The URL can be used to link to this page

Home My WebLink AboutPermit Building 1994-02-05SPRI]{GFIELORESIDENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726-3759 LOCATION OF PBOPOSED WORK: t? o 33 1_ JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 TAX LOT:o SUBDIVISION: ASSESSORS MA LOT:BLOCK: STATE:CITY: OWNER: ADDRES PHONE: ZIP: OTHER DESCRIBE WORK: NEW REMODEL ADDITION DEMOLISH CONST, ME ADDRESS EXPI R il I E a CONTRACTOR'S PLUMBING GENE MECHAN ELECTRI USE -/lil- OFF]CE WATER HEATER # OF BDRMS RANGE: ZONING CODE: FLOOD PLAINLAND USE: * OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGST To request an inspection, you must call 726-3769. Thls is a24hour recording. All inspections requested before 7:00 a.m. will be made the same working day, lnspectlons requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS [-l Temporary ElectricL__l 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 x 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. Footing - After trenches are excavated.K Final Buitding - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting. Other Foundalion - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.f--l Drywatl - Prlor to taping MOBILE HOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnserl - After flreplace approval and lnstallation of unit. k' tr' K 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 Conneclions - When home has been connected to water and sewer. K I E( 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. Sidewalk & Driveway - After excavation is comPlete, forms and sub-base material in Place. Water Line - Prior to filllng trench. Fence - When completed. Streel 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. d /3 la [r),rn N or1o.r rQ fi)h) Final Mechanical - When all mechanical work is complete. [-l Fireplace - Prior to facing 'J materlals and framlng lnsp. [l Framing - Prior to cover. E Storm Sewer - Prior to filling trench. tl T Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - Interior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT = VALUE Main Garage Caroort - W.-rlz*rz@ Total Value Building Permit Fee State Surcharge Total Fee (A) 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. PIan Check Fee Date Paid Receipt Numbe Received By:. .ic"r< )'ne.+ Plans Reviewed By Date SYSTEMS DEVELOPMENT C (B) HARGE (SDC)-k kB Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE N0 cf)FT. FT. FT. isq)I d)Plumbing Permit State Surcharge Total Charge (c) ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan N0 Wood Stove/ lnsert/ Fireplace Unit Dryer Vent Mechanical Permit lssuance State Surcharge Total Permit (D) By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all lnformation 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 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 wlll 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 permit card is located at the front o{ the property, and the approved set of plans will remain on the site times during construction. Signatu -a. -Z Date MISCELLANEOUS PERMITS 40,qMobile xo-" C{DL State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition lcr Surch M Total Miscellaneous Permits (E) VALIDATION: RECEIPT NUMP-O DATE PAID - //537z-3-2 7 AMOUNT REC RECEIVE BY DTOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Combined) l.ffil:s Brne PRoPoSED woRK tN 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 /-? 7 l/ l'. o3/og/82 1.r:17 tI503 ' "- 368S sPRrNGFrsl,D, oREGoN 97477 i- , ta.',_": .'t .- - ,:-.frr: ; 1,L1. 1-1.. r'-r' 1 , 1.,,_._r..:..:.-PEn}tIT APPIJCATIOfl 7 30_I}TSPEcTION REAUBSI 0PEIgE: 726-3759 1 a Permlts arelf uork is sferabLe no tarted tlthin 180 days of issuance otr lf vork is suspended for 180 days. 2.. COItBAGTOR TNSTAIJ.ATION OI{IY B. Electrical contrac to, l-,,LfuA&29(, " I Address Ctty Job Number 3. CO}'PLSIE TEE SCEEDUI.E BELOS A, Nev tial-Single or Hu1ti-Fanily per dvelllng unlt. Service Included:Items Cost sq.ft. or less Each addltional 500ft or portlon eof $ 15.00 Each l,tanuf'd Hone or Hodular Drtelllng Servlce or Fceder $ 40.00 z 726-37 I. 4'-,, INSTALI4fiOH Sun + L Services or Feeders fnstallation, Alteratiorrs or Relocatlon: City Supervi sor Llcense Ntimber -Zoa G < Explration Date_ Constr Contr. Number Expiration Date .- Signa of Supenrislng Blectrician Ovners Address l" Ct fuNd - Phone;ffi fhe installation is being nrade on property I or.rn vhich iE not intended for sale, Iease or rent. 0vners Signature: DATE; 200 anps or less $ 50.00 401 aops'to 600 aaPs $100.00 Over 1000 aups/volts $300.00 Ttmporary Servlces or Feeders Insiallatlon, Alteratlon or Relocatlon Ynon")1.4.1 - oK l( c. 200 amps or less 201 amps to 400 amps _ Over 401 to 600 arnps over 600 amps or rbooET[s D. Branc,h Clreults 9_/') Nev, Alteratlon or Extension Per Panel 40.00 55.00 80.00 ee rrBrr "Effi $ $ $ 6 one Ci.rculr $ 35.00 Each Additional Clrcult or vith Service or Feeder Perurit $ 2.00 2, Hiscellaneous (Service/feeder not lncluded) -Each installation Pnmp or irrlgation _ Si gn/Outline Lighting- Liurited Energy/Res - Linited Energy/Comm SITBTOTAL OT ABOT/E 5f State Surcharge IISIAL $ 40.00 $ 40.00 $ 2o;00I 36.00 OREGOII' RECEIVED 5 CD s 8s.00 0rp,i. rrfi) 03/09/gZ 1l:17 3 I 3689 225 TITTE STREEf, Thc SPRINGFIELD, 0REGOlf p/(J);'; ;uval' INSPBCII0N REQUBS?t 726-3769 0FEIGET 726-3759 Dsto ,l 1 hre thc require speci{ic PERilTT APPI.JCATIOR city rob Nurnbe, cl 4 Cb) Z- COHPLSIE TgE SCEEDUTT BELOS A. Nev Besidential-Single or HuIti-FaniIy per dvelllng unit. Service Includedr Items Cost $ s0.00 $ 60.00 s100.00 $130.00 $300.00 $ 40.00 c, $ 40.00 $ ss.oo s 80.00 see ItB[ a , I LUi rn 6L E lIo-J DESCRIYIIOI{- 4-dr o v) ?-?O oR 62-Sun JOB DESqRIPTION Perrrrlts are non-transferable and expireif vork is nbt started vlthin 180 days of issuance or lf vork is suspended for 180 days. 2. CO}|TBASIOR INSTATJ.ATION OI{LY B. Electrical contrac to, l-d,' /1fuf1t5-.il.r/ Address 49'l 1-7. 1000 sq.ft. or less tach addltional 500 sq. ft or portlon thereo f Each llanuf'd Hone or Hodular Duelllng Servlce or Feeder $ 85.00 s 15,00 $ 4o,oo Services or Feeders fnstaltation, Alterations or Relocatlon: 201 amps to 400 amps _401 anps'to 600 amps _ 601 amps to 1000 amps- 0ver 1000 amps/volts Temporary Services or Feeders Installatlott1 Alteration or Relocation 200 amps or less -J-201 amps to 400 anps _ Over 401 to 600 anps over 600 anps or'fboOGT[s D. Branch Clrcults I Lo,- aEiF Ci ty Slrp Phon"-Zl7:oflI Expiration Date, constr contr, Number olgza Expi ration Date l,o CI +t Signature of Superrrislng Electrician,y**-0- ovners A*" *r r- r* pr,rA*t ct g Pro ?none-l 44 - ootlL OIINEB INSTALI,ATION The installation is being made on property I ovn which is not intended for sale, lease or rent. Ovners Signature: DATEI Nev, Alteration or Extenslon Per Panel One Ci.rcult $ 35.00 Each Additional Circuit or vith Service or Feeder Perurit L $ Z.0A E ),tiscellaneous (Servlce/feeder not lncludeit) -Each installation Pump or irrlgation - . S 40.00 Linlted Energy/Res - $ 20;00 Linited nnergy/comn .T $ rg.oo -/7ozSI, TOTAL OT ABOVE 5f state Surcharge I]OIAL RECEI1IED BI: 5 t Supervisor Llcense Ndmber 3Oaa S tddr.u" /45l_-///0?oQ _ ,I