HomeMy WebLinkAboutPermit Building 1992-5-28
RESIDENTIAL .
PERMIT APPLICATION
Inspections: 726.3769
Ollice: 726.3759
.
! NUMBER !1lD-7 /1
225 Fifth Street
Springfield, Oregon 97477
SUBDIVISION.
PHONE: l..J;~x -[0[04'1
STATE:
(0 ko .._n
-~
DEMOLISH
OTHER
ZIP Q14n~
--
j;l>
_~g~-U)la '6__
CONST.
CON~RAC1fI\S N~~E _ .=J. WADD~~ ~ ~ CONTRACTOR'
CENERAL~JU . 4. - JrL~--
)00 1\..0--
(~
DESCRIBE WORK: or.lJ\1\ 0\.9-..-
NEWY- REMODEL \ ADDITION ~
PLUMBING: _
MECHANICA' .
ELECTnICAL:
QUAD AREA: J Rill u:J
. OF BLDGS: _ \
OCCY GRoup:_M
. OF STORIES:
WATER HEATER:
- OFFICE )P.,,,-
LAND USE: /1 ~
. OF UNITS: I
CONSTR. TYPE:~~
HEAT SOURCE:
RANGF'
FLOOD PLAIN: _.
ZONING CODE: _1..{)0
. OF BDRMS:
SECONDARY HEAT: Ll"
SOUARE FOOTAGE: .~L \
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.
D Temporary Eleclrlc
D Sile Inspection - To be made
after excavation, but prior to
setting tonns.
D
Underslab Plumbing/Eleclricall
Mechanical - Prior to cover.
~ Footing - Arter trenches arc
~ excavated.
C) Masonry - ~tCOI location, bond
beams, Uroutlng.
I"JIFoundation - After forms arc
~rccteel but prior 10 concrete
placement.
D Underground Plumbing - Prior
to filling trench.
D
Under'Joor Plumbingl Mechanical
- Prior to insulation or decking.
D Post and Beam - Prior to floor
insulation or decking.
D Floor Insulation - Prior to
decking. .
D Sanitary Sewer - Prior to fllting
trench.
D Storm Sewer - Plior 10 filling
trench.
D Water L1no - Prior to filling
trench. '
,
D Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
~ROU9h Electrical - Prior 10
~ ~over.
D Electrical Service - Must be
approved to obtain permanenl
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
~raming - Prior 10. cover.
D Wall/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to taping.
D Wood Stove - After Installation.
D Insert - After fireplace approval
and Installation of unit.
D Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
,
D Sidewalk & Driveway - After
excavation is complete, forms
and sub.base material in place.
D Fence - When completceJ.
f I Slreet Troes - When all required
trees are planted.
D Final Plumbing - When all
plumbing work is complete.
~nal Electrical - When all
~ ~i~ctrical work is complete.
D Final Mechanical - When all
mechanical work is complete.
~inal Building - When all
~quired inspections have been
approved and building is
completed.
DOlher
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking is complete.
D Plumbing Connections - When
home has been connecled to
waler and sewer.
D Electrical Connection - When
blocking, set.up, and plumbing
inspections have been approved
and tlle'home is connected 10
the service panel.
D
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
~
Lot coverage
Lot Type.
~lnterior
/ _ Corner
Setbacks
, , , I
HSE GAR ACC
.S THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes. this application mu signed
and approved by the Historical
Coordinator prior to permit issuance.
Lot fnces
Topography
Panhandle
I P.L.
IN
Is
\W
L~___
APPROVED:
Lot sq. fig.
Total height
Cul.de.sac
BUILDING PERMIT
ITEM SQ. FT. X $/SO. FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
M<.lin
-- --A- \tf)D- -iUi\2t
.3~_ -L .:...a_ --
This penni! is {Imntcd onlhe express condition Illnl tile said
construction :~Ilall. in alllcspccts. conform 10 the Ordinance
adopted by tile Cily 01 Springfield. including the
Development Coclc. rCfJulnling the construction flnd use of
lJuildin{l5. and may be ~;lIspcndcd or rcvolwd ill any Hnll)
upon violation or any provisions 01 said ol<.JinanccG.
. Plan Check Fee: ..3L.o. ~ ~
Garaoc
Carporl
Date Paid:
Total Value
.:s~.5D Receipt Number"
Building Permit Fee
-itJ.~~ Received By:
Stale Surcharge
Total Fcc (A) 5~ L~~ Plans Reviewed By Dale
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which arc being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT.
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(e)
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By signature, I state and agree. that I have carefully examined
the completed application and do hereby eartHy that all
information hereon is true and correct, and I further cerllfy
that any and all work performed shall be done in accordance
with the Ordinances or the City of Springfield. and Ihe Laws
of the State of Oregon pertaining to the worl~ described
herein, and thai NO OCCUPANCY will be 1l1.1de of ,lilY
structure without permission of the Building S;lrcly Division.
I further certify Ihat only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Wood Stove/lnsert/Fireplace Unit
Dryer Vent
Mechanical Permi I
Issuance
Stale Surcharge
Sidewalk
fI
I further agrcc to cnGUlC that all required inspections arc
requested allhe proper lime. 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 plan:. will remain
ong, ::u:~e (l;IB~; (dU;inr,rF;ny
te S-7~-q-Ji
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Homo
State Issuance
State Surcharge
Curbcut
fI
Demolition
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. 0, and E Combined)
~qo
\
VALIDATION: a
RECEIPT NUMBER 1 \
DATE PAID c:; . 7, ~ .CfJ....., _. H_
AMOUNT RIiCI>I(e~ 0 r f(J).' tt.&2.~._
RECEIVED BY ~v.. ~
. S~1 Surcharge
~fl.f\ (\ L4.<Q...
Tolal Mlscollaneous PUits
~
(E)