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Home My WebLink AboutPermit Building 1992-09-09SPIlI}IGFIELD ?fr, bbb Qpl.'r+-4u \1 a*__*_ or- a1- 4b LOCATION OF PROPOSED WORK: SUBDIVISIONLOT:BLOCK: ASSESSOFIS MAP RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726'3759 JoB NUMBE* -a?ta=3 - - 225 Fitth Street Springficld, Orellorr 9747/ rAx Lor: --o-2-a a?- PIIONE: - lvo i-a a?'er STATE: -A** a ftP-1a.rsu* 4C t€-rf)CITY: ADDRESS OWNER: See.ro NEW -__.-_. REMODEL ADDITION DEMOLISH orHL.R *R-E{ N,-A 1-b tDESCRIBE WOBK: .ADDRESS 33N?Io"rou' PQ.6oy:featL- Euat-lr!,- Qoc"1C- EXPIRES PHON E 14\,o\QL ELECTRICAL MECHANICAL: -- -- PLUMBING: CONTRACTOFI'S NAME G EN ERAL: -k;rra> ear)Er. FLOOD PLAIN: - - ZONING CODE: -- Y OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE:RANGE - OFFICE USE _ LAND USE: OCCY GROUP OUAD AREA: A OF BLDGS: , OF STORIES: - --.- * OF UNITS: --.-, CONSTR. TYPE: -- HEAT SOUFICE: -- To request an inspection, you must call 726-3769. This is a24hour recording. All inspr:ctions requested before 7:oo a.m. will be made the same working clay, inspections requested after 7:00 a.m. will be tnacle the lollowing work day. REOUIRED INSPECTIONS Temporary Electric d Rough Mechanical - Prior lo cover.ffinni J, llH?P, ;#it;t" ill Site lnspection - To be nlade after excavation, but Prior to setting forms.ry ,Rough Electrical - Prior tcr tJ Final Electrical - When all electrical worl< is cotnPlete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Mttst trc approved to obtain Pcrlnarlcrll electrical power. rtr Final Mechanical - Whetr all rnechanical work is t;omPletc. Footing - After trenches are excavated.Fireplace - Prior lo facing materials and {r:rtttitrl; ltt:r1t. v)Final Buildirrg - Wltr..tn all required inspections have lreert approved anrl ["luilrlintl is <:ottt lrlr: lttt l,Masonry - Steol location, borrrl beatns, groutit'tg.f--l Framirrg - Ptior t() covor Foundalion * After forms are erccted btrt prior [o concl(] te placcment. | _ I otltcr Wall/Ceiling lrrsulaliotr * [)tit't to cover Underground Plumbing - Prior to filling trench.J--l DrVwall - Prior l(-) lapin(l MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or dccl<ing.Wood Stovc - Af tr:t irt:ll.lllilli()rl Post and Beam - Prior to {loor insulation or decking. t_l Blocking and Set-Up - Wlren all blocking is cotnplete.lnsert - After flreplacr-- ;rpprov;rl and installation of unit. Floor lnsulation - Prior to decki ng.Curbcut & APProacl'r - Af tr:r forms are erected tlut Prior to placement of concrete. tf Plumbing Conneclions - Wtten home has been connected to water and sewer. Sanitary Sewer - Prior to f illing trench.I I Electrical Connectiotr - WherrU blockinq, set-up, ancl plumbing Slorm Sewer - Prior to filling trench. Si<Iewalk & DrivewaY - Af ter excavation is cotnPlete, fortns and sub-base material in Placc. inspections have beert approved and the home is connccted to the service panel. Water Line - Prior to filling trench. Fence - Wlrcn t:ottt1-llr:ted Rough Plumbing - Prior to cover. Slreel Trees - When all reqttircrl trees are plantcd. Final - After all required inspections are aprlrtoved atrtl porchcs, skirting. rlccks, and venting lrave Lreetr ir-rstalletl. K t._l zP:91-4aA -- -- rs-rr x)u r't L 4..^ E r tl fl E Lot faces Lot sq. ftg. Lot coverage Tcrpograplty Total height L()t -fype , -- lnterior - - - Corner ---- Panlrandle -- Cul-de-sac Setbacks P.L. N n ACC THE PROPOSED WORK IN THE ]]ISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? -_ lf yes, this application must be signed and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: S- E W H 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, reoulating the construction and use of brrilcllngs, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: Plans Reviewed By Date Date Paicl Fleceipt Nutnber: Received By: BUILDING PERMIT VALUE (A) SQ. FT. X $/SQ. FT.ITEM Main Garage Carport Total Value Building Perntit Fee State Surcharge Total Fee Systems Developrncnt Charge ls due on all undeveloped properties withln the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDTTIONAL COMMENTS FEE c) (c) FT. PLUMBING PERMIT 'Storm Sewer Mobile Flotne Plumbing Permit State Surcharge Total Charge .ep- -L-"o- 4r?,oD ITEM Fixtu res Resiclential 8atl.r(s) N". Sanitary Sewer r]. - Water f-T,- - MECHANICAL PERMIT Fu rnace Exhaust Hoocl vent Fan !!"- L Wood Stove/ lnsert/ Fi replace Unit Dryer Vent # MrrJ, F"@ _ aG,zs(D) Mechanical Permit lssuance State Surcltarge Total Permit -\<:9b\o'oD By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I f urther certily 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 perrnission of the Building Safety Division. I further certily that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain Signature. "hh>-Date rlon the slte at ruct lonufln MTSCELLANEOUS PERMITS Mobile Honte State lssuance State Surcharge Sidewalk -.- ft Curbcut -- ft Demolltlon State Surcharge Total Miscelianeous Permits (E) VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECE u\ TOTAL AMOUNT DUE (exclucling electrical) (A, B, C, f), ancl E Cornbine(l) l;1;19 RECEIVED BY .-\_ LO AO,oO COMM ERCIAL/IN DUSTRIAL - PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 !iPFIINGFIELO --JOB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK:Vfl Snu*tt 4n^ ASSESSORS MAP:TAX LOT:6 nDA 4-vJlzr)PHONE: a^.--+4 STATE:ZIP Lne-CITY: ADDRESS OWNEB NEW - REMODEL ADDITION DEMOLISH OTHER VALUE DESCRIPTION OF WORK: ARCHITECT: CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE MECHANICAL: - ELECTBICAL: NAME ADDRESS PHONE -0 t02 PLUM BI NG: GENERAL: PLU MBING NO.FEE CHARGE Single Fixture - ftptACe- Relocated Bldg. (new fix. addtl) Water Service ft. Sanitary Sewer ft. Storm Sewer ft. Backflow Device TOTAL PERMIT 16.6D MECHANICAL NO trFtr CHA RGF Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent >100,000 BTUs Floor furnace and vent Suspended wall or f loor mounted unit heater Appliance Vent separate Stationary evap cooler Vent Fan/Single duct Vent f rom System apart AC or htg. Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMIT _ OFFICE USE _ LAND USE: ZONING* OF UNITS: HANDICAP ACCESS: FLOOD PLAIN LIGHTING POWER BUDGET: WATER HEATER OCCY GROUP: * OF STORIES: QUAD AREA: * OF BLDGS: SO. FT.$/SQ. FT.VALUE TOTAL VALUE OF PROJ X X X RCPT#PLAN CHECK FEE BYDATE to 1g BUILDING PERIVIIT PLU M BI NG 15.oo DEMOLITION 5% State Surcharge 5% State Su rcharqe 1q MECHANICAL FENCE VALUE $ 5% State Su rcharqe SIDEWALK FT, SUBTOTAL PERMITS PAVI NG CURBCUT FT, SYSTEMS DEVELOPMENT TOTAL PERIVIT FEES EXCLUDING ELECTRICAL 11 oZ lzqa 4Ut^ ,1zr r:l^ t uv,tt,w DUL wb-.Lz--?" [rr^b I 0 CONSTR. TYPE: HEAT SOURCE: SO. FTG MAIN SO. FTG ACCESS SQ. FTG OTHER REQUIRED INSPECTIONS It is the responsibility of the permit holderto see that all inspections are made at the proper time. To request an inspection, call 726-3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready for inspection. Requests received before 7:0O a.m. will be made the same working day, requests made after 7:00 a.m. will be made the following work day. SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is in made after excavation, but ELECTRICAL & place but prior to placing prior to setup of forms. MECHANICAL: No work is to asphalt or concrete. be covered until these UNDERSLAB pLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordance ELECTRICAL & and approved. section 306 0f the state specialty code MECHANICAL: To be made _ a special inspector shall be employed before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor during CURTAIN WALLS construction of the following work. A FOOTINGS & FOUNDATTONS: copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division. excavated and forms are facing materials and before erected, ail steel in place, but framing inspection' srRUcruRAL CoNCRETE: tn prior to placing concrete. FRAMING: To be made after excess of 2500 P.S.l. (306 a.1) coNcRETE SLAB: To be the roof' all framing' fire made after au insrab buirdins 3i::5::.":fl 3l'3:IZ,l,;l:r" Flly,"J"',f3l,Y5tT',rrr4 service equipment, conduit, and vents are complete and :#[,?'i""",',]ilffi ?[l"""'TJ H? H::[#i":i:,1,iJ;[l:i: Bl?,lf],ffi]*ol*gl,.TH:"0in place but before any tighteiing operations. (306concrete is placed. INSULATION & VApOR a.6) BARRIER: To be made after all UNDERGROUND: Plumbing, insulation and required vapor SpRAyEO ONelectrical, gas, sanitary sewer, barriers are in place but FIREpROOFING: U.BC.Storm Sewer, water and before any lath or gypsum Standards 43-8.drainage lines. To be made board interior wall covering is prior to covering or filling applied. S'EC,AL GRAD'NG,trenches. ,NDERFL..R: p,umbins [:::,]'"="'f;m'Jfl[Hf"' ifilt'iiiltll',5J1'i],"- electrical, mechanical. To be according to plans. chapter 29) made prior to installation of floor insulation, decking or LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection f loor sheathing. BOARD: To be made after all Certificate by an approved lathing and gypsum board, agency, furnished to the city's posr & BEAM: To be made interiol and exierior, is in ' Building Division before prior to installation of floor place but before any beams are placed' (2501 u Bc' insulation, decking or floor plastering is applied or before STDS' 25-10J1)' sheathing. gypsum board joints and fasteners are taped and STRUCTURAL MASONRY: (306 FLooR TNSULATToN & finished' a'7\ VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. MASONRY: Steel location, bond beams grouting or verticals in accordance with UBC 2415. RooF sHEArHrNc AND iHRS^H?fX,'t:,o#""X," NAILING: Prior to installing erected but prior to placing any roof covering. concrete. SIDEWALK & DRIVEWAY: Required for all concrete paving within street right of way, to be made after all excavating complete and form work and sub-base material in place. "ln addition to the inspec- tions specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. FINAL PLUMBING FINAL ELECTRICAL FINAL MECHANICAL SITE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wish inspection. All project conditions such as landscaping, parking lot stri ping, etc. must be completed before requesting this inspection. FINAL BUILDING: Requested after the final plumbing, electrical, mechanical and Fire Department inspections are made and approved. No occupancy of the premises can be made until a Certificate of Occupancy has been issued by the Building Division and posted on the premises.FINAL FIRE DEPARTMENT PLANS REVIEWED BY DATE By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify that all information herein is true and correct, and I further 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 70'1.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that project 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 Date ?/51Signature VALIDATION EDECEr/ lo tq l, DATE PAID 7'15 4zAMOUNT R RECEIPT *:RECEIVED BY:e"^-a- ADDITIONAL COMMENTS: ,OREGO'UT'TY OF 225 FIFTB STREET SPRTNGFIELD, ORBGON 97477 INSPEcf,IoN RBQUESTz 726-3 OPPICE: 726-3759 1 JOB DESCN.IPTION ELBCTRICAL PERTIT APPLICATION onecircuit ---.1|_ $35.00 Each Additional Circuit or vith Service or Feeder Permit S 2.00 f.ab -Each installation Pump or irrigation $ Sign/OutIine Lighting_ $ Limited Energy/Res $ Limited Energy/Comm $ sPiltN(;FtI:Lr, SIIBTOTAL OF ABOVB 5Z State Surcharge TOTAL fl t Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 4nt"Y3 BBLOV 9*'"" Nev Residential-Single or lti-FamiIy per dr.,e1ling uni t. ice fncluded:Items Cost Sum 1000 sq.ft. or Iess Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular DveIling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 c Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps _ $ 55.00 Over 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see rrBrr above D. Branch Circuits -//"New, Alteration or Extension Per Panel J 2. C0MRACTOR INSTALI"ATI0N ONLY B. Services or Feeders Installation, Alterations or Electrical Contrac tor ( {'j E /, ;ir, " 7-*' Relocation: Address /A B, r /tlt7 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/volts Reconnect Only city {-.a CtJ Phone ?q 1"2 2 } 4 IITL S Expiration oate /0 ' i - r/ 5- i;'r/4c s s0.00 $ 60.00 $100.00 $130.00 s300.00 $ 40.00 / Supervisor License Ntimber Constr Contr. Number Expiration Date Signature of Supe ising Electrician tb--'t-'l'z 0wners Name Address t f 6 Jo -f,3 rg''- city 3" e '/-Phone .L4T OITNER INSTALI.,ATION The installation is being made on property I own vhich is not intended for sale, Iease or rent. Ovners Signature: E. Miscellaneous (Service/feeder not included) 40.00 40.00 20. 00 36.00 5 t'" DATE: RECEI to 1 ?- PT 'b RECEMD BY: \>el=* -l I '7 !- q, OP