HomeMy WebLinkAboutPermit Building 2001-4-6
"
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Oltice: 726.3759 '
LOT:
.
SPRINGFIELD
~
JOB NUMBERO I O(J 3570
225 Filth Street
Sprlnglleld, Oregon 97477
~ \ t n G\/"Y"\\ 1')~~9.111 ~
0;)401:;
SUBDIVISION:
OWNER: '})",\,(\ ('1\ C' \).. ~\ l" PHONE: ..:-J '-I -. - ij29 ~
ADDRESS: "'::) ~C\ ~";Y:\[".o. '(\ \}.,. \ \, "" ~ \ \ 'lA,
CITY' <:=\Vd,^\s;.\,~ \r\ .. STATE: f'A<. ZIP: 0\ 11<\ t.l "'-
DESCRIBEWORK:~~\\ '::L~", ~I\.\- \'~^^.'\ ~ 'tA.\~lA,,,A.\\..Q^.~~.
NEW REMODEL ADDITION ,. """'-;DEMOLlSH OTHER 'v\nVV\..b
~ -
BLOCK:
"
CONST.
CONTRACTOR'
.~
ADDRESS
EXPIRES
PHONE
CONTRACTOR'S NAME
GENERA' .
PLUMBING'
MECHANICALMP'Mt> ~ ol,,^D.+. \-\~.'1Dl~l>.V S\\':.\.~\.^ 0 (\'1l.\O"L. 'it..,'-\.lLo'-\ N?.1 <'J I (""LI~I..I""_ 21\:."1\$;
ELECTRICAl'
, "" - OFFICE USE -IOTICE:
. ,__ " _ N
QUAD AREA',' . , . ..... ~ILAND ,USE: _ - ----J1ITSHAFL00DI'PI:A:IN'I-'c:,^,nQI(
.'Vd..,.l.. '..'_ .1, Iv l\I~.;j;' Inl.:Jrl;;;.nl L-J..i-'" .1_1. . .
. OF B~O'(iS!~~IIU:. l.'..'., ..,', J:a:'.w '~-oF:UNITS' :,~-:-: :,::::ZEO UNIZONfNG:60BE~ITIS NOT
:\1 OAR ~Ot<-llUH)U I U Ii ,rolJgllul-\A ,152-00 ,- .", ^ '> ^ "....,.,""'0 FOR
OCCY GROUP:' , . . . . h CONSTR. TYPE: r-.-"r..\t.rC:~ICEOOR'.OF'BDRMS'-
VVvV. I"",~ """".\ .J:_r~'1 I'J..J::'~ .,1t ,clUld::,ujI -
. OF sTOFirE'S'lC .I,., ~dn.~, ,,,",, n. tele~HEAT-,SOURCE: ANY 180 OAY PEPiR'20NLlARY HEAT:
nU.lIbt:.:f ,l).. ~(I. .. ",:1' ,\!oti1ir,:)tinn
WATER HEATER:,-.,_ _4). RANGE:_
1"'\. ,_."
SQUARE FOOTAGE:
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. AlIlnspecUons requested before 7:00 a.m. will be
made the same working day. Inspections requested after -':00 a.m. will be made the followln_9 work day.
o Temporary Eloctrlc
o Site Inspoctlon - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblngl Electrlcall
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel locatlon, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Undorground Plumbing - Prior
to filling trench.
o Underlloor Plumblng/Mechanlcai
- Prior to Insulation or decking.
o Post and Boam ~ Prior to floor
Insulation or decking. '..
o Floor Insutatlon - Prior to
decking.
o Sanitary Sewer - Prior to IlIlIng
trench.
o Storm Sewer - Prior to filling
trench.
o Waler line - Prior to filling
trench.
o Rough Plumbing - PrIor to
cover.
REQUIRED INSPECTIONS
d ROjJgh Mechanical - Prior to
~ver.
o Rough Electrical - Prior to
cover.
o Electrical Servlco - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior 10 facing
materials and framing Insp.
o Framing - Prior to. cover.
o Wall/C'elllng Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - Attor Install(1l1on.
o Insert - Attcr fireplace approvlll
and Installation 01 unit.
o Curbclll & Approach - After
forms are erected but prior to
placement of concrete.
o Sldewall< & Driveway - Alter
excavatIon Is compictc, forms
and sub.base material In place.
o Fence - \-Vhen cOl"l'tpleted.
o Street Treos - When all required
trees are planted.
o Final Plumbing - When all
plumbIng W~HI< Is complet.c.
o Final Electrical - Wilen all
electrical work Is complete.
~echanlcal - When all
mechanical work Is complete.
o Final Building -.When all
required Inspections have been
approvod and building Is
complcted.
DOthor
MOBILE HOME INSPECTIONS
o Blocking and Sel-Up - When all
blocklnQ 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 connccted to
the service panel.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
,."
,
,
~
Lot facos
Lot Type
Lot sq, flg.
Interior
Lot coverage
Corner
Panhandle;
Topography
Total height
Cul.dc-sac
BUILDING PERMIT.i ;; t
ITEM
SO, FT,
X $/so. FT,
Main
Garage
Carport
Tolal Value
Building Permit Fee
Slate Surcharge
Total Fee
(A)
"
laE PROPOSED WORK iN !E .~
'''HISTO~ICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
~., .',' :.' "'j !;' ,t'1 f,'/~~l
..,' .;'. .'f;J.:'~
Setbacks.
I P.L. 1 HSE I GAR' ACe' I
I
1
I
-;-:= =-. _ __J
BUILDING VALtJE, PLAN CHECK
AND BUILDING PERMIT
~_.
If yes, this application must be signed
and approved by the Historical
CoordInator prior to permit Issuance.
S
w
APPROVED'
VALUE
This permit is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the Clty.of Springfield, Including the
Dovelopment Code, regulating the constructlon and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
"
Plan Check Fee'
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
Storm Sewer
FT.
Mobile !'fome
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Slove/lnserl/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sidewalk
It
Curbcul
It
Demolition
Slate Surcharge
Total Miscellaneous Permits, (E)
.1
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
ADDITIONAL COMMENTS
FEE
By signature, I state and agree, thai 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 perlalnlng to the work des~rlbed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that o,!ly 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 card Is localed al Ihe fronl
of the property, and the approved set of plans will remain
on the site at all tlmes during consllU_9tlon.
Slgnalure Mjd~~ ")
~L-~.L;"~ ~--
I' -~' ~ .
Datp
VALIDATION:
RECEIPT NUMBER
D
:3: -i
-i 0 ::u
DD
::u -i Z
rr1 IT1 (0
(")--#
D '::'~o
(0 f'..J:::Dj-l.
HC,JWOO
rr1~__a-.Q
~-; :2::d'N,p.
a en. CHD
C"~tr--:l'O:->:-
~
DATE PAIP
AMOUNT RECEIVED
RECEIVED BY
. :\
.
City Of Springfield
Development Services
Community Services Division
Building Safety
I Job# 01-00337-01
"
Location Of Proposed Site: 3998 Franklin Blvd Spr
Assessors Map#: 17033442
Lot: Block: Addition:
Owner:
Brad Curtis
3998 Franklin Blvd
Phone Number:
City/State/Zip: Eugene, OR 97116
New Value: $0
Address:
Scope Of Work: Mechanical
Contractor Type
Mechanical Contr
Contractor
Home Comfort Heating & Air Condit"
Po Box 24205, Eugene, OR 97402
Registration #
84164
Fee
Paid On Receipt#
Mechanical
04/06/2001 4868
04/06/2001 4868
04/06/2001 4868
04/06/2001 4868
Minimum Mechanical Permit
Administrative Fee - Mechanical
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Grand Total
Required Inspections
Scheduled Inspection Inspector
Date Date
Mechanical
Rough Mechanical
Final Mechanical
:nd Of Report
.
Tax Lot #: 02400
Subdivision:
Expiration Date
6/25/2001
Value/Quantity
Result
Comments
Pending
Pending
Page 1 of 1
Phone
541-345-2838
Fee Amount
1
$15.00
$.45
$10.00
$1.05
$26.50
$26.50