HomeMy WebLinkAboutPermit Building 1990-2-13
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.. Rcce~pt /1
- SPRI~GFIELD '1 ~
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.. RESI~~TIAL"
COMBINATIONAF~': 'f;;:'CATION/PERMIT
225 North 5th Street
SpringfieZd~ Oregon 97477
Buitding Division
726-3753
~
Job LoC3tion: C 'l:l. A(\ J4..{'? fJY'-. L ~. . )
Asaesaors ~p # 1'7(}~3,:s-Pf-:~--~-';a Lot -;; nrYJ:{
Subdivisi9n:
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OJn6lJ': Wtl(,~ ...,... E/~.,.,-e..
AddreS3: '7..t .14. n,J *' ~ 6't^- t..~
City: 5' /:)'t ~ .c; ;.. Ii
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fC,~I'€-
lJft..
Phone: 7 2~ - 2. $"70
Zip: 9,7 t(? I'
Describe WOJ'k: ~_/I
i ~ c...b It... , (U<<j!C- W I p....
bed '-;OIJ~ ~..... J.d:f:( . a~_i'cV'e G/ltuitei
-t. e;<,fI"'It.., ~I'!-) .. .
. ... .. . Value. '2~8/~,~
N",."
.0 tA.( J
Addition
Remodel
Mobile Honta
Date of Application
Contractors
General t? /"VAJi3f'
Plumbing OW A) 6e
Electrical t'JtVAhi!~....
Ue:Jhar.ic.:1 ~hl~
SuoervisinQ'E1ectrician
Addzoes3
pel / ..
. Slgr.ed: ~
Date: 2 - I~ .LtJ
Lise. H
Expircs
Phone
It is the J'esponaibility of the permit holder to see that azz. inDpections are made at the proper time. tr.at ~ach ~esa .is readab!~
from ths street. and that the pcrrrrit card is located at the front of the propeJ'ty.
'Sui !.ding f)o;vi::icr: approt:ed plan shall remain on the Bui.lding SitB at all times. .
PflOCSDUl?E f'OR INSPECTION REQUEST: Call 726':'..,7fi9 Uoecorder} state your City designated job number, job addrcss, tYPR of in:;pectien
requested ar.d when you r.n:n bs ready for inspection, Contractors or OJners name and phone number. Requests received cejoN 7:00 I:n
r..'ill be made the same day. requests made aft::.r 7: 00 am r.n:ll be made the nc:&t :.JOrki~ day.
cJ}dJ77
R~mJi~~n rnn"~~tir,nn
~ITt: INSl'EC':'ION: To be madil after
~cav.:Jtion. but pJ"ior to set up of
forms.
UNDERSLAB PLUMBING. ELECTRICAL &
MECHANICAL: To be made before any
work is ~~vered.
"0
.0.
WI FOOTING ~ FOUNDATION: To be mde
. ~ after trenchos are ~cavated and
forms are erected, but pJ"ior to
pouJ"ing cencreto.
l\7l' UNDERGROW!D PWM3INQ"(SEWER JW.1TE!1. .
PJ D.qAIffAGE: To be ~or to fiZ-
lir.g trenches.
D UrTDE!?FWOR PLU1.aJING ~ MEC!lANICAL:
. To be made pJ"ior to inataLlation of
floor insulation or decking.
D POST AND BEAM: To be "..ado prior to
instaLlation of flcor insl.:latior. or
deckiru; .
~.OUGH ~18i:"~CTI1ICi9 & ~
'ANTr:'A.[;: --;ro:.lOr "tirT'O bc cOL'ered
.: these inspections have been
made and approved. .
O. FI!?EPLACE: . Prior to placir.g facing
materials and before /._..;ng inspec-
tior:. .
~ PRANING: Mu3t be reque:Jted after
)LJo- approv.:J1 of rough plwr.bing, electJ"i-
caL & mechani.:aL. AI~ roofing
bracing ~ chimneys, et~. rrr...st be
completod. flo work is to be con-.
cealed 'untiL thio inspection has
been mde and approved.
Your City Designated Jo~ Number Is:
M'INSULATIONIVAPOR BARRIER INSPECTION:
~ To be made after all insulation and
rcqui.r.ed vapor carl'iers are in place
cut cefore any lath~ flYpswn board or
wll covering ie applied, and before
any. inoulaticn is concealed.
Mr DRYWALL INSPECTION: To be made
~ after all drywll is in place,
but pJ"ior to any taping.
O MASONRY: Steel Loaation. bond
. beama, grouting or verticals in
aacordance with U.B.C. Section
2415.
D WOODSTO'lE:. After instaLlation is
. . ccmpIe ted. .
o
CURB & APPROACH AP!?ON: After forms
are ereated but prior to pouJ"ing
~oru:rete.
. .
DEMOi,ITIO:f OR .\1017' 3iJ[[,;::"'CS
J
D SIDEWALK & DRIVEWAY: For all con-
crete paving within street J"ight-
of-wc.y. to be ma:1e after all e:rca-
vating complete & form work & zub-
base material in plaae.
D
. fENCE: ~'her: complote -- Provide
gates or movable sections through
P.U.E.
=:J Sanitary SelJe!' aczt'ped :::t p~opc:!'t-:i Zir:e
~ Septia tank p~ed ~~ filZ~d ~t;h ;ra~el. .
I Final - .r.'hen above itOJ,''1s are c:;mpl.eted .
~ ar.d when demcZitior: ia co~leta or struc-
ture moved and pr~~Jos aZeane= up.
Mobil.e Hemes
~ Blocking and Sat~up
T- Plumbing connections -- s~er and water
---, Elcctrical Connection - Bl.ockirq, set-up
~ and plwnbing connections ~...3t =8 approved
befoJ'c requesting ele~;J"icaz. ir.spectio~
:=J AcceSGol"d BuiZding
-, fiTI.:JI - t.ftc:r .?orc.r.es, sk-::rt-::"f, decks,
--.J etc. are comp~at~a.
D
All project conditione, such as the installation of street trses, c~~lJtion of ;rtS
required landscapir.g, stc.. must be satisfied before tr.e BUILDI,':C n:!AL .:an !:e 1'3qu6st3d.
I
W FINAL PLUMBING'
,.
~ FINAL ME!:HANICAL
~ FINAL. ELECTRIdAL
*
nNAL BUILDINC: The Final Building Inspection muet be requeated after :rt8 Final ?tumbi"3
Electrical. and UechanicaL Inspectiona have been made and approved.
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~~-
'ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBCE, ADJUSTUENT TO BE MADE .AT NO COS'; TO CITY. I P.::.~e
ol
of 2
i
1,lab Numbcr:
I Zone:
q /Cf)!J1
/lefcrm;ce Nwnce1'3:
L-COC II:
./
..
Lot Sq. Ft{j.
,~ vf Lot Cvverage
# of Stories
TotaL. Height
i Topography
,
I
I
lITEM
Ift/ain
I Lot Faces -
I Setbacks
I. P.L. House Garage
North
lEast
South
IWest
Access.
Bedrooms:
, EnerQ.u Sources Tupe
Heat ~ A.A!.
Water Heater
Range
Fireplace
Woodstove
Jtf
Occupancy Gro
LOT TYPEI!:
Interior
Cornel'
Panhandle
Cu l-de-sac
Type/Cor:.st:
Fees
Garaae
SQ.FTG
517
'S/7
39~ 7() ').V;;;24~
/1/0 ,7'2&..1 ~
.. ~ -.....
Building Value &
Permit
Carport
I Accessor~ . :171>t
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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 Zoning Ordinance, regulating the construction
and use of buildings, and may be suspended 01' revoked at any time upon vio-
Lation of any provisions of said Ordinances.
~ :.
.
.. S., .
,
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TOTAL VALUE
'29~/~~.
I Ii/A *
,') '''', -:. ; I
S.D.C.
(va~ue)
1.5 x
"
. .>
, '
. , ~ T' \
, '
TotaL Chargea
173.0'
9,c,5'
~t):;., , ~ s. *
\
lITEM
. I Fixtures
I Residential. (1 bath)
I Sani taroy Sewer
I Water
I
I NO. I FEE
~ Ir;~
CHARGE .
DO.CO
Iplan Check Fee: 125.. ~b
. .IDat~ .paid:, I-;/~/
, ,JReqe?-pt #:~. ; j'q / ~ ~
I Signed: .~~
. '. .f>,I, ~ ~ ~ i n 9~,.~ .Pe r m.it
No person shall. construct," in~t::zll., ,~it~r '01" cha~g; any neW 01' existing
pl.~ing'or,drainage system in.whole or in part, unl.ess such person is the
legal. pos~essor of a valid plumber's license, except that a person may do
pl.umbing work to property which is owned, . leased or operated by the appl.i-
.cant. .
" '... :
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Building permit
State Surcharge
....' '.'
Plumbing Permit
State Surcr.a.rge
Total CharCles
300 .
L~3. t?O .
..l' I.~'
*
jnEftl
Res. Sa. fta.
New/EXtend Circuits
I Temporary Se~ice
NO.
FEE
CHARGE'
Electrical Permi t
. .
Where State LaJJ requires that the el.ectrical. lJOrk be done by an El.ectrical
Contraator, the eleatrical portion of this permit shaH not be valid until
the l.abel has been signed by the Electrical. Contractor.
I,
~;:Y#A1c
~/kMpc/AJ'
Ele~triaal. Permit
State Surcharge
Total. Char{;es
I *
ITEM
NO.
FEE
ClfARCE
Mechanical Permit
F'urnaae ETU' S
I E.::haustHood
Vent Fan
2- I11IAJ
/5. t.rl)
Woodstove
Permit IS8uanc2
/0
c..?
Me~haniaal Permit
TotaL Charo"!lJ
-- ENCROACHMENT --
j 2'5
. 2 (PI 2.5
~
Stato Surcharae
Seff,,(rity D2posit
P~e:t{'~ ~
JJate
Storage
Total Charqas
I
I
I *
I HAVE CAREFULLY EXAMINED the aompleted application for permit, and do
hereby aertify that al.l information hereon is true and aorrect, and I .
further aertify that any a,r.d all lJOrk perfor:ned shall be done in aaaor- "
dance with the Ordinances of the City of Springfield, and the La-.JS or the
State of Oregon pertaining to the work desaribad herein, and that NO OCCU-
PANCY will. be made of any structure without permission of the Building Di-
vision. I further certify that (mly aontractors and e:nployees who are in
ca~plianae with ORS 701.055 will be used on this projeat
Maintenance
permi t
I eurbcut
I sidew.llk
Pen~B
~~'>
,..
ELectriaal Label
'"Mobile Home
I
I,
TOTAL AMOUNT DUE: *
~fjl,90
~~~~2. ~~
Signed
c2 -/3- ~/~
~
Date.
*
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I
225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477
. .INSPECTION REQUEST: 726-3769 Ci ty Job Number 91o() "7 '7
OFFICE: .726-3759
.1. LOCATION OF INSTALLATION J .
h72 A:-AtOfi'r~~,t) {~ IE .
LEGAL DESCRIPTION
.nD3 -;;;:.~ l~ /'5/J2en
.. JOB DESCRIPTION
~D 6~~/A~/4A2tr
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. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
. Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
.. Owners Name~t.e
Address. ?7J. Av~~J ~)J:=..
Ci ty flJt/pq:retIJ Phone..22fp "'2$~ 0
OWER INSTALLATION
The installation is being. made on
property I .own which is not intended
. for sale, lease or rent.
. 2e:;ntUJ?~
---------------------------------------
DATE: ---2-- - ~3 _ ~1 ~
RECEIPT .: J 1 L.. 4 tJ
RECEIVED BY:. (J /~
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1500 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items Cost
Sum
$ 85.00
$ 15.00
$ 35.00
B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
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
V- $ 60..00 ..ILLeR.
$ 90.00
$130.00
$300.00
$ 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
D.
Branch Circuits
$ 35.00
$ 40.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder not included).
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
One Circuit
.Two to ten Circuits
Each Addt'l ten or
portion thereof
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 50.00
$ 15.00
$ 36.00
$ 36.00
$
36.00
~ao
300
(n.~~