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HomeMy WebLinkAboutPermit Building 1992-11-23IELE, c1 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 ) '2 tl fl E tl tl tl E tl tl n d' 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. oiru: n[cnI rr l':(:l':I I'T vt:t) llY 5 \8 r\ t: L-I3: N)