Loading...
HomeMy WebLinkAboutPermit Building 1997-2-28 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 SPRINGFIELD -", LOCATION OF PROPOSED WQRK: -1G /~:ji~ b'~~ ~t::. e ASSESSORS MAP' /:/ ~- 7f'~' ~o/ , - ,. - , LOT: BLOCK: JOB NUMBER %/,S;s>~ 225 Filth Street Springlleld, Oregon 97477 Q"-, TAX LOT: SUBDIVISION: tt'J'd.9~ ~ PHONE: :;:>y ~ -~:3:6 OWNER: --Eq-""/7"- ;(7( -- ~~ ADDRESS:' ~~? 7/8 #~~~!/111 ?7~ CITY: P'l , DESCRIBE WORK: ~ /p; t7i1J6' ~~ , , .,:. -, - . ???j . ~ r~:'~<~ NEW REMODEL PHONE CONTRACTOR'~AME ._ GENERAL: ~~~##'f PLUMBING: MECHANICAL: ELECTRICAL: STATE: ADDITION DEMOLISH ZIP: ~?Y?e OTHER ADDRESS . . CONST.. '. CONTRACTOR It REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. EXPIRES - OFFICE USE - QUAD AREA' LAND USE:_. FLOOD PLAIN: It OF BLDGS: 1/ OF UNITS: ZONING CODE: OCCY GROUP: CONSTR. TYPE: It OF BDRMS: It OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANG E: __ SQUARE FOOTAGE: To request an Inspection, you must call 726-3769. This is a 24 hour recording. All Inspections requested before 7:00 a.m. will be made the same working day, Inspections requested alter 7:00 a.m. will be made the lollowing work day. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing I Electricall Mechanical - Prior to cover. o Footing - Aft.er trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After lorms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plumbingl Mechanical - Prior to Insulation or decl<ing. o Post and Beam - Prior to floor Insulation or decl<ing. o Floor Insulation - Prior to deckl ng. o Sanitary Sewer - Prior to filling trench. O Storm .Sewer - Prior to filling trench. O Water Line - Prior to tilling trench. o Rough Plumbing cover. Prior to -, o Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing . materials and framing Insp. D D Framing - Prior to cover. WalllC'elling Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stove - Alter Installation. o Insert - Alter fireplace approval and installation 01 unit. o Curbcut & Approach - After lorms are erected but prior to placement 01 concrete. o Sidewalk & Driveway - Alter excavation Is complete, lorms and sU~J-base material in place. o Fence - Wilen completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing worl< is complete. o Final Electrical - When all electrical worl< is complete. o Final Mechanical - When all mechanical worl< Is complete. o Final Building - When al/ required Inspections have been approved and building is completed. D Other ~~~~ //J9~c...//~"/5 ~&a> MOBILE HOME INSPECTIONS ... o Blocking and Set-Up - When al/ blocking is complete. o Plumbing Connections - When home has been connected to waleI' and sewer. o Electrical Connection - When blocking, sel-up. and plumbing Inspections have been approved and the home is connected to the service panel. o Final - Alter al/ required inspectioris are approved and porches, sl<irting, decks, and venting have been Installed. , . '~,' ~ i:' ',..' ':,: Lot faces Lot Type Lot sq. ftg. Interior Setbacks I P.L. HSE GAR ACC IN Is Cui-de-sac W' I;:; THE PROPOSED WORK iN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit is.suance. Lot coverage Corner Topography Total height Panhandle t. '.-_ E ---. APPROVED: ...:...- BUILDING PERMIT ITEM SO. FT. X $/SO. FT. VA LU E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage " This perrilit Is granted on the express condition that the said cSlnstruction shall, in all respec!s, conlorm to the Ordinance adopted by the City 01 Springlield, including the De'velopment Code, regulating the construction and use of buildings, and may be suspended '01' revoked at any time upon violation of any provisions 01 said ordinances. Main Carport #Y> ,/6?1r!' 6~~_ ~,?2y'.~y #A~ /f2-~(:~L ~f.ptF /&J~~~~ , //~"yg.~'1- Building Permit Fee If/'?''~- /!>!.....~~ 1-5 ~. -1-7 · tt:> L SYSTEMS DEVELOPMENT CHARGE (SDC) Total Value ~~~~e! ~Pl'ajd2:;- Receipt Number: State Surcharge Received By: Total Fee (A) -.----.-. ---.--------- Plans Reviewed By Date (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) NO Sanitary S~wer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO By signature, I stale and agree, that I have carefUlly examined the completed application and do hereby certlly that all Inlormation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances 01 the City 01 Springlield, and the Laws of the State 01 Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made 01 any structure without permission 01 the Building Salety Division. I lurther certily that only contractors and employees who arc In compliance with ORS 701.055 will be used on this project. Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) I further agree to ensure that all required Inspections are q:lquested at the proper time, that each address Is readable (rom tile street, that the permit card Is located at the front 01 the pr.operty, anfjld the a ~roved se't of plans.will remain on the site at all times ring construction. Signature ~AA( ~ Date j/l/z-= Z!3. f97 . V MISCELLANEOUS PERMITS Mobile Home . State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge VALIDATION: . RECEIPT NUMBER 2l/7::?t6 DATE PAID _.7 -"2;$'" '/'--;; AMOUNT RECEIVED po. e::::> / . ~."ECEIVED BY _~~ ". Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) P ,~/ (A, B, C, D, and E Combined) I, ~ I', '" . -t;.,' .;: I . j~\~' \~ Job.' No. C\ \(\~~? _ SYSTEM DEVELOPMENT CHARGE. WORKSHEET '. NAME; ro l)\~ L~\)~ '\\\t\ ADDRESS; 'O"0~46 \_~f)~ PHO~E: l 1-4- ~ 53(0 .' STATE: ep zip: a..11-?~ . \ LOCATION OF PROPOSED BUILDING SITE: Street Address: 19.1~olo.' \~~O_~. . I . . ~r~) ,'Tax'Lot Number: ~j+#-(J()803 1. DEVELOPMENT PE. YCheCk appropriate dWelling(S;. SDC calc~lations and dw~lIing t ype definitions are on th~ back.). . " , \. A. f?inale-Familv Detached Manufactured home not in a park: X '$1,000 per unit =. $'IOOn ,cO H. _Sinale-Familv Attached NO. OF UNITS X $924 per unit = $ / C.' Multi-Familv Aoartment NO. OF UNITS .X $69'2 per unit -. $' D. Manufactured Home Park - NO. OF UNITS , 'WILLAMALANE SDC . X $699 perunit = ( $ . $ \ O(D .cO . . g,. $ I cooeD . 2. SDC CREDIT (if applicable) SDC~payer must furnish proof of _ Willamalane Credit approval. 'See sac Credit Worksheet. .. $ . . 3. TOTAL WILLAMALANE NET SDC ASSESSED . I' - \ .' (if SDC r~duced for Credit) \lb~l_ '.' ' Development Se 'ces Department City. of Springfield /2../ ~~/?~ . Date ~\