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Home My WebLink AboutPermit Building 1993-02-22SPRI]{GFIELE' RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK:'74 9.s .^/zJ sT. 7s rl 7SJOB NUMBEB 225 Fifth Street Spri ngf ield, Oregon 97 477 3 ?-- BLOCK: TAX LOT:to/ASSESSORS MAP: LOT:SUBDIVISION " f(- lfrPHONE: ztPSTATE: 56/\/ 4 tv t)S PPi EA H E,,I L^d sT,'2-O tf 5 ,\/ hltPCITY: ADDRESS: OWNER: x Ar+-/Fr RE /Lds fi ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW- REMODEL MECHANICAL: - EXPIRES PHON EADDRESS >/0 S "-// 6 CONTRACTOR'S NAME "642" ELECTRICAL: CONST. CONTRACTOR # G EN ERAL: PLU M BI NG /&N u/LIA lL-3 I WATER HEATER: # OF BDRMS HEAT SOURQE: ZONING CODE: FLOOD PLAIN CONSTR. TYPE:V^/ _ OFFICE USE _ * OF UNITS: LAND USE: SECONDABY HEAT: SQUARE FOOTAGE:RANGE: OCCY GROUP: * OF STORIES: QUAD AREA: # OF BLDGS To request an inspection, you must call 726-3769. This ls a24haur recording. All inspections requested before 7:00 a.m. will be made the same working day, lnspectlons requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS l-l Temporary Electrictt ;+ V Rough Mechanical - Prior to cover.E B tr x 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.cover. Underslab Plumbing/ Eleclrical / Mechanical - Prior to cover.r Eleclrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. V Footing - After trenches are excavated.Fireplace - Prlor to facing materials and lraming lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.tr tr tr Framing - Prior to cover. OtherBFoundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover, Underground Plumbing - Prior to fi lling trench.Drywall - Prior to taping. MOBILE HOME INSPECTIONStr tr tr Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and installation of unit. Blocking and Set.Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling 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. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prior to filling trench. Fence - When completed. Streel Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and ventlng have been installed.r Rough Plumbing - Prior to cover. /9 E T r E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Typ€ lnterior - Corner - Panhandle - Cul-de-sac viS THE PROPOSED WORK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED P.L.HSE GAN ACC N S E 2 BUILDING VALUE, 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 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. /g/,oE 'rrr.7o = *ii, Plans Reviewed By Plan Check Fee: Date Paid: Beceipt Number: Received By: ^ f' 6o/ X $/SQ. FT,VALUE ?-4 "ztso Total Fee 'o23ft Dtl State Su rcharge /3 Total Value Building Z?.2, r 3 BUILDING PERMIT ITEM SQ. FT. Main Garage Carport YzV 5 (.>a +Atr-L? '7'7tr,90 /3,? 7 SYSTEMS DEVELOPMENT CHARGE (SDC) (B)-{- Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. 2G, ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Prumbins Permit lo,o-15,a- 25oo FEE _tfo,Do N0 FT. FT. FT. LlA.o o PLUMBING PERMIT ,?f, .{State Surcharge 2@- Total Charge D ADDITIONAL COMMENTS 7f, Wood Stove/ lnsert/ Flreplace Unit Dryer Vent *-9t 7ae /s.aD.7t /.<) . lo.o o (D) Vent Fan Mechanical Permit lssu ance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood Nol By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, 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 certify that only contractors and employees who are ln compllance 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 f ront of the property, and the approved set of plans will remain on the site at all times during construction. Date re i MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge P ua^t c-*rcu-- *bdus f;*r Total Miscellaneous Permits (E) ) DATE PAID VALIDATION: RECEIPT NUMBE AMOUNT R RECEIVED TOTAL AMOUNT DUE (exclud (A, B, C, D, and E Combined) g electrical)il va -+ r4#r o {l to7 SP,lINGF RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: -9 t??5JOB NUMBER 225 Fifth Street Springfield, Orelon 97 477 ?arr &no J-,tzr"ee7- ASSESSORS MAP:TAX LOT: LOT:BLOCK:SUBDIVISION PHONE: Ar/\STATE:ZIP: .)r*<-<_r CITY: ADDRESS: OWNER: NEW- REMODEL_A ADDITION DEMOLISH OTHER f-nL( (ei i) sv''rft "rDESCRIBE WORK: ADDRESS EXPIRES PHONE Jt-,?lc^z//L <_ c CONTRACTOR'NAME u\4_<-C"GENERAL: O fL<. €!-ecT- Se..u,t< PLUMBING: MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # 1 WATER HEATER: * OF BDRMS: - OFFICE USE - ZONING CODE: FLOOD PLAINLAND USE: * OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: QUAD AREA: r OF BLDGS: CONSTR. TYPE: HEAT SOURCE: To reguest an inspection, you must call 726-3769. This is a 24 hour recording. AII 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. REQUIRED !NSPECTIONS Temporary Electric Rough Mechanical - Prior to cover.x Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. E[{j#r: Electrical - Prior to X Final Electrical - When all electrical work is complete. Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framlng lnsp. ,X Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.E K EL Framing - Prior to cover. lf7-Foundation - After forms are )A{ erected but prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taping. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. TVl Post and Beam - Prior to floor /Ainsutation or decki ng.lnsert - After fireplace approval and lnstallation of unit. Blocking and Set-Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut & Approach - After 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. Slorm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Waler Line - Prior to filling trench. Fence - When completed. Rough Plumbing - Prior to cover. Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. x r's7 'F i"l t-l' IQR)u) RANGE: tltl E E E Lot faces Lot sq. ftg. Lot coverage Topography Total height - Corner - Panhandle - Cul-de-sac LotrType v X tn,"rio,. Setbacks P.L,HSE GAR ACC N S E THE PROPOSED WORK IN THE STORICAL DISTRICT, OR ONHI THE HISTOFIICAL REGISTER? - lf yes, this application must be signed and approved by the H istorical Coordinator prior to permit issuance. APPROVED BUILDING VALUE, 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 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. PIan check ,.", / 5 4 '7 o /-.?'?4 // z-* z PI ewed By l';{t r Receipt Numbe Date Paid Received VALUEX $/SO. FT. wiain /DDi -7+ Wo /#?3 fiHl#trt7 ,<4Ei-tu6A.-24/?l (A) BUILDING PERMIT ITEM SQ. FT. Garage Carport Total Value Building Permit Fee State Surcharge Total Fee Fk>eo FA**_n / /,?o Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEM S D EV ELO P' = * t,rl' o *TEk ADDITIONAL COMMENTSPLUMBING PERMITrrEM ,e6tf / Fixtures A@^- V*OB FEE /<7s FT. ,7{ (c) oo N0 FT. FT. Residential Bath(s) Sanitary Sewer Water Mobile Home Sewer Plumbing Permlt State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permlt lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood 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 f urther 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 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. ) Date A natu re MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolltion State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, O and E Combined) DATE PAID RECEIVED AMOUNT VALIDATION: RECEIPT NUMBER 6n naffE: F/FrT . t' /kazr lS 4,ntut =z) ,,/ry /r,r' / /,/ 1t6.ier: oF SF RfFjre&L]IE Sa6 FiP,I DMlS[ RTP(IRI lr 5 iL:C;ilCAL HAZqRD T0: Building Deoartnient FROM: Spr.ingfielc Iire Departr,:rent SUB']ECT: Struciural Damage to Buildins Address or location cf bui)ding ZO4 U Zn4 Name of or{ner D Type of buj i o'i ng S i (uv,,ell'in , Stor Irlarehouse, etc. ) Estir:ated value of bujlC'ing Estimated I oss to bui I di nq Date of fire s 70 It lzzl 15 JWqhTTe -\ llo?flka{tc4il( nlTtr.? 1 s Location of damage in bu'ilding all ,{l,Y^) (Roof, l,{al l, Exterior, interior, etc. ) Structural weakness as a result of the fir e ei rafters , Beams , Joi s ts , eic . Aid'irional pertinent,;nformation El ectri cal Hazard (fJi ri nq, 0ut'iets , etc q I a q Srqned 0n't UID frt(l ( \ --ts C IIOOD STOVE/INSERT INSPECTION APPLICATION CITY OF SPRINGFIELD BUILDING SATETY DIVISTON 225 Fitth Street Springfield, 0regon 97477 Job Location: Assessors Map *:\q Address: Ci ty:State REQUTRED TNSPEC-TrON( S) : Date of Application: Total Amount Collected: SPFIlr.GFI€LE, 0ffi ce: TNSPECTTON LTNE: 726-3759 726-3769 Tax Lot *: Phone #: zi p: L93D@Value of St ts nsert (please circle te appliancEP Preliminary.Inspection is S15.00 (prior to installation of insert) Ilood Stove/Pellet/Insert Permit 15.00 +$.00 Issuance + $.75 state surcharge. Type of Ins tion Reques Contractor Address:Phone *: Ci ty:State:Zipz Constructi on Contrac tration *:lres: By signing this permit/application, I agree to caII for an ins pection(s) as required(726-3769). I state that all infornation on this application/pernit is correct andthat I rras provided vith the llood Stove Safe ty infornatlon for vood burningappliancesand prelininary ins pection standards f further state that the appliancef am ins talling meets smoke emission standards as set by the 0regon Department ofEnvironmental euality or the Federal Environmental Protection Agency and f agree toprovide the testing approval number to the inspeet or at the time of inspection. Ialsoundersand that if f am requesting a preliurinary inspection,the vall coveringmay be red Date FOR OFFICE USE INSERT PRELTI.TNARY Job *: Receipt *:la\[c. CITY OF SPR OREGO'V Checked for Delinquencies: Issued By: for Historical Status: t 180 days- 2. CONMACTOR INSTAI,T^ATION "ONLY Electrlcal Cont ractor ONEil8I'I II.ECT'IIC SilVICE Services or Feeders Installation, Alterations or Relocation: B Addres Ci ty pr,ore3 {3 10,(l Supervisor cense Number /l q{ -( Expiration Date Constr Contr. Number t4 to e- lq+ of Supervising Electrician 4+r OJZ 0vners Name Address I Ci ty h-n.. I Phone Ovners Signature: DATE: TenporarY Serviees or Feeders -iiti"ri.iion, Alteration or' Relocation 200 amps or less - 201 arnPs to 400 amPs - 401 amps to 600 amPs - 601 amPs to 1000 amps- 0ver 1000 amPs/volts - Reconnect 0n1Y One Circuit each Additional Circuit or vith Service or Feeder Permit - $ 50.00 $ 50.00 $100-00 $130.00 $300.00 $ 40.00 Expiration Date c. D 200 amps or }ess I i :9 201 amps to 400 amPs - : :: over 4b1 to 600 amPs $ 80 Over 500 amPs or 1000 volts see Branch Circuits .0oqf .00 .00 "Btr above Nev, Alteration or Extension Per Panel s 35.00 OSNER INSTALI,ATION The installation is being made on property I own vhich is not intended for sa1e, lease or rent. s 2.00 E, Hiscellaneous (Service/feeder not included) - -Each installation Pump or irrigation - Sign/0utIine Light ing- Limited EnergY/Res - Limited EnergY/Comm 5. SWTATAL Or ABOW 5Z State Surcharge- TOTAL 4 $ 40.00 s 40.00 s 20.00 $ 36.00 RECEIWD L€B :-\\ **S*ffi CitY Job q> FBE SCEEDUI,E BEI'OII 4'1ti11{ l? or unit. Itens Cost Sum s 85.,00 1. Iniluded: LEGAL ---lOS Permits are expire if vork is not st,arted vithin 180 daYs of issuance or if vork is susPended for 1000 so. ft. or less additional 500Each sq-ft or Portion $ 15-O0thereof Each Hanuf'd ffome Hodular Dvelling Serv.ice or Feeder or c Nev Residential-S Multi-FamilY Per Service Included: SPRTilGFTELO BIJCTRTCAL PERHIT APPLICATION City Job Nunber qv rEE SCffiDtII^E BELOV ingle or dvelling unit'1.LOCATION I,EGAL DESCRIPTI0N JOB € t The followl 26n1nr----------------; : , r ,Ie and exPire :hin 180 daYs susPended for han the tottowlng le.n.J use 4tK INC, C Items Cost iI $ Bs'oo $ 1s.00 225 FIFTE SlRBEf, ;-PRriteiirro' onreox e7477 ---- ,' uFrsie}#-sYBs'' 726-37 6e \' A. Sumt{ 180 days. 2. COITTRACTOR INSTAIJ'ATION ONLY Electrical Contractor Address 0. to 2t Ci ty L Phone f,7>qu Permits are non-transferab ii-"otr.. is not started t'it ;; i;;;""ce or if vork ls 1000 sq.ft. or Iess n""n "daitional 500 sq. ft or Portion thereof Each Manuf 'd [lome or Hodular Dvelling Servlce or Feeder Services or Feeders in"tuffttion, Alterations or Reloeation: 200 amPs or less 201 amPs to 400 amPs - 401 amPs to 600 amPs - 501 amPs to 1000 amps- over 1b00 amPs/volts --Reconnect OnlY -Each installation Pump or irrigation Sign/Outline Lightitg- Limited EnergY/Res - Limited EnergY/Comm B s 40.00 $ s0.00 $ 60.00 $r00.00 $13o. oo $300.00 $ 40.00Supervisor License Number 7 4/6 s Expi ration Date Constr Contr. Number E-/ / -)-: Expiration Date ture of sing Electrician Owners Name Address 4s-il14,"lq Phone TemPorarY Services or Feeders -iilUii;iion, ert"ration or Relocation 200 amps or less ;oi ;;; io aoo amps -_ Over 401 to 600 amPs .--- 0ver 600 amps or 1000 volts Branch Circuits Nev, Alteration or Extension Per Panel One Circuit s;"h-AddiiionalCircuit or vith Service or Feeder Permi t - $ 3s.00 Miscellaneous (Service/feeder not included) t- a D E SWTOTAL OF ENOW, 5Z State Surcharge TOTAL see ttBt'aSoF $ 2.oo $ 40.00 s 40.00 $ 20.00 $ 36.00 $ 40.00 $ ss.oo $ 80.00 {t- Ci ty. OSNEN, INSTALI,ATION The installation is being made on piop"tty I ovn which is not intended for-sale, Iease or rent' Ovners Siguature: DATE: RECEIWD 5 Z c