HomeMy WebLinkAboutPermit Building 1997-10-11SPR!irGFIELO
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
7.7t /7/
h,
JOB NUMBER
225 Fif th Street
Springf ield, Oregon 97 477
LOCATION OF PROPOSED WORK: ,lc/3a=2
ASSESSORS MAP va TAX LOT:
Lor:- tZT lozz- BLocK:SUBDIVISION
PHONE /6q-:
STATE:
(
CITY:
OWNER: --,
ADDRESS:
D
N DITION DEL
ESCRIBE WORK:
EM
PHONEEXPI RESADDRESSCONTRACTOB'S NAME
CONST.
CONT
MECHANICAL: ---
GENERAL:
PLUMBING
t_
)
qr
CoNSTR. TYPE: \.'//Lr
C(--
r OF UNITS:
LAND USE:
_ OFFICE USE _
WATER HEATER:
FLOOD PLAIN
ZONING CODE:
E OF BDRMS:
HEAT SOUFICE
RANGE:
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
OUAD AREA:
I OF BLDGS:
To request an inspectlon, you must call 726.3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, lnspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is comPlete.
Site lnspection - To be made
af ter cxcavation, but Prior to
setting lorms.
m Rough Eleclrical - Pr:or to m Final Electrical - When all
electrical work is comPlete.COVE T
Underslab Plumbing/ Eleclrical /
Mechanical - Prior to cover.
Eleclrical Service - Must be
approved to obtain Perrnancnt
electrical power.
Final Mechanical - When all
mechanical work is comPlete.
Footing - After trenches are
excavated.Z Final Building - When all
required inspections have been
approved and building is
completed.
Fireplace - Prior to facing
materials and framing lnsP.
Masonry - Steel location, bond
beams, grouting.[-71 Framing - Prior to covert{l
Foundation - After forms are
erected but Prior to concrete
placernent.
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.l--l Drywall - Prior to taoing
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Slove - After installation
Post 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 lnsulalion - Prior to
decki ng.Curbcut & APProach - After
forms are erected but Prior to
placement ol concretLl
W
Sanitary Sewer - Prior to filling
trench.[-7l Electrical Connection - Whent4l btocking, set-up, and plumbing
inspections have been aPProved
and the home is connected to
the service Panel.
Slorm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY -- After
excavation is comPlete, Iorms
and sub-base material in Place.
Water Line - Prior to filling
trench.
Street Trees - lVllen al! required
trees are Planted.
Final - After all required
inspections are aPproved and
porches, skirting, decks, and
venling have been installed.Rough Plumbing - Prior to
cover.
w
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ZIP:<2 <-
fltl
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tl
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tl
tl
tl
tl
E
tl
Er
Er
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T
E
Fence - When comPleted.
l--l otner
8
Plumbing Connections - When
home has been connected to
water and sewer.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacl<s
GAR
N ;I
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z)'B/
ACCP.L H E
E
IS 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:
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 Cocle, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Receipt Number:-
Date
/4/eE
2
Date Paid
Received
Plan Check Fee:
z/vw/4/ar-&*- 44
X $/SQ. FI.VALUE
2B?| , ^ 22-b-
7?q,e-E
v.D_?.*(A)
75V
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Systems Developrnent Charge is due on all undeveloped
properties within the City limits which are betng improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
t
ADDITIONAL COMMENTS
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
_/u-
T
_^/an
(c)/85
NO
FT.
FT.
F-r.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
(D)
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rn ace
Exhaust Hood
N0
By signature, I state and agree, that I have caref ully examined
the completed application and do hereby cerlify that all
information hereon is true and correct, an<1 I f urther certify
that any arrd 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, ancl tl'rat NO OCCUPANCY will be made of any
structure without pcrrnission of the Building Safety Division.
I further certify tlrat only contractors and ernployees who
are in compliance with ORS 70.1.055 will be used on this
project.
I f urther agree to ensure that all requlred inspections are
requestecJ at the proper time, that each address is readable
f rom the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
Sig natu
Date
on the site at mes during construction
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk _-- ft
Curbcut
--
ft
Demolition
State Surcharge
/2r
iza
1?_.6Total Miscellaneous Permits (E)
56
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
?71_E
i/2/
f*:m<
____2u
VALIDAlION:
REcErPr NUMBER /aS=S
C'TY OF OREGO't'
SPflII .. -IELO
LECTRTCAL PERHIT APPLICATION
225 FIFTE STREET .I
SPRINGFTBID, oREGON 97477
INSPECTION REQUESTz l26-3769OPPICE: 725-3759
1 ON
b'L
Permi tsif vorkof issua
180 days
Expiration Date
{
BELOTI
or
ing uni t.
tems Cos t Sum
3
s 8s.00
s 1s.00
s 40.00
l4ql
2. CO}ITRACTOR INSTALI.ATION ONLY
Electrical Contractor
Add ress 0
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Hanuf,d Home or
-
Hodular DweIIing
Service or Feeder Z_
Services or Feedersfnstallation, Alterationsor Relocation:
STIBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
200 amps or Iess
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
0ver 1000 amps/vo1ts
-Reconnect 0n1y
Temporary Services or FeedersInstaIlation, Alteration or Relocation
s 40.00
s 40.00
$ 20.00
s 36.00
are non-transferable and expireis not started vithin 1BO diys
nce or if vork is suspended for
RC,
ciwvu,"t4rtu,p r,4\lk pnone bZb 'LtZUi'z
Supervisor License Number ;1f;'135
Exp iration Date (O | -ti 4
s s0.00
s 60.00
s 100. 00
s130.00
s300. 00
s 40.00
4-
B
C
Constr Contr. Number tzot4
m z* -iJ
of
0vners Name L
tSyr?l/L
D. Branch Circui ts
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit I $. 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
sign/ou t 1 ine- Ligh t ing-
Limited Energy/Res
Limited Energy/Comm
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps
-
S 80.00
0ver 600 amps or 1000 voT[s see rrBrr aEotE-
Z@
SI EIec 1'Ctan
t
bo
Z
Address
Ci ty b,Phone
OSNER TNSTALI.,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
r5 )
DATE:
RECEIVED
&
{t
Jurr 1'- )2 21 :50 P. 01
'Slnce 1965'
EXTERIORS
Pelto Coven'Ca?torlc'?er;ke ' Sldlng'Sun Roome
36 Wast O Streol ' Sprlngfield, OR 97477 ' (503) 747-8797
Cover Sh$ffi ffi
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Send Bdore _ -Fax# . Fl 2t -s\stq
No. of PagH- - A- Y -I
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&"o N.3\*5
f Call Me IF;Y.f.
IiEirgurt DAffylowRe$rcst
tiHiid You Know? i iMake A Note
f,For Your Approval
XPer Our Converea$*n
t -l Comments Requeet+d
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