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Home My WebLink AboutPermit Building 1993-11-04SP]rIIr\lGFIELE,3LRESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726'3759 LO CATION OF PROPOSED WORK: ASSESSORS MAP n bt/ JOB NUMBER 225 Fif th Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION \ PHONE: ZIPSTATE: OWNEB: ADDRESS:. CITY: )) TION -_- DEMOLISH OTHER DESCRIBE WORK: NEW-".- REMODEL AD ELECTRICAL: PHONEEXPIHESADDRESSNAME\ MECHANICAL: CONTR CONST. CONTRACTOR # GENERAL: PLUMBING I, OF BDRMS WATER HEATER:RANGE:() V€-2 ZONING CODE: FLOOD PLAIN _ OFFICE US SECONDARY HEAT: SQUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: Y OF STORIES: QUAD AREA: # OF BLDGS To request an inspection, you must call 726-376g. This is a24hour recording. All inspections requested before 7:00 a'm' will be made the same working day, inspections requested atler 7:oo a.m' will be made the following work day' REQUIRED INSPECTIONS Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete. Site lnspection - To be made af ter 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. Eteclrical Service - Must be approved to obtain Permanent electrical power. Final Mechanical - When all mechanical work is comPlete. Footing - After trenches are - excavated.Fireplace - Prior to facing materials and f ramin0 lnsP. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover Other Foundation - After forms are erected but Prior to concrete placement. Wall/Cailing lnsulation - Prior to COVET, Underground Plumbing - Prior to filling trench. MOBILE HOME INSPECTIONS Underlloor Plumbing / Mechanical - Prior to insulation or decking.Wood Stove - After installation Posl and Beam - Prior to floor insulation or decking.lnserl - After firePlace aPProval and installation of unit. Blocking and Set'UP - When all blocking is comPlete. Floor lnsulation - Prior to decki ng. Plumbing Connections - When Curbcut & Approach - A{ter forrns are erected but Prior to placement of concrete. ome has been connected to water and sewer. Sanitary Sewer - Prior to f illing t ren c ll.ectrical Connection - When Sidewalk & DrivewaY - After excavation is comPlete, forms and sub-base material in Place. locking, set-up, and plumbing Storm Sewer - Prior to filling trench. inspections have been aPProved and the home is connected to the service panel. Water Line - Prior to filling trench. Fence - When comPleted Final - After all required inspections are approved and Street Trees - When all required trees are planted. hes, skirting, decks, andRough Plumbing - Prior to cover.venting have been installed t@ i ) f-l Temporary Electric ll tl tl E E E tl tl fl Drywall - Prior to lapin0. ll r tl E E tf tl E tl r E tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks PL,I]SE GAFI N J E ACC ro THE PROPOSED WORK lN THE HISTORICAL DISTRICT, OR ON THE HISTOFIICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pernrit is granted on the express condilion that the said construction shall, in all respects, conform to the Ordinance adopted lry the City of Springfield, including the Developrrent Code, regulating the construction and use of buildinqs, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Receipt Number: DatePlans Reviewed By Plan Check Fee Date Paid Flcceived By: BUILDING PERMIT ITEM SQ. FT. Main Garage VALUE (A) X $/SO. FT. Carport Total Value Building Permit Fee State Surcharge Total Fee Systenrs Development Charge ls due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE N0 FT. FT. FT. (c) Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mechanical Permit lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan By signature, lstate and agree, that I have caref ully examined the completed application and do hereby certify that all information lrereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinanct:s of the City of Springfield, and the Laws of the Statc of Oregon pertainlng to the work described herein, and tlrat NO OCCUPANCY will be made of any structure witlrout 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 1tr cnsure that all required inspcctions are requested at the proper time, that each address is readable from the street, that the permit card is located at the f ront of the property, and the approved set of plans will remain Signatu all timesruring construction //r,/L Ton the site at Date //- L/ - 73 MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -- ft Curbcut .. ft Demolition State Surcharge Total Miscellaneous Permits (E) N i=(,.r:j VALIDATION RECE,IPT NUM DAIE PAID AMOUNT RECEI RECEIVED BY TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) I HIeg) JOB Permits are non-transferabl-e and expire if vork is not started vithin 1B0 days of issuance or if uork is suspended for 180 days. 2. CONTRACTOR INSTA].T.6'TION ONLY Electrical Contrac'r-or Address ci Phone Supervisor License Number 1 "0K,ry[';1 -N'hHsI\ e Expiration Date constr contr. N Expiration Date Signa of Supervising Electrician 5I'FIINGFIELE) ETJCTRICAL PERHIT APPLICATION Ci ty Job Nunber Q3r lolof 3. COHPI,ETE FEE SCffiDULE BBLOS "--\A*- Nev Residential-Single or" 'i+ulti-Family per dvelling unit. Service fncluded: I tems Cos t i000 -sq.ft. or less '.Each addi tional 500 sq. ft or portion thereof Each Hanuf 'd Horne cr HoduLar Dvelling Ser"'i. ce or Feeder s 8s. c0 ( ]s nn9 tr. vv 225 PrYIH STREET i] .n SPRTNGFTELD, OREGON g74irl 1 INSPECTI0N REQUESTz 726-3769 0PFICB: 726-3759 PY -(d-#2-- Sum ON ) B. Services or Feeders \s tal-Lation, Alterations Cff-* ReLocation: s 40.00 s so.0o s 60.00 s100. 00 si30.00 s300. 00 s 40.00 tu C 200 amps or less 201 amps to 400 amps -401 amps to 600 amPs _ 601 amps to 1000 amps_ 0ver 1000 amps/vo1ts Reconnect 0n1y Temporary Services or Feeders Installation, Alteration or Relocationumber),<^ 200 amps or less S 201 amps to 400 amps - $ over 4b1 to 6oo amps - S Over 600 amps or 1000-G-ITs se 60ve 40.00 55.00 80.00 g ttBtt a 0vners , Address Ci ty Phone OVNER ON The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: D. Branch Circui ts Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Addi tional Circuit or vith Service or Feeder Permi t $ 2.00 B. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0ut1ine Lighting_ Limited Energy/Res Limi. ted Energy/Comm SIETOTAL OP ABOVE 5X State Surcharge TOTA.L tTl1",{il t 7 4 4 L J $ $ S 0.00 0. 00 0. 00 {}, 5 DATE:,,| RECBIVED B