HomeMy WebLinkAboutPermit Building 1998-09-11SPrlINGFIELDRESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
?|tr 7f..,O8 NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
/0 7f s <?d s/
ASSESSORS MAP:/frcLod 1r TAX LOT:o 7?0a
LOT:BLOCK:SUBDIVISION:
To request an lnspectlon, you must call 726-3769. Thls ls a24nour recordlng. All lnspecilons requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the following work day.
REOU IRED INSPECTIONS
Temporary Electrlc h Mechanlcal - Prlor to - When all
ls complete.r.
Slte lnspectlon - To be made
after excavatlon, but prior to
setting forms.
h Eleclrlcal - Prlor to
Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flreptace - Prlor to faclng
Iraterlals and framing lnsp.
Framlng - Prlor to cover.
Foundallon - After forms are
erected but prlor to concrete
placement.t/Celling lnsulatlon - Prlor to
Underground Plumblng - Prlor
i
ffiwall - Prlor to taplnglng trench
oor Plumblng/ Mechanlcal
or to lnsulatlon or decking.Wood Stovo - Afler lnstallatlon.
and Beam - Prior to floor
on or decklng lnserl - After flreplace approval
and lnstallatlon of unlt.
tnsulallon - Prior to
ng.Curbcut & AJrproach - After
forms are erected but prior to
placemcnt of concrete.Sanltary Sewer - Prior to filling
trench.
Slreel Trees - When all requlred
trees are planted.
Line - Prlor to filling
Fln Buildlng - tlihen all
uired lnspectlons have been
approved and building is
completed.
MOBILE HOME TNSPE TIONS
Blocking and Set.Up - When ailblocklng ls complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Eleclrical Connection - Whenblocking, set-up, and plumbing
lnspections have been approved
and the home is connected tothe servlce panel.
Final - After all required
inspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled.
)Firtal Electrlca! - When ail
Clectrlcal work ls complete.
U
Masonry - Steel locatlon, bond
beams, groutlng.
Slorm Sewer - Prior to fllling
trench.
F Mechanlcal - When all
echanical work ls complete.
E
PHONE:
ZIP:77 tt 73
a;OWNER:a/eA 6-7-73'7q
STATE: O+
ADDRESS:
CITY:
5 o,t/ ,fnlO07f s 3
NEW- REMODEL ADDITION DEMOLISH OTHER
,loU ^ sa/e /1 t c/-yrtlDESCRIBE WORK:
ADDRESS
tf
EXPIRES a PHONEhl,ultt
CONTRACTOR'S NAME
GENERAL:
PLUMBINGT
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
Water
Plumblng - Prior to
ng
I--l Underslab Ptumbing/ Etectrical /|J Mechanlcal - Prior to cover. I I
l-l Footlng - After trenches are|J excavated.tl
tl E Other
-_
E
E
[--l Siaewalk & Driveway - After,J excavation ls complete, forms
and sub.base malerial in place.
[-l Fence - When coitlpleted.ll
;1
rl ,
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
IS THE PROPOSED WORK TN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERMIT
VALUE
l lltt,,
ffi.sa
(A)
SO. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
;,t
X $/SQ. FT.
q, g ) l,&)4ir)
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 tlme
upon violation of any provisions of said ordinances.
?, /r'7ePlans Reviewed By
,2 ?r
Date
sL.z ,
t).
E,P
PER
BUILDING VALU LAN CHECK
AND BUILDING MIT
Date Paid
Receipt Number:
Plan Check Fee;
*'ff
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City linrits which are being improved,
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)i t.w
."L c)
N'
FT.
FT.
FT.
i,?
PLUMBING PERMIT
Plumbing Permlt
State Surcharge
Total Charge
_ao
ADDITIONAL COMMENTS
Note:
Building Inspector may require
additional plans information,
and/or fees for the completion of
this project.
b,JEZEctrz,
MECHANICAL PERMIT
Furnace
Exhaust Hood
vent Fan No L
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
t,0,
3.0 0
/{ our
(D)
7r
0.0t)
Mechanical Permit
lssuance
State Surcharge
Total Permit 26' z-'t
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby cerflfy that all
lnformation hereon is true and correct, and I f urther cerflfy
that any and all work performed shall be done in accordance
with the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Bullding Safety Divislon.
I further certify that only contractors and employees who
are in compliance with OFIS 701.055 will be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from tlre street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
on the site at all times durlng constructlon.
Date (
Slgnature
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolition
Total Miscellaneous Fermits (E)
N
T*4,State Surcha rge
rlz33
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
0
T f
2.
BECEIVED BY
VALIDATION
AMOUNT RECEIVED
RECEIPT NUMBEF
DATE PAIi')
6f
By:
{o
CITY OF OBEGO'V
FIELO
225 FIFTE SIREET
SPRTNGFTEID, OREGoN 974
,Jgp
CAL PERHIT APPLICATTON
bNunber qq\\35
L000 sq.ft. or less t
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
-IRE lF lhdWOnxDveIIing
s ornr,iiirb'fi5^or Feeder
-
INSPECTION REQTIEST:
OFFICE: 726-3759
1
Permi ts non- t rans fe
if vork is not started
of issuance or if vork
180 days.
726-3769
od'
City Jo
3. COHPI.ETE FEE SCffiDTILE BELOV
A Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
1 s 8s.00
s 1s.00
s 40.00
s s0.00
s 60.00
$100. 00
s130.00
$ 3s.00
s 2.00
Sum
@
ilOElgB expire
ft,lBHld$f;&"ffIfr,.*,
AUTHOHIZi:t UNDER THI
2.
Elec
Addr
Ci ty
Supe
Expi
Cons
cotrlBAcroR rNSrALr.afiflJWENpFD OR LS AitA
ANY liiq fiAy Ffi)i: :n__trical Contractor -\11.(o er(Fe I
iflrOlrEgryiges or Feeders
Inst-ailat ion, Alterations
or Relocation:
less
-L400 amps
600 amps
1000 amps
or
to
=
U
ration Date /9
tr Contr. Number a t2 .Cffirp1
Expiration Date i2.3 ?7
Signature of Supervising Electrician
Owners
Addr
cit Phone
ALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
ess oo
rvisor License Num
I n OA Rfsp;op L0a{,0 th ro u g hWo. Y6urmby eglain cop,es
law
the center. (Note: the te
D
/volt! S3oo.oos 40.00
Services or Feeders
ion, Alteration or Relocation
200 amps'"or less $ 40.00,oi il;" to 4oo amps
-
S ss.oo
over 4b1 to 600 ambs
-
$ 80.00
0ver 600 amps or fbOO vofts see uBu a66E-
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Servicg,
or Feeder Permit t)
E Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0utline Lighting-
Limited EnergY/Res
Limited EnergY/Comm
SUBTOTAL OF ABOVE
52 State Sureharge
3Z Administrative Fee
TOTAL
$
$
$
s
40.00
40.00
20.00
36.00
RECEIVBD
5
@
t