HomeMy WebLinkAboutPermit Building 1992-6-25
. SPRINGFIELD .
RESIDENTIAL 9Z0SS"'}
PERMIT APPLICATION JOB NUMBER
Inspections: 726.3769 225 Flflh Strool
Olfice: 726.3759 Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: l/7 f0~~~ 121./ 7' 7C/"7 I
ASSESSORS MAP: _/.&a'3 ~2.- .~ '3 ('9 ~ "7ar;>
LOT: BLOCK' SUBDIVISION'
OWNER_,~ fh/
ADDRESSoi~t,i- -kd4. ,UvJ 71 L.__
CITyJ#/ /l ~ , ,U!L2:~-- STAfE _t2r..e -
DESCRIBE WORK: --P/11PfAt.~ C;!LSX'h A1.H \A(/ NEW .J~,~n M.tI~
NEW _~ REMODEL ADDITION DEMOliSH' ~;~ER -~a.:JT
PHONE:
7Z!?
~u/
Zlp:_1-7V77 --
CON ST.
CONTRACTorrs NAME ADDRESS CONTRACTOR'
GENERAL _tf-aJ[)eN/~ISod-I-#1 ;IuN_"i;t.M6~fi]
'M'.-ff~~ ,
PLUMBING: _
~ll:vnHI\jII..H"'1 .
ELECTRICAL: .~~/~ 1l!:1:;>
'" .
OUAD ,AREA: _5....R_}./Ji/~
. OF BLDGS: ,._/ .
OCCY GHOUl': ..__R ~
. OF STORIE::: ,_ -'
WATER tIEAII',R: ~-\,E
y...
- OFFICE USE -
UIND USE: --1! ~ ()
. OF UNITS'
CONSTR. TYPE: __~;V
HEAT SOURCE: --FJ;.
tlANGE: .fE
EXPIRES
-o/'V'" ~
PHONE
16..~-lZ~Z.
*,
~.
'r
!~ -
'"
FLOOD PLAIN'
ZONING CODE: ~})J?
. OF BDRMS:
SECONDARY HEAT:______
SOUARE FOOTAGE: _ 9W. ....
To requc~t an inspection, you must call 726-3769. This Is a 24 hour recording. All inspections requested before 7:00 <un. will be
made the ~;allH': workino day. ln~pcctions requested after 7:00 a.llI. will be made the following work day.
"
o Tcmpol':lry Electric.
D
Site Inspection - To be made
alter excavation, t.ut plior to
setlin.g iorms.
o
Undcrslab Plumbing/Electrical/
Mechallical - Plior to cover.
~ Footing'- After trenches are
excavatuc1.
o
Masonry - Steel location, bond
beams, urouting.
o
Foundation - Afler forms are
erected IJut prior to concrete
placenwnt.
o
Underground Plumbing - Prior
to fillin~J trench.
o
Underllnor Plumbing/Mcch~tnical
_ Plio! 10 insulation or decking.
o
Post and Beam -- Prior to floor
in::>ulatiun or dccldng.
o Floor IlIsulatlon - Prior to
deckinfj.
o
SanitalY Sewer - Prior to filling
trench.
o
Storm Sewer - Prior to filling
trench.
O Water Line - Prior ~o filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover. I
D 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.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior 10 taping.
o Wood Stove - After ins lallation.
[J Insert - After fireplace approval
ancl Installiltion of unit.
I=:J Curbcul & Approach - After
... forms are eret;led but prior to
placement of concrete.
I~ Sidewalk & Driveway - Arter
excavation is complete, forms
and sub.base material in place.
o Fence - When completed.
o Street Trees - When all required
trel.!S are planted.
o
Final Plumbing - When 311
plurllblng worl< is complete.
D Final Electrical - Wilen all
clectrical wOIK is COlllplcte.
o Final Mechanical - Wilen all
mechanical worl< is cOlllplete.
o Final Building - Wilen all
required inspections have been
approved and building is
completed.
~ Olllor ..{eMA-f$:..--.rd.T.7Z'
~aN.4efl!2L.-
RE.TURNt!:D PRIOl
7b FINAl- ~~p~
MOBILE HOME INSPECTIONS
t'Qr Blocking ilncl Sel.Up - Wilen ,L11
~ blocking is cOlllplete.
~PIUmbing Connections - WlwlI
home has been connected to
water and sewer.
~ Electrical Connection - When
~ blocking, set-up. and plumbin{J
inspections have been npprOVtHI
and the home is connccted to
the service panel.
~ Final - After all required
~inspectlons are approved and
porches, skirting, decks, and
venting have been Inslalled.
Lot facos
Lot Type.
Lot sq. fig.
Interior
Lot coverage Corner
Topography Panhandle
Total height Cul.de.sac
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
Main
Garage
Carport
I1U
~
Total Value
Building Permi I Fee
Slate Surcharge
Total Fee
(A)
(Bl.
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Bath(s)
N'
Sanitary Sewor
FT.
FT.
Water
Storm Sewer
FT.
Mobile Home
Plumbing Permit
Stale Surchargo
Total Charge
(e)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
Slate Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
Stale Issuance
Slate Surcharge
Sidewalk
It
Curbcut
It
Demolition
Slale Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, e, C, D, and E Combined)
t/t::i8
. THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the HIstorical
Coordinator prior to permit Issuance.
Se I bac ks
PL. HSE GAR ACC
N
S
\W
IE
VALUE
FEE
..15. 00
.75
/5.75
J05pO
2.O.DO
~,2~
J&f..:31e>
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
constructlon shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildIngs, and may be suspended or revoked at any tfme
upon violation of any provisions of said ordinances.
//.315
4/22;12
Receipt Number: '/S-2/&
~
.Plan Check Fee:
Dale Paid:
Received By:
Plans RevIewed By
Onte
,1S.oO'J .
J9?-5~
,
IS \ 0;) c::-
/7E
,~
18,3 e
SYSTEMS DEVELOPMENT CHARGE (SDC)
N.f4.
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being improved.
,
ADDITIONAL COMMENTS
-~ -- ~. - - - I
~we:>t:LftLev. 1l' p.c 4de
o 'OP!::F f=1 F"\/",,":/t')I.,) '''' A~
/J/T~~-p.o;. ') C'F ~~DQT--..;-
/AJ/-oAA.Yb. 447.bO ' (t':e,l)11"< ("'UAel_
~7VJ.JS *T 7Ufi IIJ.W, aJRL ~erd , )
. -
/'.-oQNC!. Splt,P FnA/..' ADl\ caN.G-
~4t. eJll CJIT1f~ MA~A>,..$J:.1Bn~
J5 P~L1lJ'S~,
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certHy that all
InformatIon hereon Is true and correct, and I further certify
that any and all work performed shall be done In accord.Jnco
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining 10 the work described
herein, and lhal NO OCCUPANCY will be made 01 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 properly. and the approved set of plans will remain
, on the site p)i";S during construction.
~gnature~':' r~
" Date ~,72-02.
VALIDATION:
RECEIPT NUMBER
5'27 ?
c/2.~'j'L
2/)~ ,'Je
~-
DATE PAID
AMOUNT RECEIVEn
RECEIVED BY