HomeMy WebLinkAboutPermit Building 1998-09-27\
I RESTDENflALI PERMIT APPLICATION
s
JOB NUMBER
225 Fif th Street
Sprl ngfleld, Oregon 97 477
TAX LOI
SUBDIVISION:
--
LO
LOCATION OF PROPO D
ASSESSORS MAP:
LOT BLOCK:
OWNER:
ADDR
CITY:STATE:
PHONE:
ztP
OTHERADDITION DEMOLISH
DESCRIBE WORK:
NEW- REMO
NAME ADDRESS EXPIRES n PHONE
MECHANICAL:
ELECTRICAL:
PLUMBING:
GENERAL:
CONT CONST.
CONTRACTOR #
HEAT USO
NGRA E:
- oFFtcE usE -
# OF BDRMS
WATER HEATER:
FLOOD PLAIN
SECONDARY HEAT-
SQUARF. FOOTAGE
LAND USE:
* OF UNITS:
QUAD AREA:
* OF BLDGS:
OCCY GROUP:
* OF STORIES:
ZONING CODE: _
To request an lnspectlon, you must call 726-3769. Thls is a 24 h tions requested before 7:00 a.m. will be
llowing work day.made the same worklng day, lnspections requested af ter 7:00 a.m
REQUIRED INSPECTI
l-l Temporary Etectric
t___J PI um b lng Wh en a
mbi ng wo rl<is com pl ete.
Slte lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
Rough Eleclrica! - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrical Service - Must be
approved to obtain permanent
electrlcal power.
Final Mechanical - When all
mechanical work is complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and lraming lnsp.
l-r] Final Building - When ailI"5 required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Foundallon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celting lnsulatlon - Prlor to
cover.
Underground Plumbing - Prior
to fllling trench.ffi DrVwalt - Prlor to taping
Underlloor Plumblng / Mechanlcal
- Prior to lnsulatlon or decklng.
MOBILE HOME INSPE TIONS
Wood Stove - After lnstallation
Post and Beam - Prior to floor
insulation or decking.lnsert - After flreplace approvsl
and lnstallatlon of unlt.
Blocking and Sel.Up - When all
blocking ls cornplete.
Floor tnsulatlon - Prlor to
decking.Curbcut & AJrproaclr - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
trome has been connected to
water and sewer.
Sanitary Sewer - Prior to filllng
trench.Eleclrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base malerial in place.
Water Llne - Prlor to filling
trench.
Fence - When ccijlpleted
Rough Plumbing - Prior to
cover.
Street Trees - When all requlred
trees are planted.
Final - After all required
inspections are approved andporches, sklrting, decks, and
ventlng have been lnstalled.
flht
lnspections: 726.3769
0tfice:726-3759
CONSTR.
[-l Rough Mechanical - Prior toL--J cover.
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IS THE
H ISTORICAL DISTRI CT, OR ON
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T HE HISTOBIGAL REGIST ER?
ll Yes , this aPPlication must be signed
and approved bY the Historical
Coordinator Prlor to permit issuance'
APPBOVED:
tb
Lot faces
Lot sq. ttg'
Lot coverage
ToPograPhY
Total height
Lot TYt -
-
lnterior
-
Corner
-
Panhandle
.- Cul-de-sac
BUILDING PERMIT
(A)
*
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SQ. FT. X $/SQ. FT.
This pernrit 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.
Plan Check Fee: '_-_
Plans Fleviewed By Date
Fleceipt Numbe
KECHNcLAGLUUBINLDE,
ILD GN EP MR ITDANUBI
Date Paid:
Beceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tl.re City limits which are being improved.
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sgwer
Water
Storm Sewer
Mobile Home
FEE
(c)
FT.
FT.
N1
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accorrJance
with the Ordinanccs of the City of Springfield, and the Laws
of the State of Oregon perlaining to the work described
herein, and that NO OCCUPANCy will be made of any
structure without perrnission of the Buildirrg Safety Division.
I further certify that only contractors and enrployees who
are in compliance with OFIS 70.1.055 will be used on this
proiect.
I further 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 ls located at the front
ure
RECEIPT NUMB R
d n
t
VALIDATION
DATE PAID
AMOUNT RECEIVE
RECEIVED BY
set of plans will remaln
constructlon.on site at
the aof the property,
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
--
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (exctuding electricat)
(A, B, C, Q and E Combined)
NoVent Fan
(D)
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Mechanical Permit
lssuance
State Surcharge
Total Permit
}{SE
VALUE.-
\LUC0
Z
]\q5
SPrrINGFIGLO
followin
zoning, and
g projec{
doee notapproval.
mt-Lg-91
Auttbdzod
1
Permlts are non-transferable explre
lf vork ls not started vlthl days
of lssuance or lf vork ls sus pendeil for
180 daYs
2. COTIIBAC;IOR INSTALI.ATION ONLY
225 FI.rT,fr STREBf,
ipniNcrrslD, oREGoN 97477
nlCrscf,rox nrousst z 726-3
OFPICE: 726-3759
The Installatloir ts belng made on
DroDerty I ovn vhich i! i"t intended
H;:;it,'"1tttt or rent'
ther
City Job N
COHPLETE TEE SCffiDIIl;E BBLOS
m
PERHIT
unber
Electrlcal Contractor BINNS ELECTRIC CO.
Address 2IO WALLIS ST. #C
ct EUCENE Phone 68 7 -1362
Supervlsor Llcense Number
Explratlon Date t0/01198
Constr Cont r. Number 73762
Expiration Date 06t06/98
Slgna of trlcian
,
pvners Nqme
Address
C1 Phone
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or Portlon
thereof
Each Hanuf'd Home or
Hodular Dvelling
Servlce or Feeder
$ 8s.00
$ 1s.00
$ 40.00
Services or Feeders
InstaIIation, Alterations
or Relocation:
200 amps or less $ s0.00
201 amP s to 400 amPs $ 60.00
401 amPs to 600 amPs $100.00
601 a to 1000 amPs 130.00
300.00
A
B.
mps
10004,*,0ver
connect
./4
D.
E.
Nev Resldent
Hultl-Fam1IY
al-Single or
per dvelling unit.
/voIts
mporary Services or'Feeders
Ins taIla t ion,Alteratlon or ReIo ca t ion
amps or legs $ 40.00
55.00
$
$T $ 4o.oo fr.
$
$
.20.00
36.00
amps
0nIy
Sum
!
amps to 400 amPs
80.00401
600 amps or
to 600 amDS
1000 volt 's see rrBn a566
Ci rcui ts
atlon oi Extenslon Per Panel
0ne i(s 35.00
Bach Addi tional
Ci rcu 1t or vith Service $ 2.00or Feeder Perml t
not included)
40.oo
40.00-irI
iffi';tB';iHlYb"
TOTAL,
,cl TY OF
DATE:
5.
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