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HomeMy WebLinkAboutPermit Building 1993-04-08ELO RESIDENTIAL PERMIT APPLICATION lns pections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT - BLOCK: q31 55) ?fr, JOB NUMBER 225 Fifth Street Sprl ngfield, Oregon 97 477 TAX LOT: SUBDIVISION: f, ,-OWNER PHONE CITY:ZIP: ) \STATE:(-l$.t , O, -Bc,r- -?O'tz-ADDRES <ta -,, Cl -D V\-\ ADD ON - DEMOLISH OTHER DESCRIBE WORK: NEW )( BEMODEL PLUMBING: ELECTRIOAL: ADDRESS CONST. q 2 m. MECHANICAL: CONTRACTOR'S NAME G EN ERAL: USE - AC, \ $uu( ,- OFFICE LAND USE: WATER HEATER: ZONING CODE: FLOOD PLAIN * OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: # OF BDRMS: - QUAD AREA: * OF BLDGS: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: \\ To request an inspection, you must call 726-3769. Thls ls a 24 hour recording. All inspections requested before 7:00 a.m. will be made the same worklng day, lnspections requested after 7:00 a.m. will be rnade the following work day. REQUIRED INSPECTIONS |_-l Temporary Eleclric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspeclion - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumblng / Electrlcal / Mechanical - Prior to cover. Electrical Servlce - Must be approved to obtain permanent electrlcal power. Final Mechanical - When all mechanical work is complete. Footing - After trenches are X Final Building - When all required inspections have been approved and building is completed. Fireplace - Prlor to faclng materlals and framlng lnsp. Masonry - Steel location, bond beams, grouting.]Vf framtng - Prior to cover.)4XFoundation - After forms are erected but prior to concrete placement. Other Wall/Ceiling lnsutation - Prior to cover. Underground Plumbing - Prior to filling trench.l--l Drywall - Prlor to taplng. MOBILE HOME INSPEGTIONSUnderlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Posl and Beam - Prior to floor insulation or decking.lnsert - After flreplace approval and lnstallation of unit. Blocking and Set.Up - When all blocking is complete. Floor lnsulation - Prior to decking.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. aSanitary Sewer - Prior to fllllng trench.Electrical Connection - When blocking, set-up, and plumblng inspections have been approved and the home ls connected to the service panel. Storm Sewer - Prior to filling trench. n Sidewalk & Drlveway - After - excavation is complete, forms and sub-base material ln place. Water Llne - Prlor to filling trench. Fence - When completed. Rough Plumbing - Prior to cover. Slreet Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirtlng, decks, and venting have been installed. X lAoz- 7Z 3 I RANGE: E tl E fl E Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Typev \7 'n lnterior - Corner - Panhandle l-de-sac (.._IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTEFI? - lf yes, this application must be signed and approved bY the Historical Coordinator prior to permit issuance. APPROVED:1 P.L.HSE GAR ACC N S E on the express condition that the said all respects, conform to the Ordinance 2@. P ewe dBv Recei pt Numbe U-BUILDING perm--iltsglanted ofS 2 E, PLAN CHECK PERMIT BUILDING VALU This construction s Received or revoked at any tiniebulldings, and maY be susP ord i nances.upon violation of anY Provisions Plan Check Fee: Date Paid adopted by the Development Code, regul X:**te r# ? 3/ 552 pringfield, including the the construction and use of BUILDING PERMIT.' VALUE G7Z _CZEZA 65, /.3(A) SQ. FT, X $/SQ. FT,.ITEM Main Garage Carport Total Value Building Permlt Fee state surcharge Total Fee Systems Development Charge is due on all undeveloped properties withln the City limits which are being improved.SYSTEMS DEVELOPMENT CH (B)IARGE ADDITTONAL COMMENTS ITEM Flxtures Resldential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE 4 A-aQ ,1s -tZS-/-(a '(c) N0 FT. FT. Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) N0Vent Fan Mechanical Permlt lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rn ace Exhaust Hood By slgnature, I state and agree, that I have carefully examined the completed application and do hereby certify that all lnformation hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance wlth 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 Safety Division. I further certlfy that only contractors and employees who are ln 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 permlt card ls located at the front of the property, and the approved set of plans will remain on the slte at al imes duri Date gnatu nstruction. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) Z G4 e >/ VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Combined) GZ'O 3,13 PLUMBING PERMIT Fr. <ao' BACKFLOI^I PREVENTION DEVICE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING, SAFETY DIVISION SPrlINGFlELE, Offi ce: INSPECTION LINE: 726-3759 726-37 69225 F'ifth Street Springfield, Oregon 97 477 Job Locat'ion : Asses Address: City:State: Backflow Permit is $15.0 0 + $0.75 State Surcharge Contractor: Address: City:State: #Tax Lot #: Phone #: Z1 p: +nqb'g\d^^,) Phone #: Zi p: Constrriition Contractors Registration #: gna ture i res: By signing this permit/application, I agr99 to call for an inspect'ion once the backftow prernntli;';;;;tt h;; Ueen insla]1ed and is visib'le for inspection (726-3769). r aiio i[ate that aii info"rution on this app'lication/permit is correct. uate Date of ApPiication: Rece'ipt #: FOR OFFICE USE Issued By: tlob #: Tota'l Amount Col I ected: 1l/90 REgIDENTIAL - COYIYIERCIAL gIDEIUALK / CURBCI,IT APPLICATIOT.] / PEtr1IT SPFlINGF!ELO 225 NORTI] FIFTI-.I gTREET SFRll.lC,F IELD, ORE6OI{ 314'1'1 El.lc INEER|NG D tvr I tor.{ ffitcE No. 126-31b7 IN5PECTIoN LINE,'126-3'163 JoB ADDRES9: 2t5 n Sr"",{ l... Loo' *'A99E99OR5 F1AP NO.TAX LOT NO. 9lBDtVl9loN, RECEIPT NO: cA9+{ tLOt4 CHECK ,/ iL 38 ZD * CHECKED FOR DELNAJENCIEg I SIGNED: DATET OtLh,lER,J"S^lli.r.", ADDREee; lz{S At\c., STATE,o(7 7lF. IIJOFK t6l, SIDEIIALK:CURts SIDE UJoFK TO tsE rERt=qqrEp gr, CON;RACTOR* CllYt PHohrE No. *7 zL-i SETBACK - col'1}-tERlcAL _ orrlER 6 LUl<=-L.iJ l:=5tDEl.,iTtAL _ 9ECOND DRI\TEIIJAY ( 5EE TRAFFIC )I/ EAUIREg APPLICATIOI{ FOR A *COND DR 6UJAY(T-4.Ia) OR A cAdNTY AFPLICATION FOR FACILITY PER1IT (C Ab.2O3) IF IN THE UG.B. DATE OF APPLICATION 0 COI.,ITRACTOR xREGISTRATION NO.EXPiRES, ADDE53 Pi-iONE' PROCEDURE FOR IN9FECTICil REAUE9T: CALL 12b.316A (FSC(,FOER ) STATE YOIJR CITY DEgIGNAT=D JO3 NLJ|.13=R, JO3 ADDEggJYPE 6 lNgPEcTlohl REaUESTED r'J.{D tlr.{EN YoU UJILL B= READY FoR lNgPEcTlOl.i, cohlTRACToRg OR oLlh{ERg N4]'1= l'].{D P|]OhIE NLJIIEER R=AU=9T9 R=CEIV€D BEFORE lOO N UJILL BE I.1ADE TiIE 9r'JiE DAY, REAUESTS #TE?1IO@ r'f,1U,IILL BE HADE THE NEXT IIJOR<ING DAY EXIgTINIG tsUILDIN6 PER-IIT NO. ( IF APPL *gEE BOOK Y * gIDEIUALK / DRI\GUJAY rcR ALL CONCRETE PAVING IUITHIN THE 9TE,ET RICHT OF IIJAY, TO 3E HADE AFIER ALL EXCAVATING 15 COMPLETE AID FOB1 uJOR< AND sUB.BA5= HATERIAL 19 IN PLACE CU@ / APFROACI..I APROI!: AFTER FOg15 ARE ERECTED BUT PRIO TO POURING CONCR=TE. FEE9, SIDEIUALK5 CURB-CUT IIJALK X, jlO.OO + IO.1>/LF.( X ) OF IUALK ilO.OO + tO.l>/LF.( X ) TOTA FEFI"IIT FEE' CO|.IMERICAL DRI\EIUAY9 gI]ALL HAVE 5' TO A'FLAIRg 3'. A- STADARD I AAIF, CAREFL'LLY EXAYINED TI-]E COI'IPLETED APPLICATIC'|.I FOR PER-IIT, AND DO HEREBY CERTIFY TI-]AT ALL INTRHATICII |.{EREON l5 TRIE A\D CoRR=cT, A\D I FURTH=R CERTIFY'irlAT ANY AND ALL tlioR< PERFOR'1ED gI..{ALL BE DONE IN ACCORDANCE IUITH TI{E ORDINANCES G THE CITY 4 SPRING,FIELD, AID 11-19 IAI]Jg OF THE gTATE G OREGON PERTAINING TO OF ANY STRJCTURE IUITI-.IOJT PEB1I TI{E }IEREIN, AND TI-{AT NO OCCUPANCY UJILL BE IIAD= tsUILDINC DI\/ISION I FURTHER CERTIFY THAT ONLY CONTRACTORg O?5 1@1@>> uJILL 3E USED ON TI1I5 FROJECT. I E x' Z? UJ+]O ARE IN r39rorl DATE ) EAUIRED IN9PECTICI.IS iln/q4 -7{IC'- APPLICATION FOR A SECOND DRIVEIIAY DATE: S^)o-'if APPLTCANT (PROPERTY OlrNER) : ADDRESS OF APPLICANT: L ADDRESS OF PROPERTY FOR 2ND DRIVEUAY: APPLICANT'S TELEPHONE NO. : It-,,&,7o2 2_ 779- q73'Z ,11 '7 Zi^ -)Q 6 3 ,brcs','ruZ..ti ield that are vithin the The following conditions must be ansvered affirmatively in order for this application to be considered for approval: 1). Property is either a single family residence or duplex. YES\T NO1- 2). The proposed drivevay vill take direct access from a minor street' (not-a tollector or arterial street). YESY N0 -.3). The drivevay vill have a minimum setback of 30 feet from the curb return of an intersection (for corner lots). YES V NO-' t' 4). The proposed drivevay (parking area) must have a minimum depth of 18 flet-betveen the front property line and the garage, carportt fence oy'vall, if any (identical to setback for garage)' 'IES L/: No_. 5). The second drivevay mgst have direct access to a garage' carport, rear yard or the {i$yard vhere the vehicle, trailer or boat vill be stored. yES / N0_. 6). If the vehicle, trailer or boat is to be parked/stored in the side yard, there must be a minimum setback of 5 feet betveen the stored vehicle and the side property line. This setback is for fire . fighting access and to comply vith the ipgent_of the zoning code. Setback satisfied? YES- N0-. N' fT 7). The proposed parking/sto.rage area must not create arvision -obstruction to adjacent property drivevays or to 98, vehicular movement on a public street. satisfied? 'IES l// N0_. This application shall include an 8 7/2't x 11rr draving-shoving existing drivevays, and the proposed drivevay. Please include dimensions, and measurements to road intersections and/or bordering drivevays. Att applications outside the city limits of Springf Urban Gnovth Boundary require a Lane County permit' Applicant hereby agrees to install the requested drivevay to City of Springfield stindards. The applicant further agrees to have 6rrof concrete in the sidevalk area adjacent to the proposed drivevay and further agrees to pave the area behind ihe back edge of the sidevalk, or drivevay aPron' adjacent to the drivevay vith a minimum depth of 3" of asphaltic concrete or vith a minimum depth of 6'r of portland cement concrete. The area behind the sidevalk shall be paved to the property line or for a distance of 4 feet vhich ever is greater. The applicant agrees that if he/she does not pave the area behind the sidevalk vithin 30 days of cutting the curb opening, the City of Springfield has the authority of close the drivevay access by the removal of the curb cut. AIl incurred costs shall be assumed by the applicant and if unpaid, said cost shall become a lien of the property. Lrhen this application is approved by the City, the applicant (property ovner) must obtain a drivevay permit from the Public I{orks Department Engineering Division. PERMIT FEE 0n an improved street (existing curb): $10.00 plus $.15 per linea1 foot of curb cut. 0n an unimproved street (not curbed): S12.00 0n currently unimproved streets that are under construction: s12.00. PROPERTY OWNER'S SIGNATIJRB: DATE: a b c C) APPROVED BY: DATE: BUILDING PERMIT NO.: DATE: TRA 9-1 ATTACHMENT:City o Dated C ?q953 fsp L0/8 ringfield Standard Draving No. 3-11 /82 t iI t ) ,oB No. 1b t55V CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE I.JORKSHEET (C0MMERCIAL & RESIDENTIAL) NAME OR COMPANY:Surur (*N LOCATION:? t5 - 2-1'l t1-t-1 t--P /70772?t - I 9t o DEVELOPMENT TYPE:ttAnz - Lr>r> C**Coer BUILDING SIZE: I. STORM DRAINAGE TMPERVToUS SQ. FT. 2. SANITARY SEt,lER-CITY NO. OF PFU'S (See Reverse) 3 siz ZZ4 x $0.203 PER SQ. FT. X $42.08 PER PFU . Ft. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRiP 4. SANITARY SEWER-MWMC NO. OF PFU'S $ $ $I5.125 PER PFU + $iO Mt,lMC ADM FEE $ TOTAL-MWMC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4) x-x $424.31 x $424.31 x $424.31 X x (Use PFU Total From ltem 2 Above) I4t.lMC CREDIT IF APPLICABLE (SEE REVERSE) 5 ADMINISTRATIVE FEES BASE CHARGE (SUBToTAL ABoVE) X .05 - Kip Burdick SDC Coordinator a 7A TOTAL SDC t4s 41 > ,o aC'TY OF 225 PIFTE SATEEf,BLECTRICAL PERHIT APPLICATION q3- /553 IAGAL DESCRIPTION'^ ^-?i2-7/ 2 -> - JOB DESCRIPTION Wt-t<tt ,i Zol"r.f - Permits are non-transferable and expirelf vork ls not started vithin 180 daysof lssuance or if vork ls suspended for 180 days. 2. CO}TTRACTOR INSTALI,ATION ONLY Electrlcal Contractor Address Phone 4,fr1-O%5 Supervlsor License Ndmber /%SZ<- Explratlon Date /d= / - qi Constr Contr. Number 541/3,/ Expi ration Date Slgnature ing Blectrician /:t? 0vners Name Address ct Phone OSNER INSTALI,ATION The installatlon is being made on property I ovn vhich is not intendedfor sale, Iease or rent. 0vners Signature: DATE: RBCBIPT t: BELOV eor Iing unit, Service fncluded:Items Cost Sum 7 g 85.00 /7t1", Z $ 15.00 -iO re g 40.00 $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 i, !i, -4=- '? /a g4 B 1000 sq.ft. or less Each additional 500 sq. ft or portion t hereo f Each Hanuf,d Home or Modular Dwelling Service or Feeder Services or Feeders Installation, Alterations or Reloca t ion: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Reconnect 0nly SIIBTOTAL OP ABOVB 5Z State Surcharge TOTAL C. Temporary Services or Feeders Installation, Alteration or Relocation above D. Branch Circuits Nev, Alteration or Extension Per Panel One Circult $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Servlce/feeder not included) -Each installation Pump or irrigation Sign/outline Lighting- Limi ted Energy/Res Limi ted Energy/Comm zla '9 200 amps or less $ 40.00 2ot amps to 400 amps - $ 55.00 Over 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see rrBrl 00 00 00 00 $40 $40 $20 s36 5 RECEIVED 1/--a -?7 1. IOCATION OF crrv E/o*< c ST'NI1\lGFIELD RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 qr, J N MB 5Fi Springf ield, Oregon 97 477 h t LOCATION OF PROPOSED WORK: ASSESSORS MAP: /?+7?z -?," u L,- TAX LOT:e-ZD BLOCK: , -SUBDIVISIONLOT --PHONE ?2?ZIP:STATE: - Z,Vr e?2- CITY: ADDRESS: OWNER: ADDITION DEMOLISH OTHER DESCRIBE WORK NEW-- REMODEL PHONEEXPI RESADDRESSCONTRACTOR'S NAME MECHANICAL ELECTRICAL: CONST. CONTRACTOR # GENERAL: PLUMBING SRtut- U WATER HEATER: _ OFFICE USE _ # OF BDRMS RANGE OCCY GROUP: , OF STORIES OUAD AREA: # OF BLDGS SECONDARY HEAT: SOUARE FOOTAGE: FLOOD PLAIN: ZONING CODE CONSTR. TYPE HEAT SOURCE: LAND USE: # OF UNITS To request an inspection, you must call 726-3769. This is a 24 hour record ing. All inspections requested before 7:00 a.m' will be made the same working day, lnspections requested after 7:00 a.m. will be made the following work day' REQUIRED INSPECTIONS [l femporary Electric Rough Mechanical - Prior to cover.w tr Final Plumbing - When all plumbing work is comPlete. Site lnspection - To be made after excavation, but Prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is comPlete.c ove r. Underslab Plumbing/ Electrical / Mechanical - Prior to cover.V)Electrical Service - Must be approved to obtain Pcrmanent electrical power. Final Mechanical - When all mechanical work is comPlete. Footing - After trenches are excavated.Fireplace - Prlor to facing materials and framing lnsP. w Final Building - When all required insPections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.8 q V Framing - Prior to cover Other Foundalion - After forms are erected but Prior to concrete placement. Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taPing MOBILE HOME INSPE TIONS W w q a a a fr Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decki ng.lnsert - After f ireplace approval and installation of unit. Blocking and Set'UP - When all blocking is comPlete. Floor lnsulation - Prior to deckitt g.q Curbcut & APProach - Af ter forms are erected but Prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to f illing trench.Electrical Connection - When blocking, set-uP, and Plumbing inspections have been aPProved and the home is connected to the service Panel. Storm Sewer - Prior to filling trench. s4 Sidewalk & DrivewaY - Aftcr excavation is comPlete, fornls and sub-base material in Place. Fence - When comPleted'Water Line - Prior to filling trench.u ffi Final - After all required inspections are aPProved and porches, skirtlng, decks, and ventinO have been installed.Street Trees - When all required trees are Planted. Rough Plumbing - Prior to cover. t q a E E E tl tl n E tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type -_ lnterior - Corner --_ Panhandle - Cul-de-sac Sctbacl<s P.L.HSE ACCGAR N IS-THE PROPOSED WOHK IN THE }IISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTEB? - lf yes, this application must be signed and approved by the H istorical Coordinator prior to permit issuance. APPROVED: S E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pcrmit is gr;rnt(]d on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted t:y the City of Springfield, including the Develolrrnt-.r.rt Corlc, regulating the construction and use of buildinpls, ;rnrj nray bo suspended or revoked at any time - upon violation of any provisions of said ordinances. Plan Check Fee: ..._- Plans Reviewed By Date Date Paid Receipt Number:- Fleceived By /fz1*i €rrqr-rr' -@- VALUE (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee /rc,r>_ 2-42 //2.* BUILDING PERMIT ITEM SQ. FT. Main Garage Carport SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Flesidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Homehrr*/to@n.q+ _/5?, FEE N' Z.< Z FT. FT. (c) PLUMBING PERMIT fia.n _2925 --za-? 7D.,4 Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fi replace Unit Dryer Vent ,/2 (D) N0 2/ Vent Fan Mechanical Permit lssuance State Surcharge Total Permit __ 1.€ Ve"ef MECHANICAL PERMIT Fu rn ace Exhaust Hood By signature, I statc 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 Statc of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Divlsion. I f urther certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I f urther agree to ensure that all required inspections are requesled at the proper time, that each address is readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain Signature Date on the site at times during c truction MISCELLANEOUS PERMITS Mobile Home StatiT lssuance State Surcharge Sidewalk f t Curbcut - ft Total Miscellaneous Permits -5:(E)%--z /2a:_ /l-ft Demolition State Surcharge TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) -'-=>-5rDATE PAID VALIDATION: RECEIPT NUMBER AMOUNT RECEIVED RECEIVL..D I]Y - 1 FT. 57?,ry