HomeMy WebLinkAboutPermit Building 1992-09-09SPIlI}IGFIELD
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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
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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=*
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