The URL can be used to link to this page

Home My WebLink AboutPermit Building 1999-04-26RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Of(ice: 726-3759 FIELD 1?oss7,JOB NtJl\4BER 225 Fif tlr Street Sprirrgf lelrl, Oregon 97477 LOCATION OF PROPOSED WORK:i4 tz 3t sf ASSESSORS MAP:073a3,/ TAX LOI:O/7 ou SUBDIVISION:_.-- - LOI - BLOCK: t30 zlP:OILSTATE: PHOI,'E:5 ?q: I'11-1qq - I aSa i ls CITY: ADDRESS: OWNEB: ADDIT|ON DEMOLISH -,'_ oTHER i (rr).)u)DESCRIBE WORK: NEW- REMODEL ADDFTESS Ulfes q olJ ,E EXPIRES 1 PHONECONTBACTOR'S NAME G EN ERAL: PLUMBING ELECTRICAL: CONST, CONTFIACTOR # MECHANICAL: _ BANGE ZONING CODE: FLOOD I)LAINQUAD AREA: # OF BLDGS SECONIDARY HEAT: SQUARF. FOOTAGE: # OI: BDRMS: - OCCY GROUP: g OF STORIES: To request an lnspectlon, you must call 726-3769. Thls is a 24 hour recordlng. All lnspections reclucsted before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll b-e macle the following work day. REQUIRED INSPECTIONS J--l Temporary Etectric Rough Mechanical - Prlor to cover.al Plunrbing - When allmtring worl( ls complete.lu Site lnspectlon - To be made after excavatlon, but prior to setting forms. ugh Electrical - Prior.to inal Electrical - When ailectrical work is complete. Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover.Eleclrical Servlce * Must be approved to obtain peimanent electrlcal power. F I Mechanlcal - When allcclranical work ls complete. Footlng - After trenches are excavated.Fireplace - Prlor to. fac.lng al Buildlng - When ailquired inspectlons have been Masonry - Steel locatlon, bond beams, groutlng. aterlals and framing lnsp.approved and bulldlng is corn pleted. raming - Prior to cover. Foundallon - After forms are erected but prlor to concrete placement. Ot her Ceiling lnsulatlon :- Prlor to0 l,t Underground Plumblng - Prior to fllllng trench.ll - Prlor to tafrln$ Underlloor Plumblng / Mechanical - Prior to lnsulatlon or decking. MOBILE I.IOME TNSPECTIONS Wood Stove - After lnstallation. Post and Beam - Prior to floor insulation or decking. Blocking and Set.Up - When all blLrcl<i n1; ls complete. Floor lnsulallon - Prior to decking.Curbctrt & Apprroach - After f<lrrns are erected but prlor to pl;rcemcnt of concrete.. Plumbing Connectlons - When horne ltas been connected to water ;lrrd sewer. Sanitary Sewer - Prior to filling trench.Eleclrical Connection - When [:lockin<;, set-up, and plumbing rnspections have been approved and tlte home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewall< & Drlveway - After excavation is complete, fdrms' an(l sub-base material ln place. Water Llne - Prlor to filling trench.[-_l fence - When cci',rpleted.. t gh Plumbing - Prior to {ilreet Trees - When all required trces are planted. Final - After all required inspections are approved and porcl-rcs, sklrtlng, decks, and ventlng have been lnstalled.r. v...\fY\o follow forthThose WATER HEATER:- fl tl fl lnsert - After flreplace approval and installatlon of unlt. tl tf tl Lot Type ___, lnterior -,- Corner _- Panhandle - Cul-de-sac IJSF-GAR S E ACC 15 THE PFIOPOSED WORK TN THE , FIISTORICAL DISTRICT, OR ON TI]E IIISTORICAL REGISTER? - l( yes, this application must be slgned arrd approved by the Historical Coordinator prlor to permit issuance. APPROVED: k BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This perrrit 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 ouildin(ts, ancJ may be suspended or revoked at any time upon violation of arry provisions of said ordinances. Plans Flcviewcd [3y Date Plan Cltr;ck Fee Datc Paid Receipt Number Received By VALUE !"0.3-v (A) od)a' X $/SQ. FT, Total Value Building Permit Fee State Surcharge Total Fec BUILDING PERMIT ITEM SO. FT. Main Garage Carport Systerns Development Charge is due on all undeveloped properties within the City linrits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) -Note: -B:rjJqing Inspector may require --additional pians i"fo.mation, and/or fees for the completion ofthis project. M ENTS f?o 5 tTADDTTTONAL CAM LLczrt4*'{/FEEM V o,ott l" L) i I L{r ?(c) Fl. FT. FI Residential Bath(s) Plumbing Permit State Surcharge Total Charge PLUMBING PERMIT ITEM Fixtures N' Sanitary Sewer Water Storm Sewer Mobile Home Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) N0 r ftAJ - /a, a" ---f**s- / /) )(-?d Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhalst lloorj By slgnature, I state and agree, that I have carefully examlned the conrpleted application and do hereby certlfy that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with 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 without perrnission of the Buildirrg Safety Division. I further certily that only contractors and employees who are in cornpliance with ORS 701.055 will be used on thls proiect. I further agree to ensure that all required inspections are at the proper time, that each address is readable permit card ls located at the front Sign (-7t 11Date I ronr t he me duri d ap s reques that set of plans will remainof the pro structlonon the site at MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Perrnits (E)!23 3{ TOTAL AMOUNT DUE (exclu<iing clectrical) (Ar Br Q B anc 5 Camblno(,) {2,7 1r NECEIVEB BY t( 27 VAI,IDATION RECEIPT NUMBER DATE PAIi) AMOUNT RECEIVED d33Cs 7 fl ' f i, 1', Lot faces Lot sq. ftg. Lot coverage Topography Total height PL. N {.t5w CITY OF 225 TIFTB STREET SPRINGFIELD, OREGON 974 INSPECf,ION REQUESTT 72 OFFICE: 726-3759 The lollowing Proiect as submitted has the zoning, and does not aPProval {nlZoningaq Adthorlzed Signature require sPecific land use PERHIT Job Nunber 3. COHPI,ETE FBE SCEEDULE BELOS Nev Residential-Single or MuIti-Family per dvelling unit. Service Included: I tems Cos t s 8s.00L000 sq.ft. or less . Each additional 500 sq. ft or portion thereo f Each Manuf'd Home- or Modular Dvelling Sertice or Feeder $ is.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -40L amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/vo1ts Reconnect Only C Temporary Services or Feeders Installation, Alteration or Relocation S IGFIELc, orv i th Serv r Permit ee rrBrr a56ve- 1. LOCATION OF INSTALLATIONr{tz Srqt Ac Sum - JOB DESCRIPTION Ccrr-r Permits are non-transfer and expire if vork is not started vithin 1'80 days of issuance or if vork is suspended for 180 days. 2. COIITRACTOR INSTAIT,ATION ONLY Electrical Contractor Address sas c-eDctc:l-- R-g> B Ci ty Supe phone Cg&rft{ rvi.sor License Number Go=S Exp iration Date ,C, /o, constr contr. Number /L134(1 Expiration Date ra/zt Signature of Supervising /.iOvners Name *r .O( Address I t to D] \the 200 amps''or less .201 amps to 4O0 amps -over 40L to 6oo amps -Over 600 amps or 1000-IroT[s $ s0.00 s 60.00 s100. 00 s130.00 s300.00s 40.00 40.00 55.00 80.00 $ $ $ s law I its ion or Extension Per Panel €s 35 bCi OgNER INSTALLATION The installation is beiing made on property I ovn vhich is not intended for saIe, Iease or rent. 0vners Signature: DATE: onal E Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/0utIine Lighting_ Limi ted Energy/Res Limi ted Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAI M.f6-lJ phone I s 3s.00 1_qeY $ 2.oo s 40.00 $ 40.00 $ 20.00 $ 36.00 RECEIVED B 5 (J*t8*" fJ"J*..