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HomeMy WebLinkAboutPermit Building 1994-09-20SPR!NGFIELc)q4RESID ENTIAL PERMIT APPLICATION lnspectlons: 726-3769 Office: 726-3759 LOCATION OF PROPOS WO ASSESSORS MAP: LOT - BLOCK: \S JOB NUMBER 225 Fifth Street Sprl ng f leld, Oregon 97 477 TAX LOT SUBDIVISION OWN ADDR CITY:STATE: PHONE: ZIP I ADDITION DEMOLISH OTHER DESCRIBE WOR NEW- REMODEL MECHANICAL: ELECTBICAL: ADDRESS CONST. CONTBACTOR #EXPIRES PHONE PLUMBING: GENERAL: CONT BANGE: - OFFICE USE - LAND USE: WATER HEATER: ZONING CODE: FLOOD PLAIN: r OF UNITS: QUAD AREA: r OF BLDGS: SECONDARY HEAT: SQUAFIE FOOTAGE: # OF BDBMS: ..OCCY GROUP: * OF STORIEST CONSTR. TYPEI HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS Temporary Electrlc Rough Mechanlcal - Prlor to cover.[-_l Pinal PlumbingtJ plumblng work - When all ls complete. tl Slte lnspectlon - To be made after excavatlon, but prlor to settlng forms. Rough Electrical - Prior to r-l Flnat Electricat - r^,hen alllJ electrical work is complete.scover. tl Underslab Plumblng/ Electrlcal / Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Final Mechanlcal - When all mechanlcal work ls complete. Foollng - After trenches are excavated.l-l Flreplace - Prlor to faclng - materlals and framlng lnsp. Final Bulldlng - When atl requlred lnspectlons have been approved and building ls completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prlor to cover, Foundatlon - After forms are erected but prlor to concrete placement.WalllCeltlng lnsulatlon - Prlor to cover. Underground Plumblng - Prior to fllllng trench.[-l Orywall - Prlor to taplng MOBILE HOME INSPE TIONSUnderlloor Plumblng / Mechanlcal - Prlor to lnsulatlon or decklng.Wood Stove - After lnstallation. Post and Beam - Prlor to floor lnsulatlon or decklng.lnserl - After flreplace approval and lnstallatlon of unlt. Blocklng and Set.Up - When ail blocklng ls complete. Floor lnsulatlon - Prlor to decklng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanltary Sewer - Prlor to fllllng trench.Electrical Connection - When blocking, set-up, and plurDbing lnspections have been approved and the home is connected to the servlce panel. Slorm Sewer - Prlor to filllng trench. Sidewalk & Driveway - After excavation ls complete, forms and sub-base materlal ln place. Water Lln€ - Prlor to filllng trench. Fence - When completed nal - After all required Street Trees - When all required trees are planted. inspectlons are approved andporches, skirting, decks, andventlng have been installed, Rough Plumbing - Prior to cover. E E E E E E tl fl tl Other -w P tl tl E E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac Setbacks , THE PROPOSED WORK TN THE - HISTORICAL OISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgnedand approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: PL,HSE GAR ACC N S E VALUE (A) X S/SO. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. tv!ain Galage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMTT 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, includlng 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 sald ordinances. Plan Check Fee: _ Plans Reviewed By Date Beceipt Numbe Date Paid: Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties wlthin the City limits which are being improved. ITEM Fixturest Besldentiai Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home N0 .-75*.45 FEE FT, FT. (c) PLUMBING PERMIT Plumbing Permit State. Surcharge Total Charge ADDITIONAL COMMENTS MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan No Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) Mechanical Permit lssuahce State Surcharge Tota, Permit By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformatlon hereon is true and correct, and I f urther cerilfy that any and all work performed shall be done in accordance with the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertaining to the work descrlbed herein, and that NO OCCUPANCy wlll be made of any structure wlthout permission of the Buildlng Safety Divislon. I further certlfy that only contractors and employees who are ln compllance with ORS 7Oj.O5S wlll be used on thls proiect. I further agree to ensure that all required lnspections are requested at the proper ilme, that each address ls readable from the street, that the permit card ls located at the front of the property, and the approved set of plans will remaln on at all times during construction. Slgnr Date MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) G) \5 asaqo .i \5 TOTAL AMOUNT DUE (exctuding electricat) (A, B, C, Q and E Combined) VALIDATION: RECEIPT NU DATE PAID AMOUNT BECE RECEIVED BY I ,- i,,Itii ; FT- t-.oo C'TY OF OREGO'V SPCIIt{GILD 225 FIFTB STREET SPRTNGPIELD, oRBGoN 97477 I H,i"J':Jll % 3t??$' iilX'?$::'i[iJ *ooto'u'uon'* , !tD& 'ELECTRICAL PERHIT APPLICATION City Job Number SCEEDUIJ BELOS Nev Residential-Sing1e or Multi-Family per dwelling unit. Service Included: I tems Cos t s Bs.oo h INSPECTI0N REOUEST z 726-37 69 q.A rLTorrrcgt 726:4759 ir'rr i lr" 1t '''-''' 1 LOCATION OP INST DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days 2. COMTRACTOR INSTALLATION ONLY ON# tfrl-f:cC rlttA,u €l rr\i A 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Hanuf'd Home or Hodular DweIIing Servlce or Feeder B. Services or Feeders Install-ation, Alterat ions ,rg,rr, qfnl. Reloca t i on : C 200 amps o 201 amps t 0ver 401 t Over 600 a Sum s 1s.00 t- S 40.00 4r?o Electrical Contractor Address Ci ty Phone 3qq- Supervi sor Li een:e Number llq ) S Expiration Date Constr Co nrr. Number glOlOO Expiration Date Signature of Su rvlsing Electrician 0vners Name 200 amps or less 201 amps to 400 amps -401 amps to 600 amps 60L amps to 1000 amps_ Over 1000 amps/voIts Reconnect Only Temporary Services or Feeders InstaIIation, Alteration or Relocation s s0.00 $ 60.00 s100.00 $130.00 $300.00 s 40.00 r less $ 40.00 o 4oo amps - $ 55.00 _o 6oo amps - $ 8o.oo mps or rbOO voTts see rrBrr aEoIt ,D. Branch Ci rcui ts Nev, Alteration or Extension Per PaneI One Ci rcui t Each Addi t ional Ci rcui t or wi th Servi ce or Feeder Permi t s 3s.00 $ 2.00 Address Ci ty Phone -(,^ l:: OTINER INSTALLATION The installation is being made on property I oun vhich is not intended for sale, lease or ren[. 0vners Signature: DATE: Hiscellaneous (Service/feeder -Each installation Sign/OutIine Lighting S Limi ted Energy/Res - $ Limi ted Energy/Comm S E not 40. 40, 20. 35. included) 00 00 00 00 SUBTOTAL OP ABOVE 5f State Sureharge .TCIf*ts )?tr*btl,ttt hn24P4b RBCBIVED 5 zo LEGAL DESCRIPTION/7fZ zrnt^ C,'AaE: Mo Ir las-i