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
'--
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ar ;-d00.8:q-10"i0.
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tltat *tar hr irrauglrt lrr \ irllr;i!l*n{it,r"l lilrt,rr:lh ir}!l*r.iit-1rr}
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,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
!
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*ABANC}TENGIN
310 sth STREET
SPRINGFIELD, OH .9742
(541) 746-0637
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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