HomeMy WebLinkAboutPermit Building 1995-7-24
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
SPRINGFIELD
LOCATION OF PROPOSED WORK:
ASSESSORS MAP: /f&C32- 02
c '/-"'ALD 'E. FRI6H
OWNER' T'CJr'l
i2Qo He~\1.._~-r
ADDRESS: _________._.__
~?AJ
-.,.._._-~--
LOT
CITY:
/2.-
BLOCK:
STATE:
6K
.
JOB NUMBER
/,'5../.2. 2- tJ
225 Filth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION'
Di3/erv
. PHONE:_7'{.LI-lisJIQ
ZIP:
Q7"1] f)
DESCRIBE WORK:
kOLltOrJAL ~tU<
ON
I-\au~
NEW ,/
I,EMODEL ___ ADDITION
DEMOLISH _. OTHER
PHONE
GENERAL:
CONTRACTOR'S NAME ADDRESS
~-~~.:....S?Slt,J,4(j) € . r:::e J tI-I
CON ST.
CONTRACTOR'
PLUMBING'
MECHANICAl'
ELECTRICAl:
EXPIRES
QUAD AREA:
. QF BLDGS:
OCCY GROUP:__
. OF STORIES:
WATER HEATER: _
- OFFICE USE -
LAND USE:
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE: _
FLOOD PLAIN:
ZONING CODE:_
. 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, Inspoctions requested otter 7:00 a.m. will be ma~e tho (ollowlng work day,
o Tompornry Electric
O Slto Inspection - To be mado
atler excavation, but prIor to
selling forms.
o UnderslHb Plumblngl Eloctrlcal!
Mechanical - Prior to cover.
o Footing - After trenches are'
excavated.
o Masonry - Steel rocatlon, bond
beams, groullng.
o Foundation - Atter forms are
erected but prior to concrete
placemon t.
o Undorground Plumbing - Prior
to tllllnQ trench.
o Underlloor Plumblngl Mechanlcul
- Prior to Insulation or decl(lng.
/
,
o Post and Beam..; - Prior to floor
InsulatIon or dccl(lng.
o Floor lns'ulation - Prior to
decking ,
o Sanitary Sewer - PrIor to "fllrlng
trench.
o Storm Sewer - Prior to filling
trench.
o Water LIne - Prior to filling
trench.
o Rough Plumbing - PrIor 10
coyer.
~
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o 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.
~ram.lng - Prior to Cover.
o Wail/Ceiling Insulation - Prior to
coYer.
o Drywall - PrIor 10 taping.
o Wood Stovo - After InstallatIon.
o Insert - After fireplace apprOYlSl
and Installation of unit. .
o Curbcut & Approach - Aller
(arms Bre erected but prior to
\ placemont of concrete.
o Sidewalk & Driveway - After
excavation Is complete, torms
and sub.base material In place.
o Fonce - When completed.
o Stroot Troos - When all required
trees Bre planted.
o Final Plumbing - When all
plumbing worll Is complete.
o Final Electrical - When all
electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
~Inal BUilding - When all
requIred Inspections have been
proved and building Is
completod.
DOthor
MOBILE HOME INSPECTIONS
o Blocking and Sot.Up - When all
blOcking Is complele.
o PlumbIng Connections - When
.home has been connected to
waler and sewer.
o Electrical Connection - When
blocking, sel.up, and plumbing
Inspections have been approyed
and the home Is connected to
the service panel.
o Final - Alter all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Setback.
I P.L. I HSE GAR
1 N I
Is 1
Iw I I '1 1
lLLLL~
Lot facos
LOI TYP.
Interior
Lot sq. ftg.
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.de.sac
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT. =
VALUE
Main
Garage
"
Carport
.-'\
8.<72X>/~At. i0Te,l kc-.c
~.,i",o /' 0
Tolal Value
Building Permll Fee
Stale Surcharge /, ') 3 +1/(,
_. 3p-. F~
3oe;
1/J1
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Resldenl/al Bath(s)
N'
SanItary Sewer
FT.
FT.
FT.
Water
Storm Sewer
Mobile Home
Plumbing Permit
Slate Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood StovellnserllFlroplace Unll
Dryer Vent
Mechanical Permit
Issuance
Stale Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk II
Curbcut
ft
Demolll/on
Slate Surcharge
Jfl.!.ri,.,) ~iVl&l h'3i7
, ,.
2...r:-o)
f;-tP, ?'2-
~~.6,2..
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding eleclrlcal)
(A, B, C, D, and E Combined)
l.::.
,. .
ACC I
I
I
'.IS THE PROPOSED WORI< IN THE
"HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this applical/on musl be signed
and approved by Ihe Hlslorlcal
Coordinator prior 10 permit issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
. ,
This permit is granted on lha cxp'rcss'COl1ditlon Ihallho said
construction shall, in all respects, confonn to (he Ordinance
adopted by the City of Springfield, including Ihe
Development Code, regulating the cOt')50tructlon and use of
buildings, and m.'lY be suspended or rovoked at any time
upon vlolatlon of any provisions of saId, ordlnancos.
'1..'\
. Plan Check Fcc:
Dale Paid:
Receipt Numbcl':___.___
','
Received By:
"
-l--'''~7-
Plans Revlewed"By--.----.---
Dale,
Systems Developmenl Charge Is due on all undeveloped
properties wllhln lhe City Hrnlts which me baing improved.
ADDITIONAL COMMENTS
By slgnature,l slate and agree, Ihall have corelully examined
the completed appllcallon and dO hereby ccrl/ly that all
InformatIon horeon IS true and correct, and I further certify
thai any and all work performed shall be done In accord once
with the Ordinances 01 the City of Springfield, and the Laws
01 the State of Oregon perlalnlng to the work described
heroin, and thai NO OCCUPANCY will be made 01 any
structure without permiSSion of the Bulldl110 Safely Division.
I further certlfy that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
Dale
i1,--;;; 'I- f.s
VALIDATION:
RECEIPT NUMBER Is .:1/8
DATE PAID __ -Y2 f/1,.;-
, /_1 <;;2
AMOUNT RECEIVED ---(k2- '"
RECEIVED BY ;I?~~:.