The URL can be used to link to this page

Home My WebLink AboutPermit Building 1996-02-07RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726-3759 SP'lINGFIELD E JOB NUMBER 225 Fifth Street Springfleld, Oregon 97477 I LOCATION OF PROPOSED WOHK:tb z N .i7b ASSESSORS MAP:TAX LOT 3/oL LOT:- BLOCK:SUBDIVISION: -- \, STATE: PHON E:7q7-/26 s*78 o R ZIP:77 {z{t 6L N.t CITY: ADDRESS: OWNER: NEW - REMODEL X ADDITION DEMOLISH OTHER - DESCRIBE WORK: 3-707&r'* MECHANICAL: lz-I 6 86 8.f3P CONTRACTOR'S NAME GENERAL: PLUMBING: ELECTFIICAL: ADDRESS o7S EXPIRES CONST. CONTRACTOR #PHONE ,.r-.s-o - OFFICE USE - WATER HEATER:RANGE: OUAD AREA: # OF BLDGS SECONDARY HEAT: SOUARE FOOTAGE: LAND USE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: # OF UNITS: =- To requ made t [-_l Temporary Etectric Slte lnspection - To be madeafter excavation, but prior tosettlng forms. Underslab Plumbing/ Electrical /Mechanlcal - Prior to cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prlor to concrete placement. Underlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decking. [-l Post and Beam - prior to ftoor.J insulation or decklng. Floor lnsulatlon - Prior to decking. Sanilary Sewer - prior to filling trench. Slorm Sewer - Prior to filling trench. [--l Water Llne - prtor to fiiling - trench. X" Rough Mechanlcal - prlor to cover. Rough Electrical - Prior to cover. Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. ( l{ Flnal Ptumblng - When ailTSlumblng work ls complete. p Flnat Electrlcal - When alt flelectrical work is complete. lest an lnspectlon, you must call 726'3769. Thls ls a24hour recordlng. All lnspections requested before 7;00 a.m. will behe sanle worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS M Final Mechanical - When allmechanical work ls complete. l-l Flreplace - Prtor to factng - materlals and framlng lnsp. p ""ng - Prlor to cover' ffifinat Buitding - When ailzflrequired lnspectlons have been-approved and building is completed. tl l'Jflil:;11.:fl#.''"trns - Prior ffi o,r*",r - prror to tapins Rough Plumbing - Prior to cover. Wall/Celling lnsutatlon - prlor to cover. Wood Stove - After lnstallatlon. Sidewalk & Driveway - After excavation is complete, forms and sub-base malerial in place. Fence - When completed Street Trees - When all requlred trees are planted. Other MOBILE HOME INSPE TIONS Final - After all requiredlnspectlons are approved andporches, sklrting, decks, andventlng have been installed. lnserl - After flreplace approvql and lnstallatlon of unlt. [-_l Blocking and Set.Up - When ail - blocklng ls complete. Curbcut & Agrproaclr - After'forms are erected but prior toplacemcnt of concrete. Eleclrical Connection - Whenblocking, set-up, and plumbing lnspections have been approvedand the home is connected tothe servlce panel. o/"{,'f , FLOOD PLAIN:_.---.-_- ZONING CODE: , OF BDRMS: -_ tl E r Plumbing Connections - Whenhome has been connected towater and sewer. 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 Plan Check Fee: Data Paid Receipt Number Received By furs phra@i 4re,a,- Total Value Building Permit Fee State surcharge .? f f r/f Total Fee (A) VALUE ,Yy'/D, AaZ- 1by BUILDING PERMIT oo SO. FT. X $/SO. FT.ITEM Main Garage Carport /.zo Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDTTIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE ,7fr,4J'/6.h .4, " (c) ofie N0 FT. 1\o PLUMBING PERMIT Plumbing Permlt State Surcharge Total Charge Wood Stove/ lnsert/ Flreplace Unit (D) N0Vent Fan Dryer Vent Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood MISCELLANEOUS PERMITS Mobile Home State lssuance Stato Surcharge Sidewalk - ft Curbcut - ft Demolition State SurchaQe TOTAL AMOUNT DUE (excludiig electrical) (A, B, C, Q and E Comblned) sz-e Lot faces Lot sq. ftg, Lgt coverage Topography Total helght Lot Type "- - lnterior - Corner - Panhandle - Cul-de-sac P.L.HSE GAR ACC N S E i-tS THr-'JROPOSED WORK IN THE HISTORICAL DISTBICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be signed and approved bY the Historical Coordinator prior to permit issuance. APPROVED: By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certify that all lnformation hereon is true and correct, and I f urther certi(y that any and all work performed shall be done in accordance wlth the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure wlthout permission of the Builditrg Safety Divislon. I further certify that only contractors and employees who are ln compliance with OFIS 701.055 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 of the property, and the approved set of plans will remain on the site at all times durin const ruction. Slgnatu re Date z-7-'l{ VALI DATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVED o? RECEIVED BY FT. . FT. Total Miscellaneous Permits (E) OREGO'VCITY OF SPF SPrlINGFIELO C following Prcriect as ii,g, andtoeo not roqu suh Permits are non-transferab if vork is not started vit of issuance or if vork is 180 days. 2. COI{TRACTOR INSTALIATION ONLY Electrical Contractor (^ Address 9N A pno"" 6 81 ?o ?'? *pu"iti" land ue€ ELECTRICAL PERHIT APPLICATION Ci ty Job Nunber 3. COHPI,ETE TEE SCffiDtILE BELOS A Nev Residential-Single or MuIti-FamilY Per dvelling unit' Service Included: I tems Cos t s 8s.001000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home- or Modular Dwelling Sertice or Feeder $ 1s.00 $ 40.00 B. Services or Feeders InstalIation, Alterations or Relocation: s130.00 s300.00s 40.00 c Over 40L to 600 amPs Over 600 amPs or 1000 -6rfs see ttBt' aEove 200 amps or less 201 amps to 400 amPs -40J. amps to 600 amPs - 601 amps to 1000 amPs- Over 1000 amPs/volts - Reconnect OnIY TemporarY Services or Feeders fnstallaiion, Alteration or Relocation 200 amps''or Less ioi "*i" to 400 amPs - 225 FIFTB STREEI SPRTNGFTELD, OREGbN 97 477 INSPECTION REQUESTz 726' oFrics' 726-3759' approval' Zoning- LD ,*" 9')-1b #g','o'n',* o o Ie and expire hin 180 daYs suspended for 1 Ci ON OF INST ON A T,EGAL Sum DESCRIPTION $ so.oo s 60.00 s100.00 Supervisor License Number 3 t/{' 6Expiration Date Constr Contr. Number \ 4'l Expiration Date { Signature of rvising EIect Ovners Name Address Branch Circuits Nev, Alteration or Extension Per Panel i one circuit t_- s 35.00 25jo Each Additional Circuit or vith Service or Feeder p"r*it"-' =- $ 2.oo @P Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0ut1ine Lighting- Limited EnergY/Res - Limited EnergY/Comm SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL 1 $ 40.00 $ ss.00 $ 80.00 D city-Ph""" 7/7474f OVNER INSTALLATION The installation is being made on E piop"tty I ovn vhich is not intended for sa1e, lease or rent' Ouners Signature: $ 40.00 $ 40.00 $ 20.00 s 36.00 DATE: RECEIVED BY: 5 I