HomeMy WebLinkAboutPermit Building 1997-6-6
" ,
SPRINGFI~LD
RESIDENTIAL
PERMIT APPLlCJ;\TION
Inspections: 726-3769
Office: 726-3759
J'OB NUMBER~?cf?~
225 filth Street
Springfield, Oregon 97477
//200
ASSESSORS MAP:
LOT:
" TAX LOT:
';.l
.~.. \
BLOCK'
SUBDIVISION:
OWNER: r:~\<i;'l->L- <S. A-~D'f
ADDRESS:. \"2- \ z- eel/' \('(\\1\\,,- \ ~\,,)&.
SR~D
~L.f::)" -, b 5 0
PHONF.
STATE: D ~
ZI P: or+ \.; -~-":::1-
CITY:
Q.. 1\ Q. ~() e~
DESCRIBE WORK:
NEW
DEMOlisH <
, REMODEL
ADDITION
OTHER
CONST.
CONTRACTOR #
CONTRACTOR'S NAME
ADDRESS
EXPIRES ,~ PHONE
o ,_v ~ ~
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAl' '
..,... OFFICE USE -
QUAD AREA:
LAND USF'
,FLOOD PLAIN'
ZONING CODE:
tt. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
-:~
# OF BLDGS,:
OCCY GROUP:,
# OF STORIES:
WATER HEATER:'
'- "
# OF UNITS:
CONSTR: TYPE:
,:..:-.... ~
HEAT SOURCE:
RANG 1=.
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 after 7:00 a.m. will be made the following work day.
REQU fRED I NSPECTIO NS
, ,
o Rough Mechanical -:. Prior to
cover.
o Temporary Electric
o Final Plumbing - When all
plumbing w9rl< Is complete.
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o Rough' ,Electrical....,. Prior to
cover. "
D f,lnal Electrical - When all
,electrical work is complete.
D Underslab Plumbing/ Electrical!
Mechanical - Prior to cover.
o F.lnal Mechanical - When all
mechanical work Is complete.
o Electrical Service - Must be
approved to obtain permanent
'electrical power.
D Footing - After trenches are
excavated. '
fl71 Final Building - When all
lAo-J required Inspections have been
approved and building Is
completed.
D Fireplace - Prior to facing
materials and framing Insp.
D' Masonry - Steel location, bond
,beams, grouting. '
IX] Framing - Prior to cover.
D Other
D Foundation - After forms are
erected but, prior to concrete
placement. "
D Wail/Ceiling Insulation - Prior to
cover." . "
D Underground Plumbing - Prior
to filling trench.' ,
o Drywall ,..,... Prior to taping.
MOBILE HOME INSPECTIONS
D Underlloor Plumbing/Mechanical
-,Prior to Insulation or decking.
D Wood Stovo - After Installation.
D Blocking and Set-Up - When all
!)Iocklng Is complete.
D Post and Beam - Prior to floor
insulation or decking.
D Insert - After fireplace approval
. and Installation of unit.
D Floor Insulation ~ Prior to
, decking.
o Plumbing Connections - When
home has been connected to
, water and sewer.
DCurbc'ut & Approach - After
, forms are erected but prior to
~ placement of ,concrete.
o Sanitary Sewer - Prior to filling'
trench.
o Electrical Connection - When
blocking, set-up. and plumbing
, Inspections have been approved
ana the home Is connected to
the service panel.
o Sidewalk & Driveway - After
, excavation Is 'compiete. forms
' and'sub-base"materlal In place.
o Storm Sewer - Prior to filling
trench. , '
D Water Line - P,'rler. to filling
trench. ,
o Fence,- ""hen completed.
D Final - After all required
, ' Inspections are approved and
porches, skirting, decks, and
venting have been Installed,
D Rough Plumbing.,... Prior to
cover. . , '
D ,S~~eetTrees - When all required
trees are, planted. ,,;' , "
';;,
~',~~ .1
,> ~.i ~:'. ~;'j. 9,;:4 %7' ,
Lot faces
Lot Type
'.. ,
Topography
Total height
Cul-de-sac
W
LE
Setbacks
I P.L. f HSE I GAR TACC I
N I I I I
S I I I
I I .
LL_
r
BUILDING VAUJE, PLAN CHECK
AND BUILDING PERMIT
~ ,
\
IS THE PROPOSED WORK ~N THE _
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
Lot sq. ftg.
Interior
Lot coverage
Corner
Panhandle ..
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
BUILDING PERM,T '/j
ITEM SQ, FT.
',1 'It
APPROVED:
X $/SQ, FT.
VALUE
Main
Garage
"
This permit Is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development COde, regulating the construction and use of
buildings, and may be Suspended or revoked at any time
upon violation of any prOVisions of said ordinances.
Carport
~~
//,~ 7" ~~ y~
~~' ~~Rd~
- 1 -$ '/~~Y- '
otal Value /' y/~
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
_ c:?.--- ~
~.
2~, Ye::>
-'3 ~ ~ ::S' <<::)
r:?- /. ~~
r:3 / .~
-~/. '92
. '
Plan Check Fee:
::?5"':f:!')'"=5
Date Paid:
Building Permit Fee
Receipt Number:
State Surcharge
Received By:
Total Fee
(A)
Plans Reviewed By
Date
PLUMBING PERMIT
ITEM
Systems Development Charge is due on all undeveloped
properties within the City limits which are being Improved.
FEE
ADDITJONAL COMMENTS
~/'~--5 4!~~~~
/:67?,;~ v~~#'-??"/~~
Fixtures
Residential Bath(s) NO
Sanitary S~wer
Water
FT.
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
(C)
Furnace
Exhaust Hood
Vent Fan
NO
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certlry 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 Ordlnanc~s of the City of Springfield, and the Laws
of the State of Oregon pertaining to tho work described
here'ln, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Olvlalon.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
proJect.
Wood Stovellnsert/FJreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensure that all required Inspections are
requested at the p'ropor time, that each address Is readable
from the street, that the pormlt card la located at lhe front
of the properly, and the approved set of plans will remain
on the site at l times during construction.
SI~ ~~.~
Cs> - lD -~ ~
Date
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0; and E Combined)
a.~z.
VALIDATION:
RECEIPT NUMBER '76'~7~
DATE PAID ,6 ~~ -~ ?
AMOUNT RECEIVE~ .:: (f;. C; ~
RECEIVED BY // ~
,