Loading...
HomeMy WebLinkAboutPermit Building 1991-4-5 / RESIDENTIAi /- PERMIT APPLICATION! Inspections: 726.3769 Office: 726-3759 SPRINGFIELD ~tD LOCATI~N OF PR~PO~~ORK: _ ( 0 ~ eoq ~ 10 (\ u E; ASSE~SORS Mf-P:, ~U~Q~ \. \, '7' LOT' . BLOCK: OWNER\" Yl ~X r--rt- ~ ~~ I ; Orl... 0 r-", ' ADDRESS: R~11\?'~1 ,~Q , P0L CITY:~ l~ 'STAT",-T\.Jb ~\; ..~ qtf)~ JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOc ()~ , l '8t Ma~U~~;VI~ION: (16\." D0MQ eM D irfd :> PHONE: .:J21n~ 1~2...'"=\ DESCRIBE WORK- NEW ,~ REMODEL ~o D\rlWf\Q ~' ADDITION DEMOLISH OTHER ZIP: Ql4,.5 CONTRACTO~AM~ _ GENERAl' ~\Q.eJ . PLUMBiNG: ~~~ )(l~) MECHANICA - ~~~ E~~~RICAI, ,I i W ~ CONST, 5N6';O~'1 rrqEiClIl.. ~q()\lo ~/AtJ J !l..()2.A(,)4'/~ 1111 \ ~Q 4rJ lo'l7D/Q \ ADDRESS PHONE 4\<.SE.. :.... OFFICE USE - QUAD AREA: LAND USE: \ \ \ \ FLOOD PLAIN' . OF BLDGS' \ . OF UNIT!" \ ZONING CODE: \DR. OCCY GROUP: R~"'\ \'(\ CONSTR_ TYPE:-'i.1J . OF BDRMS' \..~- . OF STORIES: A HEAT SOURCE: Sf- SECONDARY HEAT: WATER HEATER: of: RANGE: ?, SQUAR~ FOOTAGE: dd Y Lp 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. REQUIRED INSPECTIONS ~ Temporary Electric ~ Rough Mechanical - Prior to ~cover. ." 0 Site, Inspection - ,To be made after excavation, but prior to setting forms. f':7f Rough Electrical - PrIor to., ~ cover. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. ~ Electrical Service - Must be approved to obtain permanent electrical power. D Footing - After trenches are excavated. . 1':71 Fireplace - Prior to facing ~materlals and framing Insp. o Masonry - Steel location, bond . beams, grouting. g Framing - Prior to. cover. 1':71' Foundation - After forms are ~rected but prior to concrete placement. gWall/Celllng Insulation - Prior to cover. ' o Underground Plumbing - Prior to filling trench, ~ Underflo~chanic.ai> - Prior fo I--;-;~"~,"'-.:v~'- o~r- aecKing. ~ Drywall - Prior to taping, o Wood Stove -'After Installatl~n: ~ Post and ,Beam - Prior to "floor ~nsulatlon or decking. o Insert - After fireplace approval and Installation of unit. . 1':71 Floor Insulation - Prior to ~ decking, .s Curbcut & Approach - After forms are erected but prior to placement of <;:oncrete. ~Sanitary Sewer - Prior to filling ~rench. 1"JI' Sidewalk & Driveway - After ~excavatlon is complete. forms and s~b~base material In place. ~Storm Sewer - Prior to filling ~rench. 'F':A"Water Line - Prior to filling ~trench. , - 0 Fence"- Whep compl.~ted. ~Rough_ Plumbing -:-:- Prlo~ to ~over. ~eet Trees - 'Wh~n -all required' ~es are planted. . "I:5<!"Final Plumbing ,- When all ~ ....lumblng work Is complete. ~ Final Electrical - When all J2::S electrical work Is complete. ~ Final Mechanical - When all ~echanlcal work Is complete. 1'Qf Final Building - When all ~equlred Inspections have been approved and building Is completed. o Other 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. I 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 'are approved and porches, skirting, decks, and venting have. been Installed. BUILDING PERMIT ::i: \BJ:(P xcP.S,~(~ ~fJiA~ 2..- MQ \4,\0 lo:lD!lJ) Garage Carport Total Value ~qJIIY , ~ 7-=?~ Jrb.'-f 31 t.&. $ Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) //~tP,"" (B) . PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' ~ -LCf2 10 Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home \ Plumbing Permit State Surcharge q,t,3 . -z7z .' 3 Total Charge (C) MECHANICAL PERMIT ?.co ./,ro /'2.1'0 I I Furnace Exhaust Hood Vent Fan N' 4 Wood Stove/Insert/Fireplace Unit Dryer Vent ~.oo Mechanical Permit 25_$0 J Q.".o J.7~ 3 7.2 ~ Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge: Sidewalk q~ 2~ It It ?-.3 ,SO / 1.2.0 Curbcut Demolition State Surcharge Total Miscellaneous Permits (E) 3~.oo 18.55. ~ TOTAL AMOUNT DUE (excluding electrical) lA, B, C, 0, and E Combined) -'E P~OPOSED WORK IN THE HISTORICAL DISTRICT, OR ON Y'\ ~ THE HISTORICAL REGISTER?' A U J 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 an" ~OViSiO.?\S :z!-,said ordinances. Plan Check Fee: ,...y:f A ~ \ --J Date Paid ~ . '2.'2 ,q l , Receipt Number:--19~~ ') Received : R~ -~~ R~vjewed By r - 4-1-7/ . Date P.I ,. Syst~ms Development Charge Is due on all undeveloped properties within the City limits which are being improved. ADDITIONA.,L ~OMMENTS ~J\ f)~~o .Sir\OO']r\O~ / 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, andl further certify that ?ny and all work performed shall be done in accordance with 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 street, 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 during construction. Slgna~\u ~~, 4~ '\ \ Date' - C;--"f VALIDATION: ~ RECEIPT NUMBER ":'" ,( DATE PAID 4- ~4 " '", AMOUNT'REC!'!YE8 - )r<J(;fj3~' RECEIVED BM Ii '{.tl -- -1