HomeMy WebLinkAboutPermit Building 1993-3-23
RESID"ENTIAL .
PERMIT APPLICATION
Inspections: 726,3769
Office: 726,3759 '
JOB NUMBER
01302.lo9
225 Fifth Street'
Springfield, Oregon 97477
LOCATION OF PROPOSEp)l)ORK: Lo1.,B I
ASSESSORS MAP I D~Cr=<; !4-
~\
OWNER: "-..:,~L,N"\, \~ }'3\w ,PHONE: ~c;- I ~~,? (W)
ADDRESS: m f) 1/ t 11 , I JCW1 .. ^,fJl (J 0 T~
c,,, '-~t\..O- ,;",.(\)AQ r ,,,. "1,'1--17
DESC~IB~ WORK~L(\~ Yn ffii. ~ ~ Q,Q [\J! 0 n{\ 0 )
Ni'-W ,Y REMODEL U. ADDITION DEMOL~ OTI;lER
LOT:
CONTRACT<jl'N NAME
GENERA" \ \l.l..l "){\O V
PLUMBING''.\)f':\\ '\~
MECHANIC.t', cA\\ ~ C'\ ~.
ELECTRICAL: ~ ... J
BLOCK'
TAX LOT O::J3.C'()
SUBDIVISION\. J-n.1':th \10 O./\.....L
ADDRESS
CONST,
CONTRACTOR'
EXPIRES
PHONE
OUAD AREA: ~SE
\
OCCY GROUP ~'?1 \- ~
y~
. OF BLDGS'
. OF STORIES:
WATER HEATER:
~
rnf)~
IJ
- OFFICE USE -
\ \ \ \
. OF UNITS' \
VtJ
CONSTR, TYPE: _ '
HEAT SOURCE: FS
y.../
LAND USE:
RANGE:
FLOOD PLAIN'
~e)
ZONING CODE:
. OF BDRMS:
SECONDARY HEAT: :Z..c:.5tn)
,t''''--''''""l
SQUARE FOOTAGE:~L..-' J -
To request an inspection, you must call 726.3769. This is a 24 hour recording. All inspections requested before 7:00 a.m. wlll be
made tl)e same working day. lnspections/cquested after 7:00 a.m. will be made the following work day_
... . I . --. ... , \ .
',' !, REQUIRED INSPECTIONS
r;l1 Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab PlumbingJ Electrical J
Mechanical - Prior to cover.
1'\:?1 Footing - After trenches are
~ excavated.
o Masonry - Steel location, bond
beams. grouting.
rv1 Foundation - After forms arc
~erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
-..c:;:>I' Underlloot'PlumblnQ)l'lIechanlcj)
~ _ Prior t~r U~LI\II-'~.
~ Post and Beam - Prior to floor
~ insulation or decking.
~ Floor Insulation - Prior to
~ decking.
g Sanitary Sewer - Prior to filling
trench. .
~ Storm Sewer - Prior 10 filling
~trench. .~
,
~ Water Line - Prior to filling
~rench. .
r"V'I'Rough Plumbing - Prior to
~ cover.
~ Rough Mechanical - Prior to
~ cover. .
f'iV1"l Rough Electrical - Prior to
~covcr.
JVr Electrical Service - Must be
~pprovcd to obtain permanent
clectrlcal power. .
~ Fireplace - Prior to facing
"k::::]'- materIals and framing Insp.
~ Framing - Prior to cover.
~ Wall/Ceiling Insulation - Prior to
~ cover.
~ Drywall - Prior to. taping.
D Wood Stove - After Installation.
o Insert - After fireplace approval
and Install~tion of unit.
~ Curbcut & Approach - After
~orins are erected but prior to
placement of concrete.
~ Sidewalk & Driveway - After
~ excavation is complete, forms
and sub.base material in place.
o Fence - When completed.
..
~ Street Trees - Who'n ~t1 required.1
~ trees afC p!A.ntcd. (rk1tJ J;(~)
~ Final Plumbing - When all
~ plumbing work is complete.
~ Final Electrical - When all
~ electrical work Is complete.
r\7f Final Mechanical - When all
~ mechanical work is complete.
~. Final Building - When all
~ required inspections have been
approved and building is
completed.
DOlher
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connectio"ns - 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
venti ng have been installed.
4- . IS T.PROPOSED WORK IN TH~'
Lot faces lot Type Setbacks
lot sq, ftg, ~I ,LS Interior I P.L. HSE I GAR' ACC I HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Lot coverage ~ Corner I~ II yes, this application must be signed
Topography ~) Is I and approved by the Historical
Panhandle Iw I Coordinator prior to permit issuance.
Total height ~S Cul.de.sac /I II
IE 5 i APPROVED:
BUILDING PERMIT
ITEM ___ l??' FT,
Main~~A
LPrt)
x ~;Wfg I ;~U;/O
" ~()
Garage
Carport
123.~70~
/ 4111:1 7 f!D
24,3'-
51/.3$'
SYSTEMS DEVELOPMENT CHARGE (SDC) tb
'2tP~.s.C'1J ~~
(B)~-f!'.1i1._...."
Total Val ue
Building Permit Fee
State Surcharge
Total Fee
(A)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
!i'.....- ~
/9z.S'O
Sanit?ry Sewer
Water
FT,
FT,
FT,
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
~&.3
;yj2. .' j,
Total Charge
(C)
MECHANICAL PERMIT
~<?-O
4!.S"o
/:;2,.bO
Furnace
Exhaust Hood
Vent Fan
N'
.4
Wood Stove/lnsertl Fireplace Unit
Dryer Vent
3. PO
Mechanical Permit
"2. <S ~o
/D.b-O
/,~
,,</_,7 t>
=
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issu'tnce
State Surcharge
Sidewalk /"7 It
Curbcut 12.. It
"2-D. oS"
~4,~O
Demolition
State Surcharge
//~A'f'1//B.J Fr5C ~ksT,
/~ ,/~
4q.,OI
.
?~4..! 2..
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit:s granted on the express condition that the said
constrllction st1all, in all respects, conform to'lheOrdinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revokeli at any time
upon violation of an~~~ions of said ordinances,
Plan Cr,cck Fee:---J......4 D ..~ ' 3/~ 5":
~ 4 - 3" 3 ' ~r
Date Paid, ,)., /'_
- sa- 13.'"
Receipt Numbe~. . rJ~ (J I
Received B : \ ~
~ , ~
,~t^^-^- L; 7.?
Plan Reviewed By - ~D Ie
Systems Development Charge is due on all undeveloped
. J
properties within thq CitY.limits which are being Improved.
ADDITIONAl. COMMENTS
(1jJ/l1)[)/ j)jj,
~T; \~Q)W40,
~,nOY); 1G\f\~
;'
PA7ll 1, W/ /?- lA, S WAtLs
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
informatJon hereon is true and correct, and I further certify
that any and all work performed shall be done in accordance
with the OrdinancE;ls of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein. and thai NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certi ly 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 card is located at the front
of the pro erty, and the approved set of plans will remain
on the ite at all Mring construction,
~Signal A~ ~.~
.!2 ~ q ~
Dale
VALIDATION:
f)<IJ &
," ,;~~
RECEIPT NUMBER r
DATE PAID
AMOUNe
RECEIVED