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