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HomeMy WebLinkAboutPermit Building 1992-04-28GFTELE) RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Of tice: 728-3759 Locl\l loN of' PRO ASSESSORS MAP: POSED WORK:. JoB NUMBE n 2?427 --225 Fitth streetfuf4< 7 Sprinsfield, Oregon 97477 TAA/ 24? TAX LOT: SUBDIVISION PHONE:OWNt:R ADDRESS: - - CllY: .. ..STATE:ZIP: - DEMOLISH OTHER DESCRIBE WOR NEW _-_- REMODEL ADDITION EXPIRES PHONEADDRESS MECHANICAL CONTRACTOR'S NAME C EN ERAL: EI-ECTRICAL I'LIJ M BINC CONST. CONTRACTOR # I OF UNITS:# OF BLDCS - OFFICE USE _ LAND USE: RANGE: HEAT SOURCE OLrAt) ntltrn CONSTR. TYPEOCCY GROUfJ: # OF STORIES: - WATER HEATER: -- To request an inspection, you must call 726-3769. This ls a24haur recording. All inspections requested before 7:o0 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REOUIRED INSPECTIONS fl Temrlorary Electriclr Rough Mechanical - Prior to cover. f7l final Plumbing - When all4 plumbing worl< is comPlete. f-71 Final Eleclricat - When allUIJ electrical work is coutplete. Sile tnspection - To be made af ter excavation, but P.rrior to setting lorms. Rough Electrical - Prior t<: COVET Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Permarlcnt electrical power. w Final Mechanical - When all rnechanical work is complete. Footing - Af ter trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. W Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond bearns, grouting.A w w Framing - Prior to cover Other Foundation - After {orms are erected but Prior to concrete placernenl.Wall/Ceiling lrrsulalion - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taping MOBILE HOME INSPECTIONS Undertloor 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 clf concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trenclr.Electrical Connection - When blocking, set-up, and Plumbing inspections have been aPProved and the horne is connected to the service panel. Slorm Sewer - Prior to filling trench. Sidewalk & DrivewaY - Af ter excavation is comPlete, forms and sub-base material in Place. Water Line - Prior to filling trench. [l fence - Wlren comPleted. Slreet Trees - When all rL'quired trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.E Rouglr Plumbing - Prior to cover. LOT: __ _ BLOCK: FLOOD PLAIN: ZONING CODE: r OF BDRMS: .-. SECONDARY HEAT: SOUARE FOOTAGE: tl r il tlr fl w w r Lot faces Lot sq. ftg. Lot coverage TopographY Total height Lot Type _- lnterior -- Corner - Panhandle - Cul-de-sac tbacks P,L.HSE GAR ACC N .) E THE PROPOSED WORK IN THE -flrsroRtcAL Dlsrnlcr, oR oN Tl.IE HISTORICAL REGISTER? -.-- lf yes, this application musl be signed anrl approved bY the Historical Coor<Jinator prior to perrnit issuance APPFOVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is grantecl on the express condition tl"lat the said construclion shall, in all rcspects, conform lo the Ordinance adopted by the City of Springfield, including the Development Cocle, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of saici ordinatrccs /;3a+zewed By Plan Check Fcc: . Date Paid Receipt Nuntber:, Recei VALUE (A) @a X $/SO. FT. Total Value Building Permit Fee State Surcharge Total Fee 38,* /-?7 40, p BUILDING PERMIT ITEM SO. FT. Main Garage Carport Systems Developtncnt Charge is due on all trndevcloped properties within the City limits which are being irnproved. GE (sDC)SYST S DEV LOPM 1- ADDITIONAL COMMENTS ITEM Fix t u res Flesidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home [= EE (c) 74-Zz-{2:" 7" ?5 € ng N0 FT. FT. Plumt;i PLUMBING PERMIT State Surcharge Tot;rl Ch;rr1;e FT. Wood Stove/ lnsert/ Fireplace Unit Dryer Vent Mechanical Pet rnit (D) N0Vent Fan lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rn;rce Exhaust Hood By signature, I state atrd agree, that I have caref ully examined the completed application and do hereby certi{y that all information hereon is true and correct, and I f urthcr certif y that any and all work pcrlormecl shall be done in accordattcc with the Ordinanccs of the City of Springf ield, and the Laws of thc Statc oI Orcl;ott llertaining lo the worl< rlc.';crillr-'tl hcrein, artd tltat NO OCCUPANCY will bt-' trt;-tclc of :rtry structure without pertrtissiot't of tlre Building Safety Division. I further certify lhat ottly contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, thal the permit card is located al lhe front of the property, an(l thc approved set of plans will rernaitl during cons\uctionon the Signat Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk --- ft Curbcut -=- ft Demolition State Surcharge Total Miscellaneous Permits (E) VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED //* r FIECEIVED BY -_ TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q ancl E Combined) Z?-.2/ /;%:e (B) C'TY OF OPEGO'U 225 FIFTB STRBEf, SPKINGFTBUD, ORBGoN 97477 INSPBCIION RBQIBST. 726-3769 0FFICE: 726-3759 1. LOCATION OP INSTALI.ATION IJGAL DESCRIPTION^^ ^1 e2'a> JOB Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALI,ATION ONLY Electrical Contractor Address ci ty- Phone Supervisor License Ndmber Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician 0wners Name Address *? BLECTRICAL PERfiIT APPLICATION ci ty Job Number Nev Residential-Single or HuIti-Family per dvelling unit. Service fncluded: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Hodular Dwelling Service or Feeder $ 8s.00 $ 1s.00 s 40.00 B. Services or Feeders fnstallation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps Over 1000 amps/volts Reconnect only C. Temporary Services or'FeedersInstallation, Alteration or Relocation 0b 200 amps or less 201 amps to 400 amps -0ver 401 to 600 amps _Over 600 amps or 1000 volt strtrtNGFrI:Lo STIBTOTAL OP ABOVB 5Z State Surcharge TOTAL 3 A Sum 60ve 00 00 00 00 00 00 $ so. $ 60. $100. $130. 40$ s 40.00 $ ss.oo $ 80.00 s see ilBtr a $300 D. Branch Circuits Nev, Alteration or Extension Per Panel One Ci rcui t '/ Each Addi t ional Circuit or vith Service or Feeder Permi I Z.OIINER INSTALI,ATION The installation is being made on property I own vhich is not intended for sale, Iease or rent. Ovners ture: DATE: RECEIPT ff7/"-22/a"l*/##r $ 3s.00 $ 2.oo _€Ci ty Phon E 5 Miscellaneous (Service/feeder -Each installation Pr.rmp or irrigation $ Sign/Outtine Lighting- $ Limi ted Energy/Res $ Limi ted Energy/Comm S not included) 40.00 40. oo 20. oo RECEIVED BY: dP -+z? q?^---Az. _ 1 2 Permit No: Address: lssued Date: R OFFICE USE ONL STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIB!LITIES Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. This state- ment is required for residential building, electrical, mechanical, and plumbing permits. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 38: I own, reside in, or will reside in the completed structure. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. A My general contractor is Contractor registration number-. I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR 3.B I will be my own general contractor. lf I hire subcontractors, lwill hire only subcontractors registered with the Construc- tion Contractors Board. lf I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certily that the above information is correct and that I have read and understand the tnformation Notice to Property Owners about Construction Responsibilities on the reverse side of this form. f'28'ez S n ure o Pe t cant Date CONSTRUCTION CONTRACTORS BOARD 0244J 8191 3 WHITE COPY TO ISSUING AGENCY PERMIT FILE PiNK COPY TO APPLICANT CITY OF SPR OREGO'V SP. /GFIELO DEVELOPMENTSERY'CES PUBLICIIIIORKS M ETN O PO LITAN WAST EWAT ER M AN AG EM EN T Hay 31 1991 Scott Gese 2063 North 2nd Street Sprlngfleld, Oregon 97477 Dear Hr. Gese: Sincerelyt Llsa Hopper Buildlng Technlclan cc! Dave Puent, Bulldlng Offtcial Ih Your request for an extension of your permits to construct an addition io Vour resldence located at 2063 North 2nd Street, Springfleld, o'eson, Ctty Job Numbers 900032, has been revieved and approved. The extenslon may only be granted one time and vill expire l8o^days fiom the date of'tt"-Sr.nting of thls extenslon (November 3, 1991)' If you have any questlonst gr_lf I may be of any asslstance, please feei free to phone me at 726-3790' 225 FIFTH SIPEEI SPRINGFIELD, OR 97477 (503) 726-s7s3 i.;,. t-1.|; :t,'iir... t,, "' - ':.',;. " ' l' " qDDo 37--z /s 4 40PP4R 7z-l< caztp/eT/oN 24r€ Or ouR B<TAtaon ,400rTt om //r4 S 6G€N SZouuee Doe rc l&cr oF Fu*roS *t/ Borc D rto< pGRrn rT /UO- Qooo32 Z-xptRe s oa) ruA? Ano Z Ah R€ytu€rTtne /4 a -xGpTt an> oN UqiT,&RtnrT T/-/A/{K PoJ Scar,4.dasd Zad 3 ^r.Z;g s/. 7 /?Et CITY ff .]; F;E !D ,fr 225 PTYTE STREET SPRTNGFTELD, ORBGON 97477 INSPECTTON RBOrrEsT,. 726_3769 OFPTCB: 726-3759 1 LOCATION OP INSIALI.ATION 2nd2I'lo rth JOB DESCRIPTION Service cha nge Address 6il West "Q" Street phone 747-6638 Supervisor License Nunber Expiration Date 10/1 /92 I 4735 Constr Contr. Number 20-87C Explration Date 10/1 /91 Slgnature of Superviislng Electrlclan COHPI^EIE PEE SCESDI'I^E BELOV Nev Resldential-Single orIlultl-Famlly per avetting unit.Service Included: Itens Cost Sum 1500 sq.ft. or less S g5.OO Each additional 500sq. ft or portion thereof Each Hanufrd Home or - $ 15'oo Hodular Dvelting Servlce or Feeder S 35.00 Servlces or Feeders (10 Branch Circuitslnc-luded). Installation, aiier"tion"or.Relocation: 100 amps or less 101 anps to 400 amps T-401 amps to 600 amis -601 anps to looo arnos-Over 1000 amps/volts Reconnect Only Temporary Servlces or FeedersInstallatlon, Alteratlon or Relocation 201 arnps to 4oo amps - a 4o:ooover 4ol to.6oo amps - S go.oo Over 600 amps or rboOEfEs """ ,ii aE6IE Branch Circuits Nev, Alteration or Extenslon per panel EI.ACTRICAL PERTTT APPLICATTON City Job Nunber s 3s.00 $ 60.00 s 90.00 s130.00 $300.00 s 3s.00 A. 3 B. c. D. B. Permits are non-transferable and expireif vork ls not started ulthin 1gO daysof lssuance or if vork is. suspended for180 days. 2. COITTRACTOR INSTALINTION ONLY Electrical Contracto.L.R. Brabham, Inc. 6u3rl 4 Ovners Address Scott Gese 2063 N. Znd ci Spri ngfi e1 d phone 726'0092 DATE: One Circult Tvo to ten Circuits Each AddtrI ten orportion thereofOgNER TNSTALIATION The installation is belng made onproperty I ovn vhlch ls not lntendedfor sale, lease or rent. Ovners Signature: s 3s.00 s 50.00 s 15.00 BRECEIVED Hiscellaneous (Service/feedir not lncluded)-Each lnstallatlon lytp.9. -irrlgatton S 36.00srgn/outline Lightins- S :e.OoSignal Circult orlimlted energ.y panel_ $ 36.00 STETOTAL OP ABOVB 60. OO5Z Stdte Surcharge TOTAL J. UU 5 63.00 QI DI City Springfield, / Rccej tlt.. RESIDqNTIAL.. " APPLICA, I/PERMIT 225 North Sth Stneet Spr"Lngfield, 1regon 97477 Building Diuision 7 26-3? 53 SPFIINGFIELD @ sT sfFto, cv? . q 7? 77Job Location: Tcr Lot; llAssessore Map fl D Subdiuision: Ormer: Phon,e: /26i -AO?Z'3 fl.zeAddtess City:2<zip DescrLbe- L'otl<: Value Neu *a_72Date of App Lical;ion 6,q-r4fkora tczztTtoFAdditian RemoCeL r rac General Plurnbing LIec c Iil,ec Lr ca Elec I r c 1a r')Su erv DEI,IOLITIO!'1 OR !.iOVE) BU Sani:at'g seuet' eapped at pnopert'g Lire Septic tanl: p;i:ed and fi,Lled uith gra:sel Ftnal - It4ren abcue 'itens are ecnpleted and when Cerncli.tton ie complete o" st"1,3- ture noued and pt'eniees cleaneC up. llobi.Le Ilcnes Blocking aruJ Set-up Plwnbin;1 connections -- sareY anC uatet Electrical Ccnnection - Bloeking' set-uc and plwnbing conneetions tr;st be approe,l befot:c requesting eleelrical inspeelio:: Acceseory BuilCing Final - After pcrekes, skirting, decl<s, etc. are completed. Page 1 of 2 It ia the responsibility of the pemit hodet' to see fnon the street, ard that the permtt card is Located*Buitding D,iticiot appro"-ed plan shcl.L remain on the that aLL inspecl;ions aye nade at the ptoper time, t!"at ecch addtess is readabie at the front of the proPertY. Building Site at aLL times. pRocEDURE FoR INilqECTON RgeWS?rCalU726-3769 (t,ecotd.er) state yout'cit11 desi.gna-ted job nwnber, iob aCiress, \!ee-of inspecticti eadyforinspection,Contraetorso-,asnn,o-,tcawandphonerulnber.Requestsrecettedbefcre7:00an'sill be rrude the sone dcy, ?equests ncde after 7:00 an uiLL be nnde the ncrt aorking day. SITE fNSPECTI2N: To be nade aftet etcalation, but pt"ior tc set up of forms. yourtCitA Designated Job Nunber Is: INSULATION/VAPOR BARRIER,TIISPEC'TION : ?o be made after aLL insul;;ticn atd raquired oapor batrie?s a.!e in place but before ang Lath, gApsuln bcard or tnLL cotsering i.s applied, aru7 before ary iwulation is cotzcealed. m f .':1 DRyHALL INSPECTI)N: Tc be made I 4l ma-m-AA;ffts in ptace, but prlor to cna Daplng. w UNDERSLAB PLUMBING, ELECTRICAL & ULCX[!!!AL: To be made before ang ffiF-li-i6oeted. FOOTING & FOANDATICN: ?o be IruCe after tnenches a?e e-acaoated and. forns ate erected, but prior to pouring ccncrete. I,|AS0NRI: Steel Location, bond ffilglouting or oerticcls in accordotee Dith U,B.C, seetion 2415. l,lOODSTOttE: Aftet' installation is atnpleted. -t) uNDERcRout\tD pLUMErNc. sEwER, vATER,u9 Lir.g trenchee. lT1 upocnprcoR pLrJtErNG & MECHANTGAL:i^l "ffloor inaulation ot decking. f-lV post AND BEAM: To be nade pnior to W T;;t;TGrlo" of floon insulbtion or decking. t-Tlt ROUGH PLU\IBIIIC. ELE|TRICAL & MECH-lAt - until these inspections hante been made and. approued. FIPEPLACE: PrLot to placirq facing materials and befote frani.ng i.nepee- tion. FRA\IINC: ttust be requested aftet, approoal of rough pltnbing' electti- cal & mec?wnical. ALL roofing braci,ng E chinmegs, etc. tmtet be eompleted. !1o aork ie to be con- cealed until this inspection has been rade anC approtted. SIDEWALK & DRfltEllAY: For aLL eon- ;Cte paufi tifiln stt'eet right- of-teA, to be made after aLL etea- oating conplete & fotn wrk & aub- base naterial in Place. CURB & APPRCACH APRON: oa,.-e"."iA-i;, p;l;i concrete. IENCE: saa After fonnsto pouring hrhen conplete -- ProoiCe or mouable sectians tl*ough P. U. E, w m FIIIAL PLUMBING FINAL MECHANICAL FINAL ELECTRICAL @ ALL projeet oonditions, sua!.t as bhe i.nstallaLion of s!;reet trees, ao'nyLetion-of the "nq"Z"L|-ii"a"eiping, Ztc., mtst be satisfted before the BUILDTNG FII\AL can be requested' 7INAL BUILDING: The lti.nal Building Inepcction ntuet be raqueated aftet' the Final Plwnbing Electrical, and Mechanical Inspeeblons Ttauc been nade and appt'ooeJ' *AT,L MANHCLES AND CLEANOUTS TIUST RE ACCESSIBLfr, AD,II]STIIENT TO BE I,|APE 'i.T NO C1ST TO EI?Y Date: I)1re 7L/ 77 t--.1 TotaL SOLAR ACCESS REQ.- Cro L-co c Bedrooma I IIAW CAREFULLy SXAI|INDD the cornpleted appltcation fon permit, and dolereby cet,tifll that aLL infornation heteon ie trwe and cbtnect, cnd. f J\t'ther cet,tify that any ar.d aLL uork perforned slnll be done ini accor- dance l,rLth the 0ydinances of the City of Sprtngfield, and the Laa of theState of 1regcn pet,taining to the uork Ceseribed herein, cnd. tlnt N0 OCCU- PANCY DilL be rmde of any structure aithout penniasion of the Bui,l,ding N-uision. I furthen certify that only contracTors and anplcyees uho ara in eonpl,'ianee uitlt )RS 701,055 uiLL be used on thie projeet ["ot Faces -Energg Souncee T11oe Setlncks Ileat llotise Cat,aoe Aaeess l,lateP lteatet,16rtti-Range ljas t Fireplace Sor.i.t.lt htoodsto"^e % cf lot Ccuerage_ I of Stories Total Height I,OT TYPE _ fntenicr _ Corner _ Panhandle Cul-dt:-saeTopography Lot Sq. Ftg lle;t t -- Fees -- TTEM X Value Building Volue & Permit Tlt.i-:; pet,rnit is granted on the etcpress condition tlnt the sciid-constntetion s)n17., itt all rbspeets, confonn to the Ondirnnce adopted by the Ctty of Slrt'irt,Jfield, i.ncluding the Zoning Crdinanee, regulating the ccnsttucticn and use o!'bu'ildtngs, and may be suspended or neookeC at cnA time upon oic- luLton oJ' any l)t,cuisi.ons of said Ordinances. ?OTAL VALUE DCS.D.C. 1.5 x * Building Pet"wLt State L)ate Paid: Receipt #:Total Clarges Siqned: I7'EM NO.T'L'E CHARTiL'Plumbing PerrnitFi-rtures Residential (1 bath)No perton slnll. construct, inetall, alter ot clnnge anA nel cr eristing plwnb'tng on dtainage systen in uhole or in patt, unless such person is thelegal possessor of a oalid phtnbet,'s License, eeeept tlnt a pe?eon nny do plunbing uork to property uhich ie ouned, Leased or opetated by the appli- cant. Seuer -zo.* Plunbing Pern:it State St*charqe 2-aA * Electricol Permit h4rcve State La requires tlnt the electrical uonk be ilone by an Electnieal Conbracton, the eleetrical portion of this pernit shall not be oaliC untilthe Label luts been signed by the Electttcal Contractot,. Iotal NO NailErtend Circuits Set'uice 2Z-:r> NC FqLI CllAltr;l; I Vcodstoue * * Mechq n ic o I Pe rm it Eshanst HooC Vent F@l Penntt fssuanae Mechanical Pernrtt -- EIlCROAC',iluEilr -- Sean ity Deposit Storage Maintenance Permit Curbeut Sida,talk Fence Electrical Ia.bel f'lobile Hotne /5'7.a7 * Dal:e JOB NO. /'??-:- udxe Z 7.s,o =2 <-> -/,-aB7 S2-Sa State Sutcharee Total Clan aes '!'(.t'fAt At!0uNT I)UE: ^ /?70 Permit No: Address lssued te STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILTTIES Note: Oregon Law, ORS 701.055(4), requires residential building permit applicantsyl.o ale not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), neednot submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial box 1 and either box 2A or 2F.. 1:-Ft I own, reside in, or will reside in the completed structure. 2. A. l--l My general contractor is Contractor registration number I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR B. Ef I will be my own general contractor. lf I hire subcontractors, I ryill hire only subcontractors reoistered with theConstruction Contractors Board. ltl cha-noe mv mirid ;riti'Edh-ir6? oeiiieii-icontractor, Iwill contract with a contrattor'who is reoisleieO-wi[n1nGConstruction Contractors .Boqrd and I wi I I immeo ia1el11-nolIiilne' bitiC6issuing this buitding permit of the name or tne contiiitcii. I hereby certify that the above information is correct and that I have read and understandthe lnlormation Notice to Property Owners about Construction Responsibilities on thereYerse side of this form. #l^71 /@gnapplicantDate CONSTRUCTION E,ONTRACTORS BOARD o244J 10l24tp WHITE COPY TO ISSUING AGENCY PERMIT FILEPIffi COPY TO APPLICANTi ,t.. .-r"Lr-i1i. l_i_ @s : lfftF d