HomeMy WebLinkAboutPermit Building 1998-7-28
I .
-
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
SPRINGFIELD
.11....'
/Iz;. l2-6ru
OWNER: <VI 5 /tN Avo 13~
ADDRESS:' 76 '(2 .i1;j.!-"b~~l_-;iA
CITY' 7 t1../ 1J7 {u1,,1 ~
c~
ASSESSORS MAP'
LOT'
DESCRIBE WORK:
NEW
REMODEL
CONTRACTOR'S NAME
GENERA" /.&/YIA-TF....J
/
PLUMBING'
MECHANICAl'
ELECTRICAl'
BLOCK:
S l{i..iA tV ()
STATF'
0/1.
.
C/g-O L( (p III-
tJ i /II"!.",, r
ADDITION
DEMOLISH
OTHER
JOB NUMB5R
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION:
();z..qoD
PHONE: -7!t.?- r/J "-,'7
ZIP: 11 '! -+;.).
ADDRESS
5)'7 5
CONST.
pi CONTRACTOR'
SI I' / 'f 2 7-<J 8
PHONE
7'17- .fo!'l.
EXPIRES ,,...
7/2-1 if-i'
.\7:"":f~-;-;:';~'~I'CI~VIIIQVY n:::I'4UlIt::o:i yuu lU
- OFFICE USEflnlow rules adopted by the Oregon Utility
QUAD AREA: ,NOTICF' LAND USE: Notification Center. ~~if!l@AI1ilI'e set forth
in OAR 952-001-001 0 through OAR 952-001-
· OF BLDGS: _THIR PFRMIT RHAl.I. EXPIREJfO~rWOOK gwO. Y-el> may oblalffi!tl/li~<oilffi91'Ules'by
OCCY GROUP' AUTHORIZED UNDER'THIS PEBMSlr$. ft!QrE: callinl1 the centeqf1:!>1l18i!OO.ig!ephone
. OF S~ORI'ES'. COMMENCED OR IS ABANDQtI.fJi ~9BRCE', number for the Oreg9rl Utility Notification
, ~teris 1-00t5<~~Sl4'4~EAT:
WATER HEATEF4'NY 180 O~Y PERIOD, RANGF' SQUARE FOOTAGE:._
To request an Inspe~tlon, you must call 726-3769, Ttlls 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.
D Temporary Electric
O Site Inspection - To be made
after excavatfon, but prior to
setting forms.
o Underslab PlumbIng/ElectrIcal I
Mechanical - PrIor to cover.
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
cover.
D Electrical Service - Must be
approved to obtaIn permanent
electrIcal power.
D Footing - After trenches are
excavated.' 0 FIreplace - Prior to facing
1fu},erlalS and framing Insp.
D Masonry - Steel location, bond
beams, grouting. D F' I Pit
m "g - r or 0 cover.
D Foundation - After forms are 0
erected but prior to concrete
placement.
o Final Plumbing - When all
plumbIng w~HI< Is complet,e.
D Final Electrical - When all
electrical work Is complete.
D Final Mechanical - When alt
mechanical work Is complete.
./""~
(J Flnall BUilding - When all
required Inspections have been
approved and building I.
completed,
DOther
II/Ceiling Insulation - Prior to
cover.
D Underground Plumbing - Prior ~D- .' Doo all - PrIor to tapIng.
to filling trench. CY?'~
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
, ..0\-
D Floor Insulation - Prior to
decking.
D Sanitary Sewer - Prior to flltlng
trench.
D Storm Sewer - PrIor to filling
trench.
D Water Line - Prior to filling
trench.
D Rough 'P.lumblng :- Prior to
cover.
D Wood Stovo - After Installallon,
o Insert - After fireplace approvlll
and Installation of unit.
):
D Curbcut & Approach - After
forms are erected but prior to
'. placement of concrete.
D Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base materIal In place.
o Fence - When completed.
D Street Trees - When all required
trees are planted.
MOBILE HOME INSPECTIONS
D Blocking and Set-Up - When all
blocking Is complete.
D Plumbing Connections - When
home has been connected to
water ..lnd 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
(\ \
1lot sq, ftg,
Lot coverage
Topography
Total height
:l '!j
BUILDING PERMIT
ITEM sa, FT,
Main \
Garage
Carpo"r,t \
\
Total Value
Building Permit" Fee
State Surcharge
Total Fec
I 'P.L. HSE GAR
IN
Is
Lot ~ype.
'.,
Interior
Corner
Panhandle ~:
Cul.de~sac
W
---
E
"
~!
't
X $/SO, FT, ~
VALUE
'\ ,\,
, ,,\
"
,
,
7.000
'3'1,J'c)
/'1,(/ I.N-
_!il5'1
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
...>t,:
.,'.
Flxtures"'f\~ :
,,' -::"..
Residential Bath(~):,
Sanitary Sewer'
. "~ i 1. :'.
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
:..,".'
i- . F.EE
." .. Jr' )
;'" ,+.
'N'
. :.: if.."{
-,. ,'I'
FT,
'" I"
"
~j . ...{
," .
"
FT,
FT,
(C)
N'
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total PermIt
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C. 0, and E Combined)
.; :. ,: \"j': \.;~
, . . ~;.t..
,
_S THE PROPOSED WORK IN THE "
"HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, Ihls application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Setbacks,
Acc'1
I
I
I
I
APPROVED'
BUILDING VALl:Je, 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
ado'pled by ,the\Clty ,of Springfield, including the
Dcv'elopmeni'cod~.~regulating the construction and use of
oulldlngs, and may be suspended 0" revoked at any time
upon violation of any provisions of said ordinances.
. t'-
Plan Check Fee:
\
Date Paid:
Recel pt Number:
Received By:
Plans Reviewed By
Date
Systems Development Charge is due on all undeveloped
properties within the City limits which are being Improved,
ADDITIONAL COMMENTS
Mrd SlOv c
;1,: }/i/C(1-?{{ ~,
/Jc7l1h ,I
1.
/1/0 ...,..
, ~ I .
l
iNote':
-j-B uilding' Inspecto['l11aY'require
--1 agciitional,plans information, _ -. ,
I and/or fees for the completion of
-: this project. - --- ',--, ,-
I
'I ,~- -,-, "
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 perlalnlng to the work described
herein. and thaI NO OCCUPANCY will be made of 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 '/~,;;~fh~
Date -2 -~?f"- cr.~
VALIDATION:
oS6161
'7/2V' /7''f
AMOUNT RECEIVED ' if j. ;'-1 /l
tf tJ~
RECEiPT NUMBER
DATE PAIP
RECEIVED BY
"
.
~_:,/~
1;~-~;'iii[~S.TATE'9!t,o!fEGp~~~~~<4+~~!'~~CO~:;I_~,\!jiJI~~~~.2r:!Tttt',C}?H;!~~Of',A,Pj","~~I'.';;-:;;
t,~~~9i~f~~~~~..~r ~~8"~. ~1'.2~p:,r "er, :~itiI~zf,~qg~~~~,%t5i1,9~q.,~, ~~;~~tM~1~i~\~
XGen. €0nttr:/iA\l'ill. ."'.,.'" ' <'<, ,,"."'filns ran e W,,"-1'RNGK 'fNS,..,EXGHANGE'(.;:'v.' 'f~':;t-,r,
;ffr.~."" "'~-'''''''":'~'~':r,I., '~1l. .~" . ,~~~'''''>i''~, ~~"~~'"','""~"~,,,, "',.&''',';,:'Ny,,'''~,'','',i;.',..jIh,<'''''',: jJ""";"~,,,,,,"ii;!;."'-, ~",oi.;;r.ii!~h,'" "',
<:""EXEMP~T~li. ",~~~~~";! .,~ '~.\<:~'l" }'~~/;~,.'j;CP~';'~;'1;\:;"~ij:,"},~"'''''''%'';'''i;<~''j;~i'i''J\'1.'~~'~,
;i'$f.,"'i1dY'v:~' itdi1a,~'_ ': tL,W~~. ~r4]'~';" '. ',''J!~' I!} 1f~',",< ~i' . !'filegiSlraiib, .n~Exilires':&'!,i,~o!';.{!)kt!,t,,: 4I?t,'~;';'~I';;"W'lt"'~',it4.~~'~,'\;0;i)'
~' ' ~'" k<t ~~"'f. . "'~..,'. ., . 'g..," 'i ,0'1< -fE.,....~1 "h.'A?".../dt"'r.'rlt,~. "'0Np"""IL'E'~" w ..i;l,'>j.,. i;
',. -...", -. ~ '-!"i - . - .. ~.. '. m 0 er-.ccouns.~:,..;.. . r"" --.....' ," .(. "..i.,:.~
!o ~, .~t~'t '. .,'-f<.,.~. .~ .' Jk~ . f. t1+, . . [-t!-, ., !Q,;,p",'j'i/\;g,_.~~.";.".!:.~;u-. - -, -.,.J' :,-'j ~". '~'}"1 ;:;f~. r'~~ . !_J...'1':"~/-.~.>,>..,.{..
....',E,~, 'mS,li1\10BHi~ !H0!"1.~~ S,E R :gel, 'CE ";'%.,:5f},';'~';;I;.'0;-;;"'~C"1'~'.X}!~;" ,""c,~"'k~'~:!if,\t:O"S~ ~~ ~,!O",1]!;$ :.,.g?E ,J'1}.~J"'1- '-.j_f~, .,,:..~,:<;,.~.~,5,
:"!'.,...'-~..~"..''''~.,.,~., .'..~.._~...~~ "._~ ," 'l!l"'~'" "-<<';;~'<" ,., '1=:' ,.~ 'if.;~!fd!", """l' """"'.'LC"'~,,~
" mOMA:S Uv;1\UEMAm~;j' '. ~;:.;r. . ~",y. ~. .,~ '~::!~t' ;."' ~~ '.. '_f'!,. ~.- ~ ~t.._ -= _ ..:~,r;;: .-~~"'
,ff. '-~'''P' "f.r::7!" ~'--:"7 .~.~' ~,@,.t ''',':. .', ';~i!'i:.~1;;,!,>,~. .~"':'~;~:~~~, :'?~~'~:f!!r.~,~.?:~~,"
,~,,559...S~.5,;J:S;'I'_PJ::J\,eE ,\"U~ , ,', .~~lir;' , " ". ~.t'<<'.._.^ '~"".' ','" ..' '~) "', f,,' .... _.., "
. .. . -' ... -- .;,." j v. !. , ;.' :i-~..'1i""'.f.;f;". '..-.-... ',- ". ,. _ .,1"... .' ,_ ',,, _ .' f' 'f'. 'H' . 'r. ... I
,,"SPRI'NGF.I'ELEl~~"0R!1.~'?::!'?J1..-;OO,O,O . ., ',.I',:",,,,.,..,;}. <"". "~;?'~:" : ,.tl.."-~o!,",,'i-:i,:'<~' '";,,,,...~.1:".<-'_"
>t:~~~...-.:.t~~-.~~~ ~~ ':,~'s..:::r..s:.i:""-;-''t:S::::~ ..".!"......_.~.r- ',. -~__.,;r~._..',,~"I;.. :(<-~~;.r~. :",-";"'~.~:::f.:~,. ......
',~~. '."~-7'-~~"t., .:~~>~:: io . . "'~~:' >~l&.~';:"11r:~~~;~~~~.~ _ _. , -~.,-,'..~~:'..i:;_::.;./;~;~._~:~.;..2{:~.ir_.~.i~~:-~~~
I~~..., ,f~c. }~.<<!,,""- ,...m~D~f.~,"~...Ko..-Z4t;" '..'" -: "",. ,-., "'.<d":>"''''I'Nd.tw,.(:<'Jl""f;;""...~.J.fi:\.. .'ii..
;;;-.. w
~':=~:~-i-
~. ~:,,'~.~
E,'~";,~:-:~
, -.";'
.
.-!