HomeMy WebLinkAboutPermit Building 1997-09-15/o )oo-:'
RESIDENTIAL
PERMTT APPLICATION
lnspections: 126-3169
Office: 726.3159
JOB NUtvIBER
225 Fifth Street
Springfleld, Oregon 91 4tl
LOCATION OF PBOPOSED WORK;-5'
ASSESSORS MAP:TAX
LOT; BLOCK:SUBDIVISION:_--
PHONE:
ZlPier1<,STATE:
??(d
CITY:
ADDRESS:
OWNER:
ADDITION D H
--- OTHER
DESCRIBE WORK:
NEW- REMODEL
ADDRESS PHONE
CONST.
CONTRACTOR #CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTBICAL:
TYP E:
E:RC
- OFFICE USE -
LAND USE:FLOOD PLAIN:
QUAD AREA:
I OF BLDGS:
SECONDARY HEAT:
SOUARE. FOOTAGE:
# OF BDRMS: .-.-OCCY GROUP:
r OF STORIES:
# OF UNITS: ---ZONING CODE:
To request an lnspecilon, you must cal rd lng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspecti th e foll owl n s work day.
[-l Temporary Etecrrlc Rough hanl,Final Plurnbing - When allplumbing worl( ls complete.cover.
Site lnspection - To be madeafter excavation, but prior tosetting forms.
Rough Electrlcal - prior to Finat Electrical - When allelectrical work is complete.cover.
l--l Understab Ptumblng/ Elecrricat/
-
Mechanical - prlor to cover.
ll Footlng - After trenches are|J excavated.
I-l Masonry - Steel locatlon, bond
-
beams, groutlng.
Electrical Servlce - Must beapproved to obtaln permanent
electrlcal power.
Final Mechanlcal - When allmechanical work ls complete.
- Prlor to faclng rc+4al Buildins - When ail|J requlred lnspectlons have beenmals and framlng lnsp,approved and bullding is
completec,.
- Prlor to cover.tl Foundatlon - After forms are
erected but prlor to concrete
)placemont.
Other
WalllCelling lnsulatlon - prlor to
cover.
tf l'Jfliffilii,ll"ln'.'-orng - Prior [-l orywarr - prror to taprns
Underlloor Plumblng/ Mechanlcat
- Prior to lnsulatlon or decklng.
MOBILE HOME INSPECTIONS
Wood Slovo * After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decking.I-_l tnsert - After ftreplace approval
-
and lnstallatlon of unlt.
[-_l Alocking and Set.Up - When ail
-
blocklng ls complete.
Floor lnsulation - Prior to
decking.Curbcut & AJrproach - After
forms are erected but prior toplacement of concrete.
Plumbing Connections - When
home lras been connected to
water and sewer.
Sanllary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench,
Sidewalk & Drivewav - After
excavation is complete, forms
and sub.base material ln place.
Electrical Connection - Whenblocking, set-up, and plumbing
lnspections have been approvedand the home ls connected tothe servlce panel.
l--l Water Llne - Prtor to fiilingu trench.
Fence - When coiilpleted
Rough Plumblng - Prlor to
cover.
$trest TreqE - When atl requlred
trees are planted.
Final - After all required
inspecllons are approved andporches, sklrting, decks, and
ventlng have been lnstalled.n
q 2q2
WATER HEATER:-
tl
n
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
rS THE PROPOSED WORK }N THE "'
HISTORICAL DISTRICT, OR ON
THE HISTOFIICAL BEGISTER? --lf yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinalor prlor to permit issuance.
APPROVED:
ACCP.L.HSE GAR
N
d
S
W
E
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 Springfleld, including the
Development Code, regulating the oonsffuotlon and uee of
bulldlngs, and may be suspended or revoked 8t any tlme
upon violation of any provisions of said ordlnances.
Plans Rcviewed By Date
Fleceipt Numbe
Plan Check Fee:
Date Paid
Received By:
BUTLDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
X $/SQ. FT.
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtures
Flesldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
No
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fl replace Unlt
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
I {urther agree to ensure that all required inspections are
requested at the proper tlme, 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
slg
Date
on the si all ti ng constructlon
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Miscellaneous Perrnits (E)
TOTAL AMOUNT DUE (excludtng electricat)
(A, B, C, Q and E Combined)
D
VALIDATION:
DATE PAID
FIECEIPT
AMOUNT REC
FIECEIVED BY
., :,
. FT.
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther certlfy
that any and all work per{ormed shall be done in accordance
wlth the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout permission of the Bulldlrrg Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
proiect.
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,iiAndy's pes t Co
NAME.
Address
J'O:iD0rli I{EIS.l.
74&8672
9","'J\UGUST' 11. r9
Past Due ! ,
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F:or the Folloiving ite
From Esc
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ofi IiRepairs Chemic Treat nt
lnspection -- _. X Beinspect
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on / Clearance
TCTAL BALAHCE DUE $75,
rNvorcE NO., ?fq$,ril checks pay to:
FLEAS€ REruFlr wrnrE corr wnti
1 6957
NO,
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Aady'a lo Dedorm all work as'S' PE9-t c{:.NTtii'j
the perit report
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Excir.ding
Ir,J alic; crxclLding cosir lcr t07 rgpslls not listed the
in inaccrr,isible afeas or four,(t during f urther lns 0n.
al-.,.
palsit,le
:,,ur ing or
ard uny Cthor costs that filay
a6re6 tO ;,ay in fult lhe sum ot
ri10i,i5
any damage found
will not do or be res.
evf;l in 5 c..tcks '.vhlch nray develop
y shrubs, pl e$ '.!hich n:ay be damaged
agreB to ail the terms and
thet l€gel actlon becomes
all attorney and court cosls
5 of t
Isr Eny
$ Or ire 1,
rlvt ln$ rc lng
I eccept :Is I'r:cirlgs on the pesl ropo.t as desc
cx,:luslons as gtaleC aLove. I al$o agree lhat in
necossary tor Andy's lo collect gayrnen! in futl,
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fr'or'n ciosing costs at eecrow {or within 40 day of ion of work);
on,)empletion of work [Vl ; wir
Res.ponsibie per$on or party.
hin
Date - ,. ..=--l
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WHI!-S P6.tY MI.,ST E- FETUHNEO WITH SENANJAE
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Inspecti n
This ls a r€port bl structu raldam a96 and conditlonlnsectsand o rganl$ril$ ln those areas which were tbt and
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Eo rv, (),;. L{+*
loo
io A reporl of oprr flndings only and is not a guara of
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N#rtdr: Et't$Atn oocs tJor rN
See Dlagre m Bolow
$rrbtorrar:oon lhimiics
0{trprvoorl lbrrilgs
Worid lJeotlc.s
Corponl$r. lvrl$
Fung:ls Glowrh, Ir€a:a b:e
Ijlunrbin g Leak
Qfrer r
CIUD€ PJrttr tllJB PlU\rBrt'lo. o8.i.
Excessive
Cellulose
faulty Grodo
Olher
NOT Wood decks and pattos ars shln lnspecilon or bld.
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Code
SDR
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agBSlructural
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NAME
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BLo(it. No
189
otr
T4TH
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SOUTH
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2.
3,
4.
5.
6.
7.
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10.
11,
12.
13,
14.
16.
16,
INT
29.
Re
EA
_.x_. _
RECOMME
a I mllvapor barrier over Enflre
ln or ropalr oxlsting
a gravlty liow drain
and reinstall_--__- lin. fi. of
and replaco damaged full
and r€place damaged Joistll approx .".. -- lin. ft.
replace
ol new bsam su
and lin, ft. ol existi su
,. plors and pler blocks.
and reptace approx. 46 ,_ lln. tt.
and roplace approx. lln" ft,
and replace approx. 46 , -. lin. ft.
and replace damased pior
and replace approx. . 20 - sd. n.
all collulose debris and form boards
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17.
vapor barrler
line from subarea
a subarga sump purnp and
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subarea frorn low areas to draln line
and replace
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18.
19.
:20.
21.
22.
20.
CH
24.
25.
26,
27.
e8.
approx.cublc yards of gravel
Tro subarea as nooded to allow access
sccogs lnto inaccossibia area to allow
inspoction needed in areas lndicated
ft. of metat ftashing behlnd
dryer hose to outside *"_ ft.
CAL
treat foundation area and po
lcally treat subarea to control
lcally treat suba rea to control Fowder
--^ "- ch treat subarea to control
y troat subaroa to control dryrot
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eH utlllty room
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urrdorlayment
tch6n ,,t
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32.
s3.
34,
85.
36,
37,
38.
39.
40.
41,
42.
43.
44.
45.
48,
47.
48.
51.
52.
ln new llnolsum in { maln bath
kilchen dlning room.
lollet on a new wax seal
baso *- top of bathtub
replace tub enclosure with ono
Rsg tub walls stall shower walls
leaky stall shower.(Excludod trom
bathroom wlndow with srnallsr
looso tiles at
ddmagod drywattdamaged window sills _
AND DATION
r lautty grado tevet at aroas noted on d
lower row ol siding to treated wood
r to trlm all treee and shrubs4additlonal vents through
existing vsnts. Bescreen
Ropl existtng vent frames.% vent wolls. (With prossure
nNr:, -.._ now Crawl hole _ k
oNn " crawlholo wells. (With treated
leake seen at
lnsulation or vapor foil prevented aport. Damage or lnlestation in these
ol
was occupiod at ilme ol inspoctlon,
appllancos are excluded.
Viny lloor oove rings older than 10 years may
have vlnyl ln
arga8.
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50.
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bld.)
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59.ants wers found at time of i
can often bs nested ln areas with no
t,8n lnlestation becomes apparent at a
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NOT
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D-E Jf ]TCI.D"D--AIry., - -I"
of dri
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in sub
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C Torn
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frtmar
area
from
This
cqvqqeo orconc{anj uy
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dqor.
to
doof
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toxture excluded.)
toundatlon
maste
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