The URL can be used to link to this page

Home My WebLink AboutPermit Building 1996-05-06..%- SPRIr{GFIELO R ESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 JOB NUMBER 225 Fifth Street Sprlngfleld, Oregon 97477 ct5- Sftt'.q"iJ oLOCATION OF PROPOSED WORK: ASSESSORS MAP:/2n?- ><D 3 -/TAX LOT:O?aoo LOT:BLOCK:SUBDIVISION: UOI\hFNA€+OFH,S NAME ADDFIESS CONST, CONTRACTOR #EXPIBES PHONE d owoa< GENERAL: PLUMBING: MECHANICAL: v t Lt a*.-r 1{4 ELECTRICAL: tgr<-PHONE: ace .4 {? -rlf e STATE:CITY: ADDRESS OWNER: ln,DESCRIBE WORK: ADDITION DEMOLISH OTHERNEW - REMODEL 5 FIANGE: '' OF BDRMS - OFFICE USE _ LAND USE: ZONING CODE: FLOOD PLAIN WATER HEATEFI SECONDARY HEAT: SOUABE FOOTAGE: QUAD AREA: * OF BLDGS: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS [-l Temporary Electric Rouglr Mechanlcal - Prior to cover.IYT Final Plumbing - When all flOtumbing worl< is complete. Site lnspectlon - To be made after excavatlon, but prior to setting forms. l-_l Rough Electrical - Prior tou cover.Flnal Electrical - When all electrical work ls complete. Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover.Electrical Servlce - Must be approved to obtain permanent electrlcal power. Flnal Mechanical - When all echanical work is complete. Footlng - After trenches are excavated.[-l Flreplace - Prlor to faclng - materlals and framing lnsp. {**,ng - Prlor to cover. Flnal Building - When alt required inspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prior to concrete placement.WalllCbltlng lnsulatlon - Prlor to cover. Underground Plumblng - Prior to filling trench.(o*,ll - Prlor to taplng tl Undeilloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decklng. MOBILE HOME INSPECTIONS l--l Wood Slovo - After lnstailatton tl Posl and Beam - Prior to floor insulation or decking.[--l lnsert - After flreplace approval'- and lnstallatlon of unlt. [--l Slocking and Ser.Up - When ail - blocking is complete. Floor lnsulallon - Prlor to deckl ng.Curbcut & Approach - After forms are erected but prlor toplacoment of concrete.. Sidewalk & Orlveway J Afterexcavation ls complete,. formsand sub.base materlal In place. Fence - When completed. Plumbing Connecllons - Whenhome has been connected towater and sewer. Sanitary Sewer - Prior to fllllng trench. [--l Storm Sewer - prior ro fiillng'J trench. Eleclrlcal Conneclion - Whenblocking, set-up, and plumbingrnspections have been approvidand the home is connected tothe service panel.fl .y-"]:l Ltne - prtor ro fiilins - trench. F},[',..h Prumbins - Prror to Slreel Trees - When all requlredtrees are planted. I rinal - After all required.- i.nspections are approved andporches, sklrting, decf,s,-an'Jventing have be6n instairejl 2GoaeT- zte: 17?oZ # OF UNITS: - tl fl [--.l otherll Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Ty - lnterior - Corner - Panhandle - Cul-de-sac bac IS THE PROPOSED WORK iN THE HISTORICAL DISTFIICI OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signedand approved by the Historical Coordinator prior to permit issuance. APPROVED: PL.HSE GAR ACC N S W E SQ. FT. X $/SO. FT. = VALUE Total Value Building Permit Fee state surcharge 2-?' + /,? I Total Fee (A) BUILDING PERMIT 4ae' 44/a@..-.r_4 4t'- 3 /rP i drrv<l< ITEM Main Garage Carport This permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including theDevelopment Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances. I P DatePIans Fleviewed By Recei pt Numbe R BUI LDI NG AND BUIL DIN LUE, GPE Plan Check Fee: Date Paid Received By: LAN CH ECK MIT SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties withln tlre City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Plumblng Permit StateSurcharge /+,aO Total Charge (C) PLUMBING PERMIT FEE N0 %.e FT. FT, FT. 6/a2 60 ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MECHANICAL PERMIT /9:: Mechanical Permit K€AqEOzt No lssuance State Surcharge Total Permit ,7f *. /r (D)2G.20 Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully examlned th6 completed application and do hereby certify that all lnformation hereon is true ancl correct, and I f urther certify that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCy will be made of any structure wlthout perrnission of the Building Safety Division. I further certify that only contractors and employees who are ln 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 permlt card is located at the front of the property, and the approved set of plans will remain re2#"," Date on the site at all s duri ructlon. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolition State Surcharge i Total Miscellaneous Peilnits (E) / )27 E7 VALIDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVF.D RECEIVED BY TOTAL AMOUNT DUE (excluding.clectrical) (A, B, C, D, and E Combined) q+ 87 7- s-4,fr RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 SPRI]tGFI a4 rq fta fti. 7JOB NUMEER 225 Fif th Street Sprlngfleld, Oregon 97477 LOCATION OF PROPOSED WOFIK s&s ESSORS MAP:t7o <n 31 TAx LoT: P7fu BLOCK:SUBDIVISION PHONE: ZIP: 5 Z &4.1 STATE:ZCITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER -- DESCRIBE WOFIK: ADDRESS EXPI}1ES PHONECONTRACTOR'S NAME GENERAL: MECHANICAL: ELECTRICAL: CONST. CONTBACTOR ' _ OFFICE USE _ , OF BDRMS: RANGE:WATER HEATER: ZONING CODE: FLOOD PLAIN SECONDARY HEAT: _ SOUARE FOOTAGE: # OFI)NITS: LAND USE:QUAD AREA: r OF BLDGST OCCY GROUP: I OF STORIEST CONSTR. TYPE: HEAT.SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7;00 a.m, wlll be made the sanle worklng day, lnspections requested after 7:00 a.m, wlll be made the following work day. REQUIRED INSPECTIONS Temporary Electrlc Slte lnspecllon - To be madc after excavatlon, but prior to settlng forms. Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover. Masonry - Steel locatlon, bond beams, groutlng, Foundallon - After forms are erected but prlor to concrete placement. Underground Plumblng - Prior to fllllng trench. Underlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decklng. Posl and Beam - Prlor to floor lnsulatlon or decking, Floor lnsulatlon - Prlor to decklng. Sanltary Sewer - Prlor to f llling trench. Storm Sewer - Prior to fllllng trench. .t Water Llne - Prlor to filling trench. Rough Plumblng - Prlor to cover. Rough Electrlcal - Prlor to cover. Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flreplace - Prlor to faclng materlals and framlng lnsp. Flnal Electrlcal - When ail electrlcal work is complete. Final Mechanical - When all mechanical work ls complete. 'Xnough Mechanlcat - prior to ffiftnat plumblng - When alt /4\over ,fiptumblng work is complete. N/Fooflng - After trenches are ,lA"excavated.[(f flnat Buitdtng - When ail ffcqulred lnspectlons have been approved and building is completed. ,(ttu-lng - Prlor to cover' X Wall/Celllng lnsulatlon - Prlor to cover. [--l Drywall - Prlor to taptng Wood Stovc - Afler lnstallatlon lnserl - After flreplace approval and lnstallatlon of unlt. Curbcut & Alrproach - After forms are erected but prlor to placomcnt of concrete. Sldewalk & Drlvewav - After excavation ls complete, forms and sub-base materlal in place. Streel Trees - When all requlred trees are planted. MOBILE HOME INSPE TTONS Blocking and Set.Up - When'ail blocklng ls complete. Plumblng Connectlons - When home has been connected to water and sewer. Electrlcal Connection - When blocklng, set-up, and plumblng lnspections have been approved and the home ls connected to the servlce panel. Flnal - After all required lnspectlons are approved and porches, sklrtlng, decks, and ventlng have been lnstalled. ''; , r' Zi-bB -6rs-f tl E E E tl [---l otherll fltlr tl E l--l Fence - When completed. E PL.HSE GAR ACC N S E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Typ - lnterior - Corner - Panhandle - Cul-de-sac ks IS THE PFIOPOSED WORK iN THE . HISTORICAL DISTRICT, OR ON THE HISTOBICAL REGISTER? - lf yes, this appllcatlon must be signed and approved by the Historlcal Coordinator prlor to permit lssuance. APPFIOVED: BUTLDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, ln 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 tlme upon violation of any provisions of said ordinances. Plan Check Fee: Date Pald Receipt Number Received By Plans Bcviewed By Date Systems Development Charge ls due on all undeveloped properties withln the City lirnlts which are being lmproved. ADDITIONAL COMMENTS By slgnature, I state and agree, that I have caref ully examlned the completed appllcatlon and do hereby cerilfy that all lnformatlon hereon is true and correct, and I lurther certlfy that any and all work performed shall be done in accordance wlth the Ordinances of the City o( Sprlngfleld, and the Laws of the State of Oregon perlalnlng to thc work descrlbed hereln, and that NO OCCUPANCy will be made of any structure wlthout perrnission of the Bullding Safety Divislon. I further certify that only contractors and employees who are ln compliance with ORS 701.0S5 wlll be used on thls proiect. I f urther agree to ensure that all requlred lnspections are requested at the proper time, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans wlll remain on the site at all es durln structlon. Slgnature Total Value Building Permit Fee 2/4) State Surcharge t 7 f+ r/f Total Fec (A) ,/6 z7 ..4 /% X $/SO. FT. /zo VALUE Lq3 BUILDING PERMIT ITEM SO, FT. Main Garage Carport SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ITEM Fix t u res Flesldential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (t) N0 FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan No Wood Stove/ lnsert/Flreplace Unlt Dryer Vent (D) Mechanlcal Permit lssuance State Surcharge Total Permit MISCELLANEOUS PERMITS Moblle Home State lssuance Stato Surcharge Sldewalk - ft Curbcut -- ft Demolition State Surchargg Total Miscellaneous Perrnlts (E) TOTAL AMOUNT DUE (excluding etectricat) (A, B, C, D, and E Comblned)/6#2a VALIDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY Date -/a.b FT. Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Ty - lnterior - Corner - Panhandle - Cul-de-sac , IS THE PROPOSED WORK iN THE HISTOFIICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this appticatlon must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: HSE GA S W Total Value Building Permit Fee State Surcharge 2.,a3 + /,3 I VALUE o7 4Dep.a=- 4-- 3 X $/SQ. FT. ,@ Z ,/trY.K Total Fee (A) BUILDING PERMIT ITEM SQ. FT. Main Garage Carport This permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including theDe.velopment Code, regulating the Construction and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances. Plan Check Fee: _ DatePlansReviewed By Receipt Numbe t E R LAN CH ECK MIT Date Paid: Beceivecl By: BUILDING VALUE AND BUILDING P EMS DEVELOPMENT CHARGE (SDC) (B) SYST Systems Development Charge is due on all undevelopedproperties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT N0 / + ,ao /- FT. FT. (c)/,€a tu 6o FEE Plumbing permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent MECHANICAL PERMIT /.2' 20 Ott ./€oo 2e /o aa Mechanical permit No lssuance State Surcharge Total Permit , 7f *.4r (D) Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have carefully examinedthe completed applicatlon and do hereby certify that alllnformation hereon is true anct correct, anj I f urther certifythat any and ail work performed shail be done in accordancewlth the Ordinances of the City of Sprlngfield, anc, the Lawsof the state of oregon pertaining to the work describedherein, and that NO OCCUPANCy will be made of anystructure wlthout permission of the Buildir.lg Safety Division.I further certify that only contractors and employees whoare in compliance with ORS 7O1.OS5 will be used on thisproject. I further agree to ensure that all required inrequested at lhe proper time, that each from the street, that the permlt card lsof the property, and the approved set Date re spections are address is readable located at the front of plans will remainon the site at all t es duri ructlon MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk _-_- {t Curbcut =---- ft Demolition State Surcharge i Total Miscellaneous permils (E) TOTAL AMOUNT DUE (exctudins-etectrica f . 25A L(A, B, C, D, and E Combined) ' 27 E7 VALIDATION: BECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY FT. - 2