HomeMy WebLinkAboutPermit Building 1992-11-23IELE,
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42'ffFRESTDENTIAL V,
PERM'T APPLICATION
lnspections: 726'3765
Oflice: 726-3759
LocArroN oF PRoPosED woBK: -2 /tr +
JOB NUMBER
225 Fllth Street
Sprlngfleld, Oregon 97 477
TAX LOT / Tzro
ASSESSORS MAP:/2 '2 7-*/
LOT: =--- BLOCK:SUBDIVISION:
PHONE:
ZIP:STATE:C-)
F
OWNER:
ADDRESS:
CITY:
FIEMODEL ADDITION DEMOLISH OTHER
\/'<
DESCFIIBE WORK:
NEW
EXPIRES PHONEADDFIESS?
o ),J Y\ € v-
lUc ,}Jts
PLUMBING: ,t).(-/
ELECTRICAL:
MECHANICAL:
CONTRACTOR'S NAME
GENERAL:
CONST.
CONTRACTOR #
\
\\\ \
_ OFFICE USE -
'f OF BDRMS
WATER HEATER:RANGE:
/ OF UNITS:
LAND USE:
ZONING CODE:
FLOOD PLAINQUAD AR
* OF RLDGS:
SECONDARY HEAT
SOUARE FOOTAGE:
CONSTR. TYPE:
FIEAT SOURCE:
OCCY GROUP:
# OF STORIES
To request an lnspecilon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspobtlons requested before 7;00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED TNSPECTIONS
[l femporary Electric [--l nough Mechanlcal - Prior toU cover.
Ii7 Rouoh Electrical - Prlor toJA{ "orj.
f---l Flnal PlumblngtJ plumblng work - When all
ls complete.
Site lnspectlon - Ttr be madt:
after excavation, but Prior lo
setting fotnts.
E.Flnal Electrlcal - When all
electrical wor]< ls comPlete.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Etectrical Servlce - Must be
approved to obtain Permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
B Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsP.
X.Flnal Bitlldlng - When all
requlred lnspectlons have been
approved and bullding ls
completed,rl Masonry - Steel locatlon, boncl
beams, grouting.
X tt',.'ng - Prlor to cover'
OtherXFoundatlon - After forrns are
erected but prlor to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to fllling trench.l-_l Drywall - Prlor to taPlng.
MOBILE HOME INSPECITIONS
Underlloor Plumblng/ Mechanical
- Prior to lnsulatlon or deckinq.Wood Stove - After lnstallatlon.
Post and Beam - Prlor to floor
insulatlon or decking.lnserl - After flrePlace aPProval
and lnstallatlon of unlt.
Blocklng and Set-Up - When all
blocklng ls complete.
Floor lnsulation - Prior to
decking.Curbcut & Approach - After
forms are erected but Prior to
placement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Electrlcal Connection - When
blocklng, set-up, and plumbing
inspectlons have been approved
and the home ls connected to
the servlce panel,
Final - After all requlred
lnspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
Sanltary Sewer - Prior to filling
trench.
Storm Sewer - Prlor to filling
trench.
Sidewalk & Driveway - After
excavatlon ls complete, forms
and sub-base materlal in Place.
Wator Llne - Prlor to filllng
trenoh.
Fence - When completed.
Slrest Trees - When all requlred
tl
Rough Plumbing -cover.
rto
trees are planted
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S THE PROPOSED WORK IN THE
I-IISTORICAL DISTRICI, OR ON
I'HE HISTORICAL FIEGISTEFI? -----
lf yes, this appllcatlon must be signed
and approvecJ bY the Historical
Cor:rdinator prlor to pelmit issuance.
APPFIOVED
HSE GAR ACC
N
S
E
<zaw
Set
TopographY
Total height
Lot Type
-
lnterior
--
Cdrner
Lot faces
Lot sq. ftg.
Lot coverage
zX- Panhandle
-
Cul-de-sac
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granlecJ on the express condiliorr that the said
construction shall, in all respects, conform to the Ordinance
adopted by thr: City of Springfleld, lncluding the
Development Corie. rellulatin-t1 the constructiorr and ttse of
buildirrgs, and rrray be suspended or revol<ed at any time
upon violation of any provisions of said ordinances.
Pran check Fee: /g.e-
Date Paid: //€€2-
-
i:viewed By ,'-ufuft2P
Receipt Nutnbet:,.
Received
VALUE
///o-
(A)
ZZ c/
X $/SQ. FT,
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Systems Develo;trncnt Charge ls clue on all undeveloped
propertles wilhin tlrt: City limits whicl.r are belng improved.SYSTEMS DEVELOPMENT C EG D(s
ADDITTONAL COMMENTS
Datl|1fu"
ITEM
Flxtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
Furnace
Exhaust Hood
Vent Fan
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 anrl all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngf ield, and the Laws
of the State of Oregon pertaining to the work described
herein, anci that NO OCCUPANCY will be made of any
structure without prermission of the Building Safety Division'
I {urther certlfy tlrat only contractors and employees who
are ln compliance witll ORS 701.055 will be used on this
proiect.
I f urtlrer agree to eI)sure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permlt card ls located at the front
atu
-)the slte at I tirnes d n
set of plans wilof tl.re propertY, and the aP
struction.
ll remain
4
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
--
ft
Curbcut _-- ft
Demolition
State Surcharge
Total Miscellaneous Permlts (E)
AMOUNT RECEIVED
RECEIVED E}Y _ --__,
3
a
DATE PAID
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D and E Combined)z>
P.L.
50
I :t cb7
'/.25 ljll''Tll :;TRl':lil:
sPruNGFIl':LI), Oltl':(:ol't 97 47'l
INSPlfgl'ION REQUIIS'I: 7?'6-3
0[PICE: 7')-6-)751)
1 0r
or
cJ ION f)
Pcrnrits arc non-transferable and cxplre
It vork is not started vlthln 180 days
o( lssuance or it vork ls suspen<led for
180 days.
2. Coln'R^cf,oR INST
Iilcctrical Contract
ALIJ\TION ONLY
Add r:ess
Ci ty I'holre
Supe rv i.so Li cense Ndnrbcr
lixpi ra t i on Da tc
Con:;tr Contr. Number
Iixpiration Date
Signa re of pcrvis Elect ri cian
Ouners Natne
Arld rcss
cir f lrone
0uN S'I'ALI.NTION
Tlre installation is being made on
propcrty I ovn vhiclr is not intendcd
for sale, Icase or rent.
Ovncrs Slgnaturc:
LD f,RLBGTRICAL PIIIIHIT APPLICATION
City Job Numbcr
SCTIEDULII DP,LOU
Nev Resitlen t lal-Single or
HuItl-PamiIY Per duelling unit'
Service Incltrded:Items Cost
1000 sq.ft. or less
Each additlonal 500
sq. ft or Portlon
tlrcreof
Each Manuf 'd llome or
Hodular DueIIing
Servlce or Feeder
$ Bs.oo
$ 1s.00
$ 40.00
B.
200 amps or less
201 amps to 400 amps
-
Author
't 69
ON
A
Sum
)
lvs
Servlces or Feeders
InstaIIatlon, Alteratlons or
Rclocatlon:
:
2oo amps or ress I S 10.99 -50
601 amps to 1000 amPs- $tl!.99
over lboo amps/voltl
-
$3oo.oo
Temporary Servlces or Feeders
Installatlon, Alteratlon or Relocation
.00
.00
.00
One Cl.rcui t
Eaclr Addi t ional
Circui t or vi th Servicer-,
or Feeder Permi t .- a
C
s
$
$
40
55
D
0ver /r01 to 600 amps
0ver 600 amps or 1000
BO-6'ffS see rrBl a 6ove
Dranch Circui ts
Nev, Alteratlon or Extension Per Panel
$ 3s.00
s 2.oo ((
E. l'liscellaneous (Service/feeder not included)
-Each installation
Plrmp or irrigation $
Sign/outline Lighting- S
Limi ted Energy/Res - S
40.00
40.00
20.00
36.00
SI'IITOTAL OP ADOVB
5I State Surcltarge
TOTAI.
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I'T
vt:t) llY
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