HomeMy WebLinkAboutPermit Electrical 1995-10-16
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
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SPRINGFIELD
LOCATION OF PROPOSED WORt<. '<,4-5"' fa
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JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX LOT' AfUCJ
SUBDIVISI~1\!~r\OflS
PHONE: ~. loSlol/J
ASSESSORS MAP: .
LOT" (A
oWNE~L1rUf\ ~'r\-to'{D\~ J.~(\ ,.
ADDRE"~" ~C{f{ \,)n ...~? rv\ '- '1D\..Q1Q.
CITY: ~~J\ '-1\Z\ ~ Q~ N STATE: I ~\)~ tJ'(\
DESCRIBE WORI<' ,~\ '0'1'\\0 , M('\ m'l ~ I h \>20 ~lc\ \) !\c' ~
NEW .......--- REMODEL ~ADDITION DEJcl.ISH OTHER
BLOCK'
ZIP: Q.f\4'l,B
CONTRACT~~.NAME ADDRESS
GENERA'\ Q:X\..1 lO 0 n r fit,
PLUMBING: 9.N\l~ ~ r\ \ hll 0 I \
MECHANICAL:' Q\r, I ,r\ 1) (\ t-tIlT,
ELECTRICAI'f~U~ ~~
CONST.
CONTRACTOR'
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q'LWR
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PHONE
qn} lo\dJ2-
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q230~
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QUAD AREA: ,-jR",r -
. OF BLDGS' I
OCCY GROUP:_Q~+)J\
I
F~
. OF STORIES'
WATER HEATER:
'- OFFICE USE -
LAND USE: __11' I
. OF UNITS:-!
CONSTR. TYPE: UJJ
HEAT SOURCE: (1)1-1
RANG'" F,-"
EXPIRES
'\.2.o".a..lo
C\.\~p.\()
f),lCl.cjtfJ
C\.,\.q~
FLOOD PLAIN'
ZONING CODE: J.1J!2.-
,'1
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:
{2
{{ (JCf.. ~
To request an Ins paction, you must call 726.3769. This Is a 24 hour recordIng. All Inspections requested before 7:00 a.m. will be
made the same working day, Inspections requested after 7:00 a.m. will be made the following work day. .
REQUIRED INSPECTIONS
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
settIng forms.
o Underslab Plumblng/Electrlcall
Mechanical - Prior to cover.
[J}FoOtlng - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
~undatlon - Arter forms are
erected bl!t prior to concrete
placement.
0' Underground Plumbing - Prior,
to fll!lng trench.
~nderfloor Plumbing/Mechanical
- Prior to Insulation or decking.
~ost and Baam - Prior to floor
Insulation or decking.
G:d-:loor Insulation - Prior to
decking.
~nltary Sewer - Prior to filling
trench.
~torm Sewer - Prior to filling
trench.
~ater Line - Prior to filling
trench.
~ough Plumbing - Prior to
cover.
~ough Mechanical - Prior to
cover. .
~ough Eleclrloal - Prior to
,cover.
[g'Electrlcal Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
Q-Pramfng - Prior to cover.
~all/C'elllng Insulation - Prior to
cover.
QJ>rywau - Prior to taping.
o Wood Stove - After l~stailat'lon.
o Insert - After fireplace approval
and Installation of unit.
~urbcut & Approach - After
forms are erected but prior to
placement of concrete.
G"Sldewalk & Driveway - After
excavatIon Is complete, forms
and sub-base materIal In place,
o Fence - When completed.
o Street Trees - When all required
trees are planted.
~Inal Plumbing - When all
plumbing work Is complet.e.
~Inal Electrical -. ,When all
electrical work Is complete.
~Inal Mechanical - When all
mechanical work Is complete.
Da;.lnal Building - When all
required Inspections have been
approved and building Is
completed.
D~ther
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and ,the home Is connected to
the service panel.
o Final - After all requIred
Inspections are approved and
porches, sKirting, decKs. and
venting have been Installed.
lot Type. Setbacks ~ THE PROPOSED WORK IN THE
Interior I P.l. HSE GAR Accl -"HISTORICAL DISTRICT, OR ON tI
7 IN I THE HISTORICAL REGISTER<L C"'1.
Corner Is I If yes, this application must be signed
and approved by the Historical
Panhandle Iw I Coordinator prior to permIt Issuance.
Cul.de.sac
IE I APPROVED:
lot faces
lot sq. ltg,
lot coverage
Topography
\~I
Total height --.L"..L
L If-1.6')
BUILDING PERMIT
ITEM SO. FT.
\\~3
~lD.O
X $/SO. FT. ~
S\.D.? 1)
\l\. \()
VALUE
\.0'2:>\.01)\-
'1 <6a.1o
Main
Garage
Carport
Total Value
YI\~f)D
....'J./>A .00
A ') .C\~
2/IIo.q~
Building Permit Fee
State Surcharge -\- ~O/O
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
~ /?B eO..!
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N' 6).
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge +3.%
Total Charge (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan N'
FEE
\\ On cO
lli(}~
\~.ro
n~.&:l
t\ . SrJ
q . Cj:)
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
?-..co
M~chanlcar Permit
\ \ () .50
\l).CO
\. ,~?J
d.j. B'3
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
ft
Demolition
State Surcharge .
I.~_ ~\t\ C'\ ~n~ ~.cD
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition lhatthe said
construction shall, In all respects, conform to the Ordinance
adopted by the City 01 Springfield, 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.
Plan Check Fee:
Date Paid: ~ ~
Recel pt Number: .(?,
Received By: .. ~
~ti("\ \\\~,\Il:-l.
Plans Reviewed By .. v
Date
Systems Development Charge Is due on all undeveloped
properties within the Clly limits which are being Improved.
ADDITIONAL COMMENTS
~fJ.O b'or\ r. X , ... ~r\ 0 u en ~ \' .tv
u4 -r.o flSPO
\.5\{\ \\ ~){ '. \ C\. LoO
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By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordinances of the City of Springfield, and the laws
01 the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made 01 any
structure wIthout permission of the BuildIng Safety Division,
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
from the street, that the permit card Is located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Signature
Date
VALIDATION:
RECEIPT NUMBER
DATE PAIl'
AMOUNT RECEIVED
RECEIVED BY
q
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 950731
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3456 S REDWOOD DR
Assessors Map #: 18020612
Lot: 69 Block:
Tax Lot #: 02600
Subdivision: HAYDEN GARDENS 1
OWner: HAYDEN ENTERPRISES
Address: 899 SOUTH 32ND STREET
Phone #: 744-6966
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: S.F. RESIDENCE NEW
Canst.
Contractor Contractor # Expires Phone
General: HAYDEN ENTERPRI 0092208 07/29/96 923-6607
1511 SW 33rd Redmond OR 977560000
Plumbing: EMERALD VALLEY 0051737 09/19/96 683 - 5116
2727 N 20th Springfield OR 97477000
Mechanical: HAYDEN ENTERPRI 0092208 07/29/96 923-6607
1511 SW 33rd Redmond OR 977560000
Electrical: 4752139 0101271 07/22/95 838-6112
184 Willow Way Monmouth OR 97361000
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1693
OFFICE USE
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: PI
TO request an inspection, call the 24 hour recording at 726-3769.
All inspections requested before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
SPRINGFIELD
Job Number: 950731
Page 2
Total Height: 15
Lot Type: CORNER
Setbk From NPL: 47
Solar Approved: Y
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1133
560
$/square Feet
56.20
14.10
= Value
63,675.00
7,896.00
71,571.00
Building Permit Fee
Surcharge/Admin
349.00
27 .92
TOTAL FEE
(A)
376.92
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 1,588.05
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Fee
160.00
Plumbing Permit
Surcharge/Admin
160.00
12.80
TOTAL CHARGE
(C)
172.80
-- - MECHANICAL PERMIT ---
Exhaust Hood
Wood Stove/Insert/Fireplace Unit
Dryer Vent
4.50
0.00
3.00
Mechanical Permit
Issuance
Surcharge/Admin
16.50
10.00
1. 32
TOTAL PERMIT
(D)
27.82
--- MISCELLANEOUS PERMITS ---
Sidewalk
Curb Cut
PLAN REVIEW
WILLAMELANE SDC
ELECTRICAL PERMIT
F4',l'Vt::"'6'
TOTAL MISCELLANEOUS PERMITS
(E)
35.65
13.90
40.00
400.00
124.20
s.-
613.75
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
~..,n ~A
:< 71ff 711
--- 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 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.
SPRINGFIELD
Job Number: 950731
Page 3
-- - ADDITIONAL COMMENTS ---
DRIVEWAY REQUIRED TO BE PAVED
4 STREET TREES REQUIRED
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correct, and I further 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 the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree to ensure that all required inspections are requested at the
proper time, that each address is readable from the street, that the permit
card is located at the front of the property, and the approved set of plans
will remain on the site all times during construction.
Date
--- VALIDATION
Date Paid:
jC}2-Y V
/L? 7~-q S-
.~:::. -
Receipt Number:
Amount Received:
Received By: