HomeMy WebLinkAboutPermit Building 1992-5-22
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP' /'7 /) 3 ~ J
LOT:
sfJ.;:1..
.
SPRINGFIELD
.57 /r}
BLOCt<'
5('.j.,~-e. v-...h ~p
(
OWNER: ----/71c..rk j}-
bJ <./. I../nw--I/+(,\(^
_ <:; fl. -f- / (' J STAT~' () r.
I~ DESCRIBE WORK~_~ \\\(\ ~ ~ \Cl L ~ci(\:\ nnf\
NEW REMODEL ADDITION X DEMOLISH OTHER
ADDRESS:
CITY'
CONTRACTOR'S ~AMEpt: /
GENERA" '/%- arrp
,
PLUMBING'
MECHANICA' .
ELECTRICAl'
QUAD AREA \ ~ \\")\C)
. OF BLDGS: \
OCCY GROUP: _~D
. OF STORIES: \
WATER HEATER'
.
7'2000 7
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
eJr
TAX LOT:
L)r;, ~ CJ /)
SUBDIVISION: ~"7k:::t5t? ;nr.L
PHONF'
7'-/ ( - ZL:5"''[
YJ<f?-<rl~f
ZIP: <:77'177
, .
/l
CONST,
ADDREy> I.~.,CONTRACTOR #
..5;., ~"'.f', 1/'./1) .p.l f'(>- -
'.'l.' "
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover,
~Rough Electrical - Prior 10
~ cover,
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp,
~Framlng - p~ior to cover,
1S7T Wall/Ceiling Insulation - Prior to
~ cover,
norywall - Prior to taping,
o Wood Stove - After installation,
o Insert - Arter fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - Alter
excavation is complete, forms
and sub.base material in place,
o Fence - When completed,
o Street Trees - W!1en all ~equi~ed
trees are planted. ~ . . ~
EXPIRES
PHONE
- OFFICE USE -
\ \ \ \
# OF UNITS: \. '1
CONSTR. TYPE: ~jV
HEAT SOURCE: _E; WJd_
LAND USE:
RANGE: _
FLOOD PLAIN-
ZONING CODE:
\D\C.
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
44~
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 tho 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 Plumbing/Electrical I
Mechanical - Prior to cover,
rv1' Footing - Atter 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 Insulation or decking.
~ Post and Beam - Prior to floor
~ insulation or decking,
~ Floor Insulation - Prior to
~ decking,
o Sanilary Sewer - Prior to filting
trench,
~ Storm Sewer - Prior to filling
trench,
o Wator Line - Prior to filling
trench,
o Rough Plumbing - Prior to
cove~ '.
o Final Plumbing - Wilen alt
plumbing work is complete,
'l'V'f Final Electrical - When all
~ electrical work is complete,
o Final Mechanical - When atl
mechanical work Is complete,
K/1' Final Building - Wtlen 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,
o Plumbing Connections - When
home has been connected to
water and sewe~
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.
Lot faces
Lot sq, ltg,
Lot coverage
Topography
Total height
BUILDING PERMIT
ITEM SO, FT.
Main ,ltjd,
446
Garage
Carport
Total Value
Building Permit Fee
Stale Surcharge
Totill Fce
PLUMBING PERMIT
ITEM
Fixtures
Residential Balh(s) NO
Sanitary Sewer FT.
Water FT.
Storm Sewer FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
EXhaust Hood
Vent Fan
Lot Type.
Interior
Cornor
Panhandle
Cul.de-sac
X $/SO. FT.
3?,7"
(A)
(B)
(e)
Dryer Vent
Wood Stove/Insert/Fireplace UnIt
N'
Mectlanical Permit
Issuance
State Surcharge
Total Permit
Mobile Home
MISCELLANEOUS PERMITS
(D)
State Issuance
State Surcharge
Sidewalk
lt
Curbcut
lt
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding eiectrical)
(A, B, C, D, and E Combined)
Setbacks
P.L HSE GAR ACC
.S THE PROPOSED WORK IN THE
~ISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-~-----
-~
W
-----~
If yes, Ihis apptlcalion must be signed
and approved by the Historical
Coordinator prior 10 permit issuance_
~---
APPROVED.
VALUE
.J~ 7~~
FEE
.212. 7:'S
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on tile express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the Cily 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:
Date Paid:
Receipt Number'
~;iL2-
_ I;J_~,~O
. C:. -(3
__.._1------'.
-/.!Jd. Cf3
SYSTEMS DEVELOPMENT CHARGE (SDC)
..In '7. f!;O
Systems Development Charge is due on all lJndevelopecl
properties within the City limits which arc being improved,
ADDITIONAL COMMENTS
PA-tf:-l "1
. '
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify Ihat all
Information hereon is true and correct, and I furl her certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield. ;ml! the Law~~
of the Slale of Oregon pertainIng 10 the WOl'I{ described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safely Division,
I furl her certify that only contractors and employees who
are In compliance with CAS 701,055 will be used on this
project.
I further agree to ensure that all required inspections are
requested at the proper lime, 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 ti during construction,
~nalure ~- ~~
/ t4 ,y
DaleSl P... ~ ~ 2-
I '
VALIDATION:
413~
DATE PAin c:; '72___~Cj2-
AMOUNT RECEIVED- ZF 3- fo 2?'
I1.1AAA 51--
RECEIPT NUMBER
RECEIVED BY