HomeMy WebLinkAboutPermit Building 1992-12-30SPRTNGFIELORESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3169
Office: 726-3759
LOCATION OF PROPOSED WORK:
JOB NUMBER 72
225 Fifth Street
Springfield, aregon 97 477
TAX LOT /2-oASSESSORS MAP:/70?/7 3 s
LOT:BLOCK:SUBDIVISION
,UATED PHONE:
tvb A
STATE q)Ll 7 >ztP..CITY:9Prtb.
ADDRESS:
OWNER:
NEW
-
REMODEL l- ADDIT|ON DEMOLTSH oTHER
o0rLADESCRIBE WORK:
PHONE
0 s,tJ ,7T.l-zzHfq3
CONTRACTOR'S NAME
MECHANICAL
ADDFIESS
PLUMBING:
GENERAL:
EXPIRES
A{.ta q3
CONST.
CONTRACTOR #
ELECTRICAL:
-
I]ANGE
# OF BDRMS:
- OFFICE USE _
FLOOD PLAIN:
ZONING CODE
SECONDARY HEAT:
SQUABE FOOTAGE:
OCCY GROUP:
*'OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTFI. TYPE
HEAT SOURCE:
LAND USE:
# OF UNITS
To reguest an inspectlon, you must call 726'3769. Thls ls a 24 hor-rr recording. All inspections requested before 7:00 a.m. wlll bemade the same working day, lnspections reguested after 7:00 a.m. will be nrade the following work day.
REOUIRED INSPECTIONS
l-l Temporary Etectric Rough Mechanical - Prior to
cover.
Final Plumbing - When allplurnbing work is complete.
Site lnspection - To be macle
after excavation, but prior to
setting forms.
.M3g'r" Electrical - Prlor to K Final Electrlcal - When all
electrical work is complete.
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.Electrical Service - Must be
approve,d to obtain perunanent
electrical power.
Final Mechanical - When all
mechanical work ls complete.
Footing - After trenches are
excavated.Flreplace - Prior to faclng
materlals and framlng lnsp.
KJ nal Building - When all
quired inspections have been
Masonry - Steel locatlon, bond
beams, grouting.
approved and building is
completed.
ffi framing - Prior to cover.
OtherFoundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulalion - Prior to
cover.
Underground Plumbing - Prior
to filling trench.l-_l Drywall - Prior to taping
MOBILE HOME INSPE TIONSUnderlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approvql
and installation of unit.
Blocking and Set.Up - When all
blocking ls complete.
Floor lnsulalion - Prior to
decki ng.Curbcul & Approach - After
forrns are erectecl but prior to
placement of concrete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumblng
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filllng
trench.
Water Llne - Prlor to fllllng
trench.[-l fence - When completed
Slreet Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
ventlng have been installed.
Rough Plumbing - Prior to
cover.
)
1_
1) o eb)
sRNN
WATER HEATEFI:
fl E
tl
E
E
E
tl
l-l Sidewalk & Driveway - Af tertJ excavation is complete, forms
and sub-bas€) material in place.
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type _
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
ks i.- rS THE PROPOSED WOBK lN 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:
P.L HSE GAR ACC
N
S
E
VALUE
6e
,79
/ 5,7{(A)
t
tr64oY(a.rD f
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
SQ. FT, X $/SQ. FT.ITEM
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.
Plans RevieweO 6'/Date
//a
Receipt Numbe
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
Fixtu res
Flesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
(D)
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANTCAL PERM!T
Fu rnace
Exhaust Hood By slgnature, 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 Springf ield, and the Laws
of the State of Oregon pertainlng 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 ln compliance with OBS 701.055 will be used on this
prolect.
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
nature
Date
of the property, and t approved set of p lans will remain
the site at all ti du ring struct
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)
)< 7f
DATE PAID o -72
.7-fAMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
Plan Check Fee:
-
N0
2.25 ttll''l'll l;TRlilir
sl,ruNGFIIiLl), 0ltIi(;ol{ 97 471
INSPI|CI'I0N RDQUIIS'I': 726-3'169
0FI'ICE: 72.6-3751)
T.qft,
ILECTRICAL PINHIT APPLICATION
ci ry Jolr nu^ttec C1 ) l) Q:1
SCIIEDULB BBLOV
Nev Residential-Single or
HuItl-FamiIy per dvelllng unit.
Servl ce Incltrded :
Items Cost
1000 sq.ft. or less $ 85.00
Each addltlonal 500
sq. ft or portlon
tlrereof $ 15.00
Each Hanuf 'd llome or
Modtrlar Dvelling
Service or Feeder $ 40.00
Services or Feeders
Installatlon, Alteratlons or
Relocatlon:
200 amps or Iess
201 anrps to /r00 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amps-
Over 1000 amps/volts
-
Reconneet 0nIY
Temporary Services or Feeders
InsiaIIatlon, Alteration or Relocatlon
200 amps or less S 40.00
over /,b1 to 600 amps
-
S 00.00
,
Over 600 amps or 1000 voTis see ,0" above
Branch Clrcui ts
Nev, Alteratlon or Extenslon Per Panel
oneclrculr I S35.00 3Sfo
Eaclr Addi t ional
Circui t or vi tlr Service
or Fee<ler Permit
-
$ 2.00
-l'liscellaneous (Service/feeder not tncltrded)
-Eaclr installation
Plrmp or irrigation
Sign/0utline Lighting-
Limi ted Energy/Res
Limi ted Energy/Comtn
st IIToTAL 0p ADoVE
5I State Surclrarge
TOTAI,
J_DA
\\-q -)
U'eff
1 TION OI' IN LLATI
A
LECAL DT.ION1U)tq?;]Dt)ol
D flrrrtl c^iL
Pcrnrits arc non-transferable and explre
1f vork is not started vlthin 180 days
o[ issrtance or i f vork ls suspendetl for
100 days.
2. CO}N'RACf,ON INSTALINTION ONLY
Iilcctrical Contractor l)nn I
Addr:ess
Sum
I
Ci ty hlArr,,,z l'hone ,TVtfSta{
Ttttls
s 50.00
s 60.00
$100.00
$130.00
$300.00
s 40.00Strpervisor License Nrinrber
Iixpiratiorr Datc
Con:; t r Con t r. Numbc r L [<,q'q C
Expiration Datc
Sign ature of Su pervising Electrician
D.
Ouners N,e
Arld rcss a)
Ci ty onc
OUNIiR INS'TALLATION
The installation is bcing made on
propcrty I ovn vhich is not intended
for sale , Iease or t'en t .
ovncrs Signaturc:
DAI'E:
RNCNII'T
E
s
s
s
$
00
00
00
00
40.
40.
20
(,
rrli('l.iIVIit) IIY:
5
36
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t
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