HomeMy WebLinkAboutPermit Building 1991-04-05RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF D
ASSESSORS MAP:
SPRINGFIELD q\\1
h,
JOB NUMBER
225 Fifth Street
Spri ngfield, Oregon 97477
TAX LOT:
SUBDIVISIONLOI
-
BLOCK:
PHONE:
ZIP:STATE:
OWNER:
ADDRESS
CITY:
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW- REMODEL
EXPI RES PHONENAMEADDRESSCONTRACTO
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
USE _
.3RnL
t
FIANGE:
* OF BDRMS:
WATER HEATER:
-oF
QUAD AREA:
r OF BLDGS:
FLOOD PLAIN:
ZONING CODE
SECONDARY HEAT:
SOUARE FOOTAGE:
OCCY GROUP:
S OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
To request an inspection, you must call 726-3769. This is a24 hour recording. All inspectlons requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Electric
%;X..:
Mechanicar - Prior to ffill;l;#*lns,;#I;i"il:
Site lnspection - To be made
after excavation, but prior to
setting forms.
gh Electrical - Prior to r Final Electrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsp.v Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.d
@
Framing - Prior to cover.
Other
Foundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover
Underground Plumbing - Prior
to filling trench.| - Prior to taping.
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Slove - After installation.
Posl and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and installation of unit.
Blocking and Set.Up - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prior to filling
trench.
Fence - When completed
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.V Rough Plumbing - Prior to
cover.
4\
E
tf
E
E
E
r
tl
r
E
E
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
Interior
-
Corner
-
Panhandle
-
Cul-de-sac
backs THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? --lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED
BU!LDING PERMIT
ITEM SQ. FT.
Main
Garage
VALU E
3
(A)
X $iSQ. FT.
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
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
Receipt Numbe
PIan Check Fee
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
loD.oo
(c)
\
N0
FT.
FT.
FT.
PLUMB!NG PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
(D)
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
No(
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther 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 permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I f urther 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 is located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Date
o<dSignatu re
{-s -1 I
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)BY
ECEIV
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT R
RECEIVED
PL.HSE GAR ACC
N
S
E
strtuN(;r:lI:L(J
e
225 FITTB STREEf,
sPRrNGrrELD, OREGoII 97477
INSPECTI0II REQUBST. 726-3769
0PFICB: 726-3759
1 or
Permits are non-transferable and explre
lf vork ls not started wlthln 180 days
I
BI.,ECTRICAL PBRITIT APPLICATION
City Job Nunber
3. COHPIATB TBE SCIIBDUI,B BELOS
A. New Residential-Single or
Mu1ti-Family per dwelllng unlt.
servlce rncruded: rtems cost
1500 sq,;f t. or less
Bach additlonal 500
s{. ft or portlon
thereof
Each Manuf 'd llome or
Modular Dwelllng
Servlce or Feeder
$ 85.00
$ 15.00
$ 3s.00
D Servlces or Feeders (10 Branch Clrcuits
included). Installation, Alteratlons
or Relocation:
100 amps or less
101 amps to 400 amps _401 amps to 600 amps _
601 amps to 1000 amps_
0ver L000 amps/volts
Reconnect Only
C. Temporary Services or Feeders
Installatlon, Alteratlon or Relocatlon
Branch Circults
Nell, Alteratlon or Extenslon Per Panel
One Circuit
Tvo to ten Clrcults
Each Addt,l ten orportlon thereof
%
t
Sum
lm
ofl
180
2
e or lf vork Is suspended for
INSTALI.ATION ONLY
Electrical tractor
Address
ci
Supervlsor License
Explration Date
Constr Contr
Expirat Date
of Supervislng Electrician
0wners Name
Address
200 amps or less $ 35.00
201 amps to 400 amps _ $ 40.00
0ver 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see rrBrr above
$ 35.00
$ 60.00
$ e0.00
$130.00
$300.00
$ 3s.00
Cl ty S{^\CI/rYphone
ftr**r,o-OVNBR
The installatlon ls belng.made on
property I ovn vhlch is not intendedfor sa1e, Iease or rent.
0vners Slgna
$ 35.00
$ 50.00
$ 1s.oo
L/
B. Mlscellaneous (Service/feeder not lncluded)
-Each lnstallatlon
Pump or lrrigatlon $ 36.00
Sign/outllne Llghting- g 36.00
Slgna1 Clrcult or
llmited energy panel $ 36.00
5. SUBTOTAL OF ABOVB
5X State Surcharge
TOTAL
DATE: 1-
RECBIPT *:
RECBTVED I}Y:
.oo
3\\
I
Permit No:
Address
1
2
lssued
STATEMENT:
OFFICE USE ONLY
INFORMATION N OTICE TO PROPERTY OWN ERSABOUTCONSTRUCTIONRESPONSIBILITIES
Fill in the appricabre branks, and initiar box 1 and either box 2A or 28
I own, reside in, or will reside in the completed structure.
My general contractor is
Contractor registration number
l.will.instruct my general contractor that all subcontractors who work onthe structure must be registered with the Consirr"iio, contractors Board.
OR
Note: oregon Law,pRS,701-055(4), requires residentiar buirding permit appricantswho are not reoistered with-iliJ'ci;rtruction cortii.tors Board to'iign thefollowing staterient oeioie i'rie iriiriing permit."n oJl..ued. Licensed Architectand Engineer appricgnts, gxgtni lim iegistration ,no* oRS 701.010(7), neednot submit this statement. Thi; siai"r"it *iri # fii;;*Ii.,'i#ffi;ii]
Date:#gl
i rr(-[{rre copy ro tssutNc AGENcy PERMIT Ft'\
B6IK GOPY TO APPLICANT
B.I will be my own general contractor.
I I hire subcontractors, I ryill hire only subcontractors reoistered with theConstruction Contractors Board. lf I change my mind anO Eo
-fiirea'oCiieiat
contractor, I ryill contract with a contrattor'who is reoisleied -wjtn 1neConstruction Contractors Board and I will immediately-notify the officeissuing this building permit of the name of the contraitor. '
I hereby certify that the above lnlormation is correct and that t have read and understand
the lnlormation Notice to Property Owners about Construction Responsibilitles on the
reverse side of this form.
fi 'JL'r.A cu t{ '.=-,o -, ,r-r l)l ,;1 f : l)
Signature of Permit Appllcant Date
CONSTRUCTION CONTRACTORS BOARD
0244J 1t90
t
)
Ir
#
/
OFEGO'UC'TY OF
:!t'riN-<9f lF t-l)
DEVELOPMENT SERVICES
PUBLIC WOBKS
M ETRO PO L'TAN WASTEWATE R M A N AGE M E NT
March 22, 1993
sa pper
Building Servi ces presen ta t ive
cc: Dave Puent, Building Official
1h
,h,225 rlrril.'i//t[['I
SPRINGFIELD OR 97,177
(50s) 726 3753
Carol GoodYard
198 North 33rd Street
Springfield, 0regon 97478
Dear Ms. GoodYard:
your request for an extension of your permits to remodel your residenee located
"i-igg-Worttr 33rd Street, Springfield,Oregon, City Job Number 910311, has been
revieved and aPProved.
This extension may only be granted one time and viII 91pfre 180 days from the
date of the granting oi the extension (September 11, 1993).
If you have any questionsr or if I may be of any asslstance, please feel free to
phone me at 726-3790.
Sincerely,
tt
March 9, L993
CaroI
L98 N.Springfield, OR 97478
746-7680 home
346-3078 work
City of SpringfieldBuilding Division
225 Fifth St.Springfield, OR 97477
To the Building Division:
I would like to get an extension on my building permit #9103LL
because the permit expires March L2, 1993 and I have not had the
money to finish the work. I will be able to start the work soon.
Thank you very much.
C"not L
a
w fi3
st"ttN(;FrELo
I
225 FIFTH STREET
SPRINGFTELD, oRBGoN 97477
INSPECf,ION REQUESTz 726-3769
OFFICE: 726-3759
1 OB
ON
qr,
ELECTRICAL PERHIT APPLICATION
City Job Number qt aill
3
A
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI,ATION ONLY
Electrical Contracto
Address
Ci ty Phone
Supervisor e Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of rng
0vners Name
Address
Ci ty Phone b-
OTINER INSTALI.ATION
The installation is being made on
property f ovn vhich is not intendedfor sale, Iease or rent.
0vners Signature:
DATE:
COHPIJTE PEE SCBEDULE BELOV
Nev Residential-Single or
MuIti-FamiIy per dvelling unit.
Service Included:
Items Cost
$ 8s.00
$ 1s.00
s 40.00
Services or Feeders
Installation, Alterations or
Relocat ion :
200 amps or less
401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panel
200 amps or less S 40.00
201 amps to 400 amps
-
g 55.00
0ver 600 amps or 1000 volts see rrBrr above
Sum
B
s s0.00
$ 60.00
$100.00
$130.00
s300.00
$ 40.00
50
c
Ci rcu i t or vi th Servi ce. \
or Feeder Permi t ,l( )
One Circui t
Each Additional
Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation $
Sign/Out1ine Lighting- $
Limi ted Energy/Res
Limi ted Energy/Comm
SUBTOTAL OP ABOYE
5Z State Surcharge
TOTAL
$ 3s.00
$ 2.00
E not included)
40.00
40.00
20.00
36.00
5
RECEIVED BY
$
$
dE
Blectrician
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
&)
I
0
All the work is finished except the insulation. I would like the
extension because I have not had the money to buy the insulation.
Ci-ty of Sprj-ngfield Planning Dept.Lisa Hopper
225 North 5th Street
Springf ield, OR 97 t*77
April 1, 1991
Dear Ms. Hopper:
I would like to reque st an extension on my building permit for
reroofing my house, dt
97 t*1I . The job number
ieId, Oregon
Thank you so much.
Sincerely,
Lbr,*L
Carol Goodyard
198 North 33rd Street
Springf ield, OR 97 t*7I
L2.
Jil