HomeMy WebLinkAboutPermit Building 1993-08-02SP'TINGFIELI)
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Of{ice: 726'3759
LO CATION OF PROPOS
ASSESSORS MAP:
LOT:
JOB NUMBER,- _
225 Fifth Street
Spring f i d Oregon 97477+
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TAX LOT:
L]LOCK SUBDIVISION
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ADDR
CI'TY:
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OIIIEI]ADDITION DEMOLISH
DESCRIBE WORI(
NEW
-
REMODEL
EXI'}llll:Si P}IONEADDIlESS
PLUMBING
CONTRACTOR'S NAME
GENERAL: --
CONS'T.
CONTRACIOIl //
FLOOD PLAIN: --/IZONING CODE: \--.
Y OF BDRMS:
SECONDARY }iEAT:
SQUARE FOOTAGE:
-o FFICE USE _
, OF UNITS
CONSTR. TYPE
WATEFI HEATER:
Y OF STORIES:
RANGE:
OCCY GROUP: .-
LAND USE:
HEAT SOURCE:
-- - -
OUAD AREA:
# OF BLDGS
To request an inspection, you must call 726-3769. This is a 24 hour recortling. All inspoctions requesled l;efore 7:oo a.m. will be
rnade the same working day, lnspections requested aftcr 7:00 a.nr. will be trtadc tl-re f<;llowing work d;-ty.
REQUIRED INSPECTIONS
I-l Temporary Electric
II
Rough Meclratrical - [rrior lt-:
cover.
I I Finlrl Plutrtbirrl.l - Wltcrr rtllt --J plurrrbing work is <;otrrplolc.
Sile lnspectiotr - To bc rnade
af ter excavation, but Prior tcr
setting fortns.
Rough Electrical - Ptiot ttr I I Flrral Eloctrical - Wlrctr :tlll--J electrical work is (;orrlpleto.COVCT
Underslab Plumbing / Electrical /
Mechanical - Prior to cover.
Eleclrical Service - Must be
approved to obtain Perrnanent
electrical power.
Final Meclranical - Wlten all
mechanical work is c<-rrnplcte.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and {raming lnsP.
Final Building - Wtterr all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beatns, grouting.Framing - Pri<tr to covel
Other
--
--.Foundation - After forms are
erected but prior to concrete
placement.Wall/Ceilirrg lttsulatiorr - l)riot to
cover.
Underground Plunrbing - Prior
to filling trench.[-l DrVwall - Prior to t;r1rinil
MOBILE HOME INSPESTIONS
Undarlloor Plurnbing / Mechanical
- Prior to insulation or decking.Wood Slove - AItr:r itr:rt;rll;rlir,rt
Post and Beam - Prlor to floor
insulation or dccl<itrg.lnserl - Aftcr firr:1lla(lc ;ll)l,l{)v,rl
ar-rd inst:rll;rtion of unit.P Blockirrq; alrd Sel.Up - Wltctt all
lrlor;l<irttl i:; r:otttlrlltr'.
Floor lnsulation - Prior to
decki ng.Curbcut & APProacl't - Af lor
fortns are erecled l.>ttt lltitrt ltr
placement of conctcle.
k-l-plumbino Connecliorrs - wlrenlYllro-o lra-s becn connecte(l to
| *urc, arr<J scwer.
Sanitary Sewer - Prior to filling
trench.Electrical Cotrnecliotr - Wlrcn
Sidewalk & DrivewaY - Af Ir:r
excavalion is contplcte, fottrl-';
and sub-b:rse nratcrial itl ;rl;rt:r:
ocking, sct-up, and lrlutnbing
Slorm Sewer * Prior to filling
trench.
inspections lrave br:en approved
and the hornc is connected l<-r
the service panel.
Waler Line - Prior to filling
trench.
Fence - Wtten colrtPlet{-'cl
Street Trees - When all rr-'cltrircd
trees are planted.
lVG.Drt - After all required
7 inspectlons are approved an<l/ porches, skirling. clecks, and
venting have been installed.Rough Plumbing - Prior to
cover.
s]Al-1,:
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MECHANICAL:
-
ELECTRICAL:
-
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Lot faces
Lot sq. ftg.
Lot coverage
'krpograplty
Total helght
Lot Typc
- ltttr:rirtr
Corrtrlr
['t.tttlt;ttttllt.r
,. C u l-cle.-s;-rc
Setbacks
GARP.L.
N
THE PFIOPOSED WORK IN THE
I.{ISTORICAL DISTRICT, ON ON
THE HISTORICA,L REGISTER?
-,-.lf yes, this application must be signed
ancl approvccl by t he H is torlcal
Coorrlirrator prior to l)ermit issuance.
APPROVED:E
HSE NCC
BUILDING VALUE, PLAN CHECK
AN D BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to tlte Ordinance
adopted by the City of Springfield, int:luding 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 said ordinances.
Plarrs Reviewed By Date
Plan Check Fee
Date Paid
Fleceipt Nurnber:
Received By
VALUE
(A)
x $/so. r'T.
Total Value
Building Permit Fee
Stale Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Systems Developmer'rt Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(R)
ADDITIONAL COMMENTS
I-EE
(c)
sc
:
NOResidcntial Bath(s)
Sanitary Sewer
Water
'Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fixtu res
FT.
Wood Stove/ lnsert/ Fireplacc Llt.tit
Dryer Vent
MECHANICAL PERMIT
(D)
Mcclranical Pcrtttit
I s suance
Slat(,) :lrrrcll.rIUc
Total Permit
Furnace
Exhaust Hood
Vent Fan N0
By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther ccrtify
that any arrd all work performec, shall be done in accordance
with the Ordinances of the City of Springf ield, and the Laws
of the State of Orcgon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without J.lcrmission of the Building Safety Division.
I further certify that only contractors and employees who
are ln compliance wittt ORS 701.055 will be used on this
proiect.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permlt card is located at the front
of the property, and tlre approved set of plarrs will remain
during construction.2t/t
t-z- 73
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk --=-- ft
Curbcul --- ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
ocI
<-i
E
RECEIVED
AMOUNT
DATE PAID
VALIDATION:
RECEIPT NU
TOTAL AMOUNT DUE (excludlng electrical)
(A, B, C, D, and E Cornbined)
FT.
!' r.
re
site at all.timestr"/
:atltllt'r{:[:tii t l I
DEVELOPMENT SERVICES DEPARTMENT
Department of Motor Vehicles
1250 North 18th Street- Springfield, 0regon 97477
RE: Repair of Mobile Home
This letter is vritten to confirm that the mobile home, listed as Iicense number
X-AVA69 vill be repair:ed at 725 North 28th Street, Springf ield,
6iego-fr1-T-unilelstand-that you need a building permit number in order to issue a
trip permit to transport the unit, hovever, the home vill not be set up at the
before mentioned location, therefore, ve cannot issue a set up permit at this
t ime.
If you lrave any questions, please feel free to phone me at 726-3790.
Sincerely,
/FaR /,4ry
sa Hopper
Building Services Representative
h,2:25 F tf: ft I 57 /?E[ I
SPRINGFIELD, OR 97477
(50s) 726 3753
FAX (50s) 726-s689
Permits are non-tran
if vork is not start
+
ble and expire
Llrill IOV UorJ
TION OI{LY
SPCINGFIELO
201 amps
Over 401
Over 600
SUBTOTAL OP ABOYE
5E State Surcharge
TOTAI
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR IN
@tu
rlnCi{.rcat PERHIT APPLICATION
City Job Nunber
COHPI..ETE FEE SCMDULE BBLOS
A. Nev tial-SingIe or
Hulti-Family per dvelling unit.
Service fncluded:
f tems Cos t
1000 sq.ft. or Less
'.Each additionaL 500
sq. ft or por:ion
t hereof
Each l'{anuf 'd lcne cr
Hodular Dvelling
Service or Feeder
s 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/vo1ts
Reconnect 0niy
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
to 400 amps
cl-ru
€ts
land
has
225 FIFTE STREET
SPRTNGFTELD, OREGoN 97477
INSPECTION REQIIEST: 726'3769
OFPICB: 726-3759
1 OP IN ON
Sum
l,
EIec t
Add re
rl. c Co rac t or
Ci ty Phone
Supervisor License Number
C\\)
Expiration Date
L-
(
c
50. 00
60. 00
100.00
130. 00
300. 00
40.00
(
s
S
s
$
$
00$ 40.
$ ss.
$ 80.
seg tt
00
00
00
00
40.
44.
20.
36.
$
s
$
)
-)J
Constr Contr. N
Expiration Date,
umber
Signa ture of Supervising Blectrician
Owner
Address
Ci ty Phone
ON
The installation is being made on
property f ovn vhich is not intended
for sa1e, lease or rent.
Orrners Signature:
DATE:
D. Branch Cireui ts
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit $ 2.00
E. HisceLlaneous (Service/feeder not inclrrded)
to 600 amps
amps or 1000 volTs
00
00
B" a56TE-
-Each installation
Pump or i5rigation
Sign/Out1ine Ligh ting-
Limi ted Energy/Res
Limited Energy/Comm
5
i7
RECBIYED
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