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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 lh 6 o ?*.",*^\ ,+ t Ql [,.^ r 3=o^.. 3 tl : 4 4t^tqo / c 3oe_-'Y. .ti.h E,< I ? ,( ^'( l' (l - ,'^>Q \ pprovsl, z sl ,Lt, 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 I il