HomeMy WebLinkAboutPermit Building 1994-09-30R
P
ESIDENTIAL
ERMIT APPLICATION
lnspectlons: 726.3769
Offlce: 726.3759
JOB NUMBER
225 Flfth Street
Sprlngfletd, OreOon gZ
LOCATION OF PROPOSED WOBKr -;4 -&
ASSESSORS MAP:LOX
SUBDIVISION:
-07
STATE:ZIP:
7
t
')
PHONE:?OWNER:
ADDR
NEW
-
HEMODEL ADDITION DEMOL|SH OTHER
I
DESCBIBE WORK:
PHONEDD,qCONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANlCAL:
ELECTRICAL:
coNsT.
CONTRACTOR #
- OFFICE USE -
LAND USE:
# OF UNITS:
-
BANGE:
r OF BDRMS:
QUAD AREA:
r OF BLDGS:
WATER HEATER:
SECONDARY HEAT:
SQUARE FOOTAGE:
CONSTR. TYPEI
HEAT SOURCE:
FLOOD PLAIN:
ZONING CODE:
To request an lnspectlon
made the same worklng ' you must call 726'3769' Thls ls a 24 hour recordlng. All lnspecilons requested before 7:oo a.m, wlil beday, lnspectlons requested after 7:00 a.m. wlll be made rhe folrowlng work day.
REQUIRED INSPECTIONS
[l Rough Mechantcal - prtor to
-
cover.I-_l Flnal plumbtng - When ail,J plumblng work ls complete.
[_l Understab PlumblnglElectrlcal/u Mechanlcal - Prior to cover.
ffi Foottng - After tgenches are|4 excavated. '.
n Masonry - Steel locatlon, bondlJ beams, groutlng.
w
[l Flreplace - prlor to factng
-
materlals and framlng lnsp.
[-l Framlng - prlor to cover.
Flnal Mechanlcal - When allmechanlcal work ls complete.
Flnal Bulldlng - When allrequlrid lnspectlons have beenapproved and bulldlng ls .
completed,
Temporary Electrlc
Slte lnspectlon - To be made
after excavatlon, but prlor tosettlng forms.
Foundatlon - After forms are
erocted but prlor to concrete
placement.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulatlon - Prlor to
decklng.
Rough Plumblng - Prlor to
cover.
Rough Electrlcal - prlor to
cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
[-_l Flnal Electrlcal - rvlihen all'J electrlcal work ls complete.t
tf
Other
WalllC'elllng ln
cover.
t.
sdlaitdp - Frlor,to
ll Unaerground Plumblng - prtoru to fllllng trench.Drywall - Prlor to taplng
tl
tl
rl
MOBILE HOME TNSPECTIONS
[-l Blocktng and Ser.Up - Whep ail
-
blocklng ls complete.
Plumblng Connectlons - When
home has been connected towater and sewer.
Electrlcal Connectlon - When
blocklng, set-up, and plurpblng
lnspectlons have been approvedand the home ls connected tothe servlce panel.
Flnal - After all requlred
lnspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
ll Sanltary Sewer - Prlor to fiiltngu trench.
Curbcut & Approach - After
forms are erected but prlor toplacoment of concrete.
J-l Storm Sewer - Prlor to fliltng
-
trench.
Waler Llne - Prlor to fllllng
trench.l--l Fence - When completed.
tl
Wood Slove - After lnstallatlon
lnserl - After flreplace approval
and lnstallatlon of unlt.
Sldewalk & Drlveway - After
excavatlon ls completo, forms
and sub.base materlal ln place.
Slreot Trees - When all requlred
trees are planted.
OCCY GROUP:
r OF STORIES:
fl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total [elght
Lot Typ,
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
rS THE PBOPOSED WOBK IN THE -.
HISTORICAL DISTRICT, OR ON
'1' lH E H tsroFltcAL REGtsTER?
lf yes, thls appllcatlon must bo slgned
and approved by the Hlstorlcal
Coordinator prlor to permlt lssuance,
APPROVED:
P,L.HSE GAR ACC.
N
S
E
/ae
-l_
24-T/:ZZ
?4.1,3
VALUE
(A)
t#
X $/SQ, FT.
Main
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
GaEage
-
t"i.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit ls granted on the express condltlon that the sald
constructlon shall, ln all respects, conform to the Ordlnance
adopted by the Clty . of Sprlngf leld, lncludlng the
Development Code, regulatlng the constructlon and use of
bulldlngs, and may be suspended or revoked at any tlme
upon vlolatlon of any provlslons of sald ordlnances.
Plans Revlewed By Dato
Reoelpt Numbe
Date Pald:
Becelved By:
Plan Gheck Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
propertles wlthln tho City llmits which are being lmproved.
ITEM
Flxturest
Residentlai Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
N0
FT.
(c)
PLUMBING PERMIT
Plumblng Permlt
Stato. Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood S-tove/ lnsert/ Flreplace Unlt
Dryer Vent
(D)
N0Vent Fan
Mechanical Permlt
lssuahce
State:surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urther certlfy
that any and all work performed shall be done ln accordance
wlth tho Ordlnances of tho City of Springfield, and the Laws
of tho State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCy wlll be made of any
structure wlthout permission of the Bulldlng Safety Dlvislon.
I further certlfy that only contractors and employees who
are ln compllance with OFIS 70.1.055 wlll be used on thls
proleot.
I further agree to ensure that all requlred lnspections are
reguested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of tho property, and the approved set of plans wlll remaln
on the slte at all times during construcilon.
O-
Slgnature
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNf OUE (exctudtng etectrtcat) ---(A, B, C, Q and E Comblned)
VALIDATION;
BECEIPT NUMBER / /?
78.4>
DATE PAID
AMOUNT BECEIVED
RECEIVED BY
a1
FT.
FT.
4.>,9/
INVOICE
STANDAFD STBUC'TURAL PEST CONTROL INSPECTION REPOFTThis is an inspection repon only_not a Notace of Compldion.
488
BLDGADORESS OF
PROPEFTY
INSPEgTED North 32nd Street
STREET crrY 97 418
Springfie 1d
OATE OF
'NSPECTIONI -29 -g,i
Stan Lynch, Contractor
Termite & Dry Rot Repair
24OO G St. . Springfield, Oiegon
7 46-0579
stat€ Lic. No. 52594_lnsured
OPERATOR IS AN EXPERT IN
HIS FIELD. ANY OUESTIONS
RELATIVE TO THIS REPOBT
SHOULD BE REFERRED TO HIM.
TYPE OF LOAN FED VA. t:
INSPECTION OHDERED RY (NAME AND AODRESS)
STATE G.I. I
Bob Cassill FHA C FARMHOME ]CONVENT}ONAI :-
7 4t-0398
SELLER'S hIAME AND AOORESS
BUYER'S NAME AND ADORESS
NAME ANO
INSPECTED
IN
LICENSE
THIS IS A ONLY. SUB FLOOB LEVEL & BELOW. WE ASSUME NO LIABILITY FOR ANY
OTHER POHTION OF STRUCTURE UNLESS SPECIFICALLY NOTED ON THIS REPOR'T.
IIIIPOETANT NOIICE AND EXCUTSIONS Th,' reDon rs onry a reporl ot our rind,ngs based on whar was ooserw{ E} rne ,osD€cto, ar ihe,r€ or h.s,nsp€c:,r,, 'r,5 ;ccrri
coidtlrols makg rispeclorl ,mp.acl'cal rhti e.l[e l€pon may be deemod null and vorc al lhe dtscrst,on o, L/rch. al any lrne ah€r a 30-day pelod, wthogt nolrca
NOI:CE ESlIMATE OCES NOT
'NCLJO:
PA NT NG. PLJMSING CF LEVELING-\C] TESPCNSIELE trCF CRACh.J -*AT MA/ OEVELOP
Original Feport U Suppt€m€nt8l Bepon ! Nrrmbar of e^g./'
. Wood decks and patlos ale shown as rciercnce polnts only and arc not lncluded ln
r lnepectlon or bid.NOTE
OI^7NER TO HAUL OFF C0NCRETE.
ER TO
x x0x E37 NG & FOUNDATIOI.I
WITH A FOOTING 6'xl.2' & 2 ROWS 0F5'' BL0CK BOLTS 6I ON CENTER CONCRETE
\b!Codc Scc Dhgnm Below In.Codc Sso Dlsgrlm Bdow Inr Code Sro Dlegnm Eclow
ST Subterranean Termites I SDR Strudural Rot
DT Dampwood Termiles I sDr Struclural xlnsect
Erisling Vents
Proposed Vsnts
WB Wbod B€etles I SB Slructural Damage Subfloor I lc rnadequale Clearance
CA Carpenter Ants t EM
FT Fungus Growth. Treatable I CD
Excessive Moisture Condilions
Cellulose Debris
L Plumbrng Leak I FG Faulty Grade il€ss than 6' clearance) I
Oher I Othsr I
IA
FI
EC
lnacc€ssibl6 Arga
Other
Earth-wood Contacts
Funher Nesdsd
GET PERMIT
TION
ER TO REMOVE DOWNSPOUT & SPLASHBLOCK
OB OO.OO-Z DOWN.T ON CAMPL16
GARAGE
SUPPORT WHILE DOING WORK UNDER H
xx
IN BOLT CAVITIES
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