HomeMy WebLinkAboutPermit Building 1991-04-10P]lINGFIELE,qrcAre
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LOCAT ION OF PROPOSED WORK:
LOT:
TAX LOT:
SUBDIVISION
ASSESSORS MAP:
RESIDENTIAL
PERMIT APPLICATION
lns pections: 726'3769
Office: 726-3759
225 Fifth Street
Springfield, Oregon 97 477
JOB NUMBER
PHONE:
ZIP:STATE:
OWNER
ADDR
CITY:
REMODEL ADDITION DEMOLISH OTHER
DESCRI
NEW
WORK
EXPI RES PHONEADDRESSNAME
1
CONST.
NTRACTOR #CONTRACTO
MECHANICAL:
ELECTRICAL:
GENERAL:
PLUMBING
t-
3L @
\\
- OFFICE USE _
WATER HEATER:
* OF UNITS:
LAND USE:
* OF BDRMS:
RANGE:
ZONING CODE:
FLOOD PLAIN:
SECONDARY HEAT:
SQUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
# OF BLDGS
Rough Plumbing - Prior to
cover.
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.
l---l Framing - Prior to cover.
Foundation - After forms are
erected but prior to concrete
placement.
Other
Wall/Ceiling lnsulation - Prior to
cover,
Underground Plumbing - Prior
to filling trench.Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and installation of unit.
f!-Atocting and Set-Up - When att: blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
f-\,.}-?lu mbing Connections - WhenlJ home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Slorm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Waler Line - Prior to filling
trench.[-l Fence - When completed
Street Trees - When all required
trees are planted.
f-ffiind - After all required.- inspections are approved and
porches, skirting, decks, and
venting have been installed.
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
X tnt"rio,.
Set ks
P.L.HSE GAR ACC
N
S
E
Corner
-
Panhandle
-
Cul-de-sac
IS THE PROPOSED WORK IN THE
HrsroRrcAL DrsTRrcr, oR oNIh ,\
rH E H TSTORTCAL REGTSTFR? #lL
lf yes, this application muMe signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
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.
Receipt Number:-
Plans Reviewed By Date
Plan Check Fee:
Date Paid
Received By:
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
\ADO
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Su rcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Signatu re
Date
-
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk =- ft
Curbcut -- ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
F /reU,O(J
R
RECEIVED BY
DATE PAID
AMOUNT
VALIDATION:
RECEIPT NUM
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
C'TY
5t"uN(;FlI:Lt)
225 FIPTII STNEBT
SPRINGEELD, oREGON 97477
rNSPECf,rO[ RBQTTBST: 726_31690FFICE: 7ZG-3759
m
BI,BCTRTCAL PBRTIIT APPLICATION
City Job Number
1.3
A.
COUPIATB FEB SCIIEDULB BBLOII
Nev Residential-Single orMulti-Family per Ov-Ittng unlt.Servlce Included!
I tems
1500 sq;ft. or less
Each additlonal 500
-sq. ft or portlon
thereof
Each Manuf,d Home or --
Modular Dwelling AService or Feeder 'l $ 3s.oo
(10 Branch Clrcuitstion, Alteratlons
Cos t
$ 8s.00
$ 1s.00
$ 36.00
Sum
Permlts are non_transferable and explrelf rrork is not starred within-igO daysof tssuance or tf vork i; ;;;p;;ded for180 days.
2. COt{TRAcf,oR INSTALI^f\TION oNtY
Electrical Contraetor
e3
Ifr
B.
c.
D.
Services or Feedersincluded). fnstalla
Address
Cl ty Phone
Supervlsor License Number
Bxpiration Date
Constr Contr. Nuriber
Explration Date
Slgnature of Supervlslng Eleetrician
Ovners Name
Address
ct
L00 amps or less
101 amps to 400 amps
-
401 amps to 600 ur["
-!01 "TPt to r.000 .ilp"-Over 1000 amps/volt
Turgo5lr, Services or Feedersfnstallatlon, Alteratlon or Relocation
200 amps or lesr
or"' od6 "rr""J.'1330 *m* I"lo
Branch Circuits
or Relocation:
-Bach lnstallation
Pump or irrigatlon
Stgn/0utline Lighting_
Slgnal Clrcult or
limited energY Panel-
SUDTOTI\L OT ASOVB
5I State Surcharge
TOTAL
$ss
$oo
$go
$1go
$300
$gs
00
00
00
00
00
00
.00.00
-ttB', a66F
Phone
INSTALL,ITToN
il
U0Detty I otln rlhlch ls not Intended
lor sa).e, l-ease or rent.
0uners Slgnature:
DNTB:
$cBlyl
Ney, Alteratlon or Extenslon per panel
One Circuit
Jwo. to ten CircultsEach Addtrl ten orportion thereof
\
[. [],*.J\*eous (Servtce/teeder not rnc]uded)
*t'41,fl1J
35.$
$
00
0050
$ ts.gg
oo
00
$36
$36
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SPF|II IELO
DEVELOPMENT SERVICES
PUBLIC WORKS
M ET R O P O LITA N W/IST E WAT E N Td A N AG E IVI E NT
l)c:rrrnlt Iluclicrn
Ilrr ilrling Sccrclarl'
If 1'ou lrave any questions, pleasc phone our office at726-3759.
Sincerely,
(' ', !) :,/
\) l-A,'r'1 rqlr... f\-, x)t' t ('{'.';' -' -,-. )
225 FIFTH STREET
SPryNG?ELD OR 97"177
(!;03) 726 3753
Novenrber' 1.1, 1991
(_riRTrFrEp LIiT'TIIR
I:-llttcr lrllisort
1157 N. 33rd S(rcct
Slrrirrgfield, OR 97478
Itll:'Ienrporarl' Occupattcl'
Delr' \lr. Iillisort:
On Novcrnbcr 8, l99l l '['cnrporary Occupanc]' u'as grattted to 1'ou to occttltl' tltc
rnanuflacttrrcd honre locatcd at 1180 N.33rd Street, Springtielcl, Orcgort. As a conclition
oI the Tcmporary Occuprncy, ]'olr are required to contplete the follou'ing itcrns no later
than December 8, 1991.
The rcquired skirting and vents need to be installed.
Pcrmanent steps u ith lrandrails need to be constructed at both doors to the honre.
Arr irrspection u'ill be conducted on Dccernber 9,1991to cn.surc contpliartce. If the itents
arc not contpleted by that clatc, tlte Temporary Occtrpancy rvill expire.
1
2
IHPROVBHE}II AGRBB}IEITT
IN CONSIDERATION of the covenants herein recited, ln" City of Springfield,
hereinafter referred to as City, and ELMER L. AND L0RETTA ELLISON ,hereinafter referred to as Appltcant,
IIHEREAS Applicant desires Development Approval from City; and
VHEREAS' any future development vithin Ctty or its Urban Grovth Boundary vill
cause both an lmmediate and long-term demand on the various public facilities of
Ct ty;
NOg THBREFORE' Applicant and City agree to the folloving schedule of pubtlcfacllity improvements and respective cost assumption pollcy:
STREET IUPROVEMEMS along the frontage ofto include: [[ surface pavlng; D0 storm sewers;
I gutters; [] planter strips; [)0 street treesi
[] sanitary severs; ffi curbs;
[[ street lights; frl sidevalks.
TRAFFfC SfGNALS at the lntersectlon of
OTHER IHPROVEHEMS: NONF
LEGAL DESCRIHIfON: (Place here or see Attachment A)
THE EASTERLY 102.0 FEET OF LOT 15, BLOCK 4, FIRST ADDITION TO ADAMS PLAT AS
PLATTED AND RECORDED IN VOLUME 15, PAGE 2, LANE COUNTY OREGON PLAT RECORDS
IN LANE COUNTY, OREGON.
ADDITIONAL INFORilATT0N: 17 02 30 34 ,6401Assessor's Hap* Tax Lot*
11BO NORTH 33RD STREET
Property Address
IT IS FURTHER ITNDERSTOOD that Applicant agrees to sign any and all vaivers,
petltions, consents and aII other documents necessary to obtain the above }isted
improvements under any improvement act or proceeding of the State of 0regon, Lane
County, or Clty as may be proposed or adopted and to vaive aII rlght to remonstrate
against such improvements, but not the rlght to protest the amount or manner of
spreading the assessment thereof, lf the same shall appear to Applicant to bear
inequitably or unfairly upon said property of Applicant;
NOII THBREFORE, Clty agrees that Applicant's execution and performance of the
terms of this Agreement vill be deemed to be in compliance vith City's policy
pertaining to lmprovement requirements, and if Applicant complies in every respect
vlth all other appllcable lavs of the State of Oregon, Lane County, and City, the
said Applicant shall be entitled to Development Approval; and
IN ADDITION, it ls the lntention of the parties hereto that the covenants herein
contalned shall run rrtth the land herein deseribed, and shall be blndlng upon the
helrs, executors, assigns, admlnlstrators, and successors of the parties heretor and
shall be construed to be a beneflt and a burden upon the property hereln described.
This Agreement shall be recorded in the Lane County Deed Records.
UIIEREFORBT the partles have set thelr hand and seal this *-day or, Lg?l
CITY OP SPRINGFIELD
225 Fifth Street
Sprl ield, Oregon 97477
By
D1
lL-u
cantrector o
By
STATE 0F oREGON )) ss.
couNTY 0F LANE )
By
App
0n this fur day
refore me and signed
of &re-lt-the aEove Toc[rnent.
Commission ExPires:
148
t
199 t , there personally appeared
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