HomeMy WebLinkAboutPermit Building 1991-09-19SPRINGFIELO
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759 h,
JoB NUMBE " V/a?e
225 Fifth Street
Springfield, Oregon 97 477
eLOCATION OF PROPOSED WORK:
ASSESSORS MAP:/7.073F2-4 TAX LOT:5
LOT:BLOCK:SUBDIVISION
PHONE:
zlPSTATE:4r2
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
i, E^ u A it tn A I
ELECTRICALi
-
EXPIRESADDRESSdCONTRACTOR'S NAME PHONE
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
RANGE:
* OF BDRMS:
LAND USE:
ZONING CODE:
FLOOD PLAIN
WATER HEATER
* OF UNITS:
SECONDARY HEAT:
SQUARE FOOTAGE:
QUAD AREA:
# OF BLDGS
OCCY GBOUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a24hour recording. AII inspections requested before 7:00 a'm' will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
f--l Temporary Electricll
Rough Mechanical - Prior to
cover.
[_-l Final PlumbingtJ plumbing work - When all
is complete.
Site lnspection - To be made
after excavation, but Prior to
setting 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
electrical power.
Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsp.
tr Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.
Other
Foundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.l---l Drywall - Prior to taoing
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation.
Post and Beam - Prior to floor
insulation or decking.lnsert - After firePlace aPProval
and installation of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.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 Conneclion - When
blocking, set-up, and plumbing
inspections 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 - Prior to filling
trench.l-l Fence - When comPleted
Streel Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.Rough Plumbing - Prior to
cover.
?/6-Z/3
- OFFICE USE _
E
Err
E
tl
tl
E
E
E
E r
E
E
r
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type ._
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
-rS THE PROPOSED WOBK lN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
S
E
BUILDING PERMIT
ITEM SQ. FT. X $/SQ. FT.VALUE
??-e
aac
(A)/55_s
Total Value
Building Permit Fee
State Surcharge
Total Fee
Main
Garage
Carport
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, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee
Date Paid:
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
N0
FT.
FT.
FT.
(c)
PLUMBING PERM!T
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood 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 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 701.055 will be used on this
project.
I f urther 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 f ront
of the property, and the approved set of plans will remain
Sign
Date
on the site all mes d .ng cons tion.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
?/7 2
DATE PAID 47e^4r
EIVED
VALIDATION:
RECEIPT NUMBER
AMOUNT REC
RECEIVED BY
-d
ikf,A-rINVOICEsrANDARr, srRUcruRAL pEsr coNTRoL rNspEgrpN REpom(Wood-D.estroylng pesre or Organtcmit- --- "-'
This is an inspection reportinty_nor a Noii-ce ol Coirptetion.
ADDBESS OF
PROPERTY
INSPECTEO
BLDG.STREET
Nor:th 5th Street S oringfte ld
CITY
ffi A-l Pest Control
^fgy_.tte & Dry Rot Repair
24OO G Sr. . Sprtrrgfteld, Oi"go.,
746-0579
r ' ,;., Lrc. No 00350_lnsrired
A LICENSED PEST COI,|TROL
OPERATOR IS AN EXPEF|T INHIS FIELD. ANY OUESTIONS
RELATIVE TO THIS REPOFT
SHOULD BE REFERRED TO HIM.
WPE OF LOAN: FED V.A : ; SIATE G.t. I ] FHA I
,NSpEc.uN .R'ERED By (NAME AND ADDrirss) !i11 Medford-Bt fi MedF#f5oHE{ttv-r2?B'SilJmd[rbrva
SELLEB'S NAME ANO AODRESS
BUYES'S NAME ANO ADORESS
NAMEANoADDRESqoTpAHry,,rNrNrrRESr BlU llledford- Bill Medfo-A nilalty:fZ[-5-[Fne]rt-E[Vd.
::::T":: :.%tuT,fd6..r?^€.1?oouj3,L, ;;;* *;,,;;, ^"* ;;;;[
THIS IS A SUB.STRUCTURE INSPECTION ONLY. SUB FI.OOR LEVEL & BELOW. WE ASSUME NO LIABILTTY FOR ANYoTHER pOBflON OF STRUCTURE uuiess speCrrrcar_r-f ioreo oN TH|S REpom.
IMPoFTANT NorrcE AND Excu'sloNs Thrs repo't rs ootv a leporl ot our r^drngs. ba$d on whar was ob6€rv6d try rt,e nrspecror ar lhe rnne ol hrs rnspecrron Jhra re;jjrr
Nol lcE [stlMAl E DOES NUr lN(]'i t ltrt. i']Alir r rl'. , ]trt r rMBlNG, oR r E'ELING.-NoI RESPoNSTBLE F oR CRAcKs THAT MAy 0EVE Top
Cooe
DT
CA
ST
Dampnood Tormites
wti Wood Beetles
Ants
Fungus Growth, lrear.rlrte
Leak
Other
$ec Dlrgram 8clow,
Sublerranean Termites
NOTE: H3i:"i:::,T,l
See -Dxglr r9!al
Existrng Vonts
* Proposod Wlts ._
lnad€quato Clearance
lnaccessible Area
Furthor lnspoction Needed
Earlh-wood Conlacts
Other
patios are shown as relerence polnts only and arc not included in
O}1, REPAIR, CHANGE To +'WIRB MESH
OATE OF INSPESTEN
7-15'9L 6r oOPg
E1
l-
FT
L
lbs
Exceseive Morslure Condilions
Cellulose Oebris
\bs
Grade
Other
than 6
Struclural Bot
Slruclural Damage lnsect
See Eelow
FG
Code
EM
CD*
SDR
!Dr
SR
Code
,v
x
c
FI
EC
NEED UNDEB WIND
Qnouruo r.0)$60.
_-____
PART
HOIVIE ONLY
FLAIff PAINT-$250. O0
CCESS&DOOR , ADD 2r BLoCK
4 v
PEN, MAKE A
30.00
v v
v DOWI{S'MUTS TOGEI}IER-HOOK TWO
$30. ooMAI(E ACCffiS
YIEI,I, & DOOR,
ADD 2' OF GRA
BELOT{ ACCESS.
ADI}'TREAIIBD
TTOOD A.BOIIE
GROUND, ilATG
ACCESS
v
v
0
///
-19 INSULATIOT{
VAFOR BARR
5, oo
DOOR-
0LD
316
Structural Sublloor
IA
(
I
I
INS TECT
F
E-ecoruuEN DED coRREcrloNs -
336 Nortn 5tn street, springfield, oregon g?lt?? C0MPUTER INVoICE #l-t-7-7-91
1
Remove and replace approx. .-lineal ft' of damaged
mudsill
header2
10
3. ..__- Bemove and rePlace approx feet of , -.siding
4. Remove and replace approx. damaged ioist end(s)
5.
--
Remove and replace approx. ,.---.,, danraged full length loist(s)
6. _- lnstall approx. -.-.- fi. of new beam to support ioist splices'
7. _-- Remove and replace approx. -=_---lineal ft. of damaged support beam
8...* -lnstall approx new piers and pier blocks
9.Remove and replace approx damaged pier posts'
Remove and replace approx. ---- ---.sq. feet of damaged subfloor
11.
-.
Remove all scattered wood-debris and form boards trom subarea,
12.
-
lnstall a mil vapor barrier over entire subarea surface'
13.
--
Piece in missing vapor barrier in approx. ,--._-_foot area'
14.
-
Straighten oxisting vapor barrier as needed'
1S. ___ lnstall a gravity flow rlrainline from subarea approx. -.
--lineal
feet to street.
16. lnstall a subarea sump pump and approx. lineal ft. of drainline to .--.
17. __Trench subarea as nt:eded, to drain or sump pump, as needed to alleviate standing water condition.
lg. lnstall approx. yards of 3/c" round river rock in subarea trenches.
19.
-*
lnstall approx. yards of 7." round river rock irr subarea low spots'
20. _* Excavate subarea to allow proper access and clearance, approx. -*--*-cubic yards.
21 .
-*-
Trench subarea as nr-'eded for access, approx' tineal leet'
22. _*._ Make access to inaccessible areas, as needed to allow f urther inspection lcosr of anv dama96 lound nor ncludod in bdl'
23. .-- _ - Further inspection neecle<J in damaged areas where indicated on diagram (cosr ol anv damagos found noilncluded in bid).
24. __lnstall apprpx. , feet o{ metal flashing to correct earth-wood contacts in -.- porch.
25.
-_
Vent clryer to oulsrd(} lo prevent danrage from fire or condensation, approx. --.---.feet'26. _*-*.- Repair foundation cracks
27. _*-chemtcally lreat substruclure area to eliminate subterranean Termites.
28._:.ChemicallytreatsubstrtlctureareatoeliminateDampwoodTermites.
29.
----
Chemically treat sut)structure area to eliminate Powder Post Beetles'
30. -*- Chemically treat as neecled to eliminate carpenter Ant infestation'
31.
--
Chemically treat strbstructure as needed to control dryrot fungus --'- Spot -
approx. ". *---.=_- area
M H-
32.
-
Replace unclerlaytltutrt lloorrng in
33. -_. lnstall new ltrtttltrttttl ttt
34. .-.. Reseat toilet orl rt rlrlW wax seal'
35. --- Caulk base r()[)
36. .- -.- lnstall - - -.- rt.:prl'tt:t:
. approx. .... area
of batlrtub.
bathtub shower kit
g7. __- Begrout stall shower, tub walls as needed to prsv€nt leakage.
3g. Reptace leaky showtr pan tn size costs nol included, reler to
39. -_- - Replace or rnslall lub-shower door tn . '- - slze
40. ---* Bepatr or replace damaged bathroom wtndow in '-' --- --- size
41 .:. -.-. Replace rlamaged basement wrndow - sills "' lrames size
42. ._*- Cui oft base ol starrtacks at .-,--,.- and install concrete pads.
11,i; *3mil:n"". '"o,ii'.i.'i'ffiffiHyag;J3,,Ii";;n;," ."i'ii,11'"'. ;p",, t"*. niiii";r*ogqg3,
45. _lnstall approxrmately -- --- lineal feet ol concrete block loundalion
-and
footing at -_=-_--.-"' -4
46. __*.. lnslall aPProximalelY - ol ,- - inch concrete llashwall to correcl earlh'wood contact at
47. ___ Lower exterror grade level to correct earlh-wood contacts at approximately .-.- lineal teet.
48. *- Shorten sldtng to correcl earth-wood conlacls at '.....-....-..-....__-- approximately
--
leet'
49. lnsrall approximately lineal fset on non-wood skirting at --:_:-_- size _-_-..
so.
-
lnstall ___ additronal vents through rim ioist through loundation wall
--..
51. *- Unblobk existing vents as noted. Rescreen ---- oxisting vsnts.
52 Replace existing vent tramcs
lrom pressure treated wood)53.lnstall --.- --- venl wells (to be made
55. -X_ tnstail --z--'---t--
crawl hole wells (to be made lrom pre;5;ure
new crawlhole -l-- lrame
treated wood)54.
-
lnstalt
vented door
56. -'.--- Sub area insulation prevented a total rnspection o, subfloor, loists, sill and header, and support beams
Any damage or rnlestattons that may exist in thsse areas is not included in report or bid
57. --=- Structure was occupied at timo of inspection. Costs not included lor any damage or rnfestatrons concealed by tenant's Pos'
-EA
, applrances or
CH REINS
otherwrseMCTIO 8d':*
RE IR