HomeMy WebLinkAboutPermit Building 1992-2-26
RESIDENTIAL
PERMIT APPLICATION
Inspections; 726.3769
Office: 726.3759.
.
SPRINGFIELD
LOCATION OF PROPOSED WORK: 'Ii en t..Olll AL D'i?
ASSESSORS MAP' 11'{)~/)-~ -1;). .
LOT'
BLOCK'
OWNER; "'&:-_~~eY-1~15~pp
ADDRESS: (,(7 ChLQJ,llA L ..t:J;2,
CITY: <:"~Il\t:l-~~
STATE;
PHi~
DESCRIBE WORK'
r_.k-R -PDl<"'l
NEW "'-
REMODEL
ADDITION
DEMOLISH
OTHER
J
. .
JOB NUMBER-9-::;)nn':5
225 Fifth Street
Springfield, Oregon 97477
TAX LOT'
SUBDIVISION'
o I-3D [)
PHONE:
7 L/~ ?6"3"'1
ZIP:
PI 1L[11
CONTRACTOR'S NAME ADDRESS
GENERAL;_~IMB",LL Co",\~..t tOc.-r tO~
CONST.
CONTRACTOR . ~PIRES PHONE .
l~~ -:SA.\'QSS.~/b".;15b) ~ D~I.,,~ '7Lf7/4IC
S~I~IE.IlJ) ,t , _
PLUMBING:
MECHANICA' .
ELECTRICAl'
QUAD AREA; \ R (\')lU
. OF BLDGS:
OCCY GROUP:_tv\
. OF STORIES: . . J
WATER HEATER'
- OFFICE USE -
\\\\
LAND USE;
. OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
\I-IJ
FLOOD PLAIN'
ZONING cODE;ln~ )
. OF BDRMS'
SECONDARY 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 be
made the same working day, Inspections requested after 7:00 a.m. will be made the following work day.
o Temporary Electric
~ite Inspection - To be made
~;fter excavatiO~:i.
setting forms.
o Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
~ Footing - After trenches are
, excavated.
D Masonry - Steel location, bond
beams, grouting.
o Foundation - 'After forms' are
erected but prior to concrete
plac~ment.
o Underground Plumbing - Prior
to filling trench.
D Underfloor Plumbing/Mechanical
- Prior to insulation or deckIng.
,
o Post and Beam - Prior to floor
insulation or decking.
D Floor Insulation - PrIor to
decking.
D Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - PrIor to fIllIng
trench.
D Water Line - PrIor to filling
trench, -
D Rough Plumbing - Prior to
I cover.
RANG'"
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Electrical - PrIor to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - PrIor to facing
materials and framing Insp.
~ Framing .- Prior to cover.
D Wall/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - 'After Installation. .
D Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
-0 Fence - When completed.
o Street Trees -'When all required
trees are planted. .' I
o Final Plumbing - When all
plumbing work Is complete.
D Final Electrical - When all
electrical work is complete.
o Final Mechanical - When all
mechanical work Is complete.
~ Final Building - When all
~ requIred inspections have been
approved and building is . .
completed.
o Other
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
In~pectlons 'are approved and
po'rclies, skirting, decks, and
venting have been .Installed.
~jJ~(;' ~~
;~
Lot faces -#L LO.
Lot sq. ftg. Interior I P.L.
IN
Lot coverage Corner
Is
Topography Panhandle
Iw
Total height Cul-de-sac
IE
BUILDING PERMIT
ITEM SQ. FT. X $/SQ. FT. VALUE
Setbacks
HSE ~Accl
1S' I
I
I
$1 I
.
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR~N
THE HISTORICAL REGISTER?
If yes, this application mus' signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Carport
1-0/1
SO~
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' 02-.1:(3
\ - /8- 0)...
Receipt Number: 3z.e~
Received y: I1AUIlt
~~~
Pia Fleviewed Ery
Date Paid:
Main
Garage
Total Value
State Surcharge
.5D,50
2..'51
S ~ . /J3
SYSTEMS DEVELOPMENT CHARGE (SDC) ~
, (B) .91~
(A)
Z -II-%.
Date
Building Permit Fee
Total Fee
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
N'
/
Sanitary Sewer
Water
Storm Sewer
Mobile Home
~
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
/'
/
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 of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with CRS 701.055 will be used on this
project.
Vent Fan NO
Wood Stove/lnsert/Flreplace Unlt/
Dryer Vent /
Mechanical Permit /
Issuance
State Surcharge
Total Permit
(D)
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 card Is located at the front
of the property. and the approved set of plans will remain
;~g:::u:~e at (times d:n~~J LJ
("" -/~A" f r
Date h ~ 5-/:' - G7~ '"')-
~ V' ~ -- .
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
ft
Demolition
State Surcharge
VALIDATION:
RECEIVED BY
3~:S 2-
'2 -2.c.. -7'2-
/~,.., "':1
~-(~~
Total Miscellaneous Permits (E)
'RECEIPT NUMBER
DATE PAID
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
/60.43
,
AMOUNT RECEIVEn