HomeMy WebLinkAboutPermit Building 1992-06-05LocnroN oF pnoposED woRK: /23? A4 24 V t
SPIrINGFIELD
r_oT:
ASSESSORS MAP:
BLOCK:SUUUIVISION: --- - .-
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JoEI NUMBEaftff./--
225 Filth Street
Springf ield, Oregon 97477
IAXLOT; #
I'l la)Nt:*a5>2-S>rg
ZIP 7?gar4.
/
STAI I
OWNER:
ADDRESS:
CITY:
-4+bX57*@z-
ADDITION DEMOLISII OII{l:Fl
DESCRIBE WORK
NEW _--_, REMODEL
"ruZ t4cpfuffi-z#)b,PI IONE
726
ELECTRICAL: --
MECHANICAL:
CONI]L
CONTRACTO
GENERAL:
PLUMBING
_ OFFICE USE -
LAND LISE:
/ OF UNIIS:
CONST'FI. TYIJI:,
llt:Al S(-)t,ll(;l-
ITANGE:
I=LOOD PLAIN:
ZONING CODE: ---
, OF BDRMS: -----
Sf:CONDARY HEAr:
SQUARE FOOTAGE:
OUAD AREA:
# OF BLDGS
OCCY GROUP: ---
n OF STOHIL:S:
WATER HEATER:
To request an inspection, you must call 726-3769. This ls a24hour recordirrg. All inspections recluested bclorc 7:oo a.rn. will be
made the same working day, lnspections requested after 7:00 a.m. will be tn;r<le the {ollowing work day'
REOUIRED INSPECTIONS
Temporary Electric Rough Meclranical - l)rior to
cover.
Final Plurnbing - Wlren all
plunrbing worh is <;otnPlele.
Rough Electrical - Pritrr tr-r
cover.
Eleclrical Service - Must [rr.r
approved to obtain pcllll.rrlenl
eleclrical power.
Fireplace - Prior to facing
materials and f rarnitrg lnsp
[--l Frarning - Prior lo covr-'r.
Wall/Ceililrg lttsulaliott -- l'tittt trr
cover.
Firral Electrical - When all
electrical worl< is cotnPlete.
Site tnspection - To be made
af ter excavation, but Prior to
setting forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - Af ter trenches are
excavated.
Masonry - Steel location, boncl
beams, grouting.
Foundation - After forms are
erecled but Prior to concrete
placement.
Underground Plumbing - Prior
lo filling trench.
Undertloor Plumbing / Mechanical
- Prior to insulation or decking.
Post and Beam - Prior to floor
insulation or decking.
Floor lnsulation - Prior to
decki ng.
Sanilary Sewer - Prior to filling
trench.
Slorm Sewer - Prior to filling
trench.
Water Line - Prior to lilling
trench.
Rough Plumbing - Prior to
cover.
tl
r_.1 Otlrer
| - | Final Meclranical * Wlten alll"-l rnecllanical work is <:onlplete.
LJ Final Buildirrg - Wlre:n all
required inspections have been
approved and builclirrg is
cotn 1.llotr:cl.tl
n
I--l Drywall - Priot to tal)irr(l
Wood Stove - Aftcr install;ttion
lnserl - Af ter {ireplact.' ttpptr.rv;rl
and installation of unit
Curbcut & APProach - Aftot
forrrrs are erected but lrtior tcr
placement of concrete.
Sidewalk & LtrivewaY - Af tt:r
excavation is cotnPlete, [ortrts;
arrd sub-base tnaterial in 1llacr:.
Fence - When <;omPletoti
Street Trees - Whan all rcqtritc<l
trees are Planted.
MOBILE HOME INSPECTIONS
r:l Blocking and Set'UP - When all
blocking ls corrlPlelc.
LJ Plumbirrg Contrectiorrs - Wlten
hotne has boen connected to
waler and sewer.
I- I Eleclrical Conrreclion - WhenI I blocking, set-up, arrcl Plumbing
inspections have bo'cn aPProved
and the home is connectetl lo
lhe servlce panel.
L_l Final - After all required
inspectlons are aPProved and
porches, skirting, decks, and
venting have been installed.
E t_l
r
tl
r
r
r
r
r
r
Lot faces
Lot sq. ltg.
Lot coveraoe
Topography
Total heighl
Lot'[yt]e v
-
lntcrior
--. Corner
-- Panltanclle
-=- Cul'de-sac
Sctbacl<s
HSE GAR ncc[_f!,=]
N
.-THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE H ISTORICAL REGISTER?
-.- --
lf yes, this application must be slgncd
ar-rd approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:E t_
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perrnit 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
Dcvelopment Cocle, regulating the construction and use of
buil<lirrgs, and may be suspended or revokeci at any timc
(rt)on violation ol any provisions of said ordinances'
DatePlans Rcviewed By
Plan Check Fee:
Date P;tid
ller; e i 1r t N t-r ttt l;e r:
Rc<:eived By
BUILDTNG PERMIT
ITEM SO. FT.
Merin
Garage
Carlrot t ..
VALUE
fregrz*y'fre7Vro
(A)
x $/so FT
Total Value
[]trilrling lrct tttt I [jtlt-'
Stiltc S(trcllitl(l{)
Total [:et:
/5*,D
Systems Development Charge is due on all undeveloped
properties within the City limits which are being lmproved.
sysTEMS DEVELOPMENT CI-IARGE (SDC)
(R)
ADDITIONAL COMMENTSPLUMBING PERMIT
ITEM
Fixtu res
Residential Bath(s) No . ----
SanitarySewcr IT'- - - -
Water LT ,
FEE
(c)
FT.
Plumbing Perrnit
State Surch:trge
Total Charge
Slorm Sewcr
Mobile Home
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Pt'rtnit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hoo(l 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 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
slructure without perrnission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliancc 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 ls readable
frorn the slreet, that the perrnlt card ls located at the front
of the property, ancl the approved set of plans will rem.rin
Signature
Date
n0rlurl construct lonon the site
MISCELLANEOUS PERMITS
Mobile Home
Stale lssuanoc
State Surcharge
Sidewalk -,
-
ft
Curbcut -- - ft
Demolition
State Surcltarge
Total Miscellaneous Permlts (E)
&G
2_
i
DATE PAID
AMOUNT RECEIVED
RECEIVED t]Y
-
VALIDATION:
RECEIPT NUMBER _
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
7"'ftaor
O€ro?v
:iPRINGFIEL[:,
BLOCK:
Zfr,
.{
zf]rr, SftiD wonK:-12&fu, Ilt
qh,
Or Srutl *"
Spr ing f ielcl, Ot egot'r 97 4 / 7
SUBDIVISION
TAX LOT:
RESIDETJTIAL
PERMI'I AI'PLICAI'ION
lns pectiott:;:,''16'3709
Of tice: 726.3;',9
LOCATION OI PROPOS
ASSESSORS I\vlAP: - -
LOT:
JOB NUMBER -
221; Fif tlt Strect
PHONE
S'IATT::C
.WNER: Krc)Myil ouA
under-eqfcx4.*odfi u4trY,
DEMOI_rf)OTHEN
DESCRINE W. )TiK:
NEW -nEMoD[ , !., ADDtrl()N - -
CONI'RA() l()i .'S NAMt'
CENERAT: - ul-LLD \X€r
PLUMt,}INCi:
MECHANIt)Al : ..-
ELECTRICAL
l,llot', rEXP|nt:l;Al)DRl::lS
l-30.17
"+L1@641Er,R- zq"i; Wls{tL An _ W61 -
CONST.
CONTRACTOH #
OUAT) ARI A
, OF: BLD( iS]
OCCY CROUI, ,
/ Ol' SlOFllt ::
WAI-ER l-lEAl r R: . -
FLOOD PLAIN:
--ZONING CODE: ,
, OF BDRMS:
--SECONDARY l-IEAT: -
SQUARE FOOTAGE:
_ OFFICE USE _
HEAT SOURCF: -- -
-.RANGE:
LAND USE: -- -.
r OF UNITS: , .
CONS'TR. TY['E: .
To request an inspection, you rnust call 726-3769. Tlris ls a24tt<tur recording. All inspections requestecl before 7:00 a.m. will l-re
rnaclc the s:r1rc workipg clay, in:;pectiorrs requesterl after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
l-l RouOh Mechanical - Prior to t ]'--- (:()ver.f I Tt:nt;ro,lry Electrir:L __l
Sile lrr,;lrectiott - To bc ttt;rcle
af ter ,r-.(iavatiofr, l,ut priol to
scttirriy lorl)ls.
Undcr sl ab Plurnt>irrg/ Electrical /
Meclrarrical - l:'rior to cover.
Footirrrl - A{ter trenches are
excava tcd.
Masonry - Slecl location, borld
beanrs, groutittg.
Uncterground Pltrrrrbing - Prior
to fillirrll trencll.
Underlloor Plumbing/ Meclranical
- l)ri(rr to insulatlon or tlccking
Post arr<l Beanr - Pr191 16 flor;r
insul;,rttr ln or (lc(;l,.irlg'
Floor lrrsulation - Prior to
decking.
Sanitaty Sewer *- Prior t..r f illing
trenoll.
Storrn :)ewer - l)rior to f illing
t rc'nt: l t
Waler Line - Prior to filling
tren(: h.
Final Plumllirtg - Wltctt itll
lrltrrrtt-rirtg wor l< is <:rlttt;rlclc.
Final Electrical - Wlre rt all
cleotrical wotk is coilrl)l(-'te.
Final Mechanical - Wllen .rll
mechanical worl< is (r(rtrll)let(r
Rouglr Electrical * [)tior to
c()ver.
Electrical Service - Must be
apt)roved to obtain Perlnanent
elcclrlczrl power.
Fireplace - Prior to facing
materials and f rarning lnsP.
fff ramino - Prior to cover'
Wall/Ceilirrg lnstrlatiotr - Prior to
cover
Drywall - Prior to taPitlg.
[-l Wood Stove - A{ter installation
lnsert - A{tcr IiIePlace aPProval
an(l installirttorr rtf unil.
Curbcut & Approach - After
forms arc c'rectL'd but 1-rrior to
placement of cottcrete.
Siclewalk & DrivewaY - After
ext;avatiorr is contJrlete, fornrs
arrtl sub'[l;rse rrtaterial irr place.
Fence - When completed.
Street Trecs -- When all required
ttu(:S aft.' lrllttttt:tl.
t_l
t__l
fl
r_l
fffinal Building - Wlrert allr required inspcctions ltavtl bt.:, tt
approved ancl buildirtg is
completed.
f-YFoun<lation - nf lcr fornls areU urualao l)ut Prior to concrcte
placett ten t.
Other
--
MOBILE HOME INSPECTIOI{S
Blocking and Set-UP - Wlrr:tr arll
blocking is cotttPlctt.
Plunrbing Colrrrectiolrs - \ ,i ll, rl r
lrorne has ber.:tt conncctr:cl tt.r
water and sewer.
Electrical Cotrnectiorr - Wht.:t'r
blocking, set-up, antl Pltrmbinrl
inspections lrave beln .t[)pr(]v(:(i
and the hotnu is conrlccled l(,
the service panel.
Final - After all reqtrircd
inspections are aPprove(l ancl
porches, skirting, dechs, anrl
ventin0 ll;rvc lreen itl:;t'rllr:tl'Rough Plumbin$ - Prior t<l
COV(:f.
\
tl
n E
fl
r
l_l
rf
tl
fl
tl
r
Lot fitr;es
Lc:ll sq. ftg.
Lot coverage
Topt>graPl'tY
Total lreigttt
Lot Tyt)e
- v
-
lnterior
--
Corner
-.
PanhancJle
-
Cul-de-sac
Setl.l;rr;ks
PL.HSE GAR 49c_
VALIDATION:
BECEIPT NUMBER
DATE PAID ,.._
AMOUNT RECEIVET)
NE,CEIVL,D BY - -
-IE t'tloPO{;ED WORI( IN TTJE
-rlT5tontcAl DtsrFllcr. otl oN
I llE HISTORICAL REGlSTr.n? --DA
It yes, tlris application mutit be signed
anrl approverl by thc Historical
Coordirr;ttor prior to permrl i.ssuance.
APt'ROVED:
J
E
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
l his perrrrit is 51r;rrrlcrl ott tltt]) {)xl)res:; cortclitirlrl lll;lt tllc ljiti(l
<-;onstructiott slt:rll, irl;rlI rc:;lrr:t:ls, r;ott[ottn to tIr': ()r(linance
;rrlopletl by tlrrt ()ity oI SllrinrlIioltl, irr' ltrrlirrg tltr:
[)cveloptrrt':trt Cotle, tr)ilttl;ttirtrl 11161 r'titllrttttclir'rr;tttcJ ttsr: of
btrildings,;tttd ntay Itc sttl;1rt'ttde(l '-]r Iovoko(l at;lny tilrre
b/,5#1
(
zlf*: -
ll
P
[:;:;ioupon violalion of a
Plan Check Fee: .-
Date Paid:
Receipl Numbet:-
;tiri ortlit r. rtt,;rl:;.
BUILDING PERMIT
VALUf--
?3
(A)
SQ. FT. X $/SQ. FT.
/,
3A 5o
lIElvl
M;tirt
C',,1 t. r,1r:
C;rt 1'ott
Iot;rl Valtrc
ll,riltiing lrctntit Fec
S,t;rl{) SllI()ll;ll ge
'lr,l irl [:er:
Systems Develol;mcnt Chargc is due on all rrndcvcloped
properties within the City lirrrits whict.t are beirrg intprovccl.SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
I I L.t\4
[' ix lllles
t lr::;i dcn tial Elat h(s)
l";rr 1 i I ;rry lir-:wt:t
W;tllt
Stottn St-'wt---l
Molrilc. llt>tttr:
FEE
NN
FT.
rr._
FT.
(c)
PLUMBING PERMIT
Plurrrbing Permit
Statc Surcharge
Tcrtal Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryr:r Vetrt
(D)
N0Vorr t [:an
Mr:clrani<;al [:'crtni t
lr:l;trance
St;ttc Surchargc
Ttrlal PcrtttiI
MECHANICAL PERMIT
[:rtttt:tce
[.xlr;rrrst lloocl By signature, I state ;trttl agtcr:, that I havc care{rrlly examined
the completed;rpplic:rtion and do hercby c'.rrliI)&that all
information hereon is true atld correct, and I (rrrllter certify
that any alld all work perfornrcd shall be done itr accordance
with the Ordinances of the City of Springfield,;rrrcJ lhc Laws
of the State of Ore-<1orr pertaining to lhe w<rrl< tlescribed
lrerein, and that NO OCCTiPANCY will bc trr;rrlr.' of any
structure wilhout pertnissi<.rtt oI the Utrilding Sirt' rty Division.
I f urther certify that ortly cc)rltractors and errrployees who
;rre ln compliance witlt OnS 701.055 will bc rr:;r:rl on this
trrroject.
I f urther agree l() erts(rre tllat all rcrluitcd ittsl'tr.liotts are
requestecl at the prol.rcr titllr-', lhat e;l(;h addrel;:' ir; rca<jallle
from the street, that the pcrrnit cartl is localcrl;rl the f ront
of the property,.ln(l lltr: aplttoved l;r:t oI pl;trr" will rcl]lilit'l
on the site at all litrlc:; duri rrg con:;lruction
{iirlnatutl
MISCELLANEOUS PERMITS
Molrilc l iotttc
J;t,-r lr) lss[,an(;c
St.rte Surcltarge
liirlcwalk
-
ft
Crrrl;cut -- ft
Dcnrolition
Stirtc Surcharge
-.:-_
.lol;rl Mis;ccllaneous Permits (E)*ary
N
TOTA L AMOUNT DUE (excluding electrical)
(A, tr, C, D, ancl E Cornbinocll -2/a1V3
70