HomeMy WebLinkAboutPermit Building 1994-08-01ELE,RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Offlce:726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT
.\
h,
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
TAX LOT
*\.'J,
BLOCK:SUBDIVISION
OWNER:
CITY:
ADD
PHONE:
ztPSTATE:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
MECHANICAL:
ELECTRICALi
NAME ADDRESS EXPIRES PHONE
\
PLUMBING:
GENERAL:
CONT
CONST.
CONTRACTOR #
RANGE:
* OF BDFIMS:
LAND USE:
WATER HEATER:
ZONING CODE:
FLOOD PLAIN:
* OF UNITS:
OUAD AREA:
r OF BLDGS:
SECONDARY HEAI
SOUAHE FOOTAGE:
OCCY GROUP:
* OF STORIES:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
n Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When all
plumblng work ls complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Rough Electrlcal - Prlor to Flnal Electrical - When all
electrlcal work is complete.cover,
Underslab Plumblngl Electrlcal /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When all
mechanlcal work is complete.
Footlng - After trenches are
excavated.
nal Buildlng - When all
[l Flreplace - Prlor to faclngu materlals and framlng lnsp.
requlred Inspectlons have been
approved and buildlng is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
- Prlor to cover.
Other
Foundatlon - After forms are
erectecl but prlor to concrete
placement.WalltCblllnO lnsutallon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.Drywall - Prlor to taplng.
MOBILE HOME INSPE TIONS
Underlloor Plumblngl Mechanlcal
- Prlor to lnsulatlon or decklng.n Wood Stove - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocklng and Set-Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - Alter
forms are erected bttt prlor to
placemont of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllllng
trench.Electrical Connectlon - When
blocking, set-up, and plumbing
lnspections have been approved
and the home ls connected to
the servlce panel.
Slorm Sewer - Prlor to fllllng
trench.
Sldewalk & Drlveway - After
excavation ls comPlete, lorms
and sub-base materlal ln Place.
Water Llne - Prlor to fllllng
trench.
Fence - When comPleted
Rough Plumblng - Prior to
cover.
Slreet Trses - When all requlred
trees are planted.
Final - After all required
lnspections are approved and
porches, skirtlng, decks, and
ventlng have been lnstalled.
- OFFICE USE -
CONSTR. TYPE:
HEAT SOURCE:
E
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tl
fl
E
E
tl
tl
E
tl
E
E
tl tl
E
Z4'1^t^n
tl
E
E
E
E
fl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type _
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
\ _ s THE PROPOSED WORK tN THE "' HrsToRtcAL DtsTRtcT, oR oN
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit lssuance.
APPBOVED:
P,L.HSE GAR ACC'
N
S
W
E
BUILDING PERMIT
ITEM SQ. FT. X S/SO. FT.VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordlnance
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 tlme
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Plan Check Fee:
Date Paid:
Receipt Num
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties wlthin the City limits which are belng improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
FT.
FT.
PLUMBING PERMTT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANTCAL PERMIT
(D)
N0
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have caref ully examlnedthe completed applicatlon and do hereby certlfy that all
lnformatlon hereon is true and correct, and I lurther cerilfy
that any and arr work performed shail be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Lawsof the State of Oregon pertainlng to the work descrlbed
hereln, and that NO OCCUPANCy will be made of any
structure wlthout permission of the Buildlng Safety Division.I further certiry that only contractors and employees who
are ln compliance with ORS 7Oi.O55 will be usect on thlsproject.
I further agree to ensure that all requlred lnspections are
requested at the preper time, that each address ls readable
from the street, that the permlt card ls located at the frontof the property, and the approved set of plans will remaln
(
on the site at all times durl ng co
Slgnature
Date
tion.
MISCELLANEOUS PERMITS
Mobile llome
State lssuance
State Surcharge
Sldewalk
-- ft
Curbcut -.-- ft
Demolitlon
State Surcharge
Total Mlscellaneous permits (E)
TOTAL AMOUNT DUE (exctuding electricat)
(4, B, C, Q and E Comblned)
DATE PAID
AMOUNT BECE
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
'5','t
N0
FT.
I
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
Zfr,
225 Flfth Street
Sprlngfleld, Oregon 97 477
749 *Dzuzoz-7 <(Zra
ASSESSOBS MAP:-3 TAX LOT
LOT:BLOCK:SUBDIVISION
PHONE:
Sn nl ZIP:7-(STATE:CITY:
ADDRESS:
oWruen:
DESCRIBE WORK:
ADDRESS PHONEEXPIRESCONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
RANGE:
,T OF BDRMS:
- OFFICE USE -
LAND USE:
ZONING CODE:
FLOOD PLAIN:
WATER HEATER:
* OF UNITS:
SECONDARY HEAT:
SOUARE FOOTAGE:
OUAD AREA:
# OF BLDGS
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prior to
cover.
Flnal Plumblng - When all
plumblng work ls complete.
Site lnspectlon - To be made
after excavatlon, but prlor to
setting forms.
Rough Electrlcal - Prlor to Flnal Electrlcal - When all
electrlcal work ls complete,cover,
Underslab Plumblngl Electrlcal /
Mechanlcal - Prlor to cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When all
mechanlcal work ls complete.
Footlng - After trenches are
excavated.
al Bulldlng - When all
Flreplace - Prlor to faclng
materlals and framlng lnsP.
red lnspectlons have been
approved and bullding ls
Masonry - Steel locatlon, bond
beams, groutlng.
completed.
Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.WaltlCelllng lnsutatlon - Prlor to
cover.
Underground Plumblng - Prior
to lllllng trench.Drywall - Prlor to taplng
MOBILE HOME INSPECTIONS
Underlloor Plumblngt Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stove - After lnstallatlon.
Posl and Beam - Prlor to floor
lnsulation or decklng.lnsert - After flreplace aPProval
and lnstallatlon of unlt.
Blocklng and Set.Up - When all
blocklng ls complete.
Floor lnsulalion - Prior to
decklng.Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to fllling
trench.Electrlcal Connection - When
blocking, set-up, and plumbing
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prior to fllling
trench.
Sidewalk & DrlvewaY - After
excavation ls complete, forms
and sub-base material in Place.
Water Llne - Prior to filling
trench.
Fence - When comPleted.
Rough Plumblng - Prlor to
cover.
Slreel Trees - When all requlred
trees are planted.
Flnal - After all required
lnspectlons are approved and
porchos, sklrtlng, decks, and
ventlng have been lnstalled.il
JoB NUMBE ^ ?4C Alo
F 7aa;
NEW
-
REMODEL ADDITION DEMOLISH OTHER
E
E
E
E
E
E
E
E
E
tl
E
E
E
E
E
tf
l--l o.ttrer
tl
E
E
E
/'{,'':. _t ,, \' _lh
Lot laces
Lot sg. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
P.L.HSE GAR ACC
N
s
W
E
( THE PROPOSED WORK IN THE --
-.STORICAL
DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit lssuance.
APPROVED:
gffilo
/5fr,/t-7/A2.
z(c.{r I 2r
(A)20
Carport
Garage
Total Value
Building Permit Fee
State Surcharge
Total Fee
il>r.<
BUILDING VALUE, PLAN CHECK
AND BUILDTNG PERMIT
Thls permlt is granted on the express condition that the said
construction shall, in all respects, conform to the Ordlnance
adopted by the City of Springfield, inctudtng the
Development Code, regulating the construction and use of
bulldings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plans Bevl By Date
Receipt Numbe
Date Paid
Recelved By:
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln the City limits whlch are being improved.
ITEM
Flxtures
Resldential Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
PLUMBING PERMIT
No
FT.
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
(D)
N0Vent Fan
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed appilcailon and. do hereby certlfy that all
lnformatlon hereon ls true and correct, and I further cerilfy
that any and all work performed shall be done in accordance
wlth the Ordlnances of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCy wlll be made of any
structure wlthout permission of the Bulldlng Safety Divislon.
I further certlfy that only contractors and employees who
are ln compllance wlth ORS 7O1.OSS wlll be used on thls
project.
I further agree to ensure that all requlred lnspections are
requested at the proper ilme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans wlll remaln
times durlng construc 6n. ..
uSlgnature
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excludlng electricat)
(A, B, C, Q and E Comblned)
/oj o 2-.)
OATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
BUILDING PERMIT
ITEM SO. FT. X $/SQ. FT. = VALUE
Main
FT.
FT.
on the slte at
(
Iur'y MrAuIey rpsidenre, 74? sunrnrit ELvd,
,fuaramil 1tt a/fu
fr14w" :u*seJ cfiauz)
3'x3'lanr{ing
ExG rednr Eteps (
,14:r
ro"E
4x4 posts to AB44's on
(
existing derk cedar
rtrp nutlins
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brHAND L aPe
RRUIREDffiN aft116
Treads & Risers: Ihe greatest riser height ard the
greatest tread run (depth) shatI not exceed the smattest
by more than 3/8 inch.
llinders: yinding treads are permitted, provided the
depth of the tread at a point not more than 12rr froot the
side xhere the treads are narroler is not tess than 9rt,
the minim.rn depth is not less than 6rr and the average
depth of any tread is not less than 9'r.
Hsdraits & Guardrails: Handnaits are required on at
least one side of stairs having three or more risers,
and shatt be continuous the futI tength of the stairs.
Ends sha[[ be returned to the ].att or sha[[ terminate in
neret posts or safety terminats. The handgrip portion of
the handrait shal,l, not be more than 2-5l8x in cross-
sectionaI dimension, or of an equivatent gripping
surface. Open sides of stairs Hith a totat rise of more
than 30rr above the floor or grade betox shatI have
guardraits as retI as a hardrai[ (see draving).
Z'il MIN,
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SPRIhrGFIELD CITYOF SPRINGFIELD
Development Services Dept.
Building Salety Division
225 N. 5th Street
Springtield, Oregon 974?7efr,
Stairways and Railings
I
,
SPF!NGFIELl)
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Office: 726-3759
7/aezoJOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
LOCATION OF PROPOSED WORK:
/-^e-'> /-./. rAx Lor D)E+*,
LOT:
-
BLOCK:SUBDIVISION:
PHONE:
STATE:ZIP:
c
4#>-CITY:
ADDRESS:
oWruen:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
PLUMBING:
MECHANICAL:
ELECTRICALi
AD EXPIRES PHONE
Zn
CONTRACTOR'S NAME
GENERA
CONST.
CONTRACTOR ''
RANGE:
r OF BDRMS:
- OFFICE USE -
LAND USE:
WATER HEATER:
ZONING CODE:
FLOOD PLAIN:QUAD AREA:
r OF BLDGS:
SECONDABY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
-
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7;00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
n temporary Etectrlc Rough Mechanlcal - Prlor to
cover.
l--l Flnat Plumblng - When allU plumblng work ls complete.
Site lnspection - To be made
after excavation, but prlor to
settlng forms,
Underslab Plumblng / Eleclrical /
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Underground P3umblng - Prior
to fllllng trench.
Undertloor Plumblngl Mechanlcal
- Prior to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulallon - Prlor to
decklng.
Sanltary Sewer - Prior to f illlng
trench.
Storm Sewer - Prlor to fllllng
trench.
Water Llne - Prlor to filling
trench.
Rough Plumbing - Prlor to
cover.
Rough Electrlcal - Prlor to
cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flreplace - Prlor to faclng
materlals and framing lnsp.
ffi ttu-tng - Prlor to cover'
WalllCeltlng lnsutatlon - Prlor to
cover.
Flnal Electrlcal - When all
electrlcal work ls complete.
Flnal Mechanlcal - When all
mechanlcal work ls complete.
l--l Drywall - Prlor to taplng
Wood Stove - After lnstallatlon.
lnsert - After flreplace approval
and lnstallatlon of unlt.
Curbcut & Approach - After
forms are erected but prlor to
placement of concrete,
Sidewalk & Drlveway - After
excavatlon ls complete, forms
and sub-base material ln place.
Fence - When completed.
Stroel Troes - When all requlred
trees aro planted.
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and bulldlng ls
completed.
Olher
MOBlLE HOME INSPECTIONS
Blocking and Sel-Up - When all
blocklng ls complete.
Plumblng Connectlons - When
home has been connected to
water and sewer,
Eleclrlcal Connection - When
blocklng, set-up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Flnal - After all required
lnspectlons are approved and
porchos, sklrting, decks, and
ventlng have been lnstalled,
w
E
tf
E
E
ASSESSORS MAP:
E tl
E
tl
.:
i.,
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor-
-
Corner
-
Panhandle
-
Cul-de-sac
THE PROPOSED WORK IN THE -
-.STORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Historical
Coordinator prior to permit issuance,
APPROVED:
P.L.HSE GAR ACC
N
s
E
VALUE
z2
/1 .z=
?rye
//?
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls 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
buildlngs, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Recei pt Numbe
Date Pald:
Fleceived By:
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln the City limits which are being improved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
No
FT.
FT.
(c)
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed application and. do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
hereln, and that NO OCCUPANCy wlll be made of any
structure wlthout permission of the Building Safety Divislon.
I further certlfy that only contractors and employees who
are ln compllance with ORS 701.OSS will be used on thls
project.
I further agree to ensure that all required lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
Slgnature
Date
ion.on the site at times during cons
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (excludlng electrical)
(A, B, C, Q and E Comblned)
-2DATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
>.
Z.4',?r_4,
GARY Mf,CAULfY RESIDENCT
Tq S,--;A !r/) 9R
MARV]N PR]MID PINE LM/ 'f ' ARGIN 3AY
V SCREENS (VHTTT)
V]NNT
CASII-4ENT UINNIVS
FADTIRY SEAT ANI] HEAN \*t /L9* PRUJEtITI
TUD DAN SPNT LIEHTS V/SUITDH
5r*0,
supports
3 4',
box t' deep o.pprox
ri