HomeMy WebLinkAboutPermit Building 1993-2-11
RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726.3769
Oflice: 726.3759
LOCATION OF PROPOSED WORK: / iD / I
ASSESSORS MAP" i-? n7::J7..J:?7...-'7--
"2 I if5 ')L.f 22
LOT
NEW
REMODEL
SPRINGFIELD
.
L~",cli.
#/03,(::,3
.
JOB NUMBER_q.~OO \()/
225 Fifth Street
Springfield, Oregon 97477
BLOCK'
q
. TAX LOT: CeU u-")
SUBDiVISiON: 'fi;'" ~ 1";"5 1tt:P-t?S (Ida 7I.)
STATF'
ot(.
OWNER' DO>1 tf ~r;e s,.,.,:+i...
ADDRESS: J h / f L4-c..v n .... ~ c1~
CITY ~f'''''''1 nrJ!,~ I c( ok!
DESCRIBE WORI" 14 f X 2l?' k aon, ....... d73a..TI fJd(Li, ~ n
ADDITION X
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR ·
GENERAL: u",h" I4nd~clV\ s<lf 'p'sl_ (,,4317
PLUMBING: ~ r,l'S j-) I)), 7;.chl1Uw>J,.:#17nH;J}'fIj:iftiJf-7?~ ~ II
MECHANICA' .
ELECTRICAL: ~)I!U.) e's
DEMOLISH
OTHER
E J~,'c,.. </2 ~22Jmcf IWIZ/~.J-/,';;"""
:r.,c.. . <; 7478' J
OUAD AREA:g" ~ '0
. .\' .
. OF .BLDGS:
OCCY GRO~P' \:\ ~
I
. OF STORIES:
WATER HEATER:
,
- OFFICE USE -
LAND USE \ \ \ \
,
CO.NSTR. TYPE: V (\..J .
;';~AT SOURCE: -li/~
PHONF'
7'-/7-3(",10
. OF UNITS:
RANG'"
ZIP:
Lfil./77
~
!J.f. /1~ 60
PHONE
7 ~/fo-1(,53~
747-'i?1(,,2
EXPiRES
'1j/8/Q;3.
f'5/~3
77ct72.
~9-'l
~1t;;-3q</2
FLOOD PLAIN:
ZONiNG CODE:
Lf)f2-
. OF BDRMS'
SECONDARY HEAT:
S~UARE FOOTAGE: ~JJA~
\
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
mmlo the same working day, Inspections requested after 7:00 a.m. will be made the following work day.
o Temporary Electric
D
Site Inspection - To be made
after excavation, but prior to
selting forms.
o
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
r"5?f Footing - After trenches are
~xcavated.
o Masonry - Steel location, bond
beams, grouting.
'K:"A Foundation - After forms arc
~ erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
~ Underlleor Plumbing/Mechanical
_ Prior to insulation or decking.
o
Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
1V1 Sanitary Sewer - Prior to filling
~ trench.
o Storm Sewer - Prior to filling
1P3nch.
o Water Line - Prior to filling
trench.
"f'::/( Rough Plumbing - Prior to
~cover.
REQUIRED INSPECTIONS
K/'f Rough Mechanical - Prior to
~ cover.
"1Vf Rough Electrical - Prior to
~covcr.
'0 Electrical Service - Must be
approved to obtain permanent
electrical power.
o
Fireplace - Prior to lacing
materials and framing Insp.
~ Framing - Prior to cover.
rQ'1 Wall/Ceiling Insulation - Prior to
~ cover.
~ Drywall - Prior to taping.
o Wood Stove - After installation.
o Insert - After fireplace approval
and installation of unit.
o Curbcut & Approach - After
forms are erccled but prior 10
placement 01 concrete.
o Sidewalk & Driveway - After
ex..:avatior. is cOlTljJlete, forms
and sub.base material in place.
o Fence - When completed.
o Street Tre~s - When all requirec
trees a~e p!.mteu. . .
~ Final Plumbing - When all
~ plumbing work is complete.
~ Final Electrical - When all
electrical work is complete.
rVl Final Mechanical - When all
~ mechanical work Is complete.
~ Final Building - When all
~required Inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking is complete.
I i Plumbing Connections - When
home has been connected to
water and sewer.
D 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 are approved and
porches, skirting, decks, and
venting have been installed.
Lot faces J:L Lot Type .
Lot sq. Itg. qZOD K Interior I P.L.
IN
Lot coverage Corner
Is
Topography Panhandle
Total height ~ Cul-de-sac Iw
IE
.,
.HE PROPOSED WORK IN THE
HISTORICAL DISTRICT. OR O~
THE HISTORICAL REGISTER?
If yes, this application ~ signed
and approved by the Historical
Coordinator prior to permit issuance,
Setbacks
HSE GAR Accl
BUILDING PERMIT
sa. FT.
.39!l.
XSl~~B[)=~
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
/5ft1:J.5Z)
'793
! 01042
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
_ (B) - I )6.. p..;
PLUMBING PERMIT
ITEM FEE
Fixtures 4 --#J.oo
Residential Bath(s) N'
Sanitary Sewer FT. .c. Sf") 2'5.00
v'
Water FT.
Storm Sewer FT. L. Sf) 25.0D
Mobile Home
Plumbing Permit t:?n.tJO
State Surcharge ' 4:;;0
Total Charge (C) 4i.. 50
MECHANICAL PERMIT
Furnace
,
Exhaust Hood
Ven t Fan N' I -LIlIA) .
Wood Stovellnsert/Fireplace Unit
Dryer Vent
Mechanical Permit
/500
/O()O
,75
?j:::;_ 7S
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
-~~~t:KT'
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B. C, D, and E Combined)
2U,~B
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permi! 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: _JV?:>. O?
~/2-o/~3
7'L~/)
Receive y: 0 ~.
/I J~
- -;/'~/W~
Plan '. Reviewed 8'y
Date Paid;
Receipt Number"
~j-)Z. .
Date -
Systems Development Charge is due on al/ undeveloped
properties wittlin the City limits which are being improved.
ADDITIONAL COMMENTS
-/:Ir4~~ 7V 4;: Ja'~
-B)LCUl.th? /J{J!)& f)~42c
-Jf26ep? /,r-
_mtR~ t/ &iff). ,
1 -
By signatu're, 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
with the Ordinances of the City of Springfield, and the Laws
of the Slate of Oregon pertaining to the work described
herein, and tllat NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division,
I further certify IIlal only contractors and employees who
arc in compli.ancc with ORS 701.055 will be used on this
project.
I furl her agree to ensure that all required inspections arc
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 at all times during construction.
Signaturn Cl.. a~
/;/ZS/t;3
I
Datp
,
VALIDATION:
RECEIPT NUMBER
140'J.
:>\,,\0.":)"
). i'i;;,lo"il
ffi
DATE PAID
AMOUNT RECElvon
RECEIVED BY