HomeMy WebLinkAboutPermit Building 1992-9-25
III'T
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RESIDENTIAL
PERMIT APPLICATION
Inspeclions: 726.3760
Office: 72G.37G9
I.OCATION OF PROPOSED WORK: -+jJ~-:3
ASSESSORS MAP: -L~/')2 Q$
. -
LOT: BLOCK:
OWNER' ~f\AO""'D ~
ADDRESS" 41 & ~ IJlcSl::>C12- (2.D
CITY: ~i-x,I=I~r--..;
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SPRINGFIELD
~L/C:;,8"')
'. ' . -
JO~ NUMBER 92- /22. S
225 Fffth Street
Springfield, Oregon 97477
~I::,{\+,~t-.I O/Z- '
TAX LOT: _/JI?~<;'6Q
SUBDIVISION'
1?0
PHONE: --2% - ~t.I (/(P
ZIP: q/lj/~
DESCRIBE WORK: ~
IZ.' ~':;1..'t' "&.-Qr~,lQ'\',:"'-)I..'r(jV'---'; t=I(!7Tp,;rr - ,~"12AA;~ ,7,:;
"" d= ~p ~,.,.v, L<--
~DDITION ~_ DEMOLISH OTHER
NEW
REMODEL
STATF' O"e..
CONST,
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
GENERAL: ~~~ W~~ (.~( .,.",..... II 'lfl4~<(11-?L '1>FjA 562.57
PLUMBING' ~o~ -P~bl:"~
MECHANICAl' ,.::.Jk
ELECTRICAl' "3"': I "';"-"'Z .. ELEZ:nz. lL-
OUAD AREA: ~~ ?('-""---'
N OF IlI.DC:3:,_ \n--i:-- --~.;
OCCY GROUI. - - -~-d-------"
\ . ,
N OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND USE--\.1 \ \ .
; ~F UNITS:____L-;-+_
CONSTR. TY~E: J/JV
H'EAT SOURCE:_.eHJ
RANG~'
EXPIRES
-"3
PHONE
7'1(, -0 7t. ~
?~<; -55/7
FLOOD PLAIN: J
ZO~ING CODE' ill
. OF BDRMS:
SECONDARY HEAT: )
SQUARE FOOTAGE: $'r::
. To request an Inspection, you must call 726.3769. ThIs Is Ii 24 hour recordIng. Alllnspcctlons requested before 7:00 a.m. will be
made the same working day. Inspecttons requested after 7:00 a.m. will be made the following work day.
o Temporary Electric
o Site Inspection - To be made
after excavation, bLlt prior to
selling (orllls.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
./"
Ld" ~ooting - After trenches are
cxcavalCcL
I~ Masonry - Sleol locallofl, bond
beallls, oroutlng.
~oundatlon - Aftcr (orms me
erected but prior to concrcte
placement.
o
Underground Plumbing - Prior
to tilling trench.
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
~st and Beam - Prior to floor
Insulation or decking.
~r Insulation - Prior to
decking.
o
Sanitary Sewer - Prior to filling
trench.
O Storm Sewer - Prior to filling
trench.
o
?O
Water Line - Prior to filling
trench.
Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
'1 0 Final Plumbing - When all
~ plumbIng work Is camp/ct.c.
~ectrlc.1 - When all
electrical work is complete.
o Rough Mechanical - Prior to
cover.
~U9h Electrical - PriQr t~
cover.
~cctrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
~Imlno - Prior to cover.
~l1fCCiling Insulation - Prior to
cover.
~ywall - Prior to taping. .
,
D Wood Stove - After Installation.
o Insert - After fireplace approval
and installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - Alter
excavation Is complete, forms
and sub-base material In placc.
o Fence - When completed.
I ,
o Streot Trees - When all reQulre'd
trees are planted. i '"
, ....
o Final Mechanical - When all
mechanical work Is complete.
~Iding - Wilen .11
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 Electric~1 Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
i.
o Final - After all rCQulred
Inspections are approved and
porches, skirting, decks, and
venting have been installed.
Lot facos
Lot TYP.'
11nterior
Setb"lcks
P.L. HSE GAR ACC I
..!:!..-.. 1~____
.IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
Lot sq, ttg.
Lot coverage
Corner
~
Topography
Total height
Panhandle
.2-___
.::!:L- __ __-
If yes, this application must be signed
and approved by tlle Hislorical
Coordinator prior to permil issuance.
_S-_ '22.._ _'-__
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is gran led on the express condi lion that tile said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including lhe
Development Code, regulating the construction and use of
bulldinos, and may be suspended or revoked nl ,my lime
upon violation of any provisions of said ordinances.
~ .:.;L'<'> "fCi" J
Plan Check Fee: -=:.:;./--e-~. ~ ~,
l~ 000 Date Paid: __5/2,/'9 2..__
f Receipt Number (..-(")72-
/ Z2.. )-0 ~
&, : :; ~ Receiv~,. _. -')...- ~
\ r)Cl (.7:> .......\ ~ -~~,
, '" c.>. - ....1 ns Reviewed By
Cul.de-sac
BUILDING PERMIT
ITEM sa. FT.
X $/SO. FT.
VALUE
Main
7.2>f3,
&/<2>5
Garage
Carport
/jJ,:=;"o.JiF(
10/4
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) N/A
PLUMBING PERMIT
ITEM
FEE
X'>.cp
Fixtures
~\(') .CO
Residential Bath(s)
N'
Sanitary Sewer
FT.
Water
FT,
FT.
Storm Sewer
Mobile Home
Plumbing Permit
?i).CO
\. $D
~1~
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StovellnscrtJFlreplace Unit
Dryer Vent
Mechanical Perml t
Issuance
State Surcharge
\J! bo.
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
~ '\~.
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding eleClrical~~. ~~-
(A, B, C. D, and E Combined) ]
APPROVED'
Q..- Q~-G,Q...
Date
Systems Development Charge Is due on all undeveloped
properties within tile City limits which are being Improved.
ADDITIONAL COMMENTS
.n~'sL~\-~,\"(> ~~~-~
_'" '<' \, ~<;O.__~~_O~-
~- . ,:.-
\ \::::)~~_\S::-
By signature, I state and agree, that I have carefully CX~lIT1ined
the completed application and do hereby certify that all
information tlcreon 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 Oreoon pcrtninlng to the worl( described
Iwrcin, and that NO OCCUPANCY will "1m Illilcle 01 ilny
:::tructure WiUlOUI ptmlli~;~;jon of the Building Safety Divi:.~ion.
I further certify thaI only contraclor~; lJnd empluyees who
are in compliance witll GRS 701.055 will be m;ec.l on tllis
project.
I furlher agree to ensure 1110.1 all required insp'Jctions arc
requesled at 1110 proper time, lIlat each address Is readable
from the stroet, that Ihe permit card is located al tile front
of the property, and tile approved set of plLlns will remain
:~g:::~-=rlng conslru~.I?L
Datn 7-z...s--9L
VALIDATiON:
RECEIPT NUMBER L0~~~
DATE PAID ~-2 ~
AMOUNT RECEIVED -, \{t'J. ~> -----
RECEIVED llY C\.~~