HomeMy WebLinkAboutPermit Building 1998-01-21RESIBENTIAL
PERMIT APPLICATION
lnspections: 726.9769
Office: 726-3t59
LOCATION OF PROPOSED WORK:
ASSESSOBS MAP:
LOT
ET
JOB NUMBER
225 Fifth Street
Sprlngfletd, Oregon g7 4ll
TAX LOT:
SUBDIVISION:BLOCK:
ckec
PHONE:
A 5
STATE:
OWNEB:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH A OTHER
5lLDESCRIBE WORK:
ADDBESS
),;a?zzj
f sflro*.CONST.
CONTRACTOR o ilb'?url BES 6
CONTRACTOR'S NAME
GENEBAL:
PLUMBlNG:
MECHANICAL:
ELECTRICAL;
QUAD AREA:
* OF BLDGS:
OCCY GROUP:
I OF STORIES:
To request an lnspection
made the same worklng
- OFFICE USE -
LAND USE:FLOOD PLAIN:
# OF UNI:TS:
--
ZONING CODE: _
Underslab Plumblng/ Electrical /
Mechanlca! - Prlor to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, grouting.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Underground Plumblng - Prior
to fllllng trench.
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.
Post and Beam - Prlor to ,loor
lnsulatlon or decking.
Floor lnsulation - Prior to
decklng.
Sanitary Sewer - Prior to fllling
trench.
Storm Sewer - Prior to lllling
trench.
Water Llne - Prlor to lilling
trench.
Rough Plumbing - Prior to
cover.
Electrical Servtce - Must be
approved to obtain permanent
electrlcal power.
, OF BDRMS: _.-
Flnal Electrlcat - When alt
electrical work is complete.
Final Mechanlcal - When all
mechanlcal work ls complete.
Flnal Buildlng - When allrequired lnspectlons have been
approved and bullding is
completed.
MOBILE HOME INSPECTIONS
Blocking and Set-Up - When all
blocklng ls complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Flnal - After all required
lnspectlons are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.
CONSTR. TYPE:
HEAT SOURCE:
WATER HEATER:RANGE:
SECONDARY HEAT:
SOUARE FOOTAGE:
, you must call 726'3769. Thls ls a24hour recordlng. All lnspectlons requested before 7:00 a.m, wlll beday, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
n Temporary Etectrlc Flnal Plumblng - When allplumblng work ls complete.
Slte lnspectlon - To lre made
after excavatlon, but prior tosettlng forms.
E
E
l-l flreplac€ - prtor to factng
-
materlals and framing lnsp.
Framlng - Prior to cover.
Wall/Celling tnsulatlon - Prlor to
cover.
l-_l Drywatl - Prtor to taping
Wood Stove - After lnstallation.
lnsert - After flreplace approval
and installatlon of unlt.
Curbcut & Approach - After
forms are erected but prlor to
placement of concrete.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material in place.
Fence - When cclrpleted
Str€6t Trees - When all requlred
trees are planted.
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zre, 2 ? 2Ct?
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REOUIRED INSPECTIONS
J--l Rough Mechanlcal - prior to|J cover.
l-] Rough Elecrrlcal - prior to(--J cover.fl
tl
rr
tl
tl
E
t,:
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
ct Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
i lS THE PROPOSEO WORK lN THE - 1
HISTORICAL DISTRICT, OR O;.I
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
AND BUILDING PERMIT
This permit is granted on the express conditlon that the said
consiruction 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 Revi DateBy
Recei pt Numbe
BU ILDING IALUE, i5lnru CHECK
Plan Check Fee:
Date Paid
Received By:
BUILDING PERMTT
VALUE
(A)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SO. FT.
Systems Development Charge is due on all undeveloped
properties within the City limlts which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Flxtures
Resldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
Plumblng Permlt
State Surcharge ,7 f X ,4f
Total Charge (C)/a 2o
FEE
Jff 'tt'P"'N
N.
FT.
FT.
1L!
PLUMBING PERMIT
. FT.
ADDITIONAL COMMENTS
a)*zzo/,tt s.erd *s il*rt'
If FLL ;if 3., ,&+/
I
,"Ffi|e fE c4Mt1,-- (1 't'rzl
o e6)a 4n*7* al%- rV:AlMf*tn:I
o
Wood Stove/ lnsert/ Fl replace Unit
Dryer Vent
(D)
Vent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have caretully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true ancl correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon perlainlng to the work descrlbed
herein, and that NO OCCUPANCY wlll be made of any
structure without perrnission of the Building Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remaln
Date /-)t-q8
lonon the site at all times during
!,nn",,
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge ,?O * ,f (
Total Mlscellaneous Perrnits (E)
TOTAL AMOUNT DUE (excludlng electricat)
(A, B, C, Q and E Combined)
?TAF-'c'G-'
o
VALIDATION
RECEIPT NUMBER
DATE PAII)
Zer35-
AMOUNT RECEIVED
RECEIVED BY
No
y'r'''--.
C'TY OF SP OFEGOTV
1-21-199A 12.5@pM rM BREADNER GROUP 5A3 226 A96d
Jan-2L -9€! 1l:zl7A e., lif-og E.terprises 54 l - :,?.6-6igC/0
P.2
P.OZ
sPalLcFrELo
aEuE[oPrEI{rsEPytcgs
P{tBa.E trirFtrS
nE l our,4t rrsrEwaTEP r'ax4lEfitrjxr
gEr{olrTroil pER}trT AppL ICATIOi{S
fylmes+..r
Property omer si
Date: I . Z-r.
225 FIfIH STREET
SPnNGF//ELO.On97177
(5081 72&3753
/xquk ,f %y'? 3/Lr57
TM /af F noz /2a-o 6!2eo
.pr . E'ctqs, .aE 15' *ff'tf\
Your dcnolltlon pemrit is current'ly bqlng.processed, There arry be a sllghtdelay. of .u_p to 2 rorking. drys for small structures, due to the'time requiitOto revian the hlstory of the structure to determine if lt naeds to be docunrentedDefore denolltlon. This docurnentation ls for archival purposes only and willnot effect the grentlng of the denolition permit- If the itrircture is-very larEeor cutpll^cated the docurnentltion process mey take up to r orxiwm of 4 mrkiigdays. Docurnentation rill constst of photogrephing the blilding, trktn!E3rsurrerents rnd aakfng ccelcd drrrlngs. The dbcumentitton rill be rindertalei
b^y the Ctty rt no csst to you. Oocurientation ls betng done on rll structuresdeted prlor to l9{0 that nai hrve hlstorlc inportance to the City,s Ocvelogneni.
., T,HIS Doct[tEr{rATtoil rttL f,oT t}tpEoE TflE DtrlotrTtoil pR0cEss-
ln lge cut.off of t910 rtt chosen becruse this is the date that thc tlrtlonrlPrrtr Service tnd. the Springfield Development Code use to deterrntne potenti.lhistor{cal slgnificance,
If you puld FreJgI to cocplete thls docuoentatlon yourself you nust grovide theCjty rlth the-folloring lnforrrtlon: l, bleck ani wfrite itrotogr"pis or-eechelevatlon' r floor plan rlth neasurgnents, ud a set of clsvetlori drrrtngs ylth
npasurements.
Ihant you for your pat{ence,
I srent. the Ctty- of .Spr-l-ngffeld permisslon to enter my property to conpletetloctmnntatlon prior to the requeited dernolltlon of th6 itrirctuie locetid at