Loading...
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