HomeMy WebLinkAboutPermit Building 1992-2-6
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OWNER' --rh/lU oJ- 'lZJmf7rl.1.. 3enl7~.ff
ADDRESS, JltoD N'MMY {)p?d.
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CONST.
CONTRACTO/~'S N!,ME J L . ADDRESS j CONTRACTOR #
GENERAL' rao+!'e., HOm.p,'J. ,,'=3.~~ ~ RJ. ;:),J1()CJC/
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~ESIOENTlAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726.3759
LOT'
CITY.
DESCRIBE WORt<.
NEW ~REMODEL
c6Mcr<v
(j
ADDITION
PLUMBING.
MECHANICAl.
ELECTRICAl'
QUAD AREA: 4QS~
# OF BLDGS, - ~
OCCY GROUP, \<"E\-\- U
# OF STORIES: ~ '.
'E
WATER HEATER'
.
SPRINGFIELD
.
.qll~lO
BLOCt<'
STAT~.
fj,e.'
JOB NUMBER
225 Fifth Street' ,
Sprlngfleld,Oregon'97477
/tJ;1.J-/ (!r/CI~/~r- & )
TAX LOT: rA/l(fJ'/
CA6cade-- HV:t1>?1f=
SUBDIVISION, '-.'" 1. IA I /.' J<f.',
---, _.sr- ,~ -r. .....,......
PHONE,
TJf/n -R'ld/
ZIP, q1t/7f
rcun/ /Ll/
0'
DEMOLISH
OTHER
'.
EXPIRES
S-;,.).-1J..-
PHONE
1t/~ ~-
- OFFICE USE -
LAND USE: ~\ \ \.
# OF UNITS, -1 N
CONSTR. TYPE' 1f\~J'
HEAT SOURCE, ~.V)
RANGE: ~-
FLOOD PLAIN'
ZONING CODE, l Dl::J
# OF BDRMS, . ~ f,
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
r;<1 Site Inspection - To be made
L.!::J after excavation, but prJor to
setting forms.
D Underslab,Plumbing/Electrlcall
Mechanical - Prior to cover.
r7l Footing - After trenches are
LAJ excavated.
o Masonry - Steel location, bond
beams, grouting,
lLJ Foundation - After forms are
erected but prior to concrete
placement.
lZl Underground Plumbing - Prior
to filling trench.
!2l Underfloor Plumbing/Mechanical
, - Prior to !nsuratlon or decking.
0J Post and Beam - Prior to floor
Insulation or decking.
lXl Floor Insulation - Prior to
decking.
l::Lr] Sanitary Sewer - Prior to filling
trench.
rYl Storm Sewer - Prior to filling
L...4J trench.
IZ3 Water Line - Prior to filling
trench. .
(2) RougJ:l Plumbing ~ Prior to
cove~ '
REQUIRED INSPECTIONS
[l] Rough Mechanical - trior to
cover. ,
!]lI Rough Electrical - p'rlor't'o
cover. .
r7l Electrical Service - Must be
LLl..J approved to obtain permanent
electrical power.
lKl Fireplace - Prior to facing
materials and framing Insp.
[1] Framing -:prior to cover.
[Z] Wall/Ceiling Insulation - :r,lor to
cover. .
CEJ Drywall - Prl~r to t~pl~g: .
D Woo~ Stove - Afte~ Installation.
D Insert - After fireplace approval
and Installation of unit.
IZJ Curbcut & Approach. - After
forms are erected but pr-lo"r to
placement of concr~te.
[LJ Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
D Fence - When completed..
- ~ . t
lTI Stre~t Trees.. - When' fill, requlr~d
trees are planted.. '" '.... ... .
[1J Final Plumbing - When all
plumbing work is complete,
r-Yl Final Electrical - When all
LAJ electrical work is complete.
~ Final Mechanical - When all
~ mechanical work Is complete.
I\7l Final Building - When all
L:,A-J required Inspections have been
approved and building .Is
completed. ___I
.,
...
o Other
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking Is complete.
D 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.
D Final - After all required
Inspections are approved and
" porches, skirting, decks, and
venting have been Installed.
Lot faces -IX- Lot TYP' Setbacks '. IS THE PROPOSED WORK ;N THE
Lot sq. ftg. ~~ Interior I P.L HSE GAR ACC I HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Lot coverage ~ :j Corner :;?c If yes, this application must be signed
Is , I
':l'5'.t:: and approved by the Historical
Topography cf!: Panhandle I,.,; I Coordinator prior to permit issuance.
Total height S ~,..
Cul,de,sac IE :5"'1 I
APPROVED:
BUILDING PERMIT
ITEM SO, FT. X $/SO. FT.
VALUE
-;-:-?~
>
Main
?"'~.79
7'1'1.'2e.
/.!'. f/4~
~r
/'" ...
~ . ~ .:.:.-
Garage
Carport
-5~'<'f.~ ci-P 4a-~r q~. /~.r::;
L _. ~
-t!l'/~~
....Total Value
.
l{.I5 ~Z:;-
~,-r:; 2'<-..:./
'1A(-'? 4~~
B~'lIdlng Permit Fee
State Surcharge
Total Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)~
(B) {f t.~8"I ~
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) N' ~
Sanitary Sewer FT.
Water FT,
Storm Sewer FT.
Mobile Home
19253::>
Plumbing Permit
State Surcharge
/92.:52:>
q, ~":3
Z02 . I "3
Total Charge
(C)
MECHANICAL PERMIT
k.. ",,17
L/~So
a . ..e>
/ S. Co<>
-;;>: ,?P
Furnace
Exhaust Hood
Vent Fan
N' --::s' X <I
Wood Stoveflnser~lreplace Unlt~
Dryer Vent
Mechanical Permit
t..U.~
.lIP. -=-
2.b'"'3
5"2.53
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
I?b
-::zg
~ .r;- fli2
It:! .20
ft
Curbcut
It
Demolition
State Surcharge
B~u ,4?ewc...... ,~~
::i<'~ 7 . "l'-?"
C;ZfJlt'. 7~
""... 1:' "L :..
l' .. ..' _::JZ:I"'"
Total Miscellaneous Permits (E)
TO~AL AMOUNT DUE (excluding electrical) Q't''I7.l/ (
(A, B, C, 0, and E Combined) ~~9~.:3?
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.
Plan Check Fee, ~ ,''''
'7<<''7: 7S:-
Date Paid:
Receipt Number:
Received By: f"'
~~.---?~
I'p)ltfryf Reviewe<;/' il1 ..- /' '
//-/2. -9./
Date
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
l\^..Dtry~~ S\ r\ Q \. J:O\)~
~A\Q~OQ\~: (~lo(n
~T: \~)()~()
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
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 ~II times c(ur,ing conitr.u~ion~"
Signaturem~af AJJ1j
Date
VALIDATION,
--;;;h~/
7-~-92
AMOUNT RECEIVEr> ~ f../'/ /- 3-..r
-
~~~ ,....::-.-
,2/
RECEIPT NUMBER
DATE PAir'
RECEIVED BY