HomeMy WebLinkAboutPermit Building 1998-8-31
OWNER: Ch r/~ lirA dAL~' C:,'t
'ADDRESS:' 9t;:L fret itJ-/j La.--fV.-/
CITY: ~f~~~( 1/~ . . STATE' !)~JlA--
DESCRrBEWORK:~,,:-t1ln~1JtrrdL j!~<L J,~' cL~/ r/v !~t{(lwtAj..
NEW REMODEL ADDITION DEMOLISH OTHER
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
ASSESSORS MAP'
LOT:
}
SPRINGFIELD
,JOB NUMBER
qf/ of 1-
BLOCK:
225 Fi fth Street
Springfield, Oregon 97477
TAX LOT:
(J 9 tJ() tJ
SUBDIVISION:
PHONF'
--;4-7 - DS- 47J
ZIP:
q7477 --5&)..<;
CONTRACTOR'S NAME
/t/.e;yj5
CON ST.
/11/1 [ I 1>DDF,l~S~ \ CONTRACTOR It
If I tI dAo (1/ (IM1 j kJ cmfTdlL~J
'::'>
GENERA' .
PLUMBIN(::'
MECHANICAL:
ELECTRICAL:
EXPIRES
PHONE
, - OFFICE USE - ON'O egon law requires you to
MnT'CE. . ATTENTI. r Ore,9on Utility
QUA["A'Fl~K . . . LAND USE: _ fell!)).\' rulAS adooted byth~~P~~re~orth
II OF W'Bcf~RMIT SHALL EXPIRE IF THE WO~ UNITS: Notification Center. T~~se ~~ a~~91-
. AUTHORIZED UNDER TH S PE S in OAR 952-001-0010 ro. he rules by
OCCY C3R'01J"P: I RMIT I ~g;l;STR. TYPE: -oogG; You may obtain cop~~~f~PJptI4on- '
COMMENCED OR IS ABANDONED FOR cailing the center. (Note: t lRe~r1It:ll.m;!ti~
It OF STORIES: . HEAT SOURCE: _ ~regon \.ftfii'7'-'........p.'l'I',. tTt:"AT:
ANY 180 OAY PERIOD. numbertonll~...... 44'
WATER HEATER:' RANGE:' r.Anteris 1-800-3~Ei6~R1~:"FOOTAGE:
To request an inspection, you must call 726-3769. Ttlls Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be
made the same working day, Inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement. '
'0 Underground Plumbing --c Prior.
to filling trench. ' ..
o Underlloor Plumbing/Mechanical
.:...- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking. .
o Floor Insulation - Prior to
. decking.
o Sanitary Sewer - Prior to filling
trench.
o ~torm Sewer - Prior to filling
trench.
O Water Line - Prior to filling
. trench. . .
o Rough Plumbing -: PrloJ to
cover.
o Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
cover.
o Final Plumbing - When all
. plumbing worl< is complete.
. .
o Final Electrical - When all
electrical work .is complete.
O Electrical Service - Must be. 0 Fi~~1 M~chanical ,- When all
approved to obtain permanenCS-I'I"~\C-Jcal work ,s complete.
electrical power.
. 0 Final B IJding'..... When all
o Fireplace. - Prior to facing L-J re~d Inspections have been
materials and framing Insp. ~roved and bUilding is ,
completed.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - ArterlnstallatJon.
o Insert - After fireplace approval
and installation of unit.
o Curbcut & Approach - After
forms are E)rected but prior to
placement of concrete.
o Sidewalk & Driveway - After
. excavation is complete, forms
and sub-base material. in place.
o Fence - When cCi'olpleted.
o Street Trees - When all required
. trees are planted.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set-Up - When all
blocking is complete.
o Plumbing Connectio~s - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home 'is connected to
the service panel.
o Final - After all required
Inspections are approved and
porches, ski rtl ng, decks, and
venting have been Installed.
('-; ~ '~"
Lot sq. ftg.
Interior
Setbacks
HSE GAR ACC
..
IS THE PROPOSED WORK IN THE _
. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Histor.ical
Coordinator prior to permit issuance.
Lot faces
Lot Type
Topography
Total height
Panhandle
1 p.L.
IN
Is
Lot coverage
Corner
Cul-de-sac'
w
E
APPROVED:
ITEM
sa. FT.
X $/SO. FT.
VALUE
. .' , . ~
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT
Garage
"
This permit 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
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.
Main
Carport
hi Plan Check Fee:
Date Paid:
Total Value JS-- d J__
L{rLzr Receipt Number:
Building Permit Fee
I Received By:
State Surcharge 11&. td
Total Fee (A) Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(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)
N'
FT.
-Note:
__ Building Inspector may requlre
additional plans information,
and/or fees for the completion vi'
this project.
Sanitary S~wer
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Vent Fan
NQ
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
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Wood Stove/lnsert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
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 permit card is located at the front
of Ihe pmpe,ly, ao the appmved S~~"t ,emalo
on the site at I :es during constr'Jt on
Slgoal",e ~. 1.4- 'ft"" .~
Date 2/3// f(
! ,-
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
State Surcharge
VALIDATION:
Total Miscellaneous Permits (E)
RECEIPT NUMBER 13/ '}, t) ~
DATE PAID f 3//1 ~
I # <I; i". ~ /
AMOUNT RECEIVED ufI :v.-V
RECEIVED BY
TorAL AMOUNT DUE (excluding electrical)
(A~ e, C, 0, and E Combined)