Loading...
HomeMy WebLinkAboutPermit Building 1997-3-20 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 OUice: 726-3759 LOCATION OF PROPOSED WORK: >(ASSESSORS MAP: I- LOT: ) 7tJJ z~ 520 Cf'MTel/\1 cJ 54 BLOCK: ."5"-I:efLA/I t:1/'~1!I' '/Z 1/3 D..o~PI/",~ <,,+~. f OWNER: ADDRESS: CITY: DESCRIBE WORK: 'f2fJ!.j)tLl rI t NEW REMODEL 1lJ. - ~ I STATE: DR .J.; .r e ~fV Q DEMOLISH ADDITION . JOB NUMBEf :7 7o/~ 2-._ 225 Fifth Street Springfield. Oregon 97477 C;ol/& _- / -/ A/~6--D l I PHONE: fJr~+ '32 OS- I ZIP: 'Jg77l1?-1? I. I ;:;.V'~ _ I I I EXP"f[:S l/Jb 715:::L__ '=1117- I I I I TAX LOT: SUBDIVISION: OTHEFl GENERAL: CONTRACTOR'S NAME /1IJ c..~ ~,P- L ~~v- ADDRESS , . CONST, CONTRACTOR It ?7?!l J11a#1 '!2 '19 PHONE 1 PLUMBING: MECHANICAL: ELECTRICAL: ~/..p,"'-#-r,~r. "K.ose QUAD AREA: II OF BLDGS: OCCY GROUP: II OF STORIES: WATER HEATER: - OFFICE USE - LAND USE: II OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: 7-'-11- S'fB- FLOOD PLAltJ: ZONING codlE: It OF BDRMS: SECONDARY HEAT: ___.. SQUARl:: FOOTAGE' I '..---.-- To request an Inspection, you must call 726.3769, Tills Is a 24 hour recording, Alllnspeclions requesled before 7:00 a,m. will be made the same working day. Inspections requested after 7:00 a,m, will be made the following worl< day! D Tempornry Electric D Site Inspection - To be made after excavation. but prior to setting lorms, D Underslnb Plumbingl Electrical/ Mechanical...... Prior to cover. o FootIng - After trenches are excavated, D Masonry- - Steel-location, bond beams,grout lng, o Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to (II1lng trench. o Underfloor PlumblnglMechanical' - Prior to Insulation or decl<lng. ~post and Be. am -. Prior to floor nsulation._or decking, " ....,.. . -:! -' . - -,) 1><fFI;~~- i~f~l~ti~~ - Prior to - / Jecklng. .c- o Sanitary Sewer - Prior to filling trench. - o Storm Sewer - prior to lilllng trench. ',.. . ., : .',.. '\ D Water LIne - Prior to filling trench. \. ',,_ . ... . . . \ . '. r..c ~..).....l. __,.. D' Rou'ghP.lun1~iAg ~. Prior to cover, REQUIRED INSPECTIONS D Rough Mechnnical - Prior to cover. w( Rough Electrical - Prior to ~vcr. o Electrical Service - Must be approved to obtain permanent electrical power, o FireplncQ - Prior to lacing materials and Iraming Insp. ~mlng - Prior to cover, . r--".J Wall/C-elling Insulntion _ )LJ'Cover, Prior to ~rYWall - Prior to taping, o Wood Stove - Alter Installation. D Insert - Alter fireplace approval and Installation of unit. -'0 Curbcut & Approach.,.... Alter forms are erected but prior to placement of concreto. o Sidewalk & Driveway - Alter excavntion is complete, lorms and sub.base material in place, o Fence - Wtlen completed, o ~,treQI Trees - Wilen nil required ., trees are planted, . o Final Plumbing - When nil plumbing wo1rl< Is complete, t><( Final Electrical - When all / ~ctrical weil( is complete, o Final Mechanical - When all mechanical 00rl< Is complete. ~inal f3ullding - When all required inspections have been a roved and building is completed. D Other MOBILE HOME INSPECTIONS o Blocking and ISet.Up - When all blocl<in9 is complete, o Plumbing Con1nections - When tlOme has been connected to water and Se,^ler, o Electrical COn[lection - When bloCI(lng, set.up. and plumbing Inspections ,,dve been approved and the tlOlne lis connected to the service panel. o Finnl --- Afler all required Inspections are approved and porcllCS, sl<lrting. decl<s, and venting have b~en Installed, I I Lot faces LoLsq, fl'g, Lol Type " Interior Lot coverage Corner Topography Total height Panl,andl e Cul.de.sac BUILDING PERMIT ITEM SO, FT, X $/SO, F1. Main Garage Carport ""j '\ - .', ~6 ~c ~l:9?.47~ Total Value \ \ Building Permit Fee .Stale Syrc},arge. I,gee -f-. 3/ '3 , ,) I" .I.,,~ .,. '7" '. ,. ~' \ 'Tot'al Fcc (A) . Is;j;~#tff PFlOPOSED WORI, 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 issuance. ~~~?cl(~_ HSE GAR ACC I" P,L, IN Is W E V A LU E " ~~~- '/ -0~ rc:_ _&7~sf. (B) SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT IrEM Fixtures Residential Bath(s) NO Sanitary S~wer Water FT, F1. Storm Sewer F1. Mobile Home Plumbing Permit State Surcharge Tolal Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/Insert/ Fireplace .Unil' Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stale Surcharge Sidewalk fl Curbcut It Demoll tlon ?tale Surcharge Tolal Miscellaneous Permils (E) TOTAL AMOUNT DUE (exclueJing electrical) (A, B. C, 0, and E Combined) FEE ,k7r! APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit.is granted on the express condition that the said construction shall:'in all respects.,cohlorm 10 lhe Ordinance <,1dopted by the City o.r. ,Spr,ingfield, including lhe Develop'll:1entCode. regulating lhe construction and useof buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: , . ~, ..:"~ Date Paid: Receipt Number' Received By: .~ ..;~ -:..:' , -"'-' , '" - .' , .' -' ,/ -~ - ---..--.------- Dale Plans Reviewed By Systems Development Charge is due on all undeveloped properties within tho City limits which are being Improved, ADDITIONAL COMMENTS By signature, I stale and agree. lhall have carelully 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 Ordinanc~s of the City of Springfield. and the Laws of the State of Oregon perlainlng to the, work described herein, and .lhal NO OCCUPANCY will be made of any structureewilhout permission of the Building Safety Division, I further certify tllat only contraclors and employees who arc in cornpli'illlce with ORS 701,055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address Is readable from tile street, Ihatthe permit card Is located at the front of lhe properly, and the approved sel of plans will remain on the sile al all tiTI during 17'/.~ ,"CUloono." SlgnalureX ~~~~ l/?/lA? fl' Dale I. VALIDATION: RECEIPT NUMBER 2....:;/ JI~J DATE PAID V2.f! 7 . / AMOUNT RECEIVED _/ ~'r~n.:; ,~/ 1/,79 ,/A" ,. FIECEIVED BY //../.2-. ~ ", l.