HomeMy WebLinkAboutPermit Building 1994-04-087qe^g>o(
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726.3759
LOCATION OF PROPO
ASSESSORS MAP:
LOT
s N FI
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97 471
BLOCK:
.-f\
TAX LO]I
-
SUBDIVISION:
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tf4
PHONE:
STATE:ZIP:
(--
CITY;
ADDRESS
OWNEB:
ADDITION
ADDRESS
EXPIFIES PHONE
EB
6s
DEMOLISH
CONTRACTOFI'S NAME
MECHANICAL
ELECTRICAL:
DESCRIBE WORK:
CONST.
CONTRACTOFI #GENERAL:
PLUMBING
NEW.- REMODEL
FLOOD PLAIN:
ZONING CODE:
# OF BDRMS:
_ OFFICE USE -
LAND USE:
QUAD AREA:
* OF BLDGS:
SECONDARY HEAT
SQUARE FOOTAGE:
RANGE:WATER HEATEB:.-
OCCY GBOUP:
* OF STORIES:
CONSTFI. TYPE:
HEAT SOURCE:
# OF UNTTS: =--
To re qu est an n sp ec ti on,you m u call 726-376madehe
o Th ls S 24 hour recordi ng.AI nspectisameworkngday,NS pect lons req U ES ted after 7:OO
o NS requested before 7:OO a.m. wlll beg work day.a.m.be mad e th e fo lowi n
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - prior tocover.
Site Inspection - To be madeafter excavation, but prior tosetting forms.
Rough Electrical - prior tocover.
l-_l Finat ptumbing _ When ail
-
ptumbing work is complete.
[-l Finat Etectricat - When ail
-
etectrical work is complete.
l--l Finat Mechanicat - When ail
-
mechanical work is complete,
[--l Understab plumbing/ Electricat/
-
Mechanical - prioi to cover.Electrical Service - Must beapproved to obtain permanent
electrical power.Footing - After trenches areexcavated.Final Building - When atlrequired inspections have beenapproved and building iscompleted.Masonry - Steel location, bondbeams, grouting.
[-l rireptaco - prior to facing.J materlals and framlng lnsfi
f, ft"-lng - Prior to cover.
Foundation - After forms are
erected but prlor to concrete
placement./Ceiling lnsulation - prior to
cover.
Underground Plumbing - prior
to filling trench.Drywall - Prior to taping
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
MOBILE HOME INSPECTIONS
Wood Stove - After installation.
Posl and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and installation of unit.
[-l Alocking and Set.Up - When ail.J blocking is complete.
Floor lnsulation - Prior to
decking.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to f illing
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspeotions have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prlor to filling
trench.
Fence - When completed
Rough Plumbing - Prior to
cover.
Street Trees - When all required
trees are plantcd,
Final - After all required
inspections are approved and
porches, skirting, decks, and
ventlng have been installed.
I
E
I other
a
tl
tl
tl
E
E
HE
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-- Cul-de'sac
THE HISTORICAL REGISTER?
-
lf yes, this application must be slgned
and'aPProred bY the Historlcal
Coordinator prior to permit issuance'
ici THE PROPOSED WORK lN T
HISTORICAL DISTRICT, OR ON
APPROVED:
P.L.HSE GAR ACC
N
S
E
Plan Check Fee: -
DateBy
BeceiPt Numbe
Plans
VA E, l
PE
KECNCHPLALUGNDLUBITMRGNDLUBNAD saidthethatitioncondtheonexrantedpressISrmitsThpenanceOrdithetormconforesnpects,^tatshalt,oncticonstru theudclnngdnelSofprisctyhebyoadptedofanduseuctionconstrtheatulngCode,nt regpmeDevelo metiatanyrevokededndUSbepeanddmayilS,ngbu ances.nordiofSsaldionprovlsofonviolatianyUnpo
Date Paid
Received BY:
BUILDING PERMIT
VALUE
@
(A)
X $/SQ. FT.SQ. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Systems Development Charge is due on all undeveloped
prop"r,i"" withln the City limlts which are being improved'SYSTEMS DEVELOPMENT
(B)
CHARGE (SDC)
ADDITIONAL COMMENTS
ITEM
Fixtures
Besldential Bath(s)
SanitarY Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
No
FT.
FT,
FT.
(c)
Plumblng Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
du ring
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
Information hereon ls true and correct, and l f urther certify
that any and all work performed shall be done in accordance
with the Ordlnances of the City of Springfield' and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission 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 this
project.
natu
/*pa,e g 14)
requested at the proper tlme,
of the roperty,
n site
uired inspections are
ls located
of plans
on.
I further agree to ensure that all
from the street, that
ls readable
at the tront\wlll rem\
)I
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
Stite Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Combined)
DATE PAID
AMOUNT R
BECEIVED
VALIDATION:
RECEIPT NUMBER
>fr
TO:
FR0r't:
SUBJECT:
FiRE DAI'',!A.GE REPORT
OR
ELECTRICAL HAZARD
SFq( - o 7sx
t nc/tl{'( )\qoe3\ [ -L/.,{,--
DATE: J - /{-?r'
Bu i I d'ing Depa rtmen t
Springfield Fire Departnent
Structural Damage to Building
Address or location of building 4o? /v strn PL.
Name of orr/ner lln 2*, /,sl*( (,,,-E
Type of bu'ilding
Estimated value of building
)-r*"/
e t]-i vr
(0wei 'l'in , Store, I.larehouse, etc. )
c)
Location of damage in building 0L Ji'"'0u,^. Jrtn
Y<-e_N
Roof , l.Jal I , Exterior, Interior, etc. )
Structural weakness as a resul t of the fire m{/oLS S,.-ttmz*ns :,1
(
Add'itional pertinent jnformation J
Burned rafters, Beams, .1oists, etc.)
rt uae-
(
a4r^S'h.u4 tYfl-l
Electrical Hazard 4fut-z--
([^iirinq, 0utlets, etc. )
C/\--<-2
Z.
Siqned
&
tobuiiding $ €OO"9
Date of fire
Aru-rs=
CITY OF OREGO'V
SPRINGFTELE,
DEVELOPMENT SERVICES DEPARTMENT
CERTTT ND LETTER
March 3, lg94
United Pentecostal Church
245 N. 14th Street
Springfield, OR 97477
subject: Fire Damage rnspection at 407 N. 3gth prace, Springfierd, oregon.
To Whom It May Concern:
STRUCTURAL
At the request of the springfield Fire and Life Safety Department, the community servicesDivision/Building safety conducted an inspection oi the fire damage at the above address.The inspection revealed damage which must be corrected in orier for the building to
;:T#ili:l applicable citv Building safetv codes. The forlowing items must be repaired
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726_3753
FAX (503) 726_368s
1 The fire was centered in the framing around the manufactured fireplace. studswhich were installed too close to the fireplace unit shall be reinstalled with therequired clearance specified by the fireplaice manufactu"er. other fire damagedportions of the structure shall be replaced as needed.
The lire stop at the ceiling line of the chimney was damaged and shall be replacedwith appropriate approved material.
A review of our files indicate that we have no record of a pennit and requiredinspection for the fireplace insert. Fireplace inserts must be designed and designatedby the manufacturer for use in the type of fireplace in which it is installed. In-lieu-of any permit records for the insert, we must require evidence from the insertmanufacturer that the insert was designed for the sf,ecific brand of metal fireplace
used in the home. Without such evidence or ...ord of permit, the insert must be
removed from the fireplace. The insert is a type no longer approved for use in
Oregon and cannot be resold in the state.
2.
3.
United Pentecostal Church
Fire Damage InsPection
Page 2
SincerelY
Buitding permits must be obtained for the above items which involve repairs or
modifications to the structural, electrical, plumbing or mechanical systerns of the building
andforanyadditionsorrevisionsyo,'*i'htomaketothebuilding.
If you need any further information or have any questions regarding the above
".qrri""-unts,
please contact the me at726'3759'
,
/*?1'.*
Don Moore
Construction RePresentative
cc:Dave Puent, Community Services Manager
Dennis Shew, Fire Marshal