HomeMy WebLinkAboutPermit Building 1991-05-10P LE'
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED RK:
ASSESSORS MAP:
LOT:
JOB NUMBER
225 Fifth Street
Spri ngf ield, Oregon 97 477
TAX LOT:
BLOCK:SUBDIVISION
STATE:ZIP
ADDR
CITY;
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW- REMODEL
EXPI RES PHONEESSCONTRACTOR'S NAM
ELECTRICAL:
CONST.
CONT
MECHANICAL:
GENERAL:
PLUMBING
\
I
A-- OFFICE USE -
* OF BDRMS:
RANGE:
ZONING CODE:
FLOOD PLAIN:
* OF UNITS:
LAND USE:
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOUFICE:
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Eleclric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after 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.
Electrical 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 framing lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.
Foundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.l--l Drywall - Prior to taping
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation
Post and Beam - Prior to floor
insulation or decking.
locking and Set-Up - When all
lnsert - After fireplace approval
and installation of unit.
blocking is complete.
Floor lnsulation - Prior to
decking.
umbing Connections - When
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
home has been connected to
water and sewer.
Sanitary Sewer - Prior to f illing
trench.ectrical Conneclion - When
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Water Line - Prior to filling
trench.
Fence - When completed
Rough Plumbing - Prior to
cover.
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
qlC4Lo{
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I
WATER HEATER:
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E
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E
E
tl
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r
Other
-
tl
E
E
E
r
#
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
PL.HSE GAR ACC
N
S
E
rS THE PROPOSED WORK lN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
X S/SO. FI.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
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, including 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.
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
,(c)
FEE
N0
FT.
FT.
FT.
PLUMBING PERM!T
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rn ace
Exhaust Hood 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 and all work performed shall be done in accordance
with the Ordinances of the City of Springf ield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without 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 to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
Signatu
Date /7 ?/
on the site at all ti s during
Lfuu 1v)
struction.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
DATE PAID
AMOUNT RECEIVE
RECEIVED
VALIDATION:
RECEIPT NUMBER
225 I?IET'H SI'RBET
SPBJNGFTELD, oREGoN 97 477
INSPECTI0N REQUESTi 726-3769
0PPICE: 72.6-3759
1 OP
I,EGAL
JOB
Exp
Signature of Supervislng Electrician
D
ress
Ci ty Phone
OI'NER INSTALI"ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
sS
RECEI t:
5Prill{GFTELO
ELECTRICAL PERHIT APPLICATIOI{
City Job Nunber_-
COHP[ATE FEE SCEEDUI,E BELOS
Nev Residential-Sing1e or
Multi-Family per dvelling unlt.
Service Included:Items Cost
3
A
Sum
Permits are non-transferable and expireif vork ls not started '":lthin L80 daysof lssuance or if vork ls suspended for
i80 days.
2. COT{TR,ACTOR INSTALI^ATION ONLY
Electrical Contractor
A.ddress
Cl ty Phone
Supervisor License Nurnber
Expiration Date
Constr Contr. Number
iration Date
1500 sq.ft. or less
Each additlonal 500
sq. ft or portion
thereof
Eaah Manrr f f rl l{nma nr
Hodular Dwelling
Service or Feeder
$ 8s.00
$ 1s.00
--L $3s.oo'SS,
$300.
$ :s.
B Services or Feeders (1.0 Branch Circuits
ineluded). Insta1lation, Alterations
or Relocation:
STETOTAL OT ABOVE5I State Surcharge
TOTAL
00
00
00
00
00
00
$ gs.
$ oo.
$ go.
$130.
C Temporary Services or Feeders
Installation, Alteration or Reloeation
200 amps or less $ 35.00
Over 40L to 600 amps $ 80.00
Over 600 amps or 1000 volts see uBn a56IE-
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Tvo to ten Circuits
Each AddtrI ten orportion thereof $ 1s.00
Hiscellaneous (Service/feeder not inclu<ied)
-Each installation
Pump or irrigation $ 36.00
Sign/outline Lighting- $ 36.00
Signal Circuit or
Iimited energy panel $ 36.00
$ 3s.00
$ 50.00
5
PSCEIYED BY:
ture:
u)
q\rArl
100 amps or less
101 amps to 400 amps
-401 amps to 600 amps _601 amps to L000 amps_
0ver 1000 amps/vo1ts
Reconnect 0n1y