HomeMy WebLinkAboutPermit Building 1994-7-6
"~ . ,Co
-. ,", \,
~' '"
I
RESIDENTIAL
PERMIT APPLICATION
Inspections: '726.3769
OHlce: 726.3759
LO'!:
OWNER:
DfrN
TUCCI
, ,
ADDRESS:
CITY'
.
BLOCK:
STAT'" '
DESCRIBE WORK:
NEW REMODEL
.K.L ctf'J
f? ADDITION
.:
r,tC UJ0e.)'. ('--201)
,
, DEMOLISH
OTHER
.
JOB NUMBER
79'6~~
225 Fifth Street
Springfield, Oregon 97477
TAX LO'!:
SUBDIVISION'
rP~(x)
, PHON'"
ZIP'
(r-f' b~::
~c.-.::--'r
CONTRACTOR'S NAME n ADDRESS' . ,
GENERA" c...:v r 0 p.., . e(J\A...A'+aA~.
r <f~J /J. f, iT"tt1vh-
. CONST,
'..CONTRACTOR .
~ I c;,i;;,~
PHONE
C(Nr'lJt. :?
(7
.PLUMBING'
MECHANICAl'
ELECTRICA' '
EXPIRES
;-/9- 9tZ.
- OFFICE USE -
QUAD AREA: LAND USE: FLOOD PLAIN'
. OF BLDGS: . OF UNITS' ZONING CODE:
OCCY GROUP' CONSTR. TYPE: . OF BDRMS'
· OF STORIES: HEAT SOURCE' SECONDARY HEAT:
WATER HEATER' RANGF' SQUARE FOOTAGE:
To request an Inspection, you must call 726,3769. This Is a 24 hour recording, All Inspections requesled belore 7:00 a,m, will be
made the same working day, Inspections req.uested after 7:00 a,m, will be made the following work day,
REQUIRED INSPECTIONS
o Te~porary Electric
O Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electrlcall
Mechanical - Prior to cover,
o Footing - After trenches are
excavated. .
o Masonry - Steel location, bond
beama, groutl ng,
o Foundation - After forms are
erected.but prior to'concrete
praceme~t.
o Underground Plumbing - Prior
to filling trench,
O Underlloor Plumbing/Mechanical
-,Prior to Insulation or decking,
O Post and Beam - Prior to floor
Insulation or decking,
O. Floor Insulallon - Prior to
decking,
O. Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to tilling
trench. . .
, ,
O Water Line - Prior tOJllllng
trench. \:J> ", ...'"
~ ~ .'
o Rough PI~mblng :- 'Prior to
cover. '~',
, ..1 .:.,.
o Rough Mechanical -.:. Prior to
cover.
~Roug"h' Electrical - Prlor"to
~ cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power,
o FIreplace - Prior to facing
materials and framing Insp.
P Framing - prior' to cover,
~Wall/Celllng InSUlation - Prior to
L6...J. cover.
~ DryW~1I - Prior to taping.
o Wood Stove - After Installation,
o Insort - After fireplace approval
and Installetlon of unit.
o Curbcut & Approach - After
~forms are erected but prior to
placement of concrete.
"
o Sidewalk & Driveway - After
excavation Is completo, forms
and" sub.base materIal In place.
o Fen~e" - When ~ompleted.
o .Street Trees - When. all'requlr~d
trees are planted. ~
o Final Plumbing - When all
plumbing work Is complete,
. ,
k:;;r Final Electrical - When all
~ electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
~ FInal BuildIng - When all
~requlred Inspections have been
approved and building Is
completed,
OOthor
MOBILE HOME INSPECTIONS
o Blo~klng 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
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
,
L~t'~ype .
.'LOLSq, ltg,
Interior
,
Lot coverage
Corner
. Topography
Total height
Panhandle
Cul,de,sac
BUILDING PERMIT
ITEM SO. FT. X $/SO, FT,
Main
Garage
Carport
,nA"e:- A~,If1/?
Total Value
Building Permit Fee
State Surcharge
Tolal Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
, .
'. ,,', ~
'~s THE PROPOSED WORK IN THE..
....HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this appllcallon must be signed
and approved by the Historical
, Coordinator prior to permit Issuance,
\',~ :.:~' :.' ,;;";l""li.:" ,j ~~.~ i~~_~,&t.;:.~.~:;i~'
':, Setbacks.
I' P,L. HSE GAR ACe' I
IN
Is
Iw
IE
VALUE
"
<.s-dP 0
- (
2/ ~.)o
- /C) , ) 0
-'-.
(pI'
22,2..,7J'"
(B)
PLUMBING PERMIT
ITEM FEE
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT.
Water FT,
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge (C)
MECHANICAL PERMIT ,
/".
Furnace
Exhaust Hood
Vent Fan N'
Wood Stovellnsert/Flreplace UnU~/
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits . (E)
TOTAL AMOUNT DUE (excluding electrical) :;2:<:,? 2$""
(A, B, C. D, and E Combined)
APPROVED-
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construcllon shall, In all respects, conform to the Ordinance
adopted by the City, 01 Springfield, Including the
Development Code, regulating the construcllon arid use 01
buildings, and may be suspended or revoked at any time
upon vlolallon of any provisions of said ordinances,
Plan Check Fee:
Date Paid:
Recel pt Number'
Received By:
..vIA-
Plans Revlewed'By
Date
Systems Development Charge Is due on all undeveloped
properlles within the City limits which are being Improved,
ADDITIONAL COMMENTS
.,
By signature, I state and agree, that I have carefully examined
the completed application and do hereby cerllfy that all
Information hereon Is true and correct, an9 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 ot Oregon pertaining to the work described
herein, and that NO OCCUPANCY will, be made of any
. "-./
structure wltho'!t permission of the Building Satety Division,
I further cerllfy that only contractors and employees who
are In compliance with ORS 701,055 will be used on this
project. .'
I further ~g!ee;t<? ensure that all required Inspections are
requested at the proper lime; that each address Is readable
from the street, that the per"';lt card Is located at the front
of the property, and the approved set of plans will remain
,x::~g~o({Ct1 10~.~e-)
Datp /' /-Y7-Jv'7"r-
/' / /
VALIDATION:
RECEIPT NUMBER
DATE PAIr>
AMOUNT RECEIVEr>
RECEIVED BY
/3 7?S'"
~/I-r!
2..1 2. 7.r
~,