HomeMy WebLinkAboutPermit Building 1996-12-12RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
LOCATION OF PFIOPOSED WORK:
ASSESSOFIS MAP:
LOT:
SPFlING ELD
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
TAX LOI
BLOCK:SUBDIVISION:--
ADDRESS:
CITY:
PHONE:
ZIP
(
EMOLISH OTHEB
DESCRIBE WORK
NEW
-
REMODEL ADDITION
ADDRESS EXPIRES PHONEhlAa
CONTRACTOR'S NAME
PLUMBING:
GENERAL:
MECHANICAL:
ELECTRICAL
CONST.
CONTRACTOR #
_ OFFICE USE _
RANGE:
LAND USE:QUAD AREA:
'I OF BLDGS:
FLOOD I)LAIN:
ZONING CODE
SECONDARY HEAT:
SQUARE FOOTAGE:
# OF BDRMS: ---
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE
HEAT SOURCE:
# OF UNITS: _
To request an inspection
made the sante worklng
, you must call 726-3769' Thls ls a 24 hour recordlng, All Inspections requested before 7:0o a.m. wlll beday, lnspections requested after 7:00 a.m. wlil be made the folrowing work day.
REOUIRED INSPECTIONS
l--l Temporary Electric Rough Mechanical - prior to
cover.Final Plumbing - When altplumbing worl< is complete.
Slte lnspection - To be made
af ter excavation, but prior tosetting forms.
Rough Electrical - prior to Final Electrical - When allelectrical worl< is complete.cover.
Underslab Plumbing / Eleclrical /
Mechanlcal - Prior to cover.Eleclrical Service - Must be
approved to obtain perrnanent
electrical power.
inal Mechanical - When allmechanical worl( is complete.
Footlng - After trenches are
excavated.Fireplace - Prlor to faclng
materlals and framing lnsp.
Flnal Building - When allrequired inspectlons have been
Masonry - Steel locatlon, boncl
beams, groutlng.
proved and building is
pleted
Framlng - Prlor to cover,
Foundallon - After forms are
erected but prior to concrete
placement.
Other
Wall/Ceiting lnsulation - prlor to
cover.
Underground Plumbing - Prior
to fllllng trench.[--l Drywall - prtor to taping
Underlloor Plumbing/ Mechanical
- Prior to insulatlon or decking.
MOBILE I.IOME INSPESTIONS
Wood Slove - After lnstallartion
Post and Beam - Prior to floor
lnsulation or decl<ing.lnsert - Af ter fireplace approvql
and lnstallatlon of unlt.
Blocking and Set.Up - When allblocking is cornplete.
Floor lnsulalion - Prior to
decking.Curbcut & A1:prroaclr - After
forms are erected bUt prior toplacemcnt of concrete.
Plumbing Connections - Whenhome has been connected to
water and sewer.
Sanltary Sewer - Prior to f illing
trench.
Storm Sewer - Prior to filling
trench.
Sidewalk & Drlveway - After
excavation is complete, forms
and sub-base material in place.
Eleclrical Connection - When
blocking, set-up, and plumbing
inspections have been approvedand the home is connected tothe service panel.
Water Line - Prlor to filling
trench.l-_l Fence - When completed.
Streel Trees - When all required
trees are planted.
Final - After all required
inspections are approved andporches, skirting, clecks, and
venting have been lnstalled.
Rough Plumbing - Prior to
cover.
OWNER:
WATER HEATER:-
E
tf
E
tl
fl
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typc
-
lnterior
--
Corner
-- Panhandle
-
Cul-de-sac
acks
P.L.HSE GAR ACC
N
S
IS THE I'ROPOSED WORK iN THE
HISTORICAL OISTRICT, 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 PERMTT
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 Spring{ield, 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.
Recei pt Number:-
Plans Bcviewed l3y Date
Plan Check Fee
Date Paid
Received By
Em.75
.4q
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING PERMlT
ITEM SO. FT.
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within tlre City lintits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
,Ll<
(c)
FT.
FT.
FT.
PLUMBING PERMIT
yl4 r^
Plumblng Permit
State Surcharge
Total Charge
NN
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certify that all
lnformation 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 thc work described
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Building Safety Division.
I further certify that only contractors and employees who
are in cornpliance with OHS 701.055 will be used on this
proiect.
I {urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from tlre street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
Sig natu
Date
m
aL/.ECEIVED
t ruction.ngcon the site at
RECEIVED BY
DATE PAID
AMOUNT R
VALIDATION:
RECEIPT NUMBER
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
Stale Surcharge
Total Miscellaneous Pertnils (E)
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood
TOTAL AMOUNT DUE (excluding clectrical)
(A, B, C, D, and E CornbinccJ)
E
u^;n
X $/SQ. FT. = VALUE
tln,21)
C'TY OF SPR"VGF'EID, OREGO'V
SPFltlrrcFlELc,
D EVE LO P M E NT S ERVI C ES DE PA RTM E NT 2fr,. 225 FIFTH STREET
SPBINGFIELD, AR 97477
(s41 ) 726-3753
FAX (s41 ) 726-3689
June 12,1997
Ronald Richardson
305 38th Street
Springfield, Oregon 97478
Dear Mr. Richardson:
Your request for an extension of your permie to repair your residence commonly known as 305 38th
steet Springfield, oregon, city Job Number 96l652has been reviewed and approved.
This extension may only be granted one time and will expire 180 days from the date of the granting of the
extension (December 12, 1997).
If you have any questions, or if I may be of any assistance, please feel free to phone me at726-3790.
Sincerely,
Lisa Hopper
Building Safety Coordinator
cc: Dave Puent, Community Services Manager
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ELECTRICAL PERHIT APPLICATION
Ci ty Job Number
COHPLETE FEE SCMDULE BELOV
Nev Residential-Single or
Mul-ti-Family per dvelling unit.
Service fncluded:
I tems Cos t
.ft. or less
di tional 500
or portion
s 8s.00
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
s 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
afr,
(/
225 FIFTH STREET
SPRINGFIELD, OREGON1'97(77:]
INSPECf,ION REQTESTz 726-3769
OFFICE: 726-3759
1 OF
Ci ty
OVNER TION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
S
DATE:
RECEI
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 INSTALLATTON ONLY B
El-ectrical Contractor
Address
City_ Phone
Supervisor License Number
Expiration Date
C
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners Name
Address
Phone a'
Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
200 amps"or less $ 40.00
Over 401 to 600 amps S 80.00
Over 600 amps or 1000-v-o-fts see rrBrr aE6tt
200 amps or less
20L amps to 400 amps
-401 amps to 600 amps
601 amps to 1000 amps-
over 1000 amps/voIts
-Reconnect Only
Yl^VlOF ABOVE
3
A
Sum
{ffklF""u"lo*' "'t r i' i y'1 1000 sq
Each ad
sq. ft
$ so.
S 60.
s100.
s130.00
s300.00
s 40.00
00
00
00
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each addi tional
Circuit or vith Service
or Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $
Sign/0ut1ine Lighting- S
Limited Energy/Res $
Limi ted Energy/Comm S
40. 00
40. 00
20.00
36.00
SUBTOTAL
52 State Surcharge
32 Administrative Fee
TOTA-LRECEIVED BY:
5
I
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