HomeMy WebLinkAboutPermit Building 1995-11-01SPRINGFIELD
RESIDENTIAI, PERMIT APPI.ICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUII,DING SAFETY
Page 1
ilob Nr:nrber: 95L525
225 North FifLh Street
Springfield, OR 97477
Location of Propoaed Work: 3054 YOLANDA AVE
Assessors ttap #t L7o2L933
LoE: Block:
Office:
Inspection Line:
726 -37 59
725 -37 59
Tax LoE #: 00401-
Subdivision:
qTT OF SPruNGFIELD, ONEGON
OWNET: WALTER/NAO}II DEPIry
Address: 3054 YOLANDA AVENUE
Describe Work: ROOF OVER RAIIP
Phone #: 746-520L
ciry/staLe/zip: SPRTNGFTELD, OREGON 97478
ADDITION
ConEractor
ConeE.
Contractsor #Expires
04/oe/e5
Phone
342-5304General:DRESSER CONSTRU OO554O5
412 Lincoln St Eugene OR 974010000
QUAD AREA: 5RNC
-- OFFICE USE --
LAND USE: 1111
To request an inepection, call the 24 hour recording aL 726-3769.
A11 inspections requested before 7:00 a.m. will be made the same working day,
inspecEions requested after 7:00 a.m. will be made E,he foLlowing work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavated.
FRAITIING - Prior to cover.
FINAL BUILDING - When alt required inspections have been approved and
t,he building is comPf ete.
N
Setbacks
J
House
W E
15
Item
Main
Garage
ROOF EXTENSTON
Tota1 Vafue
Building Permit Fee
Surcharge/aamin
TOTAI, FEE
--- BUILDING PERMIT ---
Square Feet x $/Square Feets
(A)
VaIue
0.00
0.00
3, 300.00
3,300.00
44 .50
3 .57
48 .07
(Excluding Electrical)
unlega otherwiae noted
--- TOTAL AI,IOU}.IT DUE ---
(A, B, C, D, and E combined)48 .07
--- BUILDING VAT.UE, PLAIiI CHECK AIID BUILDING PERMIT ---
This permit. is granted on the express condition Ehat the said construction
shalI, in all respects, conform to the ordinance adopted by the City of
Springfield, including the DeveLopment Code, regulating the const,ruction and
use of buildings, and may be suspended or revoked at any time upon vioLation
of any provisions of said ordinances.
SPFIAIGFIELD
Job Number: 95a525
OFSPilNGFIED, ONEGOAIoTr
Page 2
Plan Check Fee:. 28.93
Received By:
Plans Reviewed By: DON MOORE
Dare Paid ,: LO / 09 / 95
Date: L0/27 /95
Receipt Number t L9233
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
By signature, I EtaEe and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
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 OCCUPAIICY will be made of any structure without permission of the
Communit,y Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance wiEh ORS 701.055 will be
used on this project.
I further agree to ensure Ehat all required inspections are requested at the
proper time, Ehat 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
wil-l- remain on the te at al-f times during construction
a
Dates
.-- VALIDATION ---
Receipt Number:
Date Paid:a'<
Amount Received y'*-az
Received By Z*ry-
o/77
R ESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
SPrlTNGFIELI)
h,
JoB NUMBE a o</62-T
225 Fifth Street
Spring(leld, Oregon 97 477
TAX LOT:
BLOCK:SUBDIVISION
PHONE:
STATE:ztPc74 9"CITY:
ADDRESS:
OWNER
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADD oJ EXPIRES PHONE
ELECTRICAL
CONTRACTOR'S NAME CONST.co
MECHANICAL:
PLUMBING:
GENERAL:
RANGF-:
- OFFICE USE _
LAND USE:
WATER HEATER
ZONING CODE:r OF UNITS:
QUAD AREA:
, OF BLDGS
SECONDARY HEAT:
SQUARF. FOOTAGE:
OCCY GROUP:
E OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726'3769. Thls is a 24 hour recording. All lnspections requested before 7:00 a.m. wlll bemade the sarrle working day, lnspections requested after 7:00 a.m. will be made the following work day.
Temporary Electric
REQUIRED INSPECTIONS
l--l Rough Mechanrcar - prror to fi rma prumbing - When aillJ cover. 4J ptumuing wo*'ls complete.
Site lnspection - To be made
after excavation, but prior to
settlng 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
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Fireplace - Prlor to faclng
materlals and lraming lnsp.
B Final Building - When allrequlred lnspections have beenapproved and br.rilding is
completed.Masonry - Steel locatlon, bond
beams, grouting.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prior to concrete
placement.
Other
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to fllllng trench.[-l Drywall - Prior to taptng
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decking.
MOBILE HOME INSPE TTONS
Wood Stovo - After lnstallatlon.
Post and Beam - Prior to floor
insulation or decking.lnsert - After flreplace approval
and installatlon of unit.
l-_l Alocking and Set.Up - When ail
-
blocking ls complete.
Floor lnsulation - Prior to
decking.Curbcut & Approach - After
forms are erected bul prior toplacement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.
fl Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub.base material ln place.
Electrical Connection - Whenblocking, set-up, and plumbtng
lnspections have been approved
and the home is connected tothe servlce panel.
Water Line - Prlor to filling
trench.l--l Fence - When compteted
Street Trees - When all requlred
trees are planted.
Final - After all required
inspectlons are approved andporches, sklrting, decks, andventing have been lnstalled.
m Rough Plumbing - Prior to
cover.
,4 da/
?/z-fze/
, OF BDRMS:
-
FLOOD PLAIN:
E
E
E
r
tl
tl
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
S ks IS THE PROPOSED WORK iN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL FIEGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historical
Coordinator prior to permit issuance.
APPFOVED:
P.L.HSE GAR ACC
N
S
E
VALUE
%=
(A)/ "<7
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Carport-.@17t1
Main
Garage
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, inctuding the
Development Cocle, regulating the construction and use ofbuildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Flcviewed By Date
Plan Check Fee:
Date Paid
Receipt Number
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) /"t/ ,
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
FEE
4-za
-e
(c)
No
FT.
Residential Bath(s)
Plumblng Permit
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fixtu res
. FT.Sanitary Sewer
Water
Storm Sewer
Moblle Home
ADDITIONAL COMMENTS
MECHANICAL PERMTT
Fu rnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
Mechanical Permit
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springfield, and the Laws
of the Statc of Oregon pertainlng to thc work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure without perrnission of the Buildlng Safety Divislon.
I further certify that only contractors and employees who
are in compliance with OFIS 701.0SS will be used on lhls
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 o( plans will remaln
Slgnatur.e
Date
on the site at al es during construction
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and E Combined),?,
r'a-?rDATE PAID
AMOUNT RECEIVF.D
RECEIVED BY
VALIDATION:
RECEIPT NUMBEFI
FT,