HomeMy WebLinkAboutPermit Building 1993-5-17
.
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Ollice: 726-:1759
LOC/,TlOr,! OF PROPOSED WORK'
ASSESSORS MAP: -/i8 ~ /'.
LOT: ,
NEW_.
REMODEL
SPRINGFIELD
Witti)
...j/J ~ ?.
r~ ~ "2-
JOB NUMBER
93ij(?f:::"S
225 Fifth Street
Springfield, Oregon 97477
JAY~ .~ ~
'< TAX LOT: ~ t::) /
BLOC~'
SUBDIVISION:
PHON E:
7-;/7-7~~O
OWNER - J.{'l~ ~~I
ADDRESS, ;';,~07/ . ~i:;5!_::{dl'~ 'R.JJ
CITY: __<3:.I);=t> , STATE: --~ '
DESCRIBE WORK --57#>4'~C AV J / !7tPJt J
ADDITION. V
r -
ZIP:
c'9747"_
m
.?f,&J/~blJe6
DEMOLISH
OTHER
CON rRACTOR'S NAME ADDRESS
GENERAL:_.----O-W All'S4_
CONST,
CONTRACTOR'
PLUMBING:
"
MECHANICAl'
ELECTRIC.' ' '
OUAD AREA
. OF BLDGS:
OCC'! G8QUP:
. OF STOR1,l"S:_
"
'~
WATER HEATER: __
'. "'.
- OFFICE USE ,.;...
LAND USF'
. 01= UNITS:
~
CONSTR. TYPF'
EXPIRES
PHONE
HEAT SOURCE:
RANGI='
FLOOD PLAIN'
ZONING CODE:_
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an in-sp~.~ti-an, you must ~call 726-3769. T"his is a 24 hour recordIng. All inspections requested before 7:00 a.m. will be
mad;-] the s.Jmc' workii1g .day, Inspections rCQuestec;Lafter 7:00 a.m. wilt be made the following work day.
o Tcmpormy Electric
D
Site Inspection - To be made
alter .:!xGUValion, but prior to
setting forms.
CI
Underslab Plumbing I Electricall
Mechanical - Prior to cover.
l><::1' Footing - After trenches are
-.;;.xcavated.
o Masonry - Steel location, bond
beams, grouting.
, )Q1 Foundntion - Afler forms ale
r""""",creCII:d !Jut prior 10 concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o Underlloor Plumbing/Mechanical
_ Pnor 10 insulation or decking.
K/1' Post and Beam - Prior to floor
~insul;ltion or decking.
o Floor Insulation - Prior to
decking.
o
Sanit:uy Sewer - Prior 10 filling
lrcnell.
o
Storm Sewer - Prior to filling
Irenen.
o Water Line - Prior to filling
trencn.
Cl Rough Plumbing -- Prior to
cover. \.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
~ Rough Electrical - Prior to
~ cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facIng
materials and framing Insp.
~Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
~DrYWal1 - Prior to taping.
o Wood Stove - After Installation.
D Insert - After fireplace approval
and installation of unit.
o Curbcul & Approach - After
. _.. forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
.;xcavation is complete. forms
and sub-base materi;:: 1f1 place.
o Fence - When completed.
o Stroet Trees - When all required
trees are planted.
.( -
o Final Plumbing - When all
plumbing work is complete.
"QrFinal Electrical - When all
~Iectrical work is complete.
o Final Mechanical - When all
mechanical work is complete.
1':71 Final Building - When all
~ required inspections have been
approved and building is
completed.
DO'hcr
MOBILE HOME INSPECTIONS
o Blocking and Set. Up - When all
b!ocklng is complete.
o Plumbing Connections - When
home has been conn~cted to
water and sewer.
o Electrical Connection - When
blocking. set-up. and plumbing
inspections have been approved
and the home. is connected to
t~e ser'..ice panel.
.0 Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
.
.
Lot coverage
Lot Type Setbacks
Interior I P,L. HSE'GAR'ACCI
IN
Corner Is I
Panhandle Iw I
Cul-de.sac IE I
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTEf1?
Lot faces
Lot sq, Itg.
Topography
Total height
If yes, this application must be signed
and approved by the Historical
Coordinator wior to permit issuance.
APPROVED:
,
\ BUILDING PERMIT
ITEM SQ. FT, X $/SQ, FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
~6
1f37
7", C;;
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
ado pled by the City of Springfield, including the
Qevelopmcnl Code, regulating the construction and use of
_ buildIngs, and may be suspended or revoked al any lime
upon violation of any provisions of said ordinances.
\
.LI~
Main
Garage
Carport
Plan Check Fee:
:2 <;'"<93
Date Paid:
Total Value
Building Permit Fee
.?~~
J/13
~
Receipt Number:__
Total Fee
(A)
31oQp3
Slate Surcharge
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) J-{/A.
Systems Development Charge is due On all undeveloped
properties within the City limits which arc being improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Residential Bath(s)
N'
5~~_~
~A~~A~_
Fixtures
Sanitary Sewer
FT.
FT,
sepA!?A T E; E L F7"'-7R-LCAL-
1'<'5'p4-LR po:.,,~
Water
Storm Sewer
FT,
Mobile Home
-\ ."
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certi ty that all
Information hereon is true and correct, and' further certffy
that any and all work performed shall be done in accordance
with the Ordinanc~s of the City ot Springfield, and the Laws
of the Stale of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made or any
structure without permission of the Building Safety Division.
I further certl ty that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Wood StovcflnscrtlFirepJace Unit
Dryer Vent
MechanIcal Permi t
Issuance
State Surcharge
Total Permit
(D)
I further agree to enSUle that all required inspcction~ 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
. ~~::u:~~;C~;:;;:::; .
Date :s - / 7 - '5 ]
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
VALIDATiON:
TOTAL AMOUNT DUE (excluding electrical)
fo5.-F-~
~-62-5
DATE PAID ~7- J' 7
AMOUNT RECEIVED_---'-- 4 ~5~~
d"~
RECEIPT NUMBER
Total Miscellaneous Permits (E)