HomeMy WebLinkAboutPermit Building 1993-8-9
RESIDENTIAL
pERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PRO\OSED)"ORt<.
ASSESSORS MAP' \ '1 l... ')"0
LOT:
MI4-n.~ t t>cbh.e.
ADDRESS: 2. '>0 ~ t>~.. S
CITY: _~fI~' hL~ C\ e.l.t
OWNER'
.
SPRINGFIELD
25"'03
(Z~
D"",_~s 51
l...\ L\ \ ~_G.
BLOCK'
t>....c" ; tT"'
~r
STATE: ~ (\.
('e..~"1
DEMOLISH
.n~- t
DESCRIBE WORt<.
A n..~ '0....
u~
ADDITION X
NEW
REMODEL
OTHER
CON ST.
CONTRACTOR'
CONTRACTOR'S NAME
GENERA" t:>...LoIL
s ....""..
ADDRESS
t_sTn_..A~.......
t-lL\ 'T1........~7a- An
PLUMBING'
MECHANICAL:
ELECTRICA' .
QUAD AREA: 6R t\. \0
. OF BLDCS _ \
OCCY GROUP' ~'3
. OF STORIES \
WATER HEATER:
'.'
..'
- OFFICE USE -
\\\ \
. ,
CONSTR. TYPE: V ^-l
LAND USE:
. OF UNITS:
HEAT SOURCE:
RANGF'
.
,lOB NUMBE~ ~\(')?S
225 Fifth Street
Springfield, Oregon 97477
TAX LOT'
e
SUBDIVISION:
PHONF'
ZIP'
Cj~c..I"':l~
(j.....~L
11-- --
a'..~ \
EXPIRES
c.. ..q, I.{
PHONE
iC(1. ') 10 <;'<1
FLOOD PLAIN:
ZONING CODE:
Ino
. OF BDRMS:
SECONDARY HEAT: "-
SQUARE FOOTAGE: ....saJ
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, Inspectio,ns requested after 7:00 a.m. will be made the following work day.
o Temporary ElectT,ie
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o Undcrslab PlumbingJ Electricall
Mechanical -. Prior to cover.
K"7f Fo~ting - After trenches are
~ excavated.
o Masonry - Steel location, bond
, beams, grouting.
, rvi' Foundation - After forms are
y..:=t erected bU I prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
o
Underlloor Plumbingl Mechan.ical
_ Prior to ins\Jlation or decking.
'f;;;:-;( Post and Beam - Prior to floor
l....2SI insulation or decking.
rv:t Floor Insulation - PriOI to
lp decking.
7"vf Sanitary Sewer - Prior to filling
~ trench.
o Storm Sewer - Prior to Wl1ng
trench.
D Water line - Prior to fllling
trench. .
f'J1' Rough Plumbing - Prior to
~ cover.
REQUIRED INSPECTIONS
~ Rough Mechanical - Prior to
~ cover.
~ Rough Electrical - Prior to
~ cover.
o Electrical Service - Must be
approved to obtain perma'1ent
electrlcal power.
o Fireplace - Prior to facing
materials and framing Insp.
;gJ' Framing - Prior to cover.
rs?1 WalllCeiling Insulation - Prior to
~ cover.
",rgI D.ywall - Prior to taping.
D Wood Slove' - After installation.
o Insert - After fireplace approval
and installation of ur-it.
o
Curbcut & Approach - After
forms are erected but rrior to
placement of concrete.
o Sidewalk & Driveway - After
excavation is complete, f:,rms
and sub. base materia! in place.
D Fence - When completed.
i J Stroet Trees - VVI1en all lequired
L-- trees aft~ planted.
01 Final Plumbing'- When all
~ plumbing work is complet.e.
(71 Final Electrical - When all
~ electr:cal work is complete.
'f;('1 Final Mechanical - When all
~ mechanical work Is complete.
~Flnal Building - When all
~ requIred inspections have been
approved and building is
completed.
DO'her
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set.up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
o Final - After all required
inspections are approved and
porches. skirting, decks, and
venting have been Installed.
.
Lot faces Lol Type Setback"
Lot sQ. ltg. Interior I PL. IHSE GAR ACC I
IN I
Lot coverage Corner
Is I
Panhandle
Topography ~; Iw I
Total height Cul.de.sac
LEO I
_ __-.J
BUILDING PERMIT
ITEM SQ. FT.
X $/SQ. FT.
VALUE
Main
Garage
t;\c\
~ZfD
\R reD
Total Value
\~.5D
lo~3
\34.93
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CH~q~ lS~)_
(B) Lbu
PLUMBING PERMIT
ITEM
FEE
'-- Dl),to
Fixtures
~~
Resldenlial Bath(s)
N'
Sanitary Sewer
FT.
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
..3D.UU
\,50
3' .caO
State Surcharge
Totar Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
~oo
Vent Fan
N'
Wood Stove/lnsertlFircplace Unit
Dryer Vent
Mechanical Permit
1.:5 .00
if) cD
/}S
as :/-'S
Issuance
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 DUE (excluding electrical)
(A, B, C, D, and E Combined)
1.9&JB
..
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition thallha said
construction shall, in all respects, conform to the Ordinance
adopted by the Cily of Springfield, including the
Development Code, reoulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violalion o~ prov~s of said ordInances.
Plan Check Fe~ ':'>/.
Date PaId l ~ t}-
Receipt Number' C\ ~L\Q
'. ~ ----;
Received By: -~ -~
'-
Plans Reviewed By
Date
Systems Development Charge is due' on all undeveloped
properties within the City limits which arc being improved,
ADDITIONAL COMMENTS
r
\ ~ ~ 0 rrnCD D. ~ ~m:uL
\t\, ':;~ro~0lL~ \1_fidllY_
-LOI_ 11 LCD. V\
\ I\t\mOOrtn~
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
~nformation hereon is true and correct, and I further certify
that any and all work performed shall be done in accordance
with the Ordinances of the Ci ty of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance willl ORS 701.055 will be used on this
project.
I further agree to enSllre that all fCquired inspcctio(1s arc
requested at the proper time, that each address is readable
from the street, that the permit card Is located at the front
of the property, and the approved sel of plans will remain
on the. Sl~ time.::.. during con'f1ction.
Signatur~ l~c.. ..c?C:;Z AAo-_
Dale _tA. ~r q
. ;>
qt,
VALIDATION: n
RECEIPT NUMBER '-"I X' ~ .
DATE PAID ~q3
AMOUNT RECEIVED f/b 1 CI~( J Y
v1 ) ul{u0-
RECEiVED BY