HomeMy WebLinkAboutPermit Building 1994-6-29
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RESIDENTIAL
PERMIT APPLICATION
Inspectlons:726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK'
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LOT:
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SPRINGFIELD
OWNER' .....1t)(Y\(J; b, ~H0
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CITY: <:'Do \'naf i.Q..LcJ
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STATE: -rR.
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JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
SfJfGLhfwJct
TAX WT' orc;7-00
SUBDIVISION: ~AOb -fb ('~0\)fI)lt :-
PHONE: 147-~O/q
ZIP: q)471
DESCRIBE WORI<' 130,-""
NEW ./ REMODEL
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ADDITION
1
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CONTRACTOR'S NAME/] .IJ.
GENERAL: ./U(4/.lb'/'-n
PLUMBING'
MECHANICA' .
ELECTRICAl'
QUAD AREA: [)~\\\0
. OF BLDGS' \
OCCY GROUP' \\J\
. OF STORIES:
WATER HEATER'
DEMOLISH
OTHER
ADDRESS.
~..
CONST.
CONTRACTOR' EXPIRES
12Y &J."Z ~ ~,,-jJ Ia1L$.1
PHONE
'1'!7;.']-Jb<t
? '17-:l. r,f?-
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D Rough Mechanical"':: Prior to
cover.
D Ro'u~'h"Ele6trlcal - Prior-to'
-cover. ". . .
D Electrlca' Service - Must be
approved to obtain .,permanent
electrical power. :r ~~~
D Fireplace - prior to facing
mate~lals and framing Inap.
I:lJ Framing - Prior to cover. .
D Wail/Ceiling Insulation - Prior to
cover. . .
,
D Drywall ...... Prior to taping.
D Wood Stove - After I~stallatlon.
,
D Inaert - After fireplace approval
and Installation of unit.
!ZJ ,Curbcut & Approach - After
forms are erected but prior to
placement of concret,e..
IVI Sidewalk & Driveway - After
L.AJ excavation Is complete, forms
and'sub.base material In place,
D Fence. - When completed.
D ,Street Trees - When all required
trees are plan!ed. . .
FLOOD PLAIN'
ZONING CODE:
11)( ~
- OFFICE USE -
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LAND USE:
. OF UNITS'
CONSTR. TYPE: ~
HEAT SOURCE:
RAN",e.
~ OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:
"C)? ..D.-
To request an Inspection, you must call 726.3769. This Is a'24 hour recording. All Inspections requested belore 7:00 a,m, will be
made the same working day, Inspections requested afier 7:00 a.m. will be made the following work day. .
REQUIRED INSPECTIONS
D Temporary Electric
D Site Insp'ectlon - To be made
after excavation, but prior to
setting forms.
D Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
r\1'I Footing - After trenches are
l..-AI excavated. >
D Masonry - Steel location, bond
.beams, grouting.
D Foundation - After forms are
erected but- prior to 'concrete
placement.
D Underground Plumbing - Prior
to filling trench.
D Underfloor Plumbing/Mechanical
-,Prior to Insulation or decking.
O Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking,
D Sanitary Sewer - Prior to filling
trench.
rvl Storm Sewer - Prior to ""'ng
LAJ trench. '
,'?\- <'
, DiWater Line - Prior to filling
'trench.
. ,
D'Rough PI'Uomblng - Prior to
cover.
D Final Plumbing - When all
plumbing W9rk Is complet,e.
D Final Electrical - When all
electrical work Is complete.
D Final Mechanical - When all
mechanical work Is complete.
rn Final Building - When all
required Inspections have been
approved end building Is,
completed.
DOlher
MOBILE HOME INSPECTIONS
D Blocking and Sel.Up - When all
blocking Is complete. '
,
D Plumbing Connections - When
home has been connected to
water and sewer.
D Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
D Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces
~$pe.
-r Interior
_ Corner
Lot sq. ftg.
Lot coverage
Topography --rd
Total helght@'~)
BUILDING PERMIT
Panhandle
Cul.de.sac
ITEM
sa. FT:
X $/SO. FT, ~
Main
,
~2.D
Garage
Carport
Total Val ue
Building Permit Fee
3.CC I\~....
State Surcharge
Total Fee
(A)
'l'
, '.. ' ~
~;"+- ',:
';:"01":',,1' 'I:,.':~:,~.;.
I
.~ THE PROPOSED WORK IN THE. .
~ISTORICAL DISTRtCT, OR ON
THE HISlORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
, Coordinator prior to permit Issuance.
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Setbacks '
HSE GAR ACC
I P.L,
IN
Is
Iw
IE
VALUE
"
-:7~.3 2.
.,,~ S!
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~l:lb
l!~~'
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
-j ){':\B---
(E)?$-?&> --f!":
72.."1'-
/~,6?
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnserl/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State issuance
State Surcharge
Sidewalk ~'2.. II
Curbcut
2h II
Demolition
State Surcharge
Total Miscellaneous Permits
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. 0, and E Combined)
~
-,~".
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FEE
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(b
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I "3, ~.:?
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APPROVED: .
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition thst 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.
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Receipt Number: I..? ~tf:.. r;.
J~ZCR:~~~
Pia! Reviewed By
Plan Check Fee:
Date Paid:
~J~cJG..~
, Da'le
, I
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the completed appllcallon 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 Building Safely Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I fur~er agree to ensure that all required Inspections are
requT.~ted at the proper time; that each address Is readable
fro,? the street, that the permit card Is located at the front
~f the property, and the approved set of plans will remain
the site at all times during c:1structlon.
Ig tur;;tJ:-0 Mlt..uV'
fA
Date'
VALIDATION: \.3 b~1 /'l
RECEIPT NUMBER ~ \,> 'f/
DATE PAID t () .1Q .G{ 4-
AMOUNT RE~I ~:P0 -
RECEIVED B \ l
, .... - -
/~2,b?
,DATE:
APPLICANT
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APPLICATION FOR A SECOND DRIVEVAY
(PROPERTY mINER): \b\""t"'\&s D.I3aB..UE:fL
"1 0 GQ.~0{:JLE: DR I SPr2.nJ,HSLO
s:u-vu., Q,S oJxiJ~
'1Lfl-30iC?
ADDRESS OF APPLICANT:
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ADDRESS OF PROPERTY FOR 2ND DRIVEVAY:
APPLICANT'S TELEPHONE NO, :
The following conditions must be answered affirmatively in order for this
application to be considered for approval:
1) .
2),
3) .
4) .
Property is either a single family residence or duplex,
YES V NO_
The proposed driveway will take direct access from a minor street
(not a collector or arterial street), YES ~ NO
The driveway will have a minimum setback of 30 feet from the curb.~
return of an intersection (for corner lots). YES_ NO_, IV"
The proposed driveway (parking area) must have a minimum depth of
18 feet between the front property line and the garage, carport,
fence or wall, if any (identical to setback for garage).
YES~ NO_.
5), The second driveway must have direct access to a garage, carport,
rear yard or the side yard where the vehicle, trailer or boat will
be stored. YES~NO_, .
6).
7) ,
If the vehicle, trailer or boat is to be parked/stored in the side
yard, there must be a minimum setback of 5 feet between the stored
vehicle and the side property, li,ne. , This.;s~tP'i'ck is for fire
fighting access and to comply with the intent, of the zoning code,
Setback satisfied? YESL NO, .
- . .;~t':.'..
The proposed parking/storage area must not create:~'vision'
obstruction to adjacent property d~iveways or to any vehicular
movement on a public street', Satl~fied? YES.iL NO_,
This application shall include an B 1/2" x 11" drawing showing existing
driveways, and the proposed driveway. Please include dimensions, and
measurements to road intersections and/or bordering driveways,
All applications outside the city limits of Springfield that are within the
Urban Growth Boundary require a Lane County permit.
r;
.
.
Applicant hereby agrees to install the requested driveway to City of Springfield
standards. The applicant further agrees to have 6" of concrete in the sidewalk
area adjacent to the proposed driveway and further agrees to pave the area
behind the back edge of the sidewalk, or driveway apron, adjacent to the
driveway with a minimum depth of 3" of asphaltic concrete or with a minimum
depth of 6" of portland cement concrete, The area behind the sidewalk shall be
paved to the property line or for a distance of 4 feet which ever is greater,
The applicant agrees that if he/she does not pave the area behind the sidewalk
within 30 days of cutting the curb opening, the City of Springfield has the
authority of close the driveway access by the removal of the curb cut. All
incurred costs shall be assumed by the applicant and if unpaid, said cost shall
become a lien of the property,
Yhen this application is approved by the City, the applicant (property owner)
must obtain a driveway permit from the Public Yorks Department Engineering
~ivision.
PERMIT FEE
a. On an improved street (existing curb):
$10.00 plus $.15 per lineal foot of curb cut,
b. On an unimproved street (not curbed): $12,00
c. On currently unimproved streets that are under construction:
$12.00.
,I
PROPERTY OWNER'S SIGNATURE:
DATE: h- 7 -9L/
~ D. 1&oj)JU..J
APPROVED BY:
~-/f~
(T~IC DIVISiON)
b/d/q-/j
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DATE:
BUILDING PERMIT NO,:
Cl\t)<?1t~
DATE:
TRA 9-1
ATTACHMENT: City of Springfield Standard Drawing No, 3-11
Dated 10/8/82
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