The URL can be used to link to this page

Home My WebLink AboutPermit Building 1999-03-29RESIDENTIAL PERMIT APPLICATION lnspectlons: 726-3769 Offlce:726-3759 3Q s @fr, JOB NUMBER 225 Flfth Street Sprl ng f leld, Oregon 97 477 LOCATION OF PROPOSED WORK:?zt s ASSESSORS MAP:/763 3 5 7l TAX LOT D^?AO LOT - BLOCK: PHONE: 2 STATE:CIW: ADDREgS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER OqilnDESCRIBE WORK: ADDRESSL-EXPIRES .1 PHONEltc-s Ovs?, PLUMBING: CONTRACTOR'S NAME GENERAL: MECHANICAL: ELECTRICAL: CONSI CONTRACTOR # WATER HEATER:RANGE: TH!S PERMITSHALL ^ .'-IORIZED UNDER K IEP BEHMI IS NOT HEAT SOUARE FOOTAGE: EUSE- NOTICE:FLOOD I)LAIN: rI!CEO OR IS AI\IY 180 DAI PEHIOLi To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspecilons requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:OO a.m. wlll be macte the followlng work day. REOUIRED INSPECTIONS Temporary Electrlc Rough Mechanlcal - Prlor to cover. Flnal Plumblng - When altplumblng worl< ls complete. Slte lnspectlon - To be mado after excavatlon, but prlor to settlng forms. Underslab Plumblngl Electrlcal/ Mechanlcal - Prlor to cover. l-l Footlng - After trenches are|J excavated. Masonry - Steel locatlon, bond beams, groullng, E Foundatlon - After forms are erectecl but. prlor to concrete placemont. Underground Plumblng - Prlor to fllllng trench. Rough Electrlcal - Prlor to cover. Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flreplace - Prlor to faclng aterlals and framlng lnsp. - Prlor to cover. Wall/Celllng tnsulatlon - Prlor to cover. [-l Drywall - Prlor to taptng Wood Stovo - After lnstallatlon. lnserl - After flreplace approval and lnstallatlon of unlt. Curbcut & AJrproach - After forms are erected but prior toplacoment of concrete. Sidewall< & Drlveway - After excavatlon ls complete, forms and sub-base malerlal ln place. [--l Fence - When coi'rrpleted. Streot Trees - When all requlred trees are planted. Flnal Electrlcal - When all electrlcal work ls complete. Flnal Mechanlcal - When all mechanlcal work ls complete. Flnal Bulldlng - When ail requlred lnspectlons have been approved and bulldlng ls completed. MOBILE HOME INSPE TIONS E E E tl E Underlloor Plumblng t Mechanlcal - Prlor to lnsulatlon or decklng. Poet and Berm - Prlor to floor lnsulatlon or decklng. Floor lnsulatlon - Prlor to decklng. Sanltary Sewer - Prlor to fllll ng trench. Storm Sewer - Prlor to fllllng trench. Water Llne - Prlor to fllllng trench. Rough Plumblng - Prlor to cover. l-l glocking and Ser-Up - When ail - blocklng ls complete. Plumblng Connectlons - Whenhome has been connected to water and sewer. Eteclrlcal Connectlon - When blocklng, set.up, and plumblng lnspectlons have been approved and the home ls connected to the servlce panel. Flnal - After all required lnspecllons are approved andporchos, sklrtlng, decks, andventlng have been lnstalled. SUBOIVISION: - D/,L zte: 87cr ? ? il fl il nother- tl li Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type. - lnterior - Corner - Panhandle - Cul-de-sac PL.HSE GAR ACC N S E r-1S THE PROPOSED WORK tN THE - HtsToRtcAL DlsTRtcT, oR oN THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned arrd approved by the Hlstorlcal Coordinator prlor to permlt lssuance. APPBOVED: VALUE /foo o0 (A) l':,k Total Value Building Permit Fee State Surcharge Total Fec )s*W ,?.d0 X $/SQ. FT. BUILDING PERMIT ITEM SO, FT. Main Garage Carport BUTLDING VhIUE, iiLAI.I CHECK AND BUILDING PERMIT This permit is granted on the express condltlon that the said construction shall, in all respects, conform to the Ordlnance adopted by the City of Springfleld, including the Development Code, regulating the constructlon and use of buildings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordlnances. Receipt Number:- Plans Rcviewed By Date Plan Check Fee: Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on all undeveloped properties withln tlro City llmlts whlch are belng lmproved. ITEM Fixtu res Besidential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE FT. (c) Plumblng Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/Flreplace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed applicatlon and do hereby certlfy that all lnformatlon hereon is true and correct, and I lurther cerilly that any and all work performed shall be done ln accordance wlth the Ordinanccs of the Clty of Sprlngfleld, and the Laws of the State of Oregon perlalnlng to tho work descrlbed herein, and that NO OCCUPANCY wlll be made of any structure wlthout permission of the Bulldlng Safety Dlvlslon. I further certify that only contractors and employees who are ln compliance with ORS 701.055 wlll be used on thls proiect. I further agree to ensure that all requlred lnspections are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln on the site at all times durlng constructlon. Date Slgnatu MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolitlon State Surcharge FLc rt. Total Mlscollanoous Pormits (E) L(u tz ToTAL AMouNT DUE (excludtng etecrrrca O /?' tZ- (A, B, C, Q and E Comblned) ?33 2 VALIOATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY N! FI-- FT. FIRE DAMAGE REPORT OR ELECTRICAL HAZARD l-Ot q -c,5 clqb 7q\ l^1 l7oS35a' ,).-\ k L DATE: TO: FR0l'1: SUBJECT: Building Department Springfield' Fire Department Structural Damage to Building Address or I ion of buildi *b Name of or./ner L Type of buiiding 1 1i ng, Store, [,Jarehouse, etc. ) Est'imated value of building $ lC, f.rDO - Estimated loss to building Date of fire Cl3 -t1 -%\ ( Location of damage in building tC,t' (Roof , l^lal 1 , Exterior, Interior, etc. ) (Burned rafters , Beams , Jo.i s ts , etc . ) Additional pertinent information Electrical Hazard cc (l,l Signed irinq, 0utlets, etc.) Structura'l weakness as a result of the fi"e Nn CITY OF.SPR OBEGOA' 3onmg, and does not CE: INSPECf,ION REQI'EST OFFICE: 726-3759 ST IGFIELE) SHALL EXPIHE IF THEiEOINf,CAL PBRHIT APPLICATION require specilic LB N- land use &pprovrl. Zonlng ., J. oN .A. Number 710-,ff COUPI,ETE FEE SCEEDTIIJ BELOII Nev Residential-Single or MuIti-Family per dvelling unit. Service Included: y,to :' jxi"t'^H,!f#ol.' 1. LoCATToN 0F TN'PALLATTqLfr J IJGAL DESCRIPTION t?o 3 3f z r OTooo DESCRTPTION 3- ct Permits are non-transferable and expire if vork is not started vithin 180 of issuance or if vork is susPende $ffir,o*, 180 days.follow rules Notification Center 2 CONTRACTOR INSTALLATION ONLY in OAB 952-BQ1 Electri Address Ci ty 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof 10ns 200 amps"or less 201 amps to 400 amps -Over 401 to 600 amPs - Over 600 amps or 1000 volts Branch Circuits -Each installation Pump or irrigation - Sign/OutIine Lighting_ Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL Expiration Date Constr Contr. Number Exp iration Date Signature of SuPervising Elect rlclan & 0vners Name P,l*r Address Ci ty ?W OVNER INSTALL,ATION The installation is being made on property I ovn vhiih is not intended for saIe, lease or rent. 0vners Signature: DATE: C.Temporary Services or Feeders Installation, Alteration or Relocation Items Cost Sum $ 8s.00 $ 1s.00 $ 40.00 00 OQ 00 00 00 40.00 55.00 80.00ee'Br a566 3?.o 0050. 60. 100. 130. s s $ $ s s $ $ $ s i SuPervi I 300 40 Phone D. E. New, Alteration or Extension Per Panel one circuit -L $ 3s.oo 35' Each Additional Circuit or vith Service- q or Feeder Permi t L $ 2.00 I Miscellaneous (Service/feeder not included) 00 00 00 00 ) $40s40 $20 $36 5 RECEIVED o 1