HomeMy WebLinkAboutPermit Building 1995-5-2
OWNER: '\f\ ~ Y Q J \ ~r<\ \) \(\
ADDRW:~A~f\, l,..f) Fj<>\n
CITY: ~\\I \\~~\)N
. \ , \"\
DESCRIBE WORI<' ~. \="'. '[JQ lln.2 iL0 9-.>
NEW \/ REMODEL
r.;
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
X"ASSESSORS MAP'
'<'LOT: \ \.."'" V,,:+- \"'2-
:-
o \..r'\
BLOCK'
STATE: U \)~
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ADDITION
..;
OTHER
3 - S8,f"
.e--"
DEMOLISH
.',-
-.
.q5)t\~
JOB NUMBER
225 Fifth Street
PHON E: :J!{ ~ rr PR?'~
ZIP:
~CUJ
CON ST.
CONTRACTOR'S NAME \\ ADDRESS CONTRACTOR' EXPIRES PHONE
GENERAl1:~;'\'''{ A ~'\~ ,').qfll~f\\\n'Y\.. 1rA.CV1).. ") 1.8,q~ ~bilin1-
PLUMBIN;\X~\.\~~\n~ q .~ <\~ l.? -1a:2D.q~
MECHANICAL:M\3c.~ ~-.l9_eil r4Dc!N) r9.jtlo qYJ.&ttJ<K
ELECTRICAL:, ~S ::)fr\..~- ~\i('l > QlJt:O \,L~q\n lQ88)l5\q'
, I
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t
QUAD AREA: .0Qt\ 1.0
. OF BLDGS: l
OCCY GROUP: 't),,"?)\ f\J\
rl.
. OF STORIES:
-'
0-
WATER HEATER:
- OFFICE USE -
LAND USE: \ \. \ \
. OF UNITS: \
CONSTR:, TYPE: ~ l\)
~EAT ~O~RCE: ~C'1.
RANGE: - C:t
FLOOD PLAIN:
ZONING CODE: J.Jj.L
4r
r
r
. OF BDRMS:
SECONDARY HEAT:-.E()
SQUARE FOOTAGE: ~
~ :;:l.,C;:A.
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,
H.
,
~emporary Electric
D Site Inspoctlon - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblngl Electrlcall
. Mechanical - Prior to cover,
1'071 Footing - After trenches are
.l:6J.. excavated, .
o Masonry - Steel location, bond
beams, grouting.
~ Foundation - After torms are
~ erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench. '
~Underllo~/j(\9charJ~
~ Prior \'0 ll\::>uIClllon or decking.
rvf Post and Boam - Prior to floor
~Insulatlon or deckIng, ,
~ Floor Insulation:'" 'Prlor'to
~decklng. _
'f':7f Sanitary Sewer - Prior to tltUng
)L) trench.
~ Storm Sewer - Prior to fltllng
~ trench.
~Water Line - Prior 10 filling
~ trench,
:-of'Rough Plumbing - Prior 10
~ cover,
REQUIRED INSPECTIONS
l"\::7( Rough Mechanical - PrIor to
~ cover. 4r-.-s F.;<I.
(:vrRough Electrical - Prior to
~ cover,
ivf Electrical Service - Must be
9 approved to obtain permanent
electrical power.
o Flreptace - Prior to facing
materials and framing Insp.
L8( FramIng - Prior to cover,
~Wall/C'elllng Insulation - Prior to
~ cover.
~ Drywall - Prior to taping.
o Wood Stovo - After Installallon,
o Insert - After fireplace a'pproval
and Installation of unit.
"
'f'::/( Curbcut &: Approach - After
~ forms are erected but prior to
placement of concrete.
l"5<f'Sldewalk & Driveway - After
JL-1'excavatlon Is com pie to, forms
and sub-base materlal'ln place.
o Fence - When comPlet~d. ,
, "0
~treet Trees - When all required
~rees are planted,' .
'-... ' t ... .....
. I" '.",
I"V'1' Final Plumbing - When all
~plumblng worl< Is complete.
~ Final Electrical - When all
~ electrical work Is complete,
~ Final Mechanical - When all
~echanlcal work Is complete,
~ Final Building - When all
~equlred Inspections have been
approved and building Is
compleled.
o Othor ~o l)C'\J~V\c.~
._;I\f''''A.~.f-r"c..tulrll..
v"h"
a.(J..~~
,P<(
4'kS" /-I,()E..
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. '
o Electrical Connection - When
blocking, set.up, and plumbing
Inspectlons 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.
x ~~s;.i12 = ~
\4.10" \ \ pi"
2L7 :f1 122"53
(
Total Value If0~
Building Permit Feea"" u 5.3fJ7'!' , ~'
~'n' +-Ift;:~ A 3 /0 \ - . -~
State Surcharge ),. ~ T . ~ U.-
5~/,~r t::.e..'\ c&\
(Ai '---^-.h. .
LOPMENT CHARGE (SDC)
"-.-.-- ~~
Lot faces ~ Lot TY.
Lot SQ. fig. .;;!.~ _ interior
'Lot coverage ~ ~orner
TOPOgraPhY~' \_ Panhandle
~, Total helght--~ ~ _ _ Cul-de-sac
, - .---.. --fCj'f~ '
. ' .
BUILDING PERMiT"
cQ6l0
Rtn
ITEM
Main
Garage
Carport
1/1 'J,Ft./JtJt$)
-:?2.1
Total Fee
SYSTEMS DEV
~
PLUMBING PERMIT
ITEM
Fixtures
,
N' -3
Resldenllal Bath(s)
SanItary Sewer
FT.
FT.
FT.
Water
Storm Sewer
Mobll~ Home
Plumbing Permit
Slalo Surcharge
+~Po
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No-3
Wood Stovellnserfrep~~)nlt
Dryer Vent . ..- .
.~~S:~~
Issuance
State' Surchar~e .
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk . '2,a '::)1
Curbcut 4-'2.- ft
Demollllon
/~ 1E Co. 0Q?71C.
~:-~~,.:.:",-:..-sa
~.J ~CW An t,
TOlal Miscellaneous Permits
(E)
Setbacks
i:L I;~IGARIACC
Is I I/~ I
Iw I I I I
~j
I
FEE
\ltl:t:b
Jg,qED
15~
c9CJJ.QO:
W.OD
'\-~
G.CO
L\ . c::o
.2> .QU
ri .~il
<41. EO
tn.CO
A) .,-~Lo
4- l'. 73I1z.
,,~f?-/E
llo.5'O
32S~
/'7.sr
V.7~O
~~V,~ .
TOTAL AMOUNT DUE (excluding electrIcal) G _~. ;.:. r
lA, B, C, 0, and'Ecomblned)a'7?3'3.39/~,~$
'.
:;' . \' ., ,'~
. '.i:~ \
~
.
IS THE PROPOSED WORK tN THE.
"'HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
" 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 petmllls granted on the express condition thatlhe said
construction shall, In all respects, conform to the Ordinance
adopted by the City ,of Springfield, Including the
Development Code, regulating ttie construction and use of
buildings, and may be suspended or revoked at any lime
upon violation of any provisions of said ordinances. 5'
Plan Check Fee: ,~~,,)\. , 3 50'~ 9"
Y). 1'\. S - s j' Z.
Date Paid: "_ L \ } - /7. S"r
Recefpt Number: . },l ollo.ct.-?)t($ ,
Re~~\If\..' 26;$S-
Plans Revlewecf'l:ly A'~e
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
6 ~~ 0 . ~ ~rU 0_'""0 \)L
o PM7I 1.
o '~-'1 .EL~/ #J =#"1/ .
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a -=5h:?A;t?_~ ~,./~~.;~// IS ~ /
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By signature, I ~tale and agree, that I have carefully examined
the completed application and do hereby cerllfy 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 Ihe City of Springfield, and Ihe 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 Safely Division.
I further certify that only contractors and employees who
are In compliance wllh ORS 701.055 will be used on this
project.
I further agree to ensure thai all re9ulred Inspections are
requested at the proper time, that each address Is readable
from the street, that the permit card Is located at the Iront
of the properly. and the approved set of plans will remain
;;n the site ay,1I ~Imes d~constructlon.
Signature V J\.r).... (- \V~
c;!2fCiC:-
Date
v
VALIDATION:
RECEIPT NUMBER /72;'7
DATE PAID S':>.. ::2 ~? /~
AMOUNT RECEIVED /'2.(,/9. '"< ~
~9"'''''''''--
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RECEIVED BY