Loading...
HomeMy WebLinkAboutPermit Building 1991-6-7 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . LOCATION OF PROPOrED WORK' .trSf)'AO, ASSESSORS MAP' \~Ob(ffi \4- , I \,,' -" BL~CK: 'I OWNER' .....Jf)'f\ D ~ \{ \~ \- 'f\ , \ \ l~ ADDRE~' RA~ \J....~\Lf\u, t CITY: ,~\,f\('\n(')'Q. l \tT-~)..", STATE: DESC\1JWOR~ \.~\ 0 . ~ ''0\ ~ NEW REMODEL ADDITION DEMOLISH LOT: .- q\O~lrD JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 PHON~' l\JJ\ o~~ ZIP: q'-rV1a- C\(\, \\() l\ 9..- ~ OTHER a ~ I 6P1C\Q.. (~~-17/OL. ,C).l .c ~ 1~6X_ --- CONTRACT~~E ~ .. ADDRESS ' GENERAL: } 11:1 Qrt ~ \l'~ PLUMBING: "1f'CrtQ.r\. (\\llli~ CONST. crTr;tAl I 010/\ '\ "1 MECHANICAL: ELECTRICA' .~\ 0_ 0 10 n~ QUAD AREA:A Rsc J I OCCY GROUP: ~~ --\- lJ\ \ p~ . OF BLDGS' . OF STORIES: WATER HEATER: lD'3\'~Tl \??fl.'i\ ~L\4-,\~S) - OFFICE USE - \ \ 5() , LAND USE: . OF UNITS: CONSTR, TYPE: HEAT SOURCE: F G E- RANGF' FLOOD PLAIN' ZONING CODE: il '\?- . OF BORMS: ...:'::) 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 o Site Inspection - To be made after ,excavation, but prior to setting forms. O Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. ~FOOting - After trenches are ~ excavated. . . D Masonry -:- Steel location, bond ,. beams, grouting. o Foundation - Afte-r forms are erected but prior to. concrete placement. D Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - PrIor to floor insulation or decking. o Floor Insulation - Prior to decki ng. IC11)Sanitary Sewer - Prior to filling L....:::f trench. dstorm Sewer - Prior to filling t....::p trench. If7'Y Water Line - Prior to fi'lling' Ljt:J trench. . o Rough Plumbing - Prior _to cover. .., .... ....... . REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. rrB Rough Electrical...,... Prior. to, '-P cover qCU\ () '\ Q....., o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~FramqCiA~ o Wall/Ceiling Insulatio~ - Prior to cover. o Drywall - Prior to taping. o Wc:>od Stove - After' installation. o Insert - After fireplace approval and installation of unit. ' ~urbcut & Approa~h - After t ~ forms are erecteq but prior to placement of concrete. " rt:zr::2idewalk & Driveway - After ~ excavation is complete, forms and sub.base material in place, -D Fence - When completed. D Stre~_t Trees -: whi!n all'required. trees are planted. __ o Final Plumbing - When all plumbing work is complete, rr7} Final Electrical - When all . . ~ electrical qAA~ D Final Mechanical - When all mechanical ~ork is complete. r17'J) Final Building - When all Lp required inspections have been approved and building is completed. 9ClA~ o Other MOBILE HOME INSPECTIONS ~IOCking and Set.Up - When all "1 blocking is complete. ~IUmbing Connection~ - When home has been connected to . water and sewer. ~Iectrical Connection - When blocking, set.up, and plumbing inspections have been approved and the home is connected to the service panel. ,}' ~inal - After all required . .; ,'_ i~spections are approved and porches, skIrting, decks, and v~nting have been installed, Lot faces Lot Type . ~ Interior Lot sq, Itg. Lot coverage Corner Topography Total height Panhandle Cul-de-sac Setb"cks I P.L.'I HSE GAR I ACC I I N I I S I lw IE BUILDING PERMIT ITEM SQ. FT. X $/SQ, FT - VALUE Main~ 4-0 \lnn Garage ~~PA V\.\t 1 ~l~ \4 3?A \D.\() ~ [E2tO w-- Total Value Building Permit Fee C\OI";)~~) State Surcharge Total Fee (A) Wl DQ1.. R.o.~ 4.33 qo.~ SYSTEMS DEVE~OPMENT CHARGE (SDCLC'J . .', (B) '\ I ()n.~-S?5 PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT, FT. Water Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StoveJlnsert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk t-t 5 It Curbcut ~ ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE ~~oo AS.OU 8~.cO r:-r 0-) . ,::S. -',,~. f)5 'J~.~~ Jl}(\) ERa3 _.f~. 05 5.~ cf)J.::::),~ {!\ .S() \ fJ'l ~.G\~ I .THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER signed and approved by t istorical Coordinator prior to permit issuance. . APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT 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' Date Paid: Receipt Number' Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL C.OMMENTSA.........\ ~ 1....'),,). ~~,\r1..o..... \. )..(ill\', t):1 .. - 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 arid 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 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 property, and the approved set of plans will remain on the site at all times during construction. SignatureUL4 e,1kAAA~ Date G - 7 - "1 / VALIDATION: RECEIPT NUMBER 7&3$0 DATE PAIr> L -7-q ~ AMOUNT RECEIVEr> ~L 1"37??2 RECEIVED BY ~~. ..,.--:?~ L"-?