HomeMy WebLinkAboutPermit Building 1991-6-24
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
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.
JOB NUMBER!lI044C[
225 Fifth Street
Springfield. Oregon 97477
LOCATION OF PROPOSED WORK: ~("'jp.,'~. t".~\./~RLaAF
ASSESS~RS MAP' 1'7-03-2:2...- 42...
LOT'
SPRINGFIELD
~taJ
BLOCK:
OWNER: -1:f1,._I-fA.~_L ,l-fl )r;),..;(,ArJ
AODRESS: ?,/"'), <<fVl"_r-t.. \4.ILL~
CITY:
,c,.c:> ~
DESCRIBE WORK:~~6- . -rr.
NEW
-x
ADDITION
REMOOEL
CONTRACTOR'S NAME
GENERAL:~~L'~
PLUMBING'
...sAM E-
MECHANIC'^ I.
ELECTRICAL: <5~P~"Y /
. . $. . -' " .. ,
A..O/)LT' CA>...-Q.~
OTHER
, CONST.
CONTRACTOR'
STATE:
I"'\R
TAX LOT: 3,""~ ~'7~,
SUBDIVISION'
PHONE: '7.::2 c:. ...~..,~..,.
ZIP: Q7d-7'''7
~c.Il-'T'Y
EXPIRES
PHONE
,., l::
()4 \ ?-.= r")
DEMOLISH
A..~
p~~
'T
'be..~e-
- OFFICE USE -
LANO USE:
. OF UNITS'
\
VrJ
~G
,
ADDRESS
9Jf?r;..Y~77'€Av~r:;~g.,~_. ~'7~__ ~-/.t:>-9'7,.
t.:..~--t!t720
QUAD AREA-\\(\Jh)
\
OCCY GROUP: :5.R'~ 2
. OF STORIES: ~
WATER HEATER: ~ L...tE"c r
. OF BLDGS'
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
~~c::..,.
FLOOD PLAIN'
ZONING CODE:
. '^ \)~
4
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE: :-: 7/J!)
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
D Site Inspection - To be made
after excavation, but prior to
set!Jng forms,
o Underslab Plumbing/Electrical/
. Mechanical - Prior to cover.
~ Footing - After trenches are
~ excavated.
o Masonry - Steel location, bond
beams, grouting.
r\7l Foundation - After forms are
L,.L::-J erected but prior to concrete
placement.
IZI
Underground Plumbing - Prior
to 1IIIIng trench,
00
IXI
Underlloor Plumbing/ Mechanical
- Prior .to Insulation or .decklng.
Post and Beam - Prior to floor
Insulation or decking.
IV] Floor Insulation - Prior to
~ decking.
rvt Sanitary Sewer - Prior to filling
L...LJ trench.
f\71 Storm Sewer - Prior to filling
t,.C:J trench. I
I.7l Water Line - Prior to filling
L.LJ trench.
rc7l Rough Plumbing -:- Prior to
L.,.L.J cover.
REQUIRED INSPECTIONS
r-iT1 Rough Mechanical - Prior to
l..,..0J cover. .
r--vl Rough Electrical ~ Pri~r to
l.....LLJ cover.
r\7I Electrical Service - Must be
L,.L.J approved to obtain permanent
electrical power. .
o 'Fireplace - Prior to facing
materials and framing Insp.
lZl Framing - Prior to cover.
rn Wall/Ceiling Insulation - PrIor to
. cover.
I;:EI Drywall - Prior to taping.
o Wood Stove - After I'nstall~tlon.
o Insert.- After fireplace approval
and Installation of unit.
o
Curbcut & Approach - After
forms are erected but prIor to
placement of concrete.
[8] Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
IX] Fence - When completed.
[Xl Street Trees - WhEm all required
trees are planted.. . ...
. '
~
[l]
Final Plumbing - When all
plumbing work Is complete.
ILl Final Electrical - When all
electrical work Is complete.
r\7l Final Mechanical - When all
L.-AJ mechanical work Is complete.
f\71 Final Building - When all
~ required Inspections have been
approved and building is
completed.
IKl Other .:;;.= .?~
/le0'~bY O.....:y:-.
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 ~ Lot Type . Setbacks .THE PROPOSED WORK IN THE
I P.L. I HSE GAR' ACC I HISTORICAL DISTRICT. OR ON 1\ I)
Lot sq. Itg. Interior ,( THE HISTORICAL 'REGISTERT~ 1
'h IN 9~ I
Lot coverage Corner Is ':47' ~e>.:S W~?f If yes, this application must be signed
~~,PA"";..<.-r and approved by the Historical
Topography _ Panhandle Iw Coordinator prior to permit issuance.
Total height ~.- Cul.de.sac
IE /'7' I
APPROVED'
BUILDING PERMIT
so. FT. X
eJ7J 0..'.:
$/SQ, FT.
VALUE
ITEM
~. /l:::> /?&;~~?".:::>
Main
Garage
Carport
158.~aP.:>o
.
5"~7>
:::;?& ::?'9
51'/. t!> $f
SYSTEMS DEVELOPMENT CHARGE (SDC)
IB)~~79. ~
Total Value
Building Permit Fee
State Surcharge
Total Fee
IA)
PLUMBING PERMIT
ITEM
FEE
-Z _-;-0. -<:>
Fixtures ??/< /c>
Residential Bath(s) N'
Sanitary Sewer FT.
Water " FT.
Storm Sewer FT.
Mobile Home
~s:-
-:z S-: ..-
.. "e>
-:zf?:
Plumbing Permit
q:2<~
I b.:2~
~~/. -:2G
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
6.......
9. 0-0
9.-
Furnace
Exhaust Hood
'2
N' .-.l)'
. Vent Fan
Wood StoveflnsertlFireplace Unit
Dryer Vent
~~ !JP~
--;;:'-~
"A~ . <oe:>
lot?, ~
.
I.~
?;'?fi5':::>
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
7..e:;
-;z /.'2'5"
It
Curbcut
It
Demolition
State Surcharge
F""'Nc. F" $ '3:YJ~O
~<!>&>
Zr:;;; 25'
Total Miscellaneous Permits
(El
TOTAL AMOUNT DUE (excluding electrical) -::?7,;/ik, _.t;"/f
(A. B. C, 0, and E Combined)
BUILDING VALUE, PLAN CHECK
.....AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, 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 ordinances.
Plan Check Fee: --==3~ 7.17'7'
Date Paid:
Receipt Number:
R~d By:
~~~
' J>i;lf1s Reviewetl By R-
t:; -~/
. Date
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
q().. m
14;-12 )
"f:omp f) 1'\} =fr qOI I Q5
d~P~Ar6:' C/ ~;:;r;zr/~c.
ff~/"7Nr5~&.c. 'E..= ~r.:>JO?.......~
~.y7~~c=7. /_.,,7~;=JZ?
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify 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 Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made 01 any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are 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, that the permit ca~d Is located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Slgnaturf'
Date
VALIDATION: .
RECEIPT NUMBERJF\4Ltf\
DATE PAID (0 .AL\~ ~
AMOUNT RECEI~~ ; ~ 1. '8 ~ ~~ (p
RECEIVED BY M ,( {'f'x )