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HomeMy WebLinkAboutPermit Building 1998-07-17RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOI IELE, JOBNUMBE^M 225 Fifth Street Spring{leld, Oregon 97477 a TAX LOT BLOCK:SUBDIVISION: PHONE: ZIP:a<STATE:CITY: ADDRESS: OWNEB: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: PLUMBING: ADDRESS EXPIRES ,$ PHONECONTRACTOR'S NAME MECHANICAL: ELECTRICAL: GENERAL: CONST. CONTRACTOR # RANGE: I OF BDRMS: _ OFFICE USE - LAND USE: WATER HEATEFI: ZONING CODE: FLOOD PLAIN r OF UNITS: OUAD AREA: r OF BLDGS: SECONDARY HEAT: SQUARE. FOOTAGE: OCCY GROUP: r OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All Inspections requested before 7:00 a.m. will be made the same worklng day, lnspections requested after 7:00 a.m. will be made the following work day. REOUIRED INSPECTIONS Temporary Electric Rough Mechanlcal - Prior to cover. l--l final Plumbing - When alllJ plumbing worl< ls complete. tf,Tfinat Electrlcat - When all JA electrical work is complete.,Km"lSlte lnspection - To lre made after excavation, but prior to setting forms. Underslab Plumbing / Electrical / Mechanical - Prior to cover, Footlng - After trenches are excavated. Foundatlon - After forms are erected but prior to concrete placement. Underground Plumbing - Prior to filllng trench. Underlloor Plumblng/ Mechanical - Prior to lnsulatlon or decking' Post and Beam - Prlor to floor lnsulatlon or decking. Floor lnsulation - Prior to decl<ing. Sanitary Sewer - Prior to filling trench. Stonn Sewer - Prior to filling trench. Water Llne - Prlor tre filling trench. Rough Plumbing - Prior to cover. h Electrical - Prior to Eleclrical Servlce - Must be approved to obtaln permanent electrlcal power. Flreplace - Prior to facing materlals and framing lnsp. Wall/Ceiling lnsulation - Prior to cover. Final Mechanical - When all mechanical work ls complete. I-_l Orywall - Prior to taping Wood Stove - After lnstallatlon lnsert - After flreplace aPProval and installation of unlt. Curbcut & A;:prroach - After forms are erected bttt Prior to placement of concrete. Sidewalt< & Driveway - Atter excavation is comPlete, forms and sub-base material in Place. l-l Fence - When coiriPleted. {itreet Treos - When all required trees are Planted. Flnal Buildlng - When all required lnspectlons have been approved and building is completed. MOBILE HOME INSPECTIONS Blocking and Set-Up - When all blocklng ls complete. Plumbing Connectlons - When home has been connected to water and sewer. Eleclrical Connection - When blocking, set-up, and plumbing lnspections have been approved and the home is connected to the servlce panel. Final - After all required inspections are approved and porches, sklrting, decks, and ventlng have been lnstalled. tr ffo,nu, ,^ ^(. f - f \r*t) ,4*L-zc-4'z_- ( .a.B\ E E Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prior to cover. E E E tl E E E E E E r E Lot faces Lot sq. ftg. Lot coverage Topography Total helght P.L.HSE GAR ACC N S E S THE PROPOSED WORK TN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prior to permlt issuance. APPROVED: Total Value Building Permit Fee State Surcharge U,3 3 * Total Fee BUTLDING PERMIT VALUE ru, ro3 (A)/_z,e:_ :' ITEM Main Garage Carport SQ. FT. X $/SQ. FT. BUTLDING VALUE, PTRTT CHECK AND BUILDING PERMIT This permit is granted on the cxpress condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City ol 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. Receipt Numoer: 72 fO -f PIans Byewe 7 iz2e Received *L 6 7J Date Paid Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City linrits which are being improved. Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) N. FT. FT. Plumbing Permlt State Surcharge Total Charge PLUMBING PERMIT ITEM Fixtures ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby cerilfy that all lnformation hereon is true ancl correct, and I f urther cerflfy that any and all work performed shall be done in accordance with the Ordinahces of the City of Springfield, and the Lawsof the State of Oregon pertaining to the work descrlbed herein, and that NO OCCUPANCy will be made of any structure without perrnission of the Building Safety Divislon.I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on thisproiect. 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 frontof the property, and the approved set of plans will remaln on the site at all time s durin s Date struction \ Slgnatu MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -_ ft Curbcut -.-- ft Demolition State Surcharge Total Miscellaneous permits (E) TOTAL AMOUNT DUE (exctuding electricat) (A, B, C, D, and E Combtned) % 3DA OL /2 ,83AMOUNT RECEIV ED ---RECEIVED BY DATE PAIi) VALIDATION: FIECEIPT NUMBER Lot Tyf '- - lnterlor -_ Corner .- Panhandle - Cul-de-sac //6P- -28 - FT. ) - \)-th . ._ ELEVATION CERTIFICA_ ?#*!";i5,,,,!i.?3i . .:DERAL EMERGENCY MANAGET,ENT AT-.NCY NATIONAL FLOOD INSURANCE PROGBAM ATIENIION: Use ol this cerlificate does nol provftlo a walver ol lhe f,ood insurance purdrase requiremenl. This lorm is usad only lo provide clevalion inforrnalion necossary lo onsuro compliance wilh apfrlicablo community ltoodplain managemenl ordinancos. lo delernrine the proper insurance premium rale. and/or lo suqrori a requesl lor a Letler ot Map Amendment or Revision (LOMA or LOMR) lnslrucllons tor completlng thls lorm can be lound on lhe lollowlng peges. SECNON A PNOPENTY INFONMANON N('ILDING OWNEN'S NAME DEAN & GAYLE HELFR]CH ron lNsun^r.rcE coirP NY usE coa..P NYNAlcNUMt'En fOtICY NUMOEN Sl nEE I ADOnESS (lncftxtinq Apl., Unil. Sulle andbr Bkl6. Nun'$od On P.O. ,IOUIE Ailt 6OX ,{t MOEfi 2587 NORTH 1gth STREET OI I lEn DESCFIPIION (Lol and Bloc{< Numbors, ale.f OREGOIJ 97477SPRTNGF_rELq_ . _ CIIY SIAIE ZIP COOE sEcnoil B FLq)D lNsunANcE R/\TE MAP (FlRMl INFORMATION Provirie lhe lollowing lrom lhe proper FIRM (See lnslructions): 7. lndicale lhe elevalion dalum sysfem us6d on the FIRM lor Base Flood Elevations (BFE):{Xk{GVD'29 fJOrn"r (describe on back) 8. For Zones A or V, where no BFE ls provlded on the FIRM, and the community has eslablished a BFE lor lhis building sile, indicale lhe community's BFE: l-l-l-l-t-l.Ll leet NCvo 1or olher FlflM dalum-see Section B, ltem 7). SECNON C BUILDING ELEVANON INFORMANON 1. Using lhe Elevalion Cerlilicate instruc-tions, lndcale the diagram number lrom lhe diagrams found on Pages 5 and 6 that best describes lhe subjecl building's relerence level 8 2(a). FIRM Zones Al-A30, AE, AH, and A (with BFE). The top ol the relerence level lloor lrom lhe selecied diagram is al an elevalion .f I I -l 1l?-l1l . [3 teet NGVD (or olher FIRM datum-see Sec{ion B, ltem 7). F). FlnM Zones Vl-V30. VE, and V (with BFE). The bottom ol lhe lowesl horizonlal slruclural member ol the relerence level lrom the selecled diagram, ls at an elevallon ol I I I I I l.Ll teet NGVD (or other FltrM dalum-*ee Section B, ltem 7). (c), FlnM Zone A (without BFE). The lloor used as lhe reterence levelfrom the selected diagram is I I l.U feel above t] or ' below L-] (cne* one) lhe highesl grade adiacent to lhe building. (d). FlnM Zone AO. The lloor usd as the relerence level lrom the selecled diagram k I I I .l -l leet above f] or below [-] (cnect one) lhe highesl grade adiacent lo the building. lt no llood depth number is avaiiable. is lhe building's lowesl lloor (reference level) elevaled ln ac,c.ordance with lhe community's lloodplain nianagement ordinance? f] Ves fJ tto I Unkno*n 3. lndicite lhe elevation dalum system used ln deleminlng the above relerence level elevations: g>fuGvD'29 D Olher (describe under Commenls on Page 2). (NOTE: ll the elevaliort datun used ln measurirtg the elevalions is dillerenl lhan lhal usd on the FIRM [see Sec:lion B. llem 4, lhed dnwd the elevetiffi lo lln datum syslem usd on lhe FIRM and show lhe ontlersion equalion under Commenls on Page 2.) 4. Elevalion referonce mark used appears on FIRM: E vrs>{X}Xo (See lnstructions on Page 4) 5. The relerence levelelevalion ls based on, E}<actudconstnrction I consmaion drawings (NOIE: llse ol anstruction dahings ls only valid ll lha hrUig M ml Jel have the relercne level lloor in plae, in whbh case lhis @diliab will only be ttalid lu the hildry &niq tfro odursd ot @kh.rtiffi. A mFllanslrudion Eleuation Cetliliale will be reguired once m1slruclion ls o@ele.) 6. The elevation ol lhe lowest grtde lmmedlately adiaent to the building ts: I I l+ F lZl.lX I leet NGVD (or other FIBM dalum-see Secti6n B,llent 7). SECflON D GOIIMUNTTY INFORilANON l. ll lhe communlty offlc{al rosponslble lot vailylng bulUtrq daaUorc spedfies 0rat the iol€roflcs levellndicated ln Sedkm C, llem I ls not lhe'lowesl lloor'es dellned ln the comrtunlt/olloddeln meila06m6nl ordnenco. the elevalion ol the buiUing's lowosl lloor' as delined by the ordlnarrce ls: I I I I I l.U t"et NGVI (ot other FIFM daturn+ee Sec-tion 8. llem 7). 2. Date ol lhe slart ol conslruc'tlon or substantlal lrnprwement l. couMuNllY Nt'MOrn 41 5591 2. PANEL MITOEN c370 3. SUTFIX C a. o tG of FmM tNoEx ,{ 5. FrnM ZONC A-6DECEMBER -18, 1 5 6. BASE I (i. AO 450. rlo(x) EtEvAlroN Zms. Ga dopthl5 (450.5) ,#*iZ/4d ZaF * SEE REVENSE SIOE FOR OON ]IHUATIOIIf tMA ?oem Cl-rl, MAY 90 REPIACCS At-l- PRtVTOUS tDrf IONS SECTIONE CERTIFICATION Tlris cerlilicarion is to be signed by a land surveyor, engineor, or architecl wlro is autlrorized by slale or local law to cerlily elovalion inrorrnarion when the "rlr-lliii-.'ii'fiililJ,iil2';;;r"i-Aad, AE. AH, A (wiur BFE),vl-v30,vE, and v (wirlr BFE)is required' communiry oriciars "d;;;;ilh;;ii;.ib, r.o9a1iaw or ordinanco ro provi<ie lloodpliin managomonl inlorrnation' mav also sisn tho cerriricarion. ln rre caso;i il;;/ictin,i e ("iiliort a FEMA or corirmuniry issurid BFE), a building ollicial' a Property owoor' or ao ""^"ii-rlit"sentative may also sign the corlilication' Relerence leveldiagrams 6, 7 arul g - Dislinguishing Fealuros-llthecortilier is unable lo corlily lo br€akaway/non'broakaway wall' sncrosuro sizo, rocarion or servicin_g equipmont,'i;;;;;;, wa[ openiogs, oiinrinirt,od.aroafo'aturo(s), lhen list the F€aluro(s) not inctuded ln rtre cerriticau"n *ir.i i"mhbnr. u"rii.- fr,o'aiagrain nqriber, soction c, ltom l, musl still bs snterod' l cediry lhat the intormarion in secrions g and c on lhis cerriticate rcNesenls nty bost ortorts. .ro^interpret-tlp data available' l undersrand that any rarse statement may oo p,i,i"iiii-iy tine or in piirn ronr under ta u.s. codo. section t00l ' I f\ CHARLES W. GUILE L5.472 (OREGON) f"fCelfSe NUMBEF (or Allir Soalf GUILE & ASSOCIATES, COCESTIFIER'S NAME LAND SURVEYOR CHARLES W. TITLE52 CENTENNIAL LOOP ^DORESS SIGNA COMPANY NAME EUGENE OREGON 97401 DECEMBER 10, 1996 DATE STATE 1-541 -343-9855 P}IONE ztP Coples should be made ol this Certllicale lor;l) communlly otliclal, 2| lnsuranco FgenucomPany, and 3) bulldlng owner. ELEVATIONS AS DENOTED HEREON ARE BASED ON LANE COUNTY'S COMMENTS RlVER TRAVERSE SURVEY MONUMENT NUMBER ''RT 797''HAVING A RECORDED ELEVATTON OF 453.26, '1929 ELEVATTON DATA' REGISTERID SURVEYORLA | 8t'' GUILE Tho diagrams abovo illustrato the points at whiclr the elevations sltould bs moasurod in A Zonos and V Zonos Elevations lor allA Zonss should be measurod at tho top ol lhe rolorenco lovellloor. Elevations lor all V Zones should bo meiasurod at tho bottorn ol tho lowosl horizonlal structural momber. ol{ SLAA A zoarEs tscft(Do fl@o CTCVAIOTft@ocae6€r€vAlfr GhAOC turtt oas€taErlr (x PILE.S. PTERS, OA COLU.a.rs AY eoNEs zofl€sA zor.Es v zoNEs ,/ht F2 tcl/Z (2 /*7 Pags2 I tr Iit lYlJ{ ui ilr ".i. $i D? $ ,Y t, t {t $i il ti$' "li,,il; :: :F' ii I Tst:r { I,4 I d. {i {i I I x '!- rl i'l :'r :t r,! - .;--:1 :l *-'':"."1[.-- '1 . i'l //'\a.' . -.4 1-. ,2 L .'t -Front vard to House 10 feet -Front yard to Garage 18 feet -iii" vi.a to House or Garage 5 feet -n"ii i..a to Eouse or Garage 10 feet P.U.E. IiAY CEANGT SETBACKS lryy!? oNLy FoR REstDENTlAr, AccESsoRy usEill .'.:aC l.ti..: WrTH ART,C.E lO Or-ti.-""spR,NGFrEtD orviloe,wxi a-d; ,,.. c t\,\. HI I.JIHUH SETBACKS - IMERIOR LOTS AIl neasurenents are fron Proper ty Lines Da[ FrcrNro Jor Nol c" ;;;CM -Y^,--. Occut&Y Gmrr, occu?aarcY Coiir. -3rc.Jr --!a:^l o AMto tBr C.'\'.{tl il.f S UE I ctTY oF | \-ffi BV I lr r\alftis rq!_aru tF .*Ci@ e.L Chrfa6ci tlt-Uiua sC aml q.:" ffi sq B&ill\tE rt ha. SuuF O"nq& =LD. 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