HomeMy WebLinkAboutPermit Building 1994-8-31
'1
i/4d
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726,3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP-
LOT:
/"7 c:n
OWNER:
H-A l ...,t IN"'{'f'
.
1(010,") 11"7~'- '2r-:rIj-....
25- 2/
\2.d
BLOCt<.
"2J
~~ B~((,lt
ADDRESS: \1^ In '\
.5;"r-:'l-c'~ I~
DESCRIBE WORK' ~1..~r.4~ iMJ ~
CITY'
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERA" ,"'j". ('.h..
.
"
,
STATE: :.......ILR
+:;PL ))~L..
Ii
DEMOLISH
OTHER
.....(
'WII:-:::
JOB NUMBER
:9f~jtl~
225 Fifth Street
Springfield, Oregon 97477
, TAX LOT'
SUBDIVISION:
// 7~ZJ
PHONE:
747-7er,7'n
ZIP: C}7477
5.'-, ~ }+,.,j,t ~,
CON ST.
CONTRACTOR'
PHONE
7;;!,,- ~90"'-
ADDRESS
PLUMBING:
MECHANICAl'
ELECTRICAl'
,
")nNAJIJ
6-, d-rw. <.
,
T,....... )I.JM~'::J
, t;~h~r
OJ/''/' ( ( ,
OUAD AREA: 51< N\;\/
. OF BLDGS: /
OCCY GROUP:~.() ~ t (J1
J
F.
. OF STORIES:
WATER HEATER:
'.
- OFFICE USE -
LAND USE:
Wi
/
VN
t/;/l
t:;.
EXPI.RES
FLOOD PLAIN:
ZONING CODE:--.1----1;lIf1
. OF BDRMS: :;3
SECONDARY HEAT:
SOUARE FOOTAGE: /'/7 (p
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. AlllnspecUons requested before 7:00 a,m. will be
made the same workIng day. Inspectlons requested after 7:00 a.m. will be made the following work day.
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Undersleb Plumblng/Eleclrlcall
Mechanical - Prior to cover.
~ Footing - After trenches are
excavated.
D Masonry - Sleel location, bond
,beams, grouting.
IV1 Foundation - After forms are
~ erected.but prior to concrete
placemel"!t.
D Underground Plumbing - Prior
to /lIIlng trench.
Undarlloor PIUmblng/MeChan~
rlIV~ ':0 Insulallon or Ot;:t;t\H1g.
-J::Tl Post and Beam - Prior to floor
L,Z:::::I Insulation or decking.
IYl Floor Insulation - Prior to
P decking.
D Senltary Sewer - Prior 10 filling
trench.
r\:?f Storm Sewer - Prior to filling
!,L::::I trench. .
D Water Line - PrIor to filling
trench.
f)?J Rough Plumbing - Prior to
~ cover.
· OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
REQUIRED INSPECTIONS
(";(J Rough Mechanical"':' Prior to
'P cover.
rvr Rough Electrical - Prior to
I cover.
191 Electrical Service - Must be
r approved to obtain permanent
electrical power. .
D Fireplace - Prior to facing
materials and framing Insp.
, ,
~ Framing - Prior to cover.
IV'! Wall/C'elllng Ins~latlon - Prior to
( cover.
~DryWall - Prior to .taPI~g.
D Wood Stovo - ~fter Installation.
D Insert - After fireplace approvel
and Installation of unit.
D Curbcut & Appro'ach - After
forms are erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
D Fen~e - When completed.
D Street Trees - When all, required
trees are planted. . ,
fill Final Plumbing - When all
~ plumbing work Is comple(,e.
r:::::;t. Final Eleclrlcal - \l\l.hen all
~ electrical work is complete. ~
FZJ Final Mechanical - When all
~ mechanical work Is complete.
i"'Kl FfnBI Building - Whe'n all
~ required Inspections have been
approved and building I.
completed. .
DOthor
MOBilE HOME INSPECTIONS
D Blocking and Set. Up - Whep all
blocking Is complete. .
D Plumbing Connections - When
home has been connected to '
water and sewer.
D Electrical Connection - When
blocking, set.up, and plu'1lblng
Inspections have been approved
and the home Is connected to
the service par)el.
D Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed,
Lot faces
,
Lot sq. I(g.
Lot 'coverage
Topography
Total I'\elght
BUILDING PERMIT
ITEM
sa. FT.
/C;/("
760
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
,.
Lot Type
, . .
"ttl THE PROPOSED WO~KtN THE - '
HISTORICAL DISTRICT, OR ON .
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
. Coordinator prior to permit Issuance.
,
\' ~-:'f '.' ,;;-;' ;.'!;" ", -~ :~" 0' ~,~_~~~i",~~ ,\:~.
Interior
I P.L.
IN
Is
Iw
IE
Setbacks,
HSE GAR Acc'l
I
I
I
I
Corner
Panhandle
Cul.de.sac
X $/SO. FT.
VALUE
//J~7#
" ~Zt)(p
~~--
-z3.-fs:
3~.A~1'II;(), : ~"7
(A) ~~.S".2
SYSTEMS DEVELOPMENT CHARGE (SDC)
LJ 4 .1.3
(B)
PLUMBING PERMIT
ITEM
Flx\jJ,es /1'9
Residential Bath(s) N'
Sanitary Sewer FT.
Water FT.
Storm 'Sewer FT. 2"::;
Mobile Home
Plumbing Permit
Stat,:. Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
FEE
/oa ..NJ
, <J"O
?~ .
,
.3' 7.9 Ad,-"Nf,).
(C)
/25'?'"
CO."2f
7'<c"
v'
/?.CI:XO
N'
~
~Q-O
4,f:"'i)
q~
Dryer Vent
Wood StovellnsertlFlreplace Unit
~_CH7
Mechanical Permit
Issuahce
State'Surcharge
Total Permit
_22Ji"O
10 [)V
1,/3
:;p"Aj,d?/o(). ..f, 2r--
(D) ~4.. 3[
MISCELLANEOUS PERMITS
Moblle'Home
State Issuance
State Surcharge
Sidewalk I(
Curbcu( It
Demolition
State Surcharge
,PtA.t J ;FF.r// ri-<.1
Tolal Miscellaneous Permits (E)
/2o.tTV
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C. D, and E Combined)
17'5"$J
"
APPF30VED' '
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: ~ ~ 3 ~1t> '" / 2-D ~
Date Paid:
Receipt Number'
Received By:
PI1i(~~
g/3dh.~
I Dale
Systems Development Charge Is due on all undeveloped
properties within (he City limits which are being Improved.
ADDITIONAL COMMENTS
:"'~~- e/~_#&A:"/T /.\
I. .' .
A1~~?f?A . '
PA77f1.
. '
ym~p
By slgnature,l 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 wl(h ORS 7D1.055 will be used on this
project.
I further agree to ensure that all required Inspections are
requested at the proper time; ~hat each address Is readable
from the street, that the permit card Is located at the front
of the propertyr.nd the approved set of plans will remain
on th~e at \tl~~nstructlon.
Xlgnature <-~ ->:J ~ "\ <.... -
Date 42/.:j7/j<jL
/ /' I
VALIDATION:
RECEIPT NUMBER
145')5
o/3~>y
79 Z; .3 3
~~
DATE PAIr>
AMOUNT RECEIVEr>
RECEIVED BY