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HomeMy WebLinkAboutPermit Building 1998-02-09RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726.3759 SP'IIr{GFIELr, JOB NUMBEB 225 Fifth Street Springfleld, Oregon 97477 4o : <-"r LOCATION OF PBOPOSED WORK; AssESSoRS uee, /?-27^ >2y'?.' TAX LOT: LOT: - BLOCK:SUBDIVISION: PHoNE: 222-A<en 2^a^8*22 ztPSTATE:CITY: ADDRESS: DESCRIBE WORK: NEW- R ADDRESS EXPIRES 4. PHONECONTRACTOR'S NAME MECHANICAL: ELECTRICAL PLUMBING: GENERAL: CONST. CONTRACTOR # _ OFFICE USE - # OF BDRMS ZONING CODE: FLOOD I]LAIN: SECONDARY HEAT:_ SQUARE FOOTAGE: * OF UNITS: OUAD AREA: r OF BLDGS: RANGE:WATER HEATER: OCCY GROUP: I OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REQU!RED INSPECTTONS Temporary Electrlc w w $#l Mechantcal - Prior to A Final Plumbing - When ailplumbing work is complete. Slte lnspectlon - To be made after excavatlon, but prior to settlng forms. Rough Electrical - Prior to ffl fina Etectrlcat - When ailr#J electrlcal work is complete. ffi Flnal Mechanical - When all7" mechanlcal work ls complete. ffi rlna Buitdlng - when ail14 requlred lnspectlons have been approved and building is completed. cover. Underslab Plumblng/ Electrical / Mechanlcat - Prior to cover.Eleclrical Servlce - Must be approved to obtairr permanent electrlcal power. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp.Masonry - Steel locatlon, bond beams, groutlng.w w m Framlng - Prlor to cover.tl Foundatlon - After forms are erected but prior to concrete placement. Other Wall/Celling lnsulatlon - prlor to cover, Underground Plumblng - Prior to fllllng trench.Drywall - Prior to taping E Underlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decking. MOBILE HOME INSPECTTONS Wood Stove - After lnstallation. Post and Beam - Prior to lloor lnsulatlon or decklng.lnsert - After flreplace approval and installatlon of unlt. [-_] Btocking and Ser.Up - When ailu blocklng ls complete. Floor lnsulalion - Prior to decklng.Curbcut & Agrgrroaclr - After forms are er(]cted bUt prior toplacement of concrete. Plumbing Connections - When home lras been connected to water ancJ sewer. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation ls complete, forms and sub-base malerial in place. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the servlce panel. Water Llne - Prlor to filling trench.l-_l Fence - When coiirpleted Street Trees - When all requlred trees are planted. Final - After all required inspectlons are approved andporches, sklrting, decks, andventlng have been installed.;q Rough Plumbing - Prlor to cover. OWNER: f-=^= LAND USE: D tl Lot faces Lot sg. ftg. Lot coverage Topography Total height Lot Type- - lnterior - Corner - Panhandle : - Cul-de-sac i- IS THE PROPOSED WOBK TN THE " HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: PL.HSE GAR ACC N S E VALUE ,l4,aa= (A)a?F 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 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. Plans Reviewed By Date Recei pt Numbe Plan Check Fee: Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) l'!44'(B) Systems Development Charge is due on all undeveloped properties within the City linrits which are being improved. Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home N' FT. FT. d2Ar4 (c) PLUMBING PERMIT FEE zZZ--* Plumblng Permit State Surcharge Total Charge - '/ '7e' .&' =/.aa ITEM Fixtures ADDITIONAL COMMENTS By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby cerilfy that all lnformation hereon is true and correct, and I f urther cerilfy that any and all work performed shall be done in accorrJance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCy will be made of any structure without perrnission of the Building Safety Divislon. I further certily that only contractors and employees who are in compliance with ORS 701.05S will be used on thls prolect. I further agree to ensure that all required inspections are requested at the proper tlme, that each address ls readable f rom the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain Signatu Date c on the site during cons Wood Stove/ lnsert/Flreplace Unit Dryer Vent / MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E) ZZ-=a 7er'+ R -/a@ Vent Fan (D) MECHANICAL PERMIT Fu rnace Exhaust Hood No/ Mechanical Permit lssuance State Surcharge Total Permit TOTAL AMOUNT DUE (exctuding etectricatt 12{ 7, (A, B, C, Q and E Combined) DATE PAIi) AMOUNT HECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBEFI -P.54>RJA - FT. Permit # Address Issued by pula' 2r4.raa Statement: lnformation Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement 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 stotement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and2, and either box 3,{ or 38 l. I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3,{. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 38. I will be my own general contractor If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certiff that the above information is correct and that I have read and do understand the Information Owners about Construction Responsibilities on the reverse side of this form. permit applicant) (White copy to issuing agency permit rtle, pink copy to aPPlicant) Notice to (Signature o (Date) 73e/27 w 2 -n, Qrs W '-- { ".,!:- t.: 'e r-.-r k"t !_{"v ,;"d4;;}i!" {, {"3"- .i' ; " " "! "; -.,,--"it-":;:,:{ ^. ': .t --.- .l . -- _. ar ;-d00.8:q-10"i0. *Yh*ffi$a ffiffi$p#rus,ffi,Ltytm$ ANm &RH&S Sr *0NSffiRN: tltat *tar hr irrauglrt lrr \ irllr;i!l*n{it,r"l lilrt,rr:lh ir}!l*r.iit-1rr} 1tt rr*i irr. ti,, ,. Lttltl,ltl pl*p-0rvn"pn:4 ,i94. SiPRII\ICiFTELE, Address: 305 24TH ST Description: DRY ROT REPAIR Urban Growth Boundary: Owner: PATRICIA BLISS 185 38TH STREET SPRINGFIELD, OREGON 9747 Owner Phone: 726-0518 Contractor Phone: 747-0959 General Contractor: OWNER Plumbing Contractor: ElectricalContractor: OWNER Mechanical Contractor Design Contractor: CITY OF SPRINGFIELD BUILDING DIVISION JOB # 980154 1703361410200 Lot: Division Tax Lot Heat 1 Water: Range: lnsulatio n Path: Block: Value: 9i 0,000.00 Addition: Started: 211011998 Finaled: 112111999 Heat 2: Zone: Bldg: Flood Plain: No Stories: Occ Group Bedrooms: Units: Category: REPAIR Type: RESIDENTIAL Land Use: SINGLE FAMILY DWELLING Status: Finaled Quad Area: 2RNW SEQ ryPE REQUIRED PERMITS FEE SURCHARGE DATE RECEIPT CATEGORY VALUE $10,000.001 2 2 4 5 6 2t9t1998 2t9t1998 2t9t't998 2t9t1998 2t1211998 3/1 0/1 998 28740 28740 28740 28740 28790 29056 500 500 601 510 520 2 5 6 87 4 4 BUILDING PERMIT PLUMBING MECHANICAL MECHANICAL ISSUAN ELECTRICAL ELECTRICAL $80.50 $20.00 $15.00 $10.00 $s2.00 $63.00 $4.03 $1.00 $0.75 $2.60 $3.15 ,| 2 3 4 5 6 7 8 9 10 11 12 13 ROUGH PLUMBING ROUGH MECHANICAL ROUGH ELECTRIC FRAMING INSULATION DRYWALL FINAL PLUMBING FINAL MECHANICAL FINAL ELECTRICAL FINAL BUILDING ROUGH ELECTRIC ELECTRIC SERVICE FINAL ELECTRICAL 23 31 42 6 I 11 29 39 49 19 42 44 49 SEQ TYPE MINIMUM INSPECTIONS COMMENTS EXP DATE ACT DATE 2t26t1998 4t27t1998 5/6/1 998 4t3t1998 5t20t1998 7128t1998 7 tgt1998 1t21t1999 5/6/1 998 2t17 t1998 7t13t1998 FIVE CIRCUITS BY OWNER 1 CtRCUtT 112812004 3:40:28 PM Page 'l of 1 tFrNALEpl SPFIINGFIELD Address: 305 24TH ST Description: DRY ROT REPAIR Urban Growth Boundary: Owner: PATRICIA BLISS 185 38TH STREET SPRINGFIELD, OREGON 9747 Owner Phone: 726-0518 Contractor Phone: 747-0959 General Contractor: OWNER Plumbing Contractor: ElectricalContractor: OWNER Mechanical Contractor Design Conkactor: CITY OF SPRINGFIELD BUILDING DIVISION JOB # 980154 Lot: Division Tax Lot 1703361410200 Heat 1 Water: Range: lnsulatio n Path: Block: Vatue: gI O,OOO.OO Addition; Started; 211011998 Finaled: 112111999 Heat 2: Zone'. Bldg: Flood Plain: No Stories: Occ Group Bedrooms: Units: Category: REPAIR Type: RESIDENTIAL Land Use: SINGLE FAMILY DWELLING Status: Finaled Quad Area: 2RNW FINALEO SEQ ryPE REQUIRED PERMITS BUILDING PERMIT PLUMBING MECHANICAL MECHANICAL ISSUAN ELECTRICAL ELECTRICAL SEQ TYPE MINIMUM INSPECTIONS ROUGH PLUMBING ROUGH MECHANICAL ROUGH ELECTRIC FRAMING INSULATION DRYWALL FINAL PLUMBING FINAL MECHANICAL FINAL ELECTRICAL FINAL BUILDING ROUGH ELECTRIC ELECTRIC SERVICE FINAL ELECTRICAL FEE SURCHARGE DATE RECEIPT CATEGORY 2t9t1998 2t9t1998 2t9t1998 2t9t1998 2t12t1998 3/1 0/1 998 VALUE $10,000.00 EXP DATE ACT DATE 2t26t1998 4t27t1998 5/6/1 998 4t3t1998 5/20l1 998 7t28t1998 7t8t1998 1t21t1999 5/6/1 998 2117 t1998 7 t13t1998 1 2 3 4 5 6 COMMENTS 1 2 3 4 5 6 7 8 I 10 11 't2 '13 $80.50 $20.00 $15.00 $10.00 $52.00 $63.00 $4.03 $1.00 $0.75 $2.60 $3.1 5 28740 28740 28740 28740 28790 29056 500 500 601 510 5206 87 2 5 4 4 FIVE CIRCUITS BY OWNER 1 CIRCUIT 23 31 42 6 I 11 29 39 49 19 42 44 49 112812004 3:41 12 PM Page 1 of 1 Branch Engineering 310 North Fifth Street Springfield, OR 97477 Telephone (503) 746-0632 Telefax (503) 746-0389 STRUCTURAL CALCULATIONS IBQJEQT NAME: BLI$$_BESILENCE 30s N.21TH, SpRrNcFrELD, oR t-r*a, -" I 98- lo r-l gv' I n.ui"rr.a' Rick Hernandez DATE April S, 1998 ELEMENT UNIT VALUE ROOF SNOW LOAD ROOF DEAD LOAD FLOOR LIVE LOAD FLOOR DEAD LOAD WALL DEAD LOAD ALLOWABLE SOIL BEARING PRESSURE 25 PSF 10 PSF 40 PSF 10 PSF 8 PSF 1OOO PSF PROJECT DESCRIPTION: ENGTNEERTNG EVALUAToN tN ACCoRDANcE wtrH THE STATE OF OREGON UNIFORM BUILDING CODE . GRAVITY LOAD ANALYSIS MEMBER SlZING FOUNDATION DESIGN D(PIHESeso-oe ! I a I a ,I *ABANC}TENGIN 310 sth STREET SPRINGFIELD, OH .9742 (541) 746-0637 a) le I iln'" [r) th r /b" Il, s ur zrL 7"o€ 8L a (u\ re J Nitcg t--'fu-tl \rDe o r- BeRn { No. 7 DF Zxl lNvOPluO t,? ); 1a fl.rr,t LVI zto 6tswntc n/o tbr '/t8 ii eouA? 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C9 'ttB a t 91ro,'.,,, .(' 7at)(rz \L/, 1,,,,j '{5\ il o. t4 Nq-, €) (or\. 7r) {,14. ,/xb ]J.L 1x> 6ld-LX',ru '(,3 Nq l/1, tnq @ V^ *'. - Aa--r,'\ E A^r,r'"r^ $/l hfix' s )(r\ '1.- ,r/ 'y(t'\ JG.) ( n fir;^ -({)8') X 7 .)'(,r)' Qrt fu,c;(za')(a r-) -1-rt+.,,tSf't^ Vre*^\ O Vl o-- g7a (ur\(+4vt areILr,( V*r,^ - ,( rtru An,^r,(!r'r\(ri\o ,'L.t L tGo (*t(,90 a_ ,nw {, 6.s ' tla tL{Ut*l A,1- i Qr', * (tg$'\:c7,6' A *lQ4-* - -- 7:r*t'5. | ,, @ (-l ot-(rtC5 i IfuA t/-7o-i 6 I '11tK S t z-) 13,oG nS Cqrt (, ,') t'I 6; I /Nu 11,1 tu1 BRANCH ENGINEERINC TPRINOFIET.D, OR el47l (541) 716{6s7 9n*r'u,,' )- { Ato,o'q,)ffi: i r;,.). .Q L "E( a.'\t( f ",\\ QoXt "\(ruo\(o 'z,t\ l}a*rrz,t -f7r*a G\ M z- br' l/i6,,Y 'z.yc lth*r?,s 9, *psr^J" LVg ?-b llfstoa Ds".,il EJrtrorrD.r^l h, * Ls..rt': J,, (ro,, GY?O n (l'X /"'\(su Prr \("\. 7r ?oa ,4fuu.,, - vYo"h*7c"'r fl'{lo n --fiR.o-rru"., o !,r. pyrg.,q -*,q. - Q,+\7tr\/ t = /?/{tsF 3b b 3c 1pE t;lx1 S tw^.Dr V*, Qro)(+J,#\ , 3$?oq FV. . [qar)14,J7nu G")(r\ ' /\ 3,,n't @ c/o( 'Tho a)r't Sf''e""- v^' Qrr'-\ [A i' G) lrt- ' (r-:EtX'\( I---) (+)\ "t(71to q k.{, *r,Xr\ . ?Yana @ -loa d (, OB .9?ln (s1t) LZrt,,rr.,>n *n*un fl*- V7*\('h\(#\'C'/"\ ' 31'v\ n' A^,n, € *rt\(:")C'i =' o'oo'iL >) [: \ ry, . I T9 ns cY' crtt (3)(o,rr\ 6 c \c'<\ / rqu' Q_, X. or.)(, ,r=) ( +"-)t{' t- , *r(o.,rova \ 9+l , / ) u.u &/ r a O.c2.c.i-t @ CITV OF SPN'NGF'ELD, OREGON SF .{GiFIELD ELECTRICAL PERHIT APPLTCATTON225 FIFTE STREET SPRINGFTELD, OREGON 97477 INSPECTION REQIIESTz 726-3769 OFFICE: 726-3759 1. LOCATION OF INST /--(' City Job Number cl{o i?.tL+ QN Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY 3. COHPI^ETE FEE SCBEDTILE BELOV A Nev Residential-Single or Multi-Family per dvelling unit. Service fncluded:ftems Cost L000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or -Modular Dvelling Service or Feeder s 8s.00 s 1s.00 $ 40.00 *>-- e + LEGAL DESCRIlf oA 3Q, r PTIONLl t 02fz Sum B Services or Feeders Installation, Alterations or Relocation: amps or less amps to 400 ampsto 600 amps to L000 amps 1 amps/voI ts nnect 0n1y Ulectri Address ca1 Contractor Ci ty 5 Plione Supervisor License Num er te o c_ --1 a s s0.00 s 60.00 $100.00 s130.00 s300.00 s 40.00 Expirati.on Da Constr Contr. Expiration Da Signat Ovners Name Address I Ci ty OVNER s Electrician SS Phone te /,) ry Services or Feeders tion, Alteration or Relocation 'or less $ 40. o 400 amps - $ 55. u Eove- 00 00 00 Brt a ,r'j\ 0ve D. Bran Nev, Alteration or Extension Per Panel 600 amps $ 80. s or 10008-Fs see " onecircuit / S35.00 Each Addi tionalCircuit or vith Service ,or Feeder permi, I 4 $ 2.OO s I 3.I_aALTATTON The installatiun is being made onproperty I ovn vhich is not intendedfor sale, Iease or rent. 0nners Signature: DATE: E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation SSign/OutIine Lighting- S Limi ted Energy/Res - $ Limi ted Energy/Comm $ 40.00 40.00 20.00 36.00 5. SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Admini.strative Fee TOTALRECEIVEDB ;) j-q 5Pb...-.:FaELOlhO fOr,v,r rng Dde L 225 FTFTE STREET SP&INGFTELD, OREGON 97 477 INSPECf,ION REQITESTt 726-3769 OFFICE: 726-3759 1. IOCATION OP JOB DESCRT Permits are non-transferable and expire if vork is not started vithin lB0 days of issuance or if vork is suspended for 180 days 2. CONTRACTOR INSTALI,ATTON ONLY Electrical Contracto @fi, $IORK EXPINE \FIHE Nol APPLICATION Number tr o/5 FEE SCEEDT'LE BELOV -A. Nev Residential-Single or Hulti-Family per dvelling unit. Service fncluded:Items Cost Sum Address Ci ty Phone 1141 oqs Supervisor License Number 3719 s ExP iration Date I A Constr Contr. Number o Expiration Date 2* Signa of Electrician Ovners Name Address ci S 4Phone I >-C oS l? OVNER INSTALINTION The installation is being made on property I ovn vhiih is not intended for sa1e, Iease or rent. OvnerGSignature: DATE: ffir9( UtO o &"''Lq^k[ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or Modular 'Dvelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or Feeders InstalIation, Alterations or Relocation: 200 amps or less I 201 amps to 400 amPs _401 amps to.600 amPs _601 amfs to 1000 amps- Over 1000 amps/volts Reconnect Oniy Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 40.00 over 401 to 600 amps - $ 80.00 ou"r OOO amps or lbOoETts see trBrr aEF Branch Circui ts ; .- Nev, Alteration or Extension Per Panel one circuit $ 35.00 Each AdditionalCircuit or vith Service or Feeder Permit I $ 2.00 }5C, Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/0ut1ine Lighting_ Limited Energy/Res Limited Energy/Comm (- .8. c E $ s0.00 s 60.00 s100.00 s130.00 s300.00 $ 40.00 50.co D s 40.00 s 40.00 s 20.00 s 36.00 5 SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTALRBCETVED B S).oo