:q Z_
Signa ture of Supervising Electri cian
C. Temporary Services or Feeders
Installation, Alteration or Relocatlon
200 amps or less S 40.00
0ver 401 to 600 amps _ S 80.00
Over 600 amps or 1000 volts see rtBrr above
D. Branch Circuits
Nev, Alteration or Extension Per Panel
Onb Ci.rcuit $ 35.00
Each Addi tional
Circr.ri t or vi th Service
orFeederPermit l6 S 2.00a2-
E. l'tiscellaneous (Service/feeder not j ncluded)
-Each installation
Ptrmp or irrigation
Sign/outline Light ing-
Limi ted Energy/Res
Limi ted Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
--TTT
8t" rur
Phone q -1 418
$ s0.00
$ 60.00
$100.00
sl30.00
$300.00
$ 40.00t0 -t =77_
Ovners a o-ft,9.
Address il+t/0 lD fa\
Ci ty one r
OSNER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intendedfor sale, ,llease or rent.
Ovners Signature:
DATE: -/ -?4, lZ:
PT
$ 40.00
s 40.00
$ 20.00
s 36.00
RECEIVED BY:
5
Qmza
I
Supervisor License Ntimber "=Jt' /r .S
225 FIFTE STRBEf,
SPRINGFIEID, OREGON 97 477
INSPECTION REQTIEST: 726-3769
OFFICE: 726-3759
1. LOCATION OT INSTALI,ATION'3Q4) \,r rc,^.u, n
st'ru,{(;FtELo
EIJCf,RICAL PERHIT APPLICATION
City Job Number
3. COHPIJTE PEE SCEEDUI^E BELOS
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Itens Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portionthereof $ 15.00
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder $ 40.00
Servlces or Feeders
Installation, Alterations or
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 Only
ra Servic r Feeders
Installation,teration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Ci.rcuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit $ 2.00
r
IJGAL DESCRIPTIONlfDf2,/v+o)tor)
Permits are non-transferable and expireif vork is not started within 180 daysof issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI,ATION ONLY
Electrical Contractor
Address
ci ty-Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Blectrician
ovners n"'" Q.oLrf S n^',*?.-r
Address llqs w totu
city f*tt -3-tva) rhone L{ ?tf - S-Y
OIINER #rr**r,,ON
The installation is being made on
property I ovn which is not intendedfor sal ease or rent.
RECEIPT
200 amps or less I $ 40.00 MO
201 amps to 400 amps $ 55.00
Over 600 amps or 1000 volts see rrBil above
Sum
B
s s0.00
$ 60.00
$100. 00
$130.00
$300.00
$ 40.00
E Miscellaneous (Service/feeder
-Each installation
Ptrmp or irrigation $
Sign/Out1ine Lighting- S
Limited Energy/Res $
Limi ted Energy/Comm S
not included)
40.00
40. o0
20. oo
L+o.oo
)()
SUBTOTAL OT ABOVB
5Z State Surcharge
TOTAL
C'TY OF OREGOTV
RECEIVED BY:
5
q).oo
c.
4l rt-.\^ r