HomeMy WebLinkAboutPermit Building 1992-6-30
RESIDENTIAL
PERMIT APPLICATION
Inspection,;: 7?6.3769
Ollice: nu,J759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP: _L2-o"'3fJ -z:2- SI'2
OWNER:_M/-~~ Y~PkA":.A7
AODRESS__GQ/_7~L~/f!-/L~_~..r .
CITY: ?,EB-Z/ STATE:-aB
DESCRIBE WORK:/b:X 2~/ :<~~~ f ~b-'9~ ~R '.4~4~~4"/ ~
REMODEL ADDITION DEMOLISH OTHER
LOT:
NEW
BLOCI"
. ' I
JOB NUMBER _"2'~~_ _
225 Filth Slreol
Springlleld, Oregon 97477
TAX LOT:
SUBDIVISION'
PHONE:
"77G:~7~? 6e.,,,-~
ZIP:
q~
~/--
'-
" CONST.
CONTRACTOR'
EXPIRES
PHONE
CONTRACTOrl'S NAME ADDRESS
G~NERAL _~/-?~~-=-~~~,
PLUMBING'
MECHANICA' .
ELECTRICf" ~....~....,..~/
QUAD AREA -1i!1#JA/
. OF BLDCS: ___I
/-/l
/
OCCY GI10UP:
/I OF STORIES:
WATER HEATEI1:
. -
- OFFICE USE -
LAND USF'
. OF UNITS:
CONSTR. TYPE:
~-.A/
"
FLOOD PLAIN:
ZONING CODE: -,?4,(?/-"::f
. OF BDRMS:
SECONOARY HEAT:
SQUARE 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 he
maclc the ~~ufllC working day. Inspections requested after 7:00 a.m. will be made the following work day.
o Tcmpormy Electric
o Sito Inspection - To be macle
aflcr cxc<.1vation, but prior to
sottinU forms.
o Undcrslab Plumbing/Electrical I
Mechanical - Prior to cover.
o Footing - Afler trenches are
excava\l~cl.
o Masonry - Stecl location, bond
beallls, OH)Lltlng.
lZl Foundation - After forms arc
croctcel but prior to concrcte
placement.
o
Underground Plumbing - Prior
to filling trench.
[Z]
Undcrlloor Plumbing/Mechanical
_ Plior to insulation or clccklng.
[Xl
Post and Beam - Prior to floor
insulation or decking.
o
Floor Insulation - Prior to
decking.
o
Sanitary Sewer - Prior 10 filling
trench.
o
Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
[Xl
Rough Plumbing - Prior to
cover.
HEAT,SOURCE:
RANGE:
REQUIRED INSPEGTlQNS
[EI Rough Mechanical ~ Prior to
cover. .
IA7l Rough Electrical - Prior to .....
L'.6--I cover.
lXJ Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
lKJ Framing - Prior to cover.
IX] Wall/Ceiling Insulation - Prior to
cover.
IkJ Drywall - Prior to taping.
o Wood Slove - After Installation.
o Insert - After fireplace approval
anel installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement 01 concrete.
o Sidewalk & Driveway - After
excavation is complete, torms
and sub.base material in place.
o Fence - When comp~etg~.
o Street Trees - VYtl(~n all required
trees are planted.~, ~ .
rn Final Plumbing - When all
plumbing worl< is complete.
[Xl Final Electrical - Wilen all
electrical work is complete.
l\7I Final Mechanical - WIlen nil
~ mechanical work is complete.
rv1 Final Building - When all
t,.6..J required Inspections have been
approved and building is
completed.
!KI Olhcr~~P
~r~ &#/L_
MOBILE HOME INSPECTIONS
o Blocking and Sel-Up - When all
blocking Is complete. .
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - WIlen
blocking, set-up. and plumbing
inspections have been approved
and the home is connected 10
the service panel.
o
':'"
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installud.
Lot'faces
\ "
Lot sq. Ilg,
Lol TYP~
Interior
~
Lot coverage
Corner
Topography
Panhandle
Tolal heighl
Cul-de-sac
BUILDING PERMIT
ITEM so, FT. X $/50. FT.
Main
Garage
,
Carport
.~~. ?2r!>
,a;.~
,
Total Value
Building Permit Fcc
Stale Surctlarge
Total Fcc
(A)
.5 THE PROPOSED WORK IN THE
HISTORICAL OISTRICT, OR ON
THE HISTORICAL REGISTER? __~_
If yes, this application must be signed
and approved by lhe Historical
Coord inn lor prior 10 permit I:,.$uancc.
Setb1cks
1~1.!:l~ QAR. ACC
N
~---
W
E
VALUE
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thl? permit is granted on t11e express condition that tt1C said
construction shall, In all respects, conform to the Ordinance
adopted by the City'" 01 Springfield, inclucling the
Development Code. regUlating the construction and use of
buildings, and may be suspended or revoked at any time
upon violatlon of any provisions of said ordinances.
5"~O-R~
". Pia;;' Checl< Fe'e: 36. 73,
.'~ ,
-5"~S-o
2-1E~
5'"9. '?3
Date Paid:
Receipt Number'
y:
./~o/
.:,."..--~~
eviewed By' - /'
_'5:.-."22~
Date
SYSTEMS DEVEL?YMENT CHARGE (SliP)
.c:tJU.G&.~ "*/ ~/T~;91tC/~T7'?~M/~
IB)
PLUMBING PERMIT
ITEM FEE
Fixtures. ~ ~
Residential Bath(s) N'
Sanitary Sewer FT.
Water FT,
Storm Sewer FT.
Mobile Home
Plumbing Permit ~_ .::<0
Stale Surcharge /. Gt?
.
Total Choline (C) _~;7-
MECHANICAL PERMIT
Furnace
Exhausl Hood
Vent Fan
N'
(
Wood Stoveflnsert/Flreplace Unit
Dryer Vent
,
Mectiariic,;1 Perml t
/#///
Issuance
Stale Surcharge
Total Permit
(Dl
MISCELLANEOUS PERMITS
Mobile Home
Slate Issuance
Stale Surcharge
Sidewalk
II
Curbcut
II
Demolilion
Stale Surcharge
ll#f!7f~~E~
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A. B. C, D. and E Combined)
....--
~
/5:~
/19--
_ 7:!>
--z'!7: 7~ -
.36.~
/?3. "7/
Systems Development Charge Is due on all un<lcveloped
properties within the City Iiml.ts which are being improved.
ADDITIONAL COMMENTS
By signature, I slate and agree, that I t1ave carefully examined
the cOl11pleted flpplicnlion ..md do hereby cf)rlily IIlal ,III
Information t1Creon is Iruc and correcl, and I further certify
that any and all worl~ performed shall be done in accordance
with the Ordinance:" of tile City of Springfield, IInd IIw Law:;.
of the StDte of Orenon pertaining 10 the worl~ descrilJml
herein, and thaI. NO OCCUPANCY wilt be matle of any
structulC without permission of the Building Snfcly Oivi::;ion.
I further certify tt1al only contractors and employees who
are In compliance with ORS 701.055 will be lIsed on this
project.
I further agree 10 ensure Ihal all required inspections 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, n the approved set of plans will remain
gr" "';::""',"~' ""k -
Oate.J./1 /
VALlDArION: 0 H
RECEIPT NUM0R, ..~ _~ _.. .. C3 __._.
DATE PAID _,_-' =<{YJ'~
AMOUNT REC~Ef _t1::itL:l~
RECElvm ~/.M .-/
~, -