HomeMy WebLinkAboutPermit Building 1992-5-6
RESIDENTIAL
PERMIT APPLICATION
1i,,'pcCliOIl": 126.3760
Olllc<:: 126,37"8
.
SPRINGFIELD
LOCATION OF PROPOSED WORK' 500 Ed...o,~ut Way'
ASSEssor1S MAP: '70::>:1?,)-..J I>'
LOT' BLOCK'
OWNER'
Robert DuPriest
2350 Oakwav Te=ace
Euger"
ADDRESS:
CITY:
STATF'
OR
. C OJ)
JOB NUMBER _...'l.W, , ,..
225 Fillh StlCel
Sprinuficld, Oregon 97477
TAX LOT: "i 1-uJJ.:\!'H:3--1UOO
SUBDIVISION:
PHONF'
485-0682
Ztp.
97401
NEW
REMODEL
x
ADDITION
Garaae Addition. Interior & Exterior Remodel
DESCRIBE WORK:
CONTRACTOR'S NAME
x
DEMOLISH
OTHER
ADDRESS
CONST,
CONTRACTOR'
EXPIRES
PHONE
CENERAL: _,Richap:l~s Remodelin9_..1.52 Valley River Center__
PLUMBING:. Donn'Me=ic15_'___ , _'H59,..I<,rk\'!90<1 Eu9~!l.!L_
MECHANICAL: Ccrofort_F::lO.\'l__ \l55..Ji. l~tt Euaene
ELECTRICAL: __L._H._tX>ITi~LEl~,_I'.Q,-1J9x 466 Eugen~_
Electrical permit #920350 obtained prevlously
OUAD AREA.\ ~W
. OF I3LDGS: '-~- --1\/\
OCCY Gnoup: __. _, :Q<t I~
. OF STORIES:
WATER HEATER: _:/=!
LAND USE: OF~\E\ U\E -=--
. OF UNITS' . )
CONSTR. TYPE: V IV
;-f:P
E
HEAT SOURCE:
30422
57159
00460
20-39C
11/93 345-3836
687-1907
--"- ~-------
__ ,J.,4~:Bl0l
747-0811
RANGE:
FLOOD PLAIN:
ZONING CODE:!.Oj? .J
. OF BDRMS:_
SECONDARY HEAT:
SOUARE FOOTAGE:
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.
o Temporary Electric
o Site Inspection - To be made
after excav..tion, but prior to
setting forms.
~nders~umb~/Electricall
Mechanical - Prior 10 cover.
~ Footing - After trenches are
~xc;JValed.
I~ Masonry - ~tecl location, bond
bt.!:IIlIS, uroutlng.
~ Foundation - Aller forms arc
~rccte<l blll prior 10 concrete
placement.
o
Underground Plumbing - Prior
to filling Hench.
~ Underlloor Plumbing/Mechanical
~ Prior to insulation or decking.
"J'V1 Post and Beam - Prior to floor
~ insulation or decking.
"RZf Floor Insulation - Prior to
~ decking.
o
Sanitary Sewer - Prior to filling
trench.
o
Slonn Sewer - Prior to filling
trench.
o Water Line - Pdor 10 filling
Irc'lctl. .
'K:7'1' Rough Plumbing - pr.ior to
~cover. _ . . .
REQUIRED INSPECTIONS
"fV1 Rough Mechanical - Prior to
~over.
~Rough Electrical - Prior to
~cover. .
o Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to (acing
materials and framing Insp.
~Framing - Prior to cover.
~Wan/Ceiling Insulatlo.n ....:..
~over. .
Prior to
~rYWall - Prior to la~il)9'
o Wood Stove...... After Installation.
o Insert - After firep'lace approval
and Installation of unit.
o Curbeut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
D Fence - When completee1.
O Slreet Trees - When.all required
trees are planted. \..:;.
nv1 Final Plumbing - When all
~plumblng work is complete.
'f':71'" Final Electrical - When all
~Iectrical work is complete.
l'Y1" Final Mechanical - When all
~echanlcal work Is complete.
rv1' Final Building - When all
~cquired inspection:; have been
approved and building is
completed.
o Other'
, .
"
MOBILE HOME INSPECTIONS
o Blocking and Sel.Up - When all
blocking is complete.
o Plumbing Connections - When
home has been connected to
waler and sewer.
o Electrical Connection - When
blocking, set-up, and plumbing
inspections have been Llpproved
and the llome is connccted to
010 service panel.
o Final - After all required
inspections are approved and
porches, skirting, decks, a/Hi
venting have been installed.
Lol faces Lot Type. Selb,cks . THE PROPOSED WORK IN THE
I PL I GAR'ACCI dlSTORICAL DISTRICT, OR ON
Lol sq, fig. Interior HSE
IN I THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this application must be signed
Is I and approved by the Historical
Topography Panhandle I Coordinator prior to permit issuance.
Total heighl Cui-dc-sac W
~--~ APPROVED:
BUILDING PERMIT
ITEM SQ, FT. X $/SQ, FT,
VALUE
Main
Garage
Carporl
Total Value
'70,ocO
343.00
_/7./S
_36~JS
Building Permit Fcc
Stale Surcharge
Total Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC).JL
" 1b'~
(B) ~ (0,,-
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granled on Ihe express condition thallhe said
construction shall, in all respects, conrorm to the Ordinance
adopted by the City or Springfield, including the
Developmenl 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.
Plan Check Fee:
Date Paid:
Receipl Number'
~/<;;; /92.-
Yoi.l6
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT ADDITIONAL COMMENTS
ITEM FEE
Fixtures '7 --20,00 tJM1I #/
Residential 8alh(s) N'
Sanitary Sewer FT,
Water FT.
Storm Sewer FT,
Mobile Home
Plumbing Permit
Slale Surcharge 3?'"
Tolal Charge (C) '73F<J
MECHANICAL PERMIT
~~
4.50
ct, t9..o
Wood SloveflnserllFircplace Unit /55t{c. _1)')00_
--=-7 s-o
St/4 rvT :-2d ~-o-
.' r:<;,Il~1JI/. piT -: 24,io-
Mechanical Permll . ,:. "_A<'JNUe- ~ U
Issuance ~1'(:ll'1'''-~ ". ...;. _~_
Furnace
Exhaust Hood
Vent Fan
N'
~
Dryer Vent
State Surcharge
.{~
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT OUE (excluding electrical)
(A, B, C, D, and E Combined)
j/?'5<::;24
By signature, I state and agree, that I have carcrully examined
the completed application and do hereby certi fy thai all
information hereon is true and correct, and I furl her certify
that any and all work pedormed shall be done in accordance
wilh Ihe Ordinances or Ihe City of Springrield. and the Law~:;
of the State of Oregon pertaining to the worl~ dCGcribcd
herein, and thaI NO OCCUPANCY will be made of any
structure without permission of the Building Salety Division.
I further cerlify thai only contractors and employees who
are In compliance with ORS 701.055 will be llsed on this
project.
I furlher agree to ,ensure that all required inspections are
requested at the proper time. that each address is readable
from the street, that the permit car Is located at the fronl
01 Ihe property, and th;Jted S t t]S Will'i:-!
VALIDATION:
~ Cj 'l' (",
" -:
DATE PAlnC;/~/9 2
AMOUNT RECEIVED j- ,/OC:;,C). S..,r
RECEIVED BY #~~~
I
RECEIPT NUMBER