HomeMy WebLinkAboutPermit Building 1997-10-29I]tGFIELE,
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759 efr,
JOB NUMBER
225 Fifth Street
Sprlngtleld, Oregon 97477
&LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
-
BLOCK:
TAX LOT
SUBDIVISION
PHON E:
OQ
_F4/ ?as-/ y'6o
STATE:CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WOFIK:
PLUMBTNG: T, A, )elqnAA
ADDRESS EXPIRES .f PHONECONTRACTOR'S NAME
GENEBAL:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR '
RANGE:
# OF BDBMS
- OFFICE USE -
LAND USE:
ZONING CODE:
WATER HEATEB:
r OF UNITS:
SECONDARY HEAT:
SQUARE. FOOTAGE:
QUAD AREA:
* OF BLDGS:
FLOOD PLAIN:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a24 hour recordlng. All lnspectlons requested before 7:00 a.m. will be
made the same worklng day, lnspections reguested after 7:00 a.m. wlll be made the following work day.
REOUIRED INSPECTIONS
Temporary Electric [--l Rough Mechanlcal - Prior toU cover.
[Vl Rough Electrica! - Prlor to
)Al cover.
| [ Flnal Plumblng
94plumblng work - When all
is complete.
Slte lnspecllon - To be made
after excavation, but prior to
settlng forms.7 Flnal Electrlcal - When all
electrlcal work is complete.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.
Etectrical Service - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
E
E
E
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
tr Flnal Bulldlng - When all
required lnspectlons have been
approved and bullding is
completed.Masonry - Steel locatlon, bond
beams, groutlng.w
tr
tr
E
Framlng - Prlor to cover.
OtherFoundatlon - After forms are
erected but prlor to concrete
placemont.WalllCelling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.Drywall - Prlor to taplng.
MOBILE HOME INSPECTIONSZ
a
w
Underlloor Plumblng /Ilteehanleal-
- Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallation
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklnO ls complete.
Floor lnsulallon - Prior to
decking.Curbcul & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to filling
trench.Eleclrical Connection - When
blocklng, set-up, and plumblng
lnspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to fllling
trench.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trench.
Fence - When coinpleted.
(itreel Trees - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.A Rough Plumblng - Prlor to
cover.
rT'r ,,tr le,Yt n *t Cl YV ztP, q TyYg
fl
E
E
E
tl
,.,i
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typ.
-
lnterior
_- Corner
-
Panhandle I
-
Cul-de-sac
i ts THE PROPOSED WORK tN THE .
HISTORICAL DISTRIST, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcailon must be slgnedand approved by the Hlstorlcal
Coordinator prlor to permit lssuance.
APPROVED:
PL.HSE GAR ACC'
N
S
E
VALUE
/2"
ZBP-
3,(3 f z,oc
??(A)
(?
BUILDING PERMIT
f6.aa _ 72 52
SO. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
'.4
X $/SQ. FT.
Thls permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, includlng theDevelopment Code, regulating the construction and use ofbulldings, and may be suspended or revoked at any tlmeupon violation of any provisions of said ordinances.
Plans ewed By
p,!(t z
BUILDI
AND B UILDING PERMTT
LAN CHECKNGLUE,
Plan Check Fee:
Date Paid:
Received
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln the City limlts which are being improved.
ITEM
Fixtures
Resldentiat Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
N.
z? ?/,'o lz ?"
FEE
4oP'
FT.
FT.
FT.
(c)
z Lo
Plumblng Permlt
state surcharge
Total Charge
ADDITIONAL COMMENTS
6 I
Wood Stove/ lnsert/ Flreplace Un it
Dryer Vent
?.O(D)
2/N )<@. t Va/o oo
N0
,7tt,y'S /,zo
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby cerilfy that all
lnformatlon 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
hereln, and that NO OCCUPANCy wlll be made of any
structure wlthout perrnission of the Bullding Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 wlll be used on thlsproiect.
I further agree to ensure that all required lnspections are
requested at the proper tlme, that each address is readable
from the street, that the permlt card ls located at the lront
of the property, and the approved set of ptans will remaln
on the site at all times during constructlon.
l^-Slgnature
Date lq^L1-1-
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
--
ft
Demolitlon
State Surcharge
Total Miscellaneous Permits (E)
42f ^1"-'
TOTAL AMOUNT DUE (exctuding etectrica r, /'S)-jZ(A,B,qQandECombtned)
BECEIPT N
DATE PAID
AMOUNT R
RECEIVED
7
7
VALIDATION
UMBER
ECEIVED
BY
Fleceipt Number:_
-3*
,+"1 krr- ,<b pLt ; * ll i
OFEGO'VCITY OF SPR
INSPECf, ION REOI'EST il NY r€OryfP PERIOD.OFFICE: 726-3759
1. LOCATION OF INSTALI,.ATION 4-2Jn ,?7 /. ,-b"/
Sl8nature of Supervising Electrician
A .,2.-/-7 ,/ "-
NOTICE;
Tiil8 PERlr4lT SHALL EXptRE tF THE WORK
Ai"ITHORIZED UNDEB THIS PERMIT IS NOT
OR IS ABANDONED FOR
H
S' GFTELO
Services or Feeders
Installation, Alterationsor Relocation:
EI.,ECTRICAL PERI{IT APPLICATTON
city Job Nu.mber ql]503
(
22,5
SPRINGFIELD,
o
JOB
ed./4&/(t
Permits are non-transferabLe and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI.ATTON ONLY
Eleetrical Contraetor Able EleCtriC
Address 5511 MAIN
clty SPRINGFIELL Phone_llQ=1QlQ1[
Supervisor Lieense Number 30235
Expiration Date l1t1ltgry
Constr Contr. Number 92506
Expiration Date 7116198
3. COHPI,ETE FEE SCEEDUI,E BELOII
A Nev Residential-Single or
!4u1ti-Family per dvelling unit-
Service Inc1uded:
Items Cost
1000 so . f t. or lessf/)/t1/Y^.6 addi tional 500
sq. ft or portion
thereof
Each Hanuf'd Home- or
-Hodular Dvelling
Service or Feeder
$ 85.00
s 1s.00
s 40.00
$ 40.00
$ ss.00i ao.oo
OT6Its see rrB, aEiTE-
Sum
I
200 amps or less ,/
201 amps to 4qg amps :-
401 amps to 600 amps
-
601 amps to 1000 amps-
0ver 1000 amps/volts
-_Reconneet Only
ss0
$60
s100
sr30
s300sa0
f ,,,r_q
-
00
00
00
00
00
00
C. Temporary Services or Feeders.Insfallation, Alteration or Relocarion
Ovners Name /n l/L
Address V76F F Rrrarr- /1D"
Ci ty ,-/orrnfioi Cl %hon 7l? 6 {F6
OTTUER INSTALI,ATION
The lnstallation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent.
0vners Siguature:
DATE:
200 amps'"or less
201 amps to 400 amps
Over 401 to 500 amp.s
Over 600 amps or 100
D. Branch Circuits
E
New, Alteration or Extension Per Pane1
One Cireuit S 35.00
Each Additional
Circuit or vith Serviceor Feeder permi t I S z.o0 fa:
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
lignl0u tline Li.ghrine-
Limi ted Energy/Res
Limi ted Energy/Comrn
$ 40.00
s 40.00
$ 20.00
s 36.00
5. SUBTOTAL OF ABOVE
52 State Surcharge
32 Administretive Fee
TOTALXECETUED
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