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HomeMy WebLinkAboutPermit Building 1997-03-12RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 SPFlInrGFIELtr) Qfi, JoBNUMBEa@ 225 Fifth Strcet SpringflelcJ, Oregon 97477 LOCATToN oF PROPOSED WoRK: SAZ2_/>e ASSESSORS MAP: LOT: TAX LOT: BLOCK:SUBDIVISION: __ - PHONE: ?- / STATE ZIPCITY: ADDRESS OWNER REMODEL { ADDITION DEMOLIS}.I OTHER DESCRIBE WORt(: NEW -- ADDRESS EXPIIl ES PHON E 4tt- L:"t CONTFIACTOR'S NAME CONSI. CONTRACTOR, G ENERAL: PLUMBING MECHANICA ELECTRICAL: _ OFFICE USE _ r O[: BDRMS: WATER HEATER ZONING CODE: FLOOD I)LAINLAND USE: # OF UNITS SECONDANY HEAT: SOUANL:. FOOTNGE: CONSTN. TYPE HEAT SOURCE: RANGF.: OCCY GROUP: r OF STORIES: To request an inspection, you must call 726-3769. Thls ls a 24 hour rccorctlng. All inspections requestecl be[ore 7:00 a.rn, will bemade the sante worklng day, lnspections requested after 7:00 a.m. will be made the following worl< day. REQUIRED TNSPECTIONS i--l Temporary Electric m Rough Mochanlcat - prior to aZ::ienr 6.pnSite lnspection - To be madc after excavation, but prior tosetting forrns. Underslab Plumbing / Electrical/ Mechanical - Prior to cover. Footing - Af ter trenches are excavated. Masonry - Steel locatlon, bonct beams, groutlng. Foundatlon - After forms are erected but prior to concrete placement. Underground Plumbing - prior to filllng trench. Underlloor Plumbing/ Mechanlcal - Prior to lnsulatlon or decl(ing. Post and Beam - Prior to floor lnsulation or decking. Floor lnsulation - Prior to deckl ng. Sanitary Sewer - Prior to fllling trench. Slorm Sewer - [)rior to fllling trench. Waler Line _. Prlor to filling trench. w Rough Plumbing - Prior to cover. Rouglr Elcctrical - Prior to cover. Electrical Servlce - Must be approved to obtain pcrrrlancnt electrlcal power. Flreplace - Prlor to faclngl materlals and frarnirrg lnsp. W "o*tng - Prior to cover Wall/Ceiling lnsulalion - prior to c ove r. Final Plurrrbirrg - When allpluml:ing wort( is complete. Final Electrical - When allelectrical work is complete.W m Final Mechanical - When all li:ffiryy'ornprete Final Builcting - When allrequired lnspectlons have beenapprovcd and buil<llrrg is"ryE byaa*- [Pl Drywall - Prior to tapins I Wood Stovc - Aftor lnstail;rrion. lnserl - After flreplace approvql and installatlon of unit. Curbcut & A1:prroach - Af ter forms are erected bUt prior lo placerncr.r t of concrctc:. Sidewalk & Driveway, - Af ter excavittion is complete, fornrs and sutr.base matarial in placc.. Fence - When completed {ilreot Trccs - Whr: n all requireci trees are planted. Otl-rer MOBILE I-IOME INSPESTIONS Blocking and Set.Up - When altblocl<int; is cornplete. Plumbin.q Connections - Whenhome has been connected lo watcr ancj scv,/er. Electrical Connection - When[.lockino, sct.up, and plumbing inspcclic>ns llavc) bccn approvccl;rnd tlre ltornL' is connected tothe service panel. Final - AIter all requiredinspections are approvecj andporchcs, sklrting, cJecks, andventinO have been installed. ,AZ _?'t ^ OUAD AREA: r OF BLDGS: E E tl tl E E tl w Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type _- Interior -- Corner --- Panhandle - Cul-de-sac S I<s .. , HE PROPOSED WORK iN THE HISTORICAL DISTRICT, OH ON TI_IE H ISTORICAL REGISTER? It yes, this application must be slgned arrd approved by the Historical Coordinator prior to permit issuance. APPROVED PL,HSE GAR N c E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pcrrrit is grar.rted on thc express condition thaI the said construction shall, in all respects, con[orm 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 r.u, /6, 2f, Date Paid: -7-dZ:22- Receipt Nurnbcr:-.? /A 7 .^ Plans Rcviewcd By Date Z_Received By .4---r> VALU E /??,"-a (A) ,-Ft>Q Ea:e? 42 x s/so. r--T. Total Valuc Building Permit Fee State Surcharge Total Fcc BUILDING PERMIT ITEM SO, FT. M ain Garage Carport Systems Development Charge is due on all undeveloped properties within tlre City linrits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home t{ tL, 2 F'I. CT FT. ..PLUMBING PERMIT FEE 2e-- Plumblng Permit State Surcharge Total Charge r?aE 21 .1a MECHANICAL PERMIT Fu rnace Exhaust Hood 7M Vent Fan N0 Wood Stove/ lnsert/Flreplace Urlit Dryer Vent 2-cra2 By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certlfy that all information hereorr is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinanccs of thc City of Springfield, and the Laws of thc State oI Orcgon perlairrlng to thc work described herein, and that NO OCCUPANCY will be made of any structure without pertnission of the Builditrg Safety Division. I f urther certi(y that only contractors and employees who are in cornpliance witl'r ORS 701.055 will be used on this proiect. lfurther agree to ensure that all required inspections are requested at the proper time, that each address is readable (rom the street, that the permit card ls located at the front of the property, and the approved set of plans will remain on tlre site at times du const ru c Slgnat Date Q Mechanical Permit I s su ance State Surchars]e Total Permit ap t (D)Zei.2a MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk .---.- tt Curbcut --- ft Demolition State Surcharge Total Miscellaneous Pertnits (E) TOTAL AMOUNT DUE (excluding electrioal) (A, B, C, D, and E Combincd) DATE PAID 7=17'77 VALIDATION: RECEIPT NUMBE,R 2/82) ?,/,ef BECEIVED BY AMOUNT RECEIVED sfrr\ . , iFjt€L() following uso ELECI]RICAL PERHIT APPLICATION ob Number 225 FIFTE STREET SPRINGFIELD, OREGON 97417 INSPECTTON REQTIEST: 0FFICE: 726-3159 1 0 S 3. coHpr.srE-F-Es @#, l;id;iH xs:*l H.:i:rX[*, Hr,# UDZ JOB DESCRIPTION t Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION OI{LY Electrical Contractor Address Ci ty_ Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Sigaature of Supervising Electrician Ovners N Addres Ci Phone ,@8 I SCMDULE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service rncludedt ,,ur. cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home. or Modular DvelIing Service or Feeder s 8s.00 $ 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: Temporary Services or Feeders Installation, Al-teration or Relocation 200 amps''or less 201 amps to 400 amps -Over 401- to 600 amps -0ver 600 amps or L000-7ofTs It A B C Sum tt aSove s s0.00 s 60.00 $100.00 s130. 00 $300.00s 40.00 s 40.0 s ss.o $ 80.0 see t'B 0 0 0 I D. Branch Circuits Nev, Alteration or Extension Per Panel s 3s.00 39,AOne Circui t _--.1|_Each Additional Circuit or vith Serviceor Feeder Permi, 7OVNER TNSTALLATTON The installation is being madproperty I ovn vhich is not iforsaIe, lease or rent. {t E. Miscellaneous (Service/feeder not $2 00 1, included ) le on n tendedolL, t,4s4 s -Each installation Pump or irrigation Sign/Ou11 ine Ligh ting- Lrmr ted Energy/Res .- Llmr ted Energy/Comm 40.00 40.00 20.00 36.00 $ s $ s ? BRECETYED re: /r 5 SUBTOTAL OF ABOYE )(. State Surcharge3Z_Adninistrative FeeTOTAL 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _60L amps to 1000 amps_ Over 1000 amps/voIts _Reconnect 0n1y ,€DRl)