HomeMy WebLinkAboutPermit Building 1992-5-4
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
ASSESSORS MAp.
J'71'!) ...,
LOT:
OWNER: '\<o~~, J.:'KO>A.L->"'::>r.>().
ADDRESS: :s!;S> c. l'r'-l V,,z-J
CITY c;PR,-..J~
~
DESCRIBE WORK.
~l ,Cu..!: '-'
NEW
REMODEL
V'
SPRINGFIELD
BLOCK:
C<>-s<;.
~'-v n
STAT".
0(\....
JOl3 NUMBEI~ _'22 tJC;:zQL_
225 Fifth Street
Springfield, Oregon 97477_
TAX LOT:
o.etzOc:::;
1,.,
ADDITION ~
DEMOLISH
OTHER
SUBDIVISION.
PHONE:
.., u., l?'30(o
ZIp.
<1-,4"
CONST.
CON rI1ACTOrl'S NAME . ADDRESS CONTRACTOR'
GENmf-L _ ~~_.~~~_5A~~S'- c,(JfU), ()"R...~@3L7
. . . "
I'LUMUING: __.._.___. _ _ __
MECHANICAL.
ELECTRICAL.
OUADAREA~R1\ JW
. OF BLDGS: _f\::j~
OCCY GROUP"~\\.:)
\
" OF STORIES:
WATER HEATER.
'.
- OFFICE USE -
\ \ \ \
"
, .
. O.F UNITS: , )
CONSTR. TYPE: ,Y.J\
~ W}/
RA>V.e ..~
/t; U /h'Cc;T
EXPIRES
PHONE
_LAND,USE:
HEAT SOURCE:
RANGE:
~9p-~___l4&4/p<:; 3
FLOOD PLAIN: ~~
ZONI~C CODE -UJ ,'U
. OF BDRMS.
SECONDARY HEAT i'l /1---
SOUARE FOOTAGE: D { 0,
To request an inspection, you must call 726.3769. This Is a 24 hour recording. All inspections requested before 7:00 a.ln. will be
made ttlC same working day, inspections requested after 7:00'a.m. will be made the following work day.
o
TClllpormy Electric
1=1
Site Inspection - To be made
;dkl uxcav;dioll, I)ul pliUl 10
setting forllls.
o
Undcrslab Plumbingl Electricall
Mechanical - Prior 10 cover.
1'\:.7f FOOling - After trenches are
~ excavated.
D Masonry - Steel location, bond
beallls, Ofoutinu,
v(Foundation
~erected but
placement.
- After forms are
prior to concrete
o
Underground Plumbing - Prior
to filling Ironell.
~ Underfloor<.t:-lumolr"rji/Mechanical
~..;..- P~ior to in~L1ldllon or decking.
~ Post and Beam - Prior 10 floor
~nsLltalion. or decking.
~ Floor Insulation - Prior to
~ecking.
D
Sanilary Sewer - Prior to filling
trench.
1=1
Storm Sewer - Prior to fillinl]
trench.
,.
o
Water line - Prio! 10 filling
trench.
1Vf Rough Plumb-i~lg '-
~covcr~ ".. '-
,. ....
Prior- to
~'~
REQUIRED INSPECTIONS
l"v1' nOll{Jh McchnniclIl - Prior to
~cover. pl.
1Vf Rough Electrical -: Prior \0
~over.
o Electrical Service - Must be
approved to obtain pcrrnane~nt
electrical power,
o
Fireplace - Prior to facing
materials and framing Insl',
~rilmin{J - P~ior to cover.
)v( Wall/Ceiling Illsula~ion - Prior to
~over. ,
o
I
Drywall - Prior to taping,
D
Wood Slove -:- Afte"r installation.
,
,
D
,
Insert - Aflc~ fireplace approval
and installation of unit.
D
Curbcut & Approach - After
forms are erected but prior to
placernerlt of concrete.
o
Sidewalk & Driveway - Alter
excavation is complete, forms
and sul).IJ<I~;o Illc.Her,iar In placc.
, I
I
Fence - Wilen completed.
i
,
D
o
Street Trees - When all' rC,Quired
trees are planted. "\ _
I
'JV'1 Fin;:11 Plumbing - Wilen all
~lurTIbjng worl< is complete.
1v{Fin<t1 Electrical - Wilen all
Y~lcclrical WOII( is complete.
~ Final Mechanical - WIlcn all
~mecl1anjcal work is complete.
l"'s?r Fillal Building - When all
~ required inspections Ilave becn
approved and builcling is
completed.
o Other
MOBILE HOME INSPECTIONS
o
Blocking and Set.Up - Wilen all
blocking is complete,
D
Plumbing Connections - Wlwn
home has been connected to
water and sewer,
o
Electrical Connection - When
1)locking, set-up, amJ plUHlI)ing
inspections Ilave been npprovcd
an!! Il1e borne is con/lcclell to
llle service panel.
o
Final - After all requireej
inspections are approved and
porches, skirting, dccl(s, and
venting have been installed.
3 THE PROPOSED WORK IN THE
HISTORICAL DISn'lICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application Illust be signed
a'nd approved by the Historical
Coordinator prior to permit issuance.
Lot sq. Itg.
Interior
Setbacks
I' I
P.L. HSE GAR ACC
Lot far:es
Lot Type
Lot coverage
"
Corner
N
S
--~~
Topography
Panhandle
Total height
Cui-do-sac
W
LE
----
APPROVED:
BUILDING PERMIT
ITEM
so. FT.
-:2~4-
X $/SO. FT.
-'38 70
VALUE
It') -fS(
Main
Garaye
qarport
Total Value
~~
43;
-9-{)~~ -g
SYSTEMS DEVELOPMENT CHARGE (SDC)~
. (B) Q,<o?'if
Building Permit Foe
Stale Surcharge
Total Fcc
(A)
PLUMBING PERMIT
ITEM
FEE
_3V.()<O
Fixtures
.'")
Residential 8ath(s) NO
Sanitary Sewer
FT.
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
_/ 5"0
_3-1 ,GO
Stato Surcharge '"
Total Cl1<1rgc (,. r
(C)
~
MECHANICAL PERMIT
Furnace
Exhaust Hood
~.
Vent Fan
NO
/
...---
Woo<.! Stove/Insert/Fireplace Unit
Dryer Venl
Mechanical Permit
/)4JA.../.
1(;00
I CJ 00
.75
2- S,?S
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
CurlJcut
It
Demolition
Stale Surcharge
Total Misccllanco.us Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
2/3 70
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted, on tile express condition that the said
construction shall, in all respects, conform to tile 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 limo
~pon violation of any provisions of said ordinances.
Plan Check Fee: _5<;;;_. C? ~ .
Date Paid --f~2fA :2
Receipt Number' M_aD
ReCeiV& AiJ~
~ -~~
Plan~Rcvjewed ~~-.:::
_ ./0,1)6-2-
i7'-1ak-"L
Syslerns Development Charge is due on all undevcloped
properties within 010 City limits which arc being improvecL
ADDITIONAL COMMENTS
pAr f-l 7T-.1
f1'/C( ,~/T ~tL~~
By signalure, I state ~nd agree, that I have carefully examined
the compleled application and do hereby certify. 1I1at all
information hcreon is true and correct, and I further certify
lhat any and all work pcrformed shall be donc in <lccord;mce
with the Ordinances of the City of Springfield, nncllhe LrlwS
. of the Stalc of Ore~Jon pertaining (0 thc wotl\ de:;clibcd
herein, and tllat. NO OCCUPANCY will be made of any
structure without p~nnission ollhe Building Safety Division.
I further certify lhat only contractors amj employees who
are In compliance with ORS 701.055 will be uscd on tills
project.
I furthcr agree to ensure tllat all requircd inspections are
requested at the proper time, that.each address is readable
from the street, that tllC permit card is located at the IranI
of the property, and the approved set of plans will remain
on the site raTi ti s during c clion.
~nalure b~ 4/:.
/ Dalp .>-:...r1~"'-
VALl DATION:
RECEIPT NUMBER 4' S- ~ 2....
5;)-9/72-
AMOUNT RECEIVED 2/::S . 7{)
,~~/7>rv-
DATE PAID
RECEIVED BY