HomeMy WebLinkAboutPermit Correspondence 1992-3-3
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DEVELOPMENT SERVICES . "t*i1 ~~. &J;~ . 225 ~/FTH ~~_"'i.:~
PUBLIC WORKS""f~'.,-, . SPFJldGFldD. Or. ~""
METROPOLITAN lIl~STEWATER MANAGEMENT (503) 726.3753
~larch 3, 1992
Mr. & Mrs. Mark Bright
1391 Olympic Street
Springfield, O~ 97477
Dear Mr. & Mrs. Bright:
Thank you, Mr. Bright, for attempting to contact me again after our
initial conversation last month. Recognizing that your out-of-town
employment for the next month or so will make it difficult for you to
come to this office during regular business hours, I have enclosed
applications for the required permits. A third form is also enclosed.
It is required whenever property owners choose to be their own
contractor.
please complete the forms and return them to this office with a check or
money order made out to the City of Springfield in the amount of $199.88
for the required permit fees. Doing so will provide you with valid
permits that will enable the required inspections to take place.
when you return to the area next month, please contact me so arrangements
can be made for you to meet with the City Building Inspectors. They must
be able to verify that the new construction meets the Code requirements
~hich were in effect at the time the conversion ~ork was done.
Your continued courtesy and cooperation in this matter is appreciated.
Sincerely,
~w---7?k
Donald J';oore
Construction Representative
ce. Dave ?~ent, Building Official
Jim nayes, Slectrical Inspector
Tem Marx, Euilding Inspector
..
...
RESIDENTIAL
PERMIT APPLICATION
Illspections: 7:!G.37Gn
Ollicc: 72G'Jl~\J
.
SPRINGFIELD
LOC^TION OF PflOPOSED WOflK: _..L~ q)
I ^SSESSORS MAP: -/-1/) ~ ?_ S '<,
LOT:
~
BLOCK:
OWNER: _MARK-~_IS:H'~L~"f3RL4f:lT
^DDflESS: _._.___~MLE:.
CITY: ..____ _n__..... ____n__ _______ .________ .
.
JOB NUMBEIl____...._..
225 Fifth Slmet
SprinGfield, OICtlUIl !Ji"177
TAX LOT: _L.C?_7.~ <2_
SUBDIVISION:
PHONE: __ _
----- --
.
smTE: ______._.....________ ____n
ZIP: .______..
DESCRIBE WORK: _Ct2NJLER..fl!J>---WBTJ-l2I...).. OF . 4k~€-.__TQ_J..IJ!J.Nc(____'5I?d-e.e..
NEW ____ IlEMODEL _~ ADDITION ___ DEMOLISH ___ OTHER
CONTflACTorr~; N^ME
OWN E:R-- -.-... ------.
^DDnESS
CONST.
. CONTIl^CTOn .
PIIONE
GENEIl^L:
PLUMBING:
.. ...-.-.----.- --- -----...-----.-.---..--.-------...
'---.---
ELECTRICAL: .
~\,(/ UE..Q
MECHANIC^L: ....__._____________ .-------------.-----....-----
QU^D AflEA-
. OF BLDCS: _
OCCY CflOUP: ____
. OF STORIES:
WATER HEATEfl'
- OFFICE USE -
LAND US".
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANG'"
EXPIRES
FLOOD PLAIN: _____ .___.._____._
ZONINC CODE: __._.____
. OF BDflMS:
SECONDARY HE^T:
SQU^RE FOOmCE: ._.__.______._
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspcclions requested before 7:00 n.m. will be
nHlde the same working day. Inspecllons requested after 7:00 a.m. will be made the following work day.
1=1 Tcmpormy Electric
D Sito Inspection - To be made
niter excavation, but prior 10
selling 'orms.
D
Undersfab Plumblngl Eleclricull
Mechanical - Prior to cover.
D
Footing - After trenches arc
excavated.
D Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected bul prior 10 concreto
placement.
D Undorground Plumbing - Prior
to (illlng trench.
D
Underlloor Plumbing/MechanIcal
_ Prior to Insulation or decking.
D
Post and Beam - Prior to (Ioor
Insulation or dccl<ing.
D Floor Insulation - Prior 10
decking.
D
Sanitmy Sewer - Prior to filling
trench.
[J
Storm Sewer - Prior to filling
trench.
D'- Watcr Line - PrIor to Iilllng
trench.
D Rough Plumbing - Prior to
covef.
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
~ Rough Electrical - Prior to
~ cover.
D Electrical Service - Must be
approved to obtain permnnent
electrical power.
D Fireplace - Prior to (acing
materials nnd framing Insp.
D Framing - Prior to cover.
KA'Wall/Celllno Insulation - Prior to
~cover.
~ Drywall - Prior 10 taping.
D Wood Slovc - After In~til"ation.
D Insert - After fireplace approval
anti Instullallon of unit.
D Curbcut & Approach - After
forms are erected but prior to
placement 01 concrete.
D Sidewalk & Driveway - Alter
excavation Is complete, forllls
and sub.l..Jasc material in place.
D Fenco - When completed:
D Streot Treos - When all fCqulred
lflwS arc planted.
D Final Plumbing - When all
plulllbing worl~ I~; cOlllpldu.
~ Final Electrical - When nil
)LS.J electrical worlt i~ eOIll$Jlcte.
D Fimll Mechanical - When ;IJl
mechanical worl( Is complete.
~Flnal Ouilding - When all
,...~ ~equlrcd inspections have been
approved and bllildinU Is
completed.
DOlher
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When 311
blocking Is complele.
D Plumbing Connections - Wilen
home has been connected 10
water Lind sewer.
D Electrical Connection - Wlwn
blocking, sel.up. antI plllfllbiflU
inspections Iwve been appfovlHI
and the home is connected 10
the SCfvice panet.
D
Final - After all required
inspections arc approved and
porches. sklrtlno, decl<s, nnel
vcntinu have been installt)tl.
Lot filees
Lol TYP.
Interior
Lol :.;q. flg.
Lot coverage
Corner
TopourapllY
Panhandle
Total height
Cul.de.sac
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
Main
--~---
Garilgu
Carport
, . . ~
es THE PROPOSED WORK IN THE
HIS'IOr~ICAL DISTrllCT. OR ON
THE HISTOnlC^L REGISTER? ____..._
If ye:;. this appllcalion must be signed
and ilpproved by the Hlstorlcill
Coordinator prior to porlllil Issuance.
Setbilcks
r---r----'--'-.l
_ p.~,- 11SE GM3.,-^Cc:;_
N
------
s
.-----.- .---- --,--_. ----
W
-.----.--
.APPROVED'
._L_._~____..____
VALUE
_t!lNf/.64,T,
.~1~L-
_;z~_t!?_ -~33~~()
Total Value
Building Permit Fue
Stall: :':,urcharOf:
Total Fcc
(^)
j;;/k~~
_3J~
-- 6S. ~3.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) --N/A...--
PLUMBING PERMIT
ITEM
Flxlures
Acsi<Jcnlial Balh(s)
N'
Sanilary Sewer
FT.
Water
FT.
Storm Sewer
FT.
Mobile Homc
Plumbing Pennil'
Slale Surcharge'
Tolal ChilrnC
(C)
MECHANICAL PERMIT
FUlnilGU
Exhau5t Hood
Vent Fan
N'
..,--,-..._.
Wood 8tl..lvullllGmt/FhcplaGc Unit
Oryer Velll
Mechanical Perlnlt
IssUilnce
State Surcharuc
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
StLltC ISGuance
State Surcharge
SidewfJlI( It
Curbcul ..._____ tt
Delllolilion
Slate SurcharHr:
._'BWo P.-FeE:--
Tot;11 Mi:;GellilrWOWi Permits
FEE
--;
/
/
(
H~2.h~~
(E)
TOTAL AMOUNT DUE (excilldlnu elec;lrical) /2.8.!3.
(A, 0, C, Dt and. E Combined)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted onll1e express condition thDtlhc said
construction shall, in all rcspccls. conform to tho Ordinance
adoptcd by the Cily or Springrleld. including the
Development Code, rcgul<lting the construction and lIse of
buildings, and may be suspended or revoked at any time
upon violilllon of any provisions of said ordinances.
- Plan Check Fcc: _____.___
Date Paid:
fleccip! NUIT1LJer:~ ._m_._
Received By:
...^IO _p~S'
Plals'l-Flcvicwcd Uy
Dale
Gy~.ICIIl:; OCVdOPlIlf:llt r:harOf! i5 due on all lIncluvnloped
properlic~i wilhin the City Iimils which arc !Join\) improved.
ADDITIONAL COMMENTS
By signature, I state and agree. thai I have carefully examined
the completed appllc;ltion and do hereby ccrllfy thnt all
Information hereon it> lrut) ilnd correcl, ilnd I further cerlily
Ihat any and all wotl~ pcrlorrned :;halluc dono in ;1t;cOfuance
willi the Ordin;1l1cc:,; of lho City of Springfield; ;111(.1 the Law:j
or the Slalo of Grenon portilining to the wOI'I( c1e!.crlhed
heroin. OInd 1Iw.1 NO OCCUPANCY will VI: lIH1de 01 any
structure without permission of lhe Building Safety Division.
I further certify that only contractors and cmployees who
arc In cornP!,ianc.c wllh ORS 701.055 will be used on this
projecl.
I further agree to ensure that all reQuircd inspections arc
requested at tho proper time, that oach address Is readable
from the streot, that the permit card Is located at the front
or the property. and the approved set or plans will remain
on the sile at all limes during construction.
Xi9naluro
Dale
VA t
nE
DA S / c:;1()
AW .H&,.E
RE
225 FIFTD STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
!-:J..C/-J ()'-YMPI ('~
LEGAL DESCRIPTION
! 71]7, 2 ~ ~?- / D 1 () 0
JOB DESCRIPTION
t'/NA&E7'JI-II//AltA ~ ~
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CO~CTOR INSTALLATION ONLY
Electrical Contractor ~VV~
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners Name t1..A~/Ci-HT
Address I~C;/ OLYMPIc'
City ;)jO~ Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~ ------------------------~--------------
DATE:
RECEIPT 1I:
RECEIVED BY:
3. COHPLETE FEE SCIlRDULR BELOII
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
A.
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each lianuf' d Home or
Modular Dvelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
D.
Branch Ci rcuits
S 40.00
$ 55.00
S 80.00
see "Bn
above
Nev, Alteration or Extension Per Panel
One Circu i t --1- S 35. 00 ':i~ tI'D
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
I2>WOP FeE-
-r-"","-A. /
not included)
S 40.00
$ 40.00
$ 20.00
$ 36.00
~ C) <N>
- 1,7~
2/'..,7S'
_-or-
3S00 -:::
~/7 J.75