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HomeMy WebLinkAboutPermit Building 1993-06-18SPFlINGF!ELE) BLOCK 0 SUBDIVISION TAX LOT: LOT: JOB NUMBERRESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Of(ice: 726'3759 LOCATION OF PRO hssEssons ruaP, PO it 225 Fifth Street Spri ngfield, Oregon 97 477 PHONE ZIP:STATE L s q 7v77,t OWNER: - 7 ilo Tt) L,Aj, ZADDRESS: ,-8+o ctrYt ? PF|-P ADDITION DEMOLISH OTHER DESCRiBE WORK: NEW _-- REMODEL PHONEEXPIRESADDRESSCONTRACTOR'S NAME G EN ERAL ELECTRICAL: CONST. CONTRACTOR # // PLUMBING: Sl MECHANICAL:rl ,-2p L/)OUAD AREA r OF BLDGS: .- RANGE: OCCY GROUP: - # OF STORIES _ OFFICE USE - LAND USE * OF UNITS: HEAT SOURCE: CONSTR. TYPE:s-4 FLOOD PLAIN ZONING CODE: # OF BDRMS WATER HEATER: SECONDARY HEAT: SQUARE FOOTAGE: To requesr an inspection, you must call 726-3769. This is a 24 hOur recordinel All inspections reques made the same vuorking day, inspections requested after 7:00 a'm' will be made the following work REOUIRED INSPECTIONS ffiRough Mechanical - Prio' toIJ ccver. i-l,4ough Electrical - Prior to lJ COVef. ted before 7:00 a.m. will be day. [--.l TemporarY Electric ll Site lnspection - To be made af ter excavation, but Prior to setting forms. Underslab Plumbing/ Electrical I Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Stecl location, bond beams, grouting. Foundation - After forms are erecled but Prior to concrete placement. Underground Plumbing - Prior to filling trench. U nderlloor - Prior to chanical or deckirrg. r lnsulalion - Prior to decki ng 'Sanitary Sewer - Prior to filling trench. Slorm Sewer - Prior to filling trench. Water Line - Prior to filling t ren ch gh Plurnbing - Prior to f .-/Final Plumbinq - When alllllJ plumbing wcrli is complete. al Electrical - When all eiectrical work is comPlete. Electrical Service - Mlist be approved to obtai n Permanent electrical power. Fireplace - Prior to fa-cing materials and framing lnsP. @traming - Prior to cover. l/Ceiling lnsulation - Prior to cover f-*Final Mechanical - When allU mechanicat work is complete. f ,, PFinal Building - When allE required !nsPections have been approved and building is completed. f7(Post and Beam - Prior to floc'rU insulation or deckin0. @DrVwall - Prior to taPing Wood Stove - After installation. lnsert - After f irePlace aPProval and installation of unit. Curbcut & APProach -' After forn.s are erected but Prior to placement of concrete' Sidewalk & DriveuraY - After ev.;avatiorl is cornPlete, torrns arrd s.rb-base material in place. Fcnce - When ccmPleted Stieet Trees - Y','hen arl tequired tr{res are Pianied. Other MOBILE HOME INSPE TIONS tslocking and Set'UP - When all blocking is comPlete. Plumbing Conneclions - When home has been connected to water and sewer. Electrical Connection - When blocking, set-uP, and Plumbing inspections have been aPProved and the home is connected to the service Panel. Final - After all required inspections are approved and porches, skirting, decks, and ventin3 have been installed. umbi ccver. b O ulp E/Z \ 4 E E fl n r-lLI [] L] P.L.HSE N S E Lot faces Lot sg. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cu!-de-sac ks IS THE PROPOSED WOBK IN THE HIIJTOFIICAL DISTRICT, OR ON THE HISTORICAL REGISTER? -_--,lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: ACC BUILDING PERMIT ITEM SQ. FT. Main Garage VALUE (A) X $/SQ. FT. Carport Total Value Building Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conlorm to the Ordinance adopted by the City of Springfield, including the Development Code, re1;ulating the construction and use of buildings, and may be suspended or revo|<ed at any time upon violation of any provisions of said ordinances. Plan Check Fee: -- Plans Reviewed By Date Date Paid Beceipt Numbt, r:-- Received By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on ;all undeveloped properties within the City linrits which are being improved. ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FT. fi" FT.h FT. (c) No 9- PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mechanical Permit lssuance State Su rcharge Total Permit Fu rnace Exhaust Hood Vent Fan 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 certif y 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 corftractors and employees who are in compliance with ORS 701.055 will bc used on this proiect. I further agree to ensure that all required inspectiols are requested at the proper time, that each address is readable f rom the street, that the permit card is located at the f ront of the property, and tlre approved set of plans will remain on the site at all times during construction. tv Signature Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) 4lo'4 €1DATE PAID VA.LIDATION: RECEIPT NUMBER -- AI,/iOUNT FECEIVED RECEiVED BY -- TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) l4>!€, GAR 4f\l-t"^ qz CITY OF OREGO'U SPRlltlcFIELf, sur quir m 225 FTYTE STRBBT SPRTNGPTBLD, OREGON 97477 INSPBCTI0N REQT EST| 726- OPFrcE: 726-3759 1 JOB DBSCRIFTION tlr-"^*J.p Permits are non-transferable and expire if vork is not started vithin 180 days of lssuance or lf vork is suspended for 180 days. 2 INSTALI..ATION ONLI Electri tractor Address ci BI.,BGIRICAL PER}IIT APPLICATION City Job Nunber 3. COI{PLETB PEB SCABDULE BELOS A. Nev Residential-Single or MuIti-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or -Modular Dwelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 B. Services or Peeders Installation, AlEeratlons or Relocation: 200 amps or less -l-201 amps to 400 amps 401 amps to 600 amps -601 amps to 1000 amps_ Over 1000 amps/volts _Reconnect 0nly LD{Z- 376e vlgln", \DB LOCATION & tto OP INSTALI,ATIONN,2-5t1, PL- Sum $ s0.00 $ 60.00 $100.00 s130.00 $300.00.s 40.00' = Supervisor License Expiration Date Constr Contr.ber Expi ra t i te Ovners Name Address Ct ty of Supervising Electrici Phone One Circuit -/ Each Addltional Circuit or vith Service or Feeder Permi t B. STIBTOTAL OF ABOVB 5Z State Surcharge TOTAL r c Tenporary Services or Peeders Installatlon, Alteration or Relocation 200 amps or less '$ 40.00 201 amps to 400 amps - $ 55.00 over 401 to 600 amps - $ 80.00 Over 600 amps or 1000 vorfs see uB' affi D. Branch Circuits New, Alteration or Extension Per Panel $ 3s.00 $ . 2.00OSNER The installation is being made on property I ovn vhich is not lntended for sale, lease or rent. Orners Signature: DATB: Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/outline Lighting- S 40.00 Limited Energy/Res - $ 20.00 Llmited Energy/Comm $ 36.00 )0 Phone RBCBIVBD 5 p