HomeMy WebLinkAboutPermit Building 1996-5-7
RESIDENTIAL
PERMIT APPLICATION
Inspections, 726,3769
Office: 726.3759
.
LOCATION OF PROPOSED WORK' 37D 5
I9;02f)(al{7
ASSESSORS MAP:
LOT'
BLOCK'
.
q h Q(~i!?f-
JOB NUMBER
225 Fifth Street
Sprlnglleld, Oregon 97477
'.
TAX LOT:
SUBDIVISION:
M~rif)
~
OWNER: VI~ I r-)/Q... 1\ IIA LjV>li(),U PHONE:..12(,-C,S'72,
ADDRESS:' '~/n5.,' Wttik hie , I
CITY: Srm~+;p.A{)[ STATE:J:2~ _ ZIP: Q7'f7r
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DESCRIBE WOR~ WJJi;A1ILVY -fiY" f laJ' .2_
NEW REMODEL ADDITION" --- LlEMOLlSH OTHER
CONTRACTOR'S NAME
GEN~RAL: ~I -:-:::;
t'lire. J01\.Q ~ lJ\i.l!:ertV\A
PLUMBING' ' I
~
CONST,
CONTRACTOR' EXPIRES
()C)r;~3L/ /.2-/-10
Lfo74C;- 1C;,2f-1n
,
PHONE
?;}'f.o- &5'72,
?t12 -$'7r's~
MECHANICAt.
ELECTRICAl'
QUAD AREA"
. OF BLDGS:
OCCY GROUP'
. OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND U~'"
. OF UNIT!'"
CONSTR, TYPE:
HEAT SOURCE:
RANGE:
FLOOD PLAIN:
ZONING CODE: _
. OF BDRMS:
SECONDARY HEAT: _,....
SQUARE FOOTAGE:
TO request an Inspection, you must call 726,3769, This Is a 24 hour recording, All Inspections requesled before 7:00 a,m, will be
made the same working daY,"lnspectlons requested after 7:00 a.m. will be made the followIng work day. '
o Temporary Electric
o Site Inspactlon - To be mado
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electrlcall
Mechanical - Prior to cover.
o Fooling - After trenches are
excavated.
o Masonry - Steel locallon, bond
beams, grout! ng.
o Foundation - After forms are
erected but prior to concrete
placement.
o ~nderground Plumbing - Prior
to filling trench,
o Underlloor Plumblng/Mechanlcel
- 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 Storm Sewer -,Prior to filling
trench, .
o Water Line - Prior to filling
trench.
o Rough Plumbing - PrIor to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power,
it-7\ FIreplace - Prior to facing
LfJ m~rlalS and framing Insp.
pFlf.'mln~'jo cover.
o Wall/Cefllng Insulation - Prior to
cover.
o Drywall - Prior to taping,
o Wood Stovo - After Installation,
o Inaert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prIor to
placement of concrete,
o SIdewalk & Driveway ..L After
excavation Is complete,' forms
and sub-base material In place.
o Fence - When completed.
o Street Treos - When all req'ulred
trees Bre planted.
o Final Plumbing - When ali
plumbing worl< Is complel,e.
o Final Electrical - When all
electrical work Is complete.
o Final Mechanical - Whon all
mechanical work Is complete.
~Inal Building - Whon all
required Inspections have been
approved and bulidlng is
mploled,
OOthor
MOBILE HOME INSPECTIONS
o BIQcklng and Set,Up - Whon all
blockIng Is complete,
o Plumblr:t9.,Connectlons - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set,up, and plumbing
Inspections have becn approved
and the home Is connected to
the service panel.
o Final - After all required
InspectIons are approved and
porches, skirting, decl~s, and
ventIng have' been Installed.
Lot faces
Lol Tye
Interior
Lol sq, Ilg,
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.de.sac'
Setbacks
I P,L. HSE I GAR ACC
IN
Is
Iw
I'E
. IS THE PROPOSED WORK IN THE
'''HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
APPROVED:
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT, = VALUE
. .)- . .f
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Main
'.
Garage
This permit Is granted on the express condition Ihat Ihe said
construction shall, In all respects, conform 10 the Ordinance
adopted by the City ,of Springfield, including the
Development Code, regulating the construction an'd use of
buildings, and may be suspended 'or revoked at any time
upon violation of any provisions of said ordinances.
'1Irport j,,,"/^__ ",\ '
1l'(~pleI11 '~ .2.t1JT)()
5'70
3'10
(A)/Ok I
SYSTEMS D~VELOPMENT CHARGE (SDC)
Total Value
Building Permit Foe
Slato Surcharge
Total Fee
(B)
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Balh(s)
Sanitary Sewer
Water
N'
FT.
FT,
Storm Sewer
FT.
Mobile Home
Plumbing Permit
Slate Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Ftreplace Unit
Dryer Vent
Mechanical Permit
Issuance
Slate Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
ft
Demolition
Stale Surcharge
"
Tolal MIscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding eleclrlcal)
(A, B, C, 0, and E Combined) , '
31,m
/,(P"3 .-
,tIC{
35,/1
Plan ,Check F:ee'
Date Paid:
Receipt Number:
Received By:
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within thQ City limits which are being Improved,
ADDITIONAL COMMENTS
FEE
By signature, I statQ and agree, that I have carelully examined
the completed application and do hereby certHy 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 01 the City 01 Sprlnglleld, and the Laws
of the State 01 Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure wllhout permission 01 the Building Salely Division,
I further certify that only contractors and employees who
are In compliance with ORS 701,055 will be used on this
project.
J further agree to ensure that all required Inspections are
requested at the proper ~Ime, that each address Is readable
from the street, that the permit card Is located at the fronl
of the property, and the approved set of plans will remain
:~g:::u:;xrlj~J!?~~on,
oar). ? -1 ~ '7c,
v
VALIDATION:
RECEIPT NUMBER 2/ L/7 '2,
DATE PAIPC;- /- q(~
AMOUNT RECEIVED ,"15", { I
\/k_ ,_
RECEIVED BY