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HomeMy WebLinkAboutPermit Building 1999-10-12RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: JoBNUMBER% 225 Fifth Street Sprlng(leld, Oregon 97477z t,' t TAX LOT SUBDIVISION: -LOT - BLOCK: STATE:ZIP: 7GPHONOWNER: ADDRESS: CITY: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: ADDRESSME EXPIRES ,..1 PHONECONTRACTOR'S ELECTRICAL: MECHANICA CONST. CONTRACTOR ', GENERAL: PLUMBING RANGE: E OF BDRMS: - OFFICE USE - LAND USE: WATEB HEATEFI: FLOOD PLAIN * OF UNITS: OUAD AREA: r OF BLDGS: SECONDARY HEAT SOUARF. FOOTAGE: OCCY GROUP: * OF STORIES: ZONING CODE: CONSTR. TYPE: HEAT SOURCE: To reguest an lnspectlon, you must call 726-3769, Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. will be made the same worklng day, lnspectlons requested after 7:OO a.m. wlll be macte the followlng work day. REQUIRED INSPECTIONS l--l Temporary Electrlc w Rough Mechanlcal - Prlor to cover. fll Flnal Plumblng - When ailt/4J plumblng worl< ls complete. fl Flnal Etectrlcal - When ail'# electrlcal work is complete. Slte lnspectlon - To lre mado after excavatlon, but prlor to setting forms.7 Rough Electrlcal - Prlclr to cover. Underslab Plumblngl Eleclrlcal / Mechanlcal - Prlor to cover.E Electrlcal Servlce - Must be approved to obtaln permanent electrloal power. [7 Fanal Mechanical - When ail ,H mechanlcal work ls complete. l-11 Flnal Buildlng - When ail# requlred lnspectlons have been' approved and bulldlng is completed. l-l Footlng - After trenches are|J excavated.Flreplace - Prlor to faclng materlals and framlng lnsp. Masonry - Steel locatlon, bond beams, groutlng.w W W tl E Framlng - Prlor to cover. Foundatton - After forms are erected but prlor to concrete placemont. Other Wall/Celllng lnsulatlon - Prlor to cover, l-l UnaergrounC Plumblng - PrlorlJ to fllllng trench.Drywall - Prlor to taplng, MOBILE HOME INSPE TIONSl-l Underlloor PlumQlnglMechanlcal Prlor to lnsulatlon or decklng.Wood Slovo - After lnstallation, Post and Bcam - Prlor to floer lnsulatlon or deoklng.lnsert - Alter flreplace approval and lnstallatlon ol unlt. Blocking and Set.Up - When all blocklng ls complete. Floor lnsulallon - Prlor to decklng.Curbcut & Approach - After forms are erected but prlor to placomont of concrete. Plumbing Connections - When home has been connected to water and sewer.E Sanitary Sewer - Prior to fllllng trench,Electrlcal Connectlon - When blocklng, set-up, and plumblng lnspectlons have been approved and the home is connected to the servlce panel. Slorm Sewer - Prlor to fllllng trench. Sidewalk & Drlveway - After excavatlon ls complete, forms and sub-base material in place. E w Water Llne - Prlor to filllng trench. Fence - When coinpleted. Rough Plumblng - Prlor to cover. ,Str€ol Trees - When all requlred trees are planted. Final - After all required lnspectlons are approved and porches, sklrting, decks, and ventlng have been lnstalled. .- ', EE Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type- - lnterior - Corner .- Panhandle ! - Cul-de-sac IS THE PROPOE ED WORK TN THE.' HrsToBlcAL DtsTRtc'r, oR oN THE HISTOR]CAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Historlcal Coordlnator prlbr to permit issuance. APP ED: ACC'P.L.HSE GAR N S E VALUE /@*P (A) FT. ntrr i .:38 _/?-% Total Value Building Permit Fee State Surcharge Total Fee *277 'ih x $/so. FT, BUILDING PER ITEM SO. Maln Garage Carport BUtLDlt\iG tAlUe, Fmru cHEcK AND BUILDING PERMIT Thls permlt is granted on the oxpress condltlon that the sald constructlon shall, ln all respects, conform to the Ordinance adopted by the City of Sprlngfleld, 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 said ordinances. Plans Reviewed By Date Receipt Nu Date Paid Received By: Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on all undeveloped properties withln the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home *7i2 FEEq (c) Nr FT. FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS By slgnature, I state and agree, that I have carefully examlned the completed appllcation and do hereby certify that all lnformation hereon is true ancl correct, and I further certlfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure wlthout permission of the Bullding Safety Divislon. I further certify that only contractors and employees who are in compllance wlth ORS 701.05S wlll be used on thls proiect. I further agree to ensure that all requlred lnspections are requested at the proper time, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln Date on the site at all times duri ng construction Slgnatu / 7)7y-J)'-* 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) /r.n? No (D)26,52 '/2 ,-',9:re MECHANICAL PERMIT Mechanical Permit lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Comblned)/EZ ,/2 ^/2 -99DATE PAID AMOUNT RECEIVED RECEIVED BY VAI.IDATION: RECEIPT NUMBER ?,n ara Permit #:??r ?7 t- Address 627 S fllil Issued by:Ur/Date:o f a ffi Fill in the appropriate blanks and initial boxes I and2, and either box 3,A' or 38 1. I own, reside in, or will reside in the completed structure. {. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3,A'. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. @ If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certiff that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. / of rr/q o applicant) (LVhite copy to issuing agency permil rtk, pink copy to applicant) OR 38. I will be my own general contractor X (Signature - (Date) 6( Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permtt. \ :;:1,)t:....i1 i,1 :'..ii, .r..r'...: r,, ..i,:!.,.-:. .,_.,.:. :r,r :.ir3:.i :r',1 :ii.'l':j-.,l::.:J.:]l...:'..'...]l.i:::].!!.l:.-.;i:..l....'|]9il::l.. 'j 1: ,:.: I i r".,... i * g'TY OF OREGON(, Ihe tollowing proiect as submitted has the following .zontng. and does not require specific land use LDR ELECTRICAL PERHIT APPLICATION 225 TIFTE STREET SPRINGFTEID, oREGoN INSPECf,ION REQIIEST: OFFICE: 726-3759 Ci ty Supervi so 180 ExP iration Dat Owners Name Address Ci tY OIINER INSTALLATION DATE: approval. Zoning 9*6 -17 r0 r) g? City Job Nurnber ?7r)?_f COHPTETE FEE SCMDUI,E BELOV 726-37694ulnorlzeo t'lgnalUre e #iaI T,EGAL DESCRTPTION 3 JOB 1000 sq .ft. or less ,.-9 Each add itional 500 ft or portion Permits are non -transferable and exPire ere of if vork is not sta rted vithin 180 daYs of issuance or if vork is susPended for Modular 'Dvelling Service or Feede r - $ 40'00 180 daYs. 1 ON OF INSTALLATTON 2. COMRACTOR INSTALI,ATION ONLY Electrical Contractor NOflCE: Address -Single or r dvelling unit. d:Items Cost Nev Resident MuI t i-Fami 1Y Service IncI pe ude Sum , ,,,0 in ers terat ions $ 8s.00 $ s0.00 s 60.00 $100. 00 $130.00 $300.00 $ 40.00 sq th cailil r8nii,l Services or Feed Installation, AI or Relocation: c. Constr Con Number Expi ra t 200 amps' 201 am 0ver 4 Si re of SuPervising Electrician Over 600 D. Branch Circuits 200 amps or less I 201 amps to 400 amPs - 401 amPs to 600 amPs - 601 amPs to 1000 amPs- Over 1000 amPs/volts - Reconnect onIY Temporary Services or Feeders -i;;l;ii;iionl art"ration or Rerocation 'or ress $ 19'99io aoo amPs -- $ tt'99io 6oo am-ps -T $ Bo'00 ;p;-;t-ibooEft" see 'rB't above -Each installation Pump or irrigation --Siqn/Outline Lighting- Liilited Energy/Res --Limited EnergY/Comm IFTHE PERIOD Phone ISNOT at-L . $ $ $ $ ,PS 01 Alo Nev, Alteration or Extension Per Panel One Circuit $ 35'00 Each Additional-Cii"uit or vith^Service-, ( ,..00 3or Feeder Permit -( ) z--- Miscellaneous (Service/feeder not included) oQ 3Y3:1ot3 The installation is being made on piop"tty I ovn vhiih is not intended ior-saIe, Iease or rent' Ovners Signature: E 5 40.00 40.00 20.00 'j'oo{t SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTALa RECEIVED , $ 1s.00 t1 .{ Home.,d iiticatiort S frU