HomeMy WebLinkAboutPermit Building 1993-5-20
RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726,3769
Office: 726,3759
SPRINGFIELD
.
ASSESSORS MAP:
LOT' 25
17(l.j
LOCATION OF PROPOSED WORK' 2220 Loch Dr
,
JOB NUMBER 9....'2"y9f] '7'
,
225 Fifth Slreet
Springfield, Oregon 97477
2. 5 J'l..
BLOCK:
1
TAX LOT: 2800
SUBDIVISION' 1 Add Loch Lamond Tel r
ADDRESS:
2220 Lorh Dr
OWNER: Ri rh;Hn r:: "nn 1\1"rv ,To Ri ".sS'PllW
CITY: Sprip['f'i",,,
DESCRIBE WOR"" Add Fami 1 v Room,
STATE: Oreaon
and Enlarae ~araae
NEW
REMODEL
ADDITION X
DEMOLISH
OTHER
CONTRACTOR'S NAME
GENERAl'
Ellison & Platz
PLUMBING: non"
MECHANICA' '
nl"'nt::Jo
ELECTRICAL: Palmer. Phillie'"~
~:o,::::,i' R\IJ~
OCCY GROUP: \\~-tN\
. OF STORIES:
WATER HEATER:
ADDRESS
23 Oakwav Ctr
CONST,
CONTRACTOR'
50"74
PHON'"
726-5393
:?i'70 t1e<ADtJWc:,LM 'ZO-171C.
- OFF/erE USE -
LAND USE: \ \\ ~ ,
. OF UNITS: \, I
CONSTR, TYPE: \/10
HEAT SOURCE:
RANGE:
ZIP:
97477
wi
~
.,
EXPIRES
7/z,7/1'7
PHONE
345-4347
lo/q~
b <tf 'to I 2-j
FLOOD PLAIN:
ZONING CODE:
tlJv
. OF BDRMS:
~~~
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 PlumblnglElectrical1
Mechanical - Prior to cover.
I\7f Footing - After trenches are
/' excavated.
o Masonry - Steel location, bond
beams, grouting.
~ Foundation - After forms are
~erected but prior to concrete
placement.
o
Underground Plumbing - PrIor
to filling trench.
o
Underlloor Plumbingl Mechanical
_ Prior to in~ulation or decking.
o
Post and Beam - PrIor to floor
Insulation or decking.
o
Floor Insulation - Prior to
decking,
o Sanitary Sewer - Prior to filling
trench.
r:'-l Storm Sewer - Prior to. fillinn
trench.
o Water Line - PrIor to filling
trench. .
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
~ Rough Electrical - Prior to
~ cover.
o Electrical Service - Must be
81"proved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
~r-raming - Prior to cover.
~ Wall/Ceiling Insulation - Prior, to
Y~over.
~OrYWall - Prior to taping.
o Wood Stove - After installation.
o Insert - After fireplace approval
and Installation of unit.
o Curbcu! & Approach - Aller
forms are erected bllt prior to
placement 01 concrete.
o Sidewalk & Oriv(:way - After
excavation Is complete, forms
and sub-base material in place.
o Fence - When completed.
D Street Trees - Vv'hqn all required
trees are planted. ", '
o Final Plumbing - When all
plumbIng work is complete.
~ Final Electrical - VVhen all
~electrlcal work is complete.
o Final Mechanical - When all
mechanical work is complete,
'1';7( Final Building - When all
~equired inspections have been
approved and building is -
completed.
~ Other ~A8 :FJY-:;,=,
/A.J$t{ I-A-..::(IOO
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 Electrical Connection - When
blocking, set.up. and plumbing
inspections have been approved
and the home is connected to
the service panel.
o Final - After all requIred
Inspections arc approved and
porches, skirting, deck~, and
venting have been installed.
.
Lot faces Lot Type Setbacks
Lot sq, flg, Interior I P.L HSE GAR ACC I
IN I
Lot coverage Corner
Topography Panhandle S I
Total height J:{ Cul-dc.sac W I
E I
BUILDING PERMIT
ITEM SQ, FT,
X $/SQ, FT.
5(.;.2-0
4/0
VALUE
If) II(~
.
2."71L
Main
) :3-0
:? .-6<<5
Garage
Carport
I~Ob3
I tJ 'ISO
S,23
1pe;,'J3
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) ~
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residenllal 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 Stovellnsert/Flreplace Unit
/
/
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fl
Curbcut
fl
Demolition
State Surcharge
Total MIscellaneous Permits (E)
TDTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
/IYj.7J
~ IS .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.
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.
&1:. 03
3L'~ 0'3
79.J?.3
Rccelve'Yt, /1~~.
Plan~;;lewed By
Plan Check Fee:
Date Paid:
Receipt Number:
tj_/7- -13
Date,
Systems Development Charge is due on all undeveloped
properties within the City limits which are beIng improved.
ADDITIONAL COMMENTS
DA:7J-I 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 and all work performed shall be done In accordance
wilh 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 streot, 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 onstruction.
x'ignature
Date
VALIDATION:
9, <)6?-
5-~-q"'S'
AMOUNT RECEIVEr> /~ :::>3
/'7~~,", -
. ;.1}/ ~
RECEIPT NUMBER
DATE PAID
RECEIVED BY