HomeMy WebLinkAboutPermit Building 1994-12-9
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
OHlee: 726.3159 .
LOT'
.
SPRINGFIELD
OTHER
eJOB NUMBER
225 Filth Street
qA\~w
., ~,
ZIP:
Ol"\--' ?)
CONTRAcr~'~ NAM~ C J' ADQRESS'
GENERAi,L.\)'\.'1..c. J.O Qf\ c f\t). "
PLUMBING,' ~.lf(\Qrt \ ):lWoo 1
MEC~ANIC~':~L\ctOf'\ Tftt->. \,
ELEcrRICA~ ~ \~. f _~ Qfl \J...! [' )
CONST.
CONTRAcrOR .
~l r)q'?)
5 \"\ ?{1
B\. '\C\~ '
\ ()~'l~
q~~1d~
~~.es\no
q? "?,./dd/f),;
41~.A\~
QUAD ARE~:' ~ ~\' /
. OF BLDGS: \
OCCY GRO~P:. ~ 3 -\ Iv\
\
r __
· OF STOFlIES'
WATER HEATER:
- OFFICE ~SE -
LAND USE: \ \ \. \
· OF UNIT'" '\. \
CONSTR. TYPE: 'IV N
HEAT SOURCE: ~ ~
RANGE: r:......
EXPIRES
~.\r;\ .
q. \.C{.
'1;\ Q..
<--\4
FLOOD PLAIN'
ZONING CODE:
. OF BDRMS'
li')\(....
?,
SECONDARY HEAT:
SQUARE FOOTAGE: I\n%
To request an ,Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested belore 7:00 s.m. will be
msde the ssme working day, Inspections requested alter 7:00 a.m. will be made the (ollowlng work dsy.
.~ " . I .
REQUIRED INSPECTIONS
D Tempcordry ElectrIc
D Site Inspection - To be msde
slier eltcsvstlon, but prior to
settln.g forms.
o Underslab Plumblng/Electrlcell
Mechsnlcsl - Prlar to cover.
f"VI Faotlng - Aller trenches sre
l.,<::ll excavated. '
o Mssonry - Steel location, bond
,beams, grouting.
~ Foundation - After forms are
erected, but. prior to 'concrete
placement.
o Underground PlumbIng - Prior
to III!lng trench.
"
~ Underlloor Plumblng/Mechsnlcal
-,Prl.ar to Insulation lOr decking.
~ Post and Beam - Prlar to floor
~ Insuletlon lOr decking.
[&] Floor'lnsulatlon - Prior to
decking. .
IVI Sanitary Sewar - Prior la filling
l.O.l. trencl!. .
rc71 Slo~m.Sewer - Prior to filling
~ trench. '
I'Vl Waier Line - Prior to filling
~ trench. .
~ Rough 'Plumbing - Prior to
cover.
r'i1l R~ugh M~chanlcal ...:. Prlar to
~ cover.
f'Vi1 Roug'ti .Etectrlcal - Prlar'ta
~ cover.
C2I. Electrlca' Service - Must be
approved ta obtain permanent
electrical power.
o FIreplace - Prlar to facIng
materials and framing Insp.
~ Framing - Prior to cover.
~ Wail/Ceiling Insulation - Prlar to
cover. "
&Drywall - Prior ta taping.
o Wood Stove - Arter Installation.
o Inserl - Arter IIreplace approv~1
. snd Installation lOr unit.
~ Curbcut & Approach - Arter
forms are erected but prior to
placement ot concrete.
~ Sidewalk & DrIveway - Arter
excavation Is completo, forms
and'sub-base material In place.
o Fence - When completed.
o Slreet Treeo - When all required
trees are planted.
~ Final Plumbing - When sll
- plumbing Work Is complete.
r<;l'l FInal Electrical - When all
~electrlcal work Is complete.
@'Flnal Mechanical - When all
mechanlcsl work Is camplete.
r.:7l Final Building - When all
L..Z::t'7equlred Inspections have been
approved and building I.
campleted.
DOther
MOBILE HOME INSPECTIONS
o Blocking end Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home. has been connected to
water and sewer,
o Electrical Connection - When
blocking, .et.uP. end plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o FInal - Arter all required
Inspection. are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces
Lot sq. Itg.
"
Lot 'TYpe .
.K Interior
Lot coverage
Topography
Total height
_ Corner
~ '.........J,'..-anhandle
_ Cul.de.sac ,
BUILDING PERMIT
ITEM II ~_ FT.
Main l.lW
~lcO
x $/sa~
0l0.6J
14.10
Garage
Carport
Total Value
Building Permit Fee
Slate Surcharge
Total Fee
'>.:;%( \'.~) ~. ',"r ,,:'" ~;:..1~:~..g;:'(,f"'".
','.' , ,. Setbacks.
HSE GAR ACe' I
I
I
I'P.L
;"1" .
. N':
Is
Iw
IE
: 1rjt
SYSTEMS DEVELOPMENT CHARGE (SDC)
';'0'1 Y, q /
'11 570
2ALf ~
10:'\-1+ ~
(A) 'c.3'J[ii!f'J-'
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N' c0-
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
FEE
floO.uJ
Oi'\ !(ouro
4.CjJ +~.CXJ
(C) I ]l.~U
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vel1t Fan
N. ~
.
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
.50\
TOlal Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State issuance
State Surcharge
Sidewalk '70 It
Curbcut ~ It
Demolition
S~ Surchfl\~ ~ C).
, l< 9 f.'\ \'\0. t\. ~
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE fexcludlng electrical)
(A, B, C, 0, and E Combined)
4.ro
ct .co
'r~.OO
11o ,5U
Fa.Do
.R~
~
Q)O'~) ,
l~.q(~
<\U~
J} f) sn ~lt>
/
"( 'THE PROPOSED WORK..'tN TkE _ .
'-HISTOF,iICAL DISTRICT, OR ON
THE HISTORICAl. REGISTER?
I( yes, thla apPllc~tlon must be signed
and approved by the ,Historical
, Coordinator, prior to permit Issuance.
APPROVED: .
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
. This permit Is grsnted on the express condition thatlhe said
construction shsll, In all respects, conform to the Ordinance
adopted by lhe City. of Sprlnglleld, 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 ordlnarces.
Plan Check Fee: 'L'\N.J ./
Date Paid: \i ~
Receipt Numberu V
Received By: ~ '
~~lLti
"
f).~%
Date
Systems Developmont Charge Is due on all undeveloped
properties within lhe City limits which are belng,lmproved.
ADDITIONAL COMMENTS
~ll tt<\.r-X . ~~~ ~ "xl \ll_~
'l~~n\.. \C)&D (~J)
,_.~~. : \ V\. loO- "
y~, \
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By slgnalure,) atale and agree, thai I have carefully examined
the completed application and do hereby c~iilfy that all
Information hereon Is true and correct, end I further certlly
that any and all work performed shall be done In accordance
with the Ordlnsnces of the City of Springfield, and the Laws'
01 'the Slate of Oregon pertslnlng to the work described
herein, and that NO OCCUPANCY will be made of any
struclure without permission of the Building Safely Division.
) further certify thai. only contractors and employees who
sre In compliance 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 the street, thai the permit card 1$ localed at the' fr~nt
.
of the property, and the approved set of plans :ViII r:1fn
on the, site at ~1I~urln~~
Slgnalure~.p ~/'>~ ~
. Date' '"/ ':
VALIDATION: f5. ~
RECEIPT NUMBER . /.:::
DATE PAID ItA. 9~ Cff .
AMOUNT REcm~<(Z{ts Olo
RECEIVED BY _ _ ) .
"