HomeMy WebLinkAboutPermit Building 1993-7-14
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP'
LOT
2.~
,
SPRINGFIELD
~I@
2~'7
B~~>>6
BLOCK:
OWNER: ~. M.,en:5
ADDRESS: ~4 ~.,<)5' . ~~tt:~ k?~ ~
/~L,:"~.n'f"/bU7 ,.It a (STATE:
CITY:
6JAJ
J,.r=. HJZj -'
D ESC RIB E wo R K: , I i7 J&(A.2jj;f!IU_Lt:LLJ
NEW ~EMO~EL ADDITION
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
~A~
~ - -.......:...
ELECTRICAl'
, QUAD AREA:
1/ OF BLDGS'
OCCY GROUP:
1/ OF STORIES'
WATER HEATER:
frhe.
DEMOLISH
OTHER
f.
JOB NUMBER
93/lm7
225 Fifth Street
Springfield, Oregon 97477
L,u,
TAX LOT:
SUBDIVISION: ~~0 ,~
PHONF'
ZIP:
/7~~'
'. -)......
".
ADDRESS
CON ST.
CONTRACTOR 1/
EXPI RES
PHONE
,REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o
Rough ,Electrical
cover.
Prior to
- OFFICE USE -
LAND USE:
1/ OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
FLOOD PLAIN:
ZONING CODE:
1/ OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an inspection, you must ca'II 726-3769.,.This is a 24 hour recording. All inspections requested befqre 7:00 a.m. will be
made the same worki,ng day, inspections requested after 7:00 a.m. will be made the following work day.
o Temporary Electric
D
Site Inspection - To be made
after excavation, but prior to
setting forms. ' ,
Underslab Plumbing/ Electrical/
Mechanical- Prior ,to cover.
1'21' Footing -Aft~r trenches are.
~ated,
o
o Masonry - ,Steel location, bond
beams, grouting. :
I '>c:LFoundation -, Alter forms are
~~d but prior to concrete'
placement.
, 0 Underground Plumbing - Prior'
to filling trench,
D
Electrical Service - Must be
approved to obtain 'permanent
electrical power. '
o
Fireplace - Prior to facing
materials and framing Insp.
o
Framing - Prior to cover.
o
Wall/Ceiling Insulation - Prior to
cover,
o Drywall - Prior to taping.
t'2l' Underflochlumbin eChanic~ '
,~ Prior t~n:;uldll 11 UI l.lL:t..","g: D ,Wood Stove - After installation.
'~2'f Post and Beam - Prior to lioor
~.J12Iion<;>l..decking. ,
-. ........ - ','
, 0 Floor Insulation_ - Prior to
,decking. . , "
,D
Sanitary Sewer - Prior to filling
trench,
o
Storm Sewer '- Prior to filling
trench, ..~- '~<' ,~..' .,
o Water Line - f;(io! 'to, fllli,ri'Q' :
trench. ... , - \
. .~. ., ~.~~-...
, '
Rough Plumbln.9rT-!::'rior to
cover. , -
o
[J
lnsert - After fireplace approval
and installation of unit.
~. .~
o
Curbcut & Approach - Alter
l(i:'rns are erected but prior to
p! ac 8 ,'11 en t of concrete.
/
D Sidewalk & Driveway - After
excavation is complete, forms
and sub-base materia! in place.
D
Fence ~ When compr'lted.
o
Street Trees -'When a:l:required
trnes are planted., ~.,..' .
o
Final Plum~ing - When all
plumbing work is complete.
o
Final Electrical - When all
electrical work is cOll'!plete.
o
Final Mechanical - When all
mechanical work is complete.
o Final Building - When' all
'required inspections have been
approved and building is
completed.
D Other
MOBILE HOME INSPECTIONS
D Blocking and Set-Up - When all
blocking is complete.
o Plumbing Connections - When
home has been connected to
water and sewer,
D Electrical Connection - When
blocking, set.up, and plumbing
inspections have been approved
and the home is connected to
.the service panel.
D
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
"
Lot faces
"
Lot sq. Itg.
Lot coverage
Topography
Total height
BUILDING PERMIT
ITEM
SO. FT.
Main
Garage
Carport. '. .
!p~LJMJrh) 6L~
Qu-'\c.-K <:rhvv~ .
Total Value
Building Permit Fee
State Surcharge
Total Fee
.
Lot Type
Interior
Corner
Panhandle
_ ..Cul-de-sac
" ....
X $/ SO, FT.
(A)
, .
IS THE PROPOSED WORK,IN THE
HI:3TORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to ,permit issuance.
I P.L.
IN
Is
Setbacks
I HSE "GAR I ACC I
, I
I
-'!:!.~-C1---.- - - .:,~ ---;;j
E I' ,c '!
VALUE
/t:n~
.&" - -:;;.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) NO
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT,
Furnace
Exhaust Hood
Vent Fan
(C)
Dryer Vent
Wood Stove/Insert/Fireplace Unit
NO
Mechanical perm'it
Issuance
State Surcha'rge
Total Permit
Mobile Home
MISCELLANEOUS PERMITS
(D)
State Issuance
State Surcharge
Sidewalk
ft
I ~
Cu rbcut
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
FEE
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E 90mbined)
I~~
t - ,
APPROVED:
, '
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
'.
This permit is grant~d on the express5<ondition' that the said
construction shall. in all respects, confbrm.lo.\he Ordinance
adopted, by" ,.t,he. Ci Iy 'of,Sp~ing.fie,!c!, including the
Development Code, regulating the conshuction and use of
buildings"and may be sllspended or r~voked at any time,
upon violation of any provisions of said ordinances,
plan Check Fee:
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
Systems Development Charge is due' on all undeveloped
properties within the City limits which are being improved.
f.DDITIONAL COMMENTS
By signatu're, I state and agree; that.1 have carefully examined
the ,completed application and do hereby cert,i fy, that, all
!nformation hereon is true and correct. and I further certify
that any and all work' performed shall be done in accordance
,:",ith 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 corl'tractors and employees_w.ho ,
are in compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required inspectio.ns are"
, requested at the pre-per til})e:that each address is readable,
from the 'street, thatthe p'c~mi,t card is located a{ the front
of the prop ty, and rove9 sans will remain
on the si at ng construction,
./~,
;...~'~. '~"-~' ; ,.,.. "r _
7;?3~-L
VALIDATION: " ,'q~
RECEIPT NUMBER ~1~
DATE PAID . :?/~V~:3 cHJ
, AMOUNT RECEIVED __~_~L C7 f,. .
RECEIVED BY '~..,
- IV '