HomeMy WebLinkAboutPermit Building 1996-2-1
RESIDENTIAL
PERMIT APPLICATION
Ins pee lions: 726.3769
OHice: 726.3759
'\
.
spnlNcr-IELO
.~.., ,
LOCATION OF PROPCfrfD ?j0X( vi, - &,~c:;-
~SSESSORS MAP: \' \()~rh
X" LOT: BLOC K:
OWNER: f/rrl..{c I~
.
ADDRe"". . " 7 d) Cj
CITY: 5fu~1-aLd
DESCRIBE WORK: ~/Ad/ AOfd,r I'J~
NEW REMODEL . ~ ADDITION
F7f7'A'~/e., J
I
fl.. r .-f) Le
ry.{\.t1" -L If) -S r p / ~.r
STATE: -.12 11_
CONTRACT~f?;AME .
LI "1 I rt~() ---/- & If,j t- ,,}
Gitl~r;<l'\L: V l IV
PLUMBING:
1
MECHANICA' .
ELECTRICAl'
QUAl:! AREA:
. oi' BLDGS:
.' ,
, .
OCCY GROUP"
. OF STORIES':
WATER HEATER:
.&.<<.li'/4t.L7/~ A.t'bt
DEMOLISH
OTHER
.'
C\\d)qqCr-
JOB NUMBER
225 Filt11 Streel
Sprlnglleld. Oregon 97477
_ TAX LOT:
SUBDIVISION:
( ) 'd. r 21)/)
PHONE: -2!J II .,- ~ ?(~
ZIP:
4'JV7J
7n
tJJq4'/.tJM
r'it2)i ;Pw
ADDRESS '.
9'O/!>-' (frUI//1UtJ6).f)r
/
/:0 7 'II-z..2.
CONST.
CONTRACTOR'
PHONE
89639Z::;
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Electrical - Prlor to
cover.
o Electrical Servlco - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
~ramlng - Prior to cover.
'K7(wall/~nn Insulou;;;,. - Prior to
~ covd;'~ -.... -
~ Drywall - Prior to laplng.
o Wood Stovo - After Installation.
o Insert - After fireplace approval
and Installation 01 unit.
o
Curbcut & Approach - After
forms are erected but prIor to
placemont of concrete.
- OFFICE USE -
.LAND USE:_
"
. OF UNITS'
CONSTR. TYPE:
, .
HEAT SOURCE:
RANGE: __
EXPIRES
7) to/V'
FLOOD PLAIN'
ZONING CODE:_
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:
To reQuesl an Inspecllon, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons requested before 7:00 a.m. will be
made tho same working ,day, InspectIons rOQue,sled after 7:00 a.m. will bo made the (ollowlng work day.
-
d Tem~orary Eloctrlc
. ,
O Slto Inspoctlon - To be mado
after excavation, but prior to
setting forms.
o U~dorsJab Plumblng/Eleclricall
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
. to IlllIng trench. .
o
Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o
Post and Beam - Prior 10 tloor
Insulation or decking.
o Floor Insulation - PrIor to
decking.
o Sanitary Sower - Prior to filling
trench.
o Storm Sewer - PrIor to fillIng
trench. . ~
o Waler Line - Prior t,o filling
, trench.
tJ Rough Plumbln()\ .~. Prior to
cover.
o Sidewalk & Driveway - After
excavatIon Is compictc, forms
and sub.base material In place.
o Fence - Wtlcn com'pleted.
o Streot Trees - When. all required
trees are planted:'"
o Final Plumbing - When all
plumbing worl{ Is complel,c.
\.-7< Final Eloclrlcnl - When all
~ electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
'K7( Final Building - When all
~reQulred Inspections have been
approved and buildIng Is
completed.
DOthor
MOBILE HOME INSPECTIONS
o Blocking and Sel.Up - When all
blocking Is complete.
o
Plumbing Connoctlons - When
home has been connected to
water and sewer.
o Electrical Connoction - When
blockIng, set-up, and plumbIng
Inspections have been approved
and the home Is connected to
the service panel.
o
Final - Alter all required
Inspectlons are approved and
porches, sklrllng, decks, and
ventlng have been Installed,
.
Lot (aces . Lol Type '.
Lot sq. Itg. Interior I P.L.
Lot coverage Corner N
Topography Panhandle 5
Iw.
Total height Cul.de.sac
IE
Setbacks
HSE GAR Accl
I
I
r
i. THE PROPOSED WORK IN THE.
"'HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, Ihls application musl be signed'
and approved by the Historical
CoordInator prior to Plfrmlt Issuance.
APPROVED:
BUILDING PERMIT
ITEM SO. FT. X $/so. FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
'.
This permit Is gran led on the express condition that the said
consfrucilon shall, In all res peels: conform to the Ordinance
adopteo by the City ,of Springfield, Including the
Development Code, regulating the co~structlon and use of
buildings, and may be suspended onevoked at ,any time
upon vlolatlon of any provisions of said ordinances.
Main
Garage
"
Carport
~~~ l~ 2;52Q!'O
...IlN~ ~ rh;r l-1i;'~~ .1:t; 0 y
Total Value . ~9MfIO:
~~rp
"( 4>"
---e... .
11 F'J
SYSTEMS DEVELOPMENT CHARGE (SDC)
,
.Plan Check Fee',
.' ,
Date Paid:
,iccelpt Number:
Building Permit Foc
State Surcharge. / 'l~, 7- /,/~
Received By:
Tolal Fee
(A)
Plans Reviewed By
Date
(B)
PLUMBING PERMIT
ITEM FEE
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT.
Water FT.
Slorm Sewer FT.
Mobile Home
Plumbing Permit
Stato Surcharoo
Total Charge (C)
MECHANICAL PERMIT ..
Furnaco
Exhaust Hood
Vent Fan N'
Systems Development Charge Is duo on all undeveloped
properties within Iho City limits which are being Improved.
ADDITIONAL COMMENTS
jf:>'~/77&*- .t1bff-.H.rIf:n- /HAe, ,
-Z:If)f' . / (
(3F ~.q.d'~ HM' ~~;,.P ,,6rL-
, / '
Nt9QftOAfJ""'X- J'f><?. r1J/V~N~
..wA9~/cAL AJ~_ ~~"
~ ~~ '~)! S'.y~
/
r-- rJ-fCH ...p'#>~~Tr 1;1= #~~,
/?f8JtrY~ ~~ W4:J ~~~
. /
~u..d~ ,.(Sj'U.lf!,,~ 7b tM/g~
~J/~, /ad..v~/A/Z 6"..~ q..;~
Mechanical Perml t
By signature, I state and agree, that I have carefully examIned
the completed application and do hereby certlly Ihal all
InformatIon 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 City of Springfield, and the Laws
of the Slalc of Oregon perlalnlng to Ihe work described
herein, and that NO OCCUPANCY will be made of any
structure wllhoul permission ollhe Building Safety Division.
I further cer,tlfy that only contractors and employees who
arc In compliance with ORS 701.055 will be used on this
project.
Wood StovellnsertlFlreplace Unll
Dryer Vant
Issuance
State Surcharge
Total Permit
(D)
I further agree 'to ensure that all required Inspections are
rOQuested at the proper time, that oach address Is readable
from the street, that the permit card Is located atlhe front
of the property, and Ihe approved set of plans will remain
V the site at all limes during c structlon.
/'STiinaturo ~ A
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Date
;a -- / ----L) ~
Curbcut
II
Demolition
State Surchargp
~.
VALIDATION:
25:"~
RECEIPT NUMBER
'? ? 763
e/;/90
~~-~
.t, -~J
Total Miscellaneous Permits (E)
DATE PAID
TOTAL AMOUNT DUE (excluding electrical'
(A, B, C, D, and E Combined)
~_ .~'Z-
AMOUNT RECEIVED
RECEIVED BY