HomeMy WebLinkAboutPermit Building 1992-09-17S''rlINGFIELf)
IlESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Of(ice: 726-3759
LOCA]'|ON OF PROPOSED WORK: --
AssESSoRs M^P: -/?o1 3-A I
OWNER: -.Ui
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97 477
CI
TAX LOT
SUBDIVISION
PHONE:
h,
ADDRESS:, --3srE/zrp, C7/t2 7STATE:LCITY: ---,*
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK
NEW #
MECHANICAL: ...--
EXPIRES PHONEADDRESS
_O_a t\f C
CONTRACTOR'S NAME
ELECTRICAI.:
CONST,
CONTRACTOR'I
CENERAL:
I)LUMBING
EUS
, OF BDRMS
WATER HEATER:
_ OFFI
CONSTR. TYPE
ZONING CODE:
FLOOD PLAIN
SECONDABY HEAT
SQUARE FOOTAGE:
HEAT SOUFICE:
----.----RANGE:
LAND USE: -
* OF UNITS:
To request ar.r insF)ection, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:OO a'm. will be
rna(l() thc sanre working <lay, inspr,.ctl()ns requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
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--l femOorary Eleclric
Site lnspeclion - To be made
af ter excavation, but Prior to
setting lorms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated,
Masonry - Steel locatlon, bonrl
beams, grouting.
Foundation - After forms are
erected but prior to concrete
placernen t.
Underground Plumbing - Prior
to filling trench.
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
Post and Beam - Prior to floor
insulation or decking.
Floor lnsulation - Prior to
decki ng.
Sanitary Sewer - Prior to f illing
trench.
Rough Mechanical - Prior to
cover.
Rough Electrical - Prior to
cover.
Eleclrical Service - Must be
approved to obtain Permanent
clectrical power.
Fireplace - Prior to facing
rnaterials and framlng lnsp.
Framing - Prior to cover,
Wall/Ceiling lnsulation - Prior to
cover.
f_l Drywall - Prior to taping.
Wood Stove - After installation
lnserl - After flreplace approval
and installation of unlt.
Curbcut & Approach - After
fornrs are erected but prior to
ltlacement of concretc.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Streel Trees - When all required
lrees are planted.
Final Plumbing - When all
plumbing worl( is complete.
Final Electrical - When all
electrical worl( is contplete.
Final Mechanical - When all
mechanical work is complete.
Final Building - Wlren all
required inspections have been
approved and building is
completed.
Other
MOBILE HOME !NSPECTIONS
Blocking and Set.Up - When all
blocklng is completc.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Final - After all required
inspectlons are approved and
porches, sklrting, clecks, and
venting have been lnstalled.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
IZ
Rough Plumbing - Prior to
cover.
LOT:_ BLOCK:
)// -?)
Ar,\.€
rJ
[-l Fence - When conrpleted.
r
ouAD AREA:-€RNX/--
, oF BLDGS, -,-L--
occY GRou", [A---
, oF SToRIES, - L--\\bo_
E
E
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total height
Lot Type \/
_- lnterior
-
Corner
--_ Panhandle
-
Cul'de-sac
Setback
nccP.L.HSE GAR
N
S
//
L:_
E
HE PROPOSED WORK IN THE
r+rsronrcal DlsrBlcr, oR oN
TFIE HISIORICAL REGISTER? ---lf ycs, this application must be signcd
and approvcd bY the Flistorical
Coordinator prior to pcrmit issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pernrit is granted on the express condition tl'rat the said
construction shall, in all respects, conform to the Ordinance
adopte<J by the City of Springfield' including the
Developntent Cocle, regulating the construction and use of
buildings, ;rtrtj nlay be suspetrded or revoked at any time
n violation of arry provisions of said ordinances
3{2-?z
D;ttc
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upo
Plan Cl-reck Fee: -
2gDate Paid:
Receipt Number:-
Received By:
BUILDING PERMIT
VALUE
(A)
-74b
SQ. FT. X $/SO. FT.
4 / 4,to
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Lb.1:.</t__ y, ,--
_2L22
Systems Developtttent Charge is due on all undeveloped
propertics witlrin thc City limits which are bein17 improvcd'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) //-z -'74
ADDTTIONAL COMMENTS
ITEM
Fixtu res
Rcsidential Bath(s)
Sarritary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
NO
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
MECHANTCAL PERMIT
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By signature, I state and agree, that I have caref ully examined
the compleled application and do hereby certify lhat all
information hereon is true an<1 correct, ancl I f urther certi(y
that any an<J all work perfortncd shall be done in accordance
witl-r the Ordinances of thc City of Springf icl<.l, arrd tlre 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
proiect.
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 permit card is located at the front
of the property, and tlre approved set of plans will remain
Sign
Datc
atu re
on the site at all times during uction
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk ---- ft
Curbcut _.-.- ft
Demolition
State Surcharge
(E)Total Miscellaneous Permits
VALIDAI-ION:
*ECErPr NUMBER - 5.1)3-
DATE PA|D - q-lLl l4a-
RECEIVED BY.-- - Qg
oAMOUNT RECEIVED
TOTAL AMOUNT DUE (cxcluding electrical)
(A, B, C, D, ancl E Cornbined)
/A_aAE
FT,
Wd-?^fa
*
3'
JOB NO.1Ll o6b
crrY 0F sPRINGFIELD sY!l^E-l'l: DEVELOPMENT CHARGE
WORKSHEET
(C0MMERCIAL & RESIDENTIAL)
rNrNAME OR COMPANY:V,F-Cz lt-LTO l-\
ow=Cr. \-? o 7-2?o
LOCATION:b z*%Vr
LDEVELOPMENT TYPE:L L
BUILDING SIZE:'Lo
1.STO I]RAI GE
IMPERVIOUS SQ. FT
2 SAN IT ARY SEWE R_CITY
3
SIZ
5ao x $0.192 PER sQ- FT
X $39.78 PER PFU
sQ. Ft.
(See Reverse)
TRANSPORTAT I ON
NO OF UNITS X TRIP RATE X COST PER TRIP
Y
A
x $401 .05
x $401 .05
x $401.05
S
$
SUBT0TAL (ADD ITEMS 1,2, & 3)a,Z
4. ADMIN I STRAT I V EF EES
BASE CHARGE (SUBTOTAL ABoVE) X .05
5. SANiTARY SEt^lER-MI^,MC
NO. OF PFU'S $13.62 PER PFU + $IO MWMC ADMIN. FEE $
(Use PFU Total From
MWMC CREDIT IF APPL
Kip Burdick
SDC Coordinator
Item 2 Above )
ICABLE (SEE REVERSE)
!*TOTAL -MC SDC
aba
-4-t L
TOTAL SDC $ TV-79
T0TAL-CtTY Slq $ ltz-19
C'TY OF OREGO'V
SPFINGFIELO
D EV E LO P M ENT SERVI CES DEPARTM ENT
March 2L, L994
Virgil Walton
3243 Valley Meadows Court
Springfield, OR 97478
,
Dear Ms. Walton:
The Springfield Building Code Administrative Code requires that, for a permit to remain
valid, construction work authorized by it must begin within 180 days from the date of
purchase of the permit. If work is suspended or abandoned during the course of
construction for a period exceeding 180 days, the permit will automatically expire.
If a permit has expired and suspension and/or abandonment of work on a project has not
exceeded one year, a permit to start or resume rvork may be purchased for one half the fee
required for a comparable new permit, provided that no changes have been made in the
original plans and/or specifications.
If a permit has not yet expired and a permit holder anticipates the need for more time to
begin construction work, the Community Services Manager may choose to grant a one time
extension of the permit not to exceed 180 days upon receipt from the permit holder of a
rvritten request explaining why the extension is necessary.
The attached form indicates the most recent information in our records with regard to
construction activity associated with your permit. Please advise this office of your
intentions with regard to the permit by ten (10) days from the date of this letter.
Please direct inquiries to me at 726-3664 Mondays, Tuesdays and Thursdays, 8:00 a.m. -
5:00 p.m.
Sincerely
Deanna Buckem
Community Services Secretary
h,225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726 s75s
FAX (50s) 726"368s
attachment
Virgil Walton
3243 Yalley Meadows Court
Springfield, OR 97478
JOB ADDRESS: 3243 Valley Meadows Court
t
LAST ACTMTY DATE: July 9, 1993
INSPECTION RECORDED: Framing
OTHER:
JOB # 921083
Your permit expired on January 9, L994.
If you plan to start or resume work on the project, a new permit must be applied for.
If we do not hear from you by March 3L,1994 (ten (10) days from date of letter), we will
clear our files of all related information with regard to the permit.
A\r,\q\