HomeMy WebLinkAboutPermit Miscellaneous 1990-11-30
t'1s' .. RESID~T1AL-" l Rcce~pt .f I 'K ?s'K~
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APPLICA. ,/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753 C <r'fJl?; A,t}D
I Job Loc3.tion: /CJ5b rYl c.tJ o,</ttJd
I A8DCSDOl"~ Map H 0A- \ 'If)3Q'l1 ~ T"", Lot H tdA1t)WT)
I Stdxfiu-::sion: 1 t:>c..h A-c/ of .() /3 J tJcK 5" Ldt 'fD
Lnr-t. t:ll/-e.-V PItA'-Pe/l,
U!Lq iI ~ (U2z;-iI
t= L<-J V'tV e.. : 1)-(
mob'.la. tioMe. ~_'1eSCribe ;r~4B
~ S+VlM~eJlS . .
~: Su. R'df Plot..<. _ vJu.,~ IJ7'iO ~
';)~.103S .
~ ('}f"}rC~
Value nil. /[7 ~ r
Date of Applicaticn
Cont.ractors
General ~.&p;e <L~~C;
; Plumbing A Auc,-f-I',u
i Hechanical .s ~ ",),/ /""'il
IE~"dri!'al ~ ~ R.5502~ ;;Zo-z&.x-
St1oe.ve.fi;;,.1g_Electri~ian .~.~ 9tf~-S
It is the responoibility of the permit holder to SBe that alt inDpeations are made at the propel' tims~ that tJcch .;ddress is readab!e
from thB street, and that the permit card is located at the froont of the property.
~Bui!di~ Dividor: approved plan shall remain on t~ Building Site at all. times.
PtlOCEDURE FOR INSPECTION RE:QUEST:CALL 726-3769 (recorder) state your City .::lesigna.ted job m.m:beI', job address, type of in3pec:iclI
I'aqucsted a~d when you will be ready for inspection, Contractol's 01' OWners ncme and phone numbcl'. Requests l'Bceived befol'o 7:00 ~
t..'iH be made the same day, l"equests made after 7:00 am lJiZZ b~ made the next :.JOl"king day.
GUnel":
Address:
City:
n
n
n
n
Nf'1.,I
Addition
Remodel
.'!obi la lloma
''?~f!!,i~''rf T"J!'m"'~tic".'I
O SITE INSPEC':'JON: To be TTrlde aftel"
excauation, but priOl" to set up of
forms.
O UNDERSLAB PLUMBINC. ELECTRICAL &
NgCHA.'JIC'A~: To be made before any
LJOrk is .:ovcred.
~ FOOTING! FOUNDATION: To be "",de
~ after trenches are excavated and
forms aJ'e el"ected, but prior to
pouring ccncret~.
d UNDZRG.WJUND Pf.UM3INC.. SSWER. W.1TE.r?,
L..:J DHAI!lAGE: To be roode priOl' to fi l-
lir.g trenches.
o
UNDERFWOR PLUNBINC & MECHANICAL:
To be mads prior to installation of
f!oor insu~tion or decking.
POST AND BEAM: To be made prior to
installation of floor ins~Lation 01'
decking.
Rm/ClI PEW!BT!!G. ELECTRICAL & MECl/-
ANICAL: No :Jerk is to be cOL'sred
,ur.til these inspections have be~
made and approve.:!.
FI~EPLACE: ?riOI' to placi~~ facing
matel-iaZs and before framing in spec-
tior:,
PRA.'!I!lr.: Must be requested after
appl'oual of rough plwr.bing, 2l,ectPi-
cal & mechanical. An rooring
bracing t chimncys~ etc. nr~st be
. completed. !lo IJOrk is to be con-
, cealed until this inspection has
. been made and approved.
o
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D
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10
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In ?:8r 7()3
t?7'-10.l
Phone:
Zip:
~
Siqr.ed:~1~4 -:\
Data: ~ lri. .U[U
Boa rd Re<:.
Addre~~ LiRe. #
'L5'7b tYll":>Vlj'-tJ
PLu,,,,,Jo,"7 {
Bldrs
~
Exoi-(es
Pho'1P
t.. f(x~r;'8!df
Your City Deaigr.ated Job Nwnbe1' [0:
o
INSULATION/V/lPOR BARRIER INSPECTION:
To be made after aU insulation w.d.
required vapor baJ'l'iers are in place
but before any lath, gypsum board 01'
uzZZ covering is applied, and before
any inoulation is concealed.
t.lJ.!i.Q7
...:1...J -'7;
""SJ3713~
12./ 90
- 3YY-/So-r;
,::: ",
O DRYWALL IIISPECTTON: Tc be "",de
after all drywll is in place,
but prior to any taping.
location, bon.d
01' verticals in
U, 8. C. Section
O MASONRY: Steel
beamD, grouting
accordance with
2415.
D WOODSTOVE..: After installation is
ccmpleted.
O CURB & APPROACH APRON: Arte:- forms
are orected but pl-ior to pouring
.:!onC1'ete.
" r;:;;('SIDEr{ALK & DRIt'EWt.Y: For all con-
~ crete paving within street right-
of-LX:.Y, to be made after all exca-
vating complete & form work &_cub~
base nv::tePial in pla::e.
O ~ENCE: "Wher: ca~pl~te -- Provide
gates 01' movable sections throug~
P.U.E.
0\~~~
90 ICf;;L ~
. DEMOLITION OR ;',,'OVED 8UILDIilCS
---, SanitaJ'Y S8'..)el" ::apped :It propcrty lir:e
--1 , .'," ',I/V,I"I"",j1I1'I't)";"(\Io1\,",',:.1 ),I;IM. I"~
:==J Septi~ tank p~cd and filZ~~ with gra~eZ
::J Final - rlhen above items are ccmpleted
and when demolition is completo or stru~-
ture moved and prcmises ~Zeaned up.
Mobi le Hemes
~8loCking and Sat-~p
~Plumbing c~nnections -- s,cwel' and wa~er
~lectrical Connection - Blocking, sot-U?
....::::J and plwnbing connections ,""...st to approved
before requesting electriaal inspec:io~
~ Acaes~o1"d Bui Iding
---y-final - AftOJl' p:1l'cr.es,
~ eta. are completcd.
skirting, dccks,
o
FIrJAL PLUMBING
All pr'oJ'cct conditions. auch as tile ~',nstallation of stl'eet trees, '"co.':Tpletion of the
required Zandsccpir.O, ctc" m1ISt be satisfied before the BUILDINC FINAL can be raqueatsd.
FINAL I1E(;/IANIC/ll.
o
FINAL BUILDINC: The Final Building Inspection must ba requested after the Final Plumbing
Electrical, and Mechar.ieal InspeetionD hQue been made and approu.zd.
FINAL ELECTRICI.L
~Af.r. f./ANIlCLES AND CLF.'IINOUTS //lJST BE ACCESSIBLE, ADJUST!fENT TO BE I.MDE /? NO C'JST TO CfTY I p~f:e of 2
NO. qnl4~? SOLAR ACCESS REQ.-
l1. W~~./a Occupa>lC. G. e..... ~
LOT TYPE
JOB
Zona:
Lot Sq. Ft..
I of lot Coverage
!i of Stories
Total Height
Topography
I
lITEM
i-.-~
I Gc:t-Ga6
I Caroort
SQ.FTG, '
: Acceeeor. ~ 1 r J
i
TOTAL VAWE
IS.D.C.
(vaLue)
1.5 :r
Bwi tding Permi t
State Surcharge
" Total Charges
lITEM
I Fixtures
I ResidentiaL (1 bath)
I Sanitaf9y Sewer'
NO.
Iwat,r., _"'~_
I,'~,\
P"LWTlbing Permi t
State Surcl-.arge
Total ChaMOS
lITEM
Res. Sa. fta.
I Nau/EXtend Circuits
I Temporary Service
I
I NO. I
Ele:!~ Permit
~e SurcharQ6
/
Total Charc;8S
lITEM
I Furnace ETU' S
I E=hauat Hood
I Vent Fan
I WOOdstOV6
NO. FEE
Permit IGsuatlCa
Mechanical Pemrit
State Surchal"O~
Total Charae:J
I -- ENCROACHMENT --
I Secr.J.ritll D2rJ03it
I Storage
Main tenan"~(!
Parmi t
Total Cha'fl(1cS
I Cla'bcu;
ISideLJalk
I Pence
j Electrical
f-{.;y
LabeL
I MobiZ~ ~"",e ~
L~~,'\()'to_ ~'
I TOTAL A;/OUNT DUE:"
Interior'
Corner
Panhandle
~CUI-de-sac
._;:}" -
L-COG~
,
.
TypeICor.et: . Bedrooms,: .:.5
Lot Faces - I I Ensr1.u Sources pz::....;
Setbacks I I Heat
House CaMge I Access. I I CZ:' Water Heater
I Ic;:;r .Range
II I Fireplace
'I Wood~to~e
II '
TUDe
P.L.
INorth
lEast
ISOlOth
IWest
-- Faes
I
( -!)'-JB5-
x
Value
\ '14 U
.:t, -\/ o.;j... ~.
L~~ .S!2-I'
'm.m
~'.4~
3Dq 'l .
FEE
CHARGE
FEE
CllARGE
~.
, I
I
'~.0
-p I
l'IY51
I
Building Value &
PerniH
This pennit is granted on the express condition that the said construction
shall, in all respects, aonfo~ to the Ordinance adopted by the City of
Springfield, including the Zoning Crdinanao, 1'egul.atillg the ccnstruction
and use of buiLdings, and ~y be suspended 01' revoked at cr.y time upon vic~
lation of any P1'ovis~on8.of said Ord~nance8.
IPlan Check F~e: .~:- )__
IDatc Paid: . ~
IRecdpt H:
IS~
Plumbi'ng Permit
No pe1'~on chall construct, instal!, alter or change any ne~ cr e:isting
plumbing or drainage syste:n in ",Jwle 01' in part, unless sueh person is the
legal possessor of a valid plumber's license, exaept that a person may do
plumbing work to property which is owned, leased 01' opereted by the appl.i-
cant. .
~
Electrical
Permit
Where State LatJ requires tr.at the eleatrical work be done by an Ele::trical
CantmatoI', the electrical portion of this permit shaU not be valid untit
the label has been signed by the Electrical Contractor.
,
Mechanical Permit
u~)
1\;3{).qLL
I HAVE CAREFULLY EXAMINED the comp'teted application for permit, ,md do
hereby certify that aq iroforomation hereon is true and aorrect, and I
further certify that any ar.d aU LXJrk perfor:ned shall be do:16 in acaor-
dance with the O1'dinancss of the City of SpringficU, and th& La:.:s of tho
-4 State of Oregon p:::rtaining to the work described herein, end that NO OCC!J-
PANCY will be made of any structupa without p3~is3ion of the Suilding Di-
uision. I further certify that o:1ly contrectors ar.d e:npl,:,yecs who are in
~~pliance with ORS 701.05t ~ill be used on this project
M1;..r:..
1.<::;./5.. \. /)
- .s_~~ \.C /~~~~ .J~'- \f-(~
~$ tia~ - 0."0
, ~
DEVELOPMENT SERVICES
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726-3753
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield
that with the approval of the attached
manufactured homes will be placed at
Springfield, Oregon, City Job Number
Development Code, I understand and agree
pe\m~sm o~~~~~'
dr)\4'i.B' . .
o
Class A Manufactured Home. A manufactured home of not less than 24
feet in width and 16% (not less than 2:12) roof pitch, with exterior
dimensions enclosing a space of at least 960 square feet, with roofing
and siding materials that are commonly used or compatible wi.th site
built homes. /
o
Class B Manufactured Home. A manufactured home of not less than 12
feet in width and 16% roof pitch, with exterior dimensions enclosing a
space of not less than 500 square feet, with roofing and siding
materials that are commonly used or compatible with site built homes.
I further state, by my signature below, that I have been provided with the
following information:
- Mobile home blocking
- Sanitary sewer' connection
- Yater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
~, Lh?J~V^'L
(
~.1 JC/ZO
Date I -
~. ............
.
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
"INSPEClION REQUEST:' 726-3769
, 'OFFICE: 726-3759
1. LOCATION OF INSTALLATIOt!.,
, /'1z:;G me. /Jo,{J J4(U A.
LEGAL DESCRIPTION' I)D ~Q'1/3D7 fd)O
fflPt:r 17 '-r~U 7L6lJ
JOB DESCRIPTION, of) -41-, .
~<L (JL./)CJLA../.A'~,
Permits are non-transferable and expire
if work is not started within 180 days
,of issuance or if work is suspended for
180 days.
2. CONTRAClOR INSTALLATION ONLY
Electrical contractor:H.tAt-;,,~R. '1 (lp;~
3 '
Address ~~~ltJ, ;J (j7Y' ,
Ci ty --r ~ ~_ Phone 3'11./-1 s:;tf7).
Supervisor License Number CfLJSu.
Expiration Date
10-9/
Constr Contr. Number dO-.:i.k'tJG
, Expiration Date
/0"-'91
s~ature' of Supervising Electrici~
~~~ 9'-1-~S:-
\ I
, v."_ INSTALLATION
Name
Address
City
Phone
The installation is being made on
property I own which is not int~nded
for sale, lease or rent.
i '
Owners Signature:
=(2~~~~7J!o~~--
DATE: I(-.\" --
RECEIPT I: \) \ 't:, 'i '6' t.---' '
RECEIVED BY: r-:\II-'\() ,
ELECTRICAL PERMIT APPLICATION
CitY'JOb Number qIJ\4Qn
3. ' COMPLETE FEE SCBEDtn,.E BELOV
New Residential-Single, or
Multi-Family per dwelling unit.
Service Included:
Suln
, Items
Cost
$ 85.00
B.
1500 sq.ft. or less
Each additional 500
sq. ft or portion,
thereof
Each Manuf'd Home or
Modular Dwelling
Servic~ or Feeder " --il- '$ 35.00 "IV,
Services or Feeders (10 Branch Circui!s
included). Installation, Alterations
or Relocation:
$ 15.00
100 amps or less
101 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only'
$ 35.00
$ 60.00
$ BO.OO
$130;00
$300.0()
$ 35.00
"
c.Temporary, Services or Feeders
Installation, Alteration or Relocation
, ' '
200 amps'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps 'or,1000 volts
$ 35.00
$ 40.00
$ 80.00
see,"B" above
D.
Branch Circuits
New; Alteration or Extension Per Panel
One'Circuit , --L--
Two to ten Circuits
Each Add t' 1 ten or'
portion thereof
,
~
$ 35.00
$ 50.00
$ 15.00
E. ,Miscellaneous (Service/feeder not included)
-Each installation
Pump or 'irrigation
'Sign/Outline Lightin~
Signal,Circui t or', , , '
limited 'energy panel
$ 36.,00
$ 36.00
, 5;
SUBTOTAL OF ABOVE
5% State Surcharge '
TOTAL '
$ 36.00
ID'S~
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