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Home My WebLink AboutPermit Building 1991-08-28SP]lI]{GFIELE' BLOCK: aft, LOI TAX LOT: SUBDIVISION JOB NUMBER ASSESSORS MAP: LOCATION OF RESID ENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726-3759 225 Fifth Street Spri ngfield, Oregon 97 477 PHONE: ZIP:STATE: OWNE CITY: ADD ADDITI DEMOLISH HER DESCRIBE WOR NEW - FIEMODEL CONST. ACTOR #EXPI RESNME PHONE t#l-{otrtCONTRACTOR MECHANICAL ELECTRICAL: G EN ERAL: PLUMBING I RANGE: * OF BDRMS: _ OFFICE USE _ LAND USE:FLOOD PLAIN WATER HEATER: * OF UNITS:ZONING CODE: SECONDARY HEAT: SQUARE FOOTAGE: QUAD AREA: # OF BLDGS OCCY GROUP: * OF STOFIIES: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS f__l Temporary Electricll Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Sile lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to 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. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated. al Building - When all Fireplace - Prior to facing materials and framing lnsp. quired inspections have been Masonry - Steel location, bond beams, grouting. approved and building is completed. Framing - Prior to cover. Other Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulalion - Prior to cover. Underground Plumbing - Prior to filling trench.| - Prior to taping. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and installation of unit. 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 Connections - When home has been connected to water and sewer. 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. Slorm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prior to filling trench. Fence - When completed Rough Plumbing - Prior to cover. Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. r E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks , THE PROPOSED WORK IN 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: VALUE ds3 a'J.3, Cg(A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. 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 Reviewed By Date Receipt Numbe Plan Check Fee 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 Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) FT. FT. FT. PLUMBING PERM!T Plumbing Permit State Surcharge Total Charge No ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have carefully 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 wlth 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 will be used on this project. I f urther 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 of the property, and the approved set of plans will remain constru tion. Signatu Date on the site at all times duri 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, q D, and E Combined) IRECEIPT NU ER DATE VALIDATION AMOUNT RECEIVE RECEIVED BY P.L.HSE GAR ACC N S E Main Garage Carport .<303 o.44.cra1<-, FD-i o o TO: FROI,1: SUBJECT: Building Department Springfield Fjre Department Structura'l Damage to Building FIRE DA}4A.GE REPORT OR ELECTRICAL HAZARD tok *^ qttoo> DATE: o7- to-7 / 4/A 33 )+Address or jocation of building [2o Name of owner Type of building 9^*rll; Es t'imated va I ue of bui 1 di ng Est'imated loss to buildino (Dwd1ing, Sfore, I,Jarehouse, etc. ) ooo 2. a, 5 ./o -ooo Ji octo f j-oro Date of fire D N-1.0-1 / Locatr'on of damage in building )1*J-^- (Rcof, i,Jal l, Exterior, Interior, etc. ) Structural weakness as a result of the fire (3urned raf ters, Beams, ")oisis, etc. ) Adciitional pertinent jnformation Electrical Hazard v {-zl-<t u- (l,ii ri rg , 0utl ets , etc . ) cc: " u\) 0 S 'iq ned S NGFI[:L[, 225 FIFTE STREET SPRINGFIEI-D, OREGON 97 477 INSPECTION REQUESTT 726-3769 OFFICE: 726-3759 1 LOCATION OTslc EI".BCTRICAL PERHIT APPLICATION City Job Number ?tt ooa 3. COHPI..STB FEE SCEEDUI,E BELOV A. Nev Residential-Single or MuIti-FamiIy per dvelling unit. Service Included: Items Cost m -l g 8s.oo ?S ocl s 1s.00 ,fl*t=HD JoB DEsc*r..ro* -b^l '1i3", Pro / 5vc- C.h" M!^4o{qryPermits are non-transferable and-expireif vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COI|TRACf,OR INSTALI,ATION ONLY Electrical Contrac ,o, pt ip', 7 [or. ., IJGAL DESCRIPTIONlrm3)'Jq ^ csooo Address 3tlO W ll il/\)q) Ci ty Qu^Phone 1L+Z- l3S3 srp"ruiro, ?r""nr" Number 7 qpos Expiration Date F 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder Services or Feeders fnstallation, Alterations or Relocation: 200 amps or less ! 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect 0n1y One Circui t Each Additional Circuit or vith Service or Feeder Permit Sum B $ 40.00 $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 3s.00 $ 2.00 Temporary Services or Feeders Installation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per Panel 200 amps or less S 40.00 0ver 401 to 600 amps _ $ 80.00 0ver 600 amps or 1000 volts see rrBrr above Blectrician Owners Name Address Ci ty id- aOA(O Phone u t-l OIINER INSTALI^ATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE: RECEIEI *: c Constr Contr. Number Expiration Date 2e8q e lqq{ E. Miscellaneous (Service/feeder not included) -Each installation Ptrmp or irrigation Sign/0utIine Lighting- Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL $ 40.00 s 40.00 $ 20.00 $ 36.00 RECEIVED