HomeMy WebLinkAboutPermit Building 1993-09-03SPrl!NGFIELC)
RESIDENTIAL
PERMIT APPLICATION
lnspectiont;: 726'3769
Ollicr:: 7?$'3159
LOCATION OF- PROPOSID WOIIK:871 Sorlth !5jh p74c_e _
f802057
-.,ou
NUMBER ?l-c5c6
225 Fifttr Street
Spring f ielct, Ora71<ttt 97 47 7qr,
2_
#spss
rAX Lor: -zz OJI[1!,
PHoNE: _682-s292
ASlit:l;SOf iS lvlAP: -
143 A
LC)Tr
OWNER: CappLqrye HA_r.es
ADDRESS P.O. Box 22535
Eugene
BLOCK:SUBDIVISION:Lucetne Meadows
f Oreoon
STATE:OR ZIP 97 402
CITY:
FIEMODEL ADDITION DEMOLISH OTHER..
ResidenceSing7e FamiTu._--_- - !DESCRIBF- WORK
NEW.I{
CONST.
CONTRACTOFT'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE
GENERAL: Capstone Hoyp, I!9: o-! oR P:o_i.__22636_ EW-r-oB ?710:? __6_20*1q U_:18=93_ 689-5567
pLUMaTNC: lr+4_1yn4 P7._y14b1ng_q5629_D_Llfqg_tane Eug.,8R 92401- *5783L
MEC'AN'(.,1s Garibaq H_eating 42Q7 Wt lth Ave. Eug.,OR 97402_
ELEC1R1CAL Ro se Co rp, I _9_9_U_DaS_LaDe_]I-1ugej:e*_ OR-9 7 tn)
12 -14-9 3 746-94 33
70545 72*-_27-93 344-2487
- \443J s-30-g5 *-,-6-86-.Q?0s
E_
L-
- oFFlcE I
LAND USE: -
(U
U
i tlA
FLOOD PLAIN: .-OUAD ANFA
ZONING CODt::
# OF BDRMS
RANGE:WATER ]-IEAT[R:
-
SECONDARY }]EAT:
SOUAFIE FOOIAGE:
I OF UNITS;
CONSTR. TYPE
HEAT SOURCE:
/ ofr EJLIf(is _ ki,
oCCY CROUP: ! t
* OF STO[iIE:J:
To request a,t inspection, you must call 726-3769. Thls ls a24hour recording. All inspections requested before 7:o0 a.m. will bc
made the sante workirrg day, lnspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
ffi''u-'otarY Elecrric
w
M
Site lnspection - To be made
af ter excavation, but Prior to
settin0 lorms.
Underslab Plunrbing/ Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavatcd.
Masonry - Steel location, bond
l.lcarr rs, r;routittg.
Foundation - After forms are
erecte(l br.rt priclr to concrete
placcrncrr t.
Underground Plumbing - Prior
to filling trenctr.
Underf loor Plumbing/ Mechanical
- Irrior to insulatiorr or decking.
Post and Beam - Prior to floor
insulation or decking.
Floor lnsulation - Prior to
decki ng.
Sanitary Sewer - Prior to filling
trench.
Stonn Sewer - Prior to lilling
trenoh.
Water Line - Prior to lillirrq
lrench.
Rough Plumbirrg - Prior to
covcr.
Rough Mechanical - Prior to
cover.
Rough Electrical - Prior to
cover.
Eleclrical Service - Must be
approved to obtain permanent
electrlcal power.
Fireplace - Prior to facing
materials antl framing lnsP.
Drywall - Prior to taping.
Stove - After installation.
lnserl - After flreplace aPProval
and installation of unit.
Curbcut & Approach - After
fornts are (] rected but Prior to
placement of concrete.
Sidewalk & DrivewaY - After
excavation is conlplete, forms
and sub-base rrlaterial in Place.
Slroet Trees - When all requirecl
trees are plarrtted.
Final Plumbing - Whcn all
pluntbing worl< is cornplete.
Final Eleclrical - When all
electrical work is cotng;lete.
nal Mechanical - Wlrcn all
mechanical work is cornpletc.
Final Building - Whon all
required inspectiot'ts lt:tve beetr
approved and building is
completed.
tr
tr
x
E
tr
H
tr
w
Y
Other
-
l$ttu-tng - l'rior lo cover'
lrl,zwall/Ceiling lnsulation - Prior toL;*cover.
tr
tr Wood
*.a-rc QAq_a,\a.-nrr--
tr
tr
tr
W
W
F
tr
MOBILE HOME INSPECTIONS
Blocking and Set-Up - Wherr all
blocking is complete.
Plunrbing Connections - Wlten
home has been connected to
water and sewer.
Final - After all requirc'd
inspections are approvecl and
porches, skirting, clecl<s, and
venting have l-)eett installecl.
E
tl Electrical Connection - When
blocking, set-up, and plt.rrrtbing
inspections have been approvecl
and the home is connected to
the service panel.
tl
l--l Fence - Wlten cornoleted'r
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total height
Lot Type
9 lnterior
Corner
-
Panhandle
-
Cul'de-sactr
Sctbacks
PL.HSE GAR
N
S
E
ACC
ro THE PROPOSED WORK lN THE
}JISTOFIICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? ---lf yes, lhis application must be signed
ancl approved by tllo Historical
CoorrJinator prior to permit issuance.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grarrted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by tlrc City of Springfield, inclurling the
Development Corie, regulating the conslruction and use of
buildings, and rrtay be suspended or revoked at any tirne
upon violation of any provisions of said ordirrances'
Pran check roe, 41y'- ,fut<
t/t#'PI dBv
Date Paid
Ileceipt Nutlber: .
Boceivcrl
VALUE
CT)
(A)
BUILDING PERMIT
Total Value
tStril<ling Permit Fce
State Surcharge
Total Fee
SO. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
Systems Development Charge is due on all trndevcloped
properties within the City lirnils wl-riclr are beirrg itnprovecl'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) \Q i- tt"
ADDITIONAL COMMENTS
/z t?<aozz
422/7
t%_,_ ce;4ez
ft?J, ,*bzsE --,Fa
/S TD &E
ITEM
Fix t u res
ResicJential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
&lk1p
FT.
FT.
b
(c)
NN
FT.
PLUMB!NG PERMIT
Plumbing Permit
Statc Surcharge
Total Charge
Fu rnace
Exhaust Hood
Vent Fan
Wood Stove/lnse
Dryer Vent
MECHANICAL PERMIT
(D)
&
3
OO
37soa
I
No
{)-:)
/ Fireplace Unit
Mechanical Permit
lssu ance
State Surcharge
Total Permit
By signature, I state atrd agree, that I have caref ully examined
the completed application and do hereby certity that all
information hereon is true and correct, and I f trrther certify
that any ancl all work performed shall be done in accordance
with the Ordinances of the City of Springf iel<J, arrd the Laws
of the State of Oregon pcrtaining to the worl< described
herein, and that NO OCCUPANCY will be tnarle of any
structure without pertrtission of the Building Safr-'ty Division'
I further certify that only contractors and cmployees who
are in compliance witlr ORS 701.055 will be used on this
proiect.
I f urther agree to ensure that all required inspections are
requested at the proper tinre, that each address is readable
from the street, that the pcrmit card is locateci at the f ronl
of the property, anc.l the approved set of plans will remain
on the site at I ti
Z:B-.Signature
Date
ctior-tduring
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
sidewark V8' ,,/-tnt
curbcut .1112- tt
Dernolition
State Surcharge
Total Miscellaneous Permits (E)
VALIDATION:
RECEIPT NUMBER
DATE PAID --:I
I
DAMOUNT REC
RECEIVED BY
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
/af 4-s,t2oa-a0Tft?s
#'fi//4
CITY OF OREGO'V
The {ollowing Prr,
zcning' and ocei
apProval.
Authorieect Sigr
SPRtN:.-.ELO
225 PTYHB SMBBf,
SPRTNGPTBLD, ORBGoN 97477
INSPBCtrION REOUBST: 726-3
OPPICR: 726-3759
vD8--BLB TRICAL PERHIT APPLICATION
t68,*i!]tkz Clty Job Number
d----e
1 OF
Permits are non-transferable and expireif vork is not started vithln 180 daysof issuance or lf vork ls suspended for
180 days.
2. CONIR,ACTOR TNSTALI^ATION ONLY
COHPLETE FEE SCEEDTILE BBLOIT
Nev Residential-Single or
MuIti-FamiIy per dvelling unit.
Service Included:Items Cost
A
tON
D 1000 sq.ft. or }ess
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular DweIIing
Service or Feeder
_L
A
s 8s.00
$ 1s.00
$ 40.00
Sum
e5
3)
Blectrical Contractor
Address 153 S'. G6
Services or Feeders
fnstallation, Alterations
or Relocation:
SIJBTOTAL OP ABOVE
5f State Surcharge
TOTAL
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
0ver 1000 amps/volts
Reconnect 0nly
Temporary Services or Feeders
Installatlon, Alteratlon or Relocation
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps
-
$ 80.00
0ver 600 amps or 1000 voT[s see I'Brr a56IE-
-Each installation
Pump or irrigation $
sign/outline Lighting- $
t,iili ted Energy/Res l $
, €le,.V
B
t^f,$ s0.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00
Ci ty o( phone ?"i4't t t"5-
Supe
.l'1Y.1Y
rvisor Liteirsi Number 3S tl s
Explration Date ?-'lr
constr con tr. NumberS?vl'L3.
Expi ration Date .?-?q
Slgnature of ing Electrician
€.{
Address
cl Phone la
OgNER
Sflo
The. installatlon is being made on
piop.tty f own vhich is not intended
for sale, Iease or rent.
Ovners Signature:
c.
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit $ 35.00
Each Addl tional
Circuit or vith Service
or Feeder Permit $ 2.00
B. Miscellaneous (Service/feeder not included)
s
(
00
00
00
40
40
20
.00-
r*\r)
DATE:
5
36
RBCEIVBD