HomeMy WebLinkAboutPermit Building 1994-9-7
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.'
SPRINGFIELD
LOCATION OF PROPOSED WORt<' t BS S
ASSESSORS MAP' /.?....e>?.::25'-Z/
LOT:
1-1 A. u <<> e::vJ (5 fl4.
BLOCK:
OWNER. 0Wl. (""oR..I158LG..
ADDRESS: /6ss HA.vl1J6I\J 1(l.,<t.C,
CITY- '5PR.,o/JCiPlh"o
DESCRIBE WORK:
AiIM,no,)
NEW
REMODEL
CONTRACTOR'S NAME
DlU(0 YXL
GENERAl.
PLUMBIN".
MECHANICAl.
ELECTRICA' .
OUAD AREA:~f\ )(J. )
.... .' 0'
. OF BLDGS: J
OCCY GROUP: ~ "3
· OF STORIES: ~
WATER HEATER.
fLd.
STAT".. (') ~
ADDITION
~c - FftlV\Ill1
r- DEMOLISH
.
qe;/ /:2:2 Y
OTHER
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
f-c);tP !iJJir~.,
TAX LOT: --.;tX./~. .
SUBDIVISION. .
PHONE: '72h - $ 7<12 (II)
1Sf - -fo-f1 (hf)
ZIP: C)7477
up,;)\YI~S
ADDRESS.
CONST.
CONTRACTOR .
PHONE
- OFFICE USE -
, III
LAND USE:
· OF UNITS.
'CONSTR. TYPE:~f\I
HEAT SOURCE: 61..=<-/. V~
RANGE:
EXPIRES
,.
FLOOD PLAIN:
ZONING CODE:..LDl2---
. OF BDRMS.
SECONDARY HEAT:
SOUARE FOOTAGE: ~
To request an Inspection. you must call 726.3769. This Is a 24 hour recording. All Inspections requested belore 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.
D Temporary Electric
D Slto Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumblng/Electrlcal/
Mechanical - Prior to cover.
~Foollng - Alter trenches are
J,.6..! excavated.
D Masonry - Steel location, bond
.beams. grouting.
~Foundatfon - After forms are
~ erected but prior to concrete
placeme~t.
D Underground Plumbing - Prior
to filling trench.
REQUIRED INSPECTIONS
"lv1"'Rough Mechanlcpl - 'Prlor..1O
~over. ~O ~A. 'F'/",
~" .', .
~ Rough Eh~ctrical - Prior to .
~cover.
. ('
D Electrical Service - Must be
approved to obtain permanent i
electrical power. . I
D Fireplace - Prior to facing
materials and framing Insp. .
~Fra~lng - Prior: to cover., .
.'
~ Wail/Ceiling Insulation - Prior to
~ cove~ .
~ Drywall - Prior to ~aPI~g..
'Jc7f Underflo~lumblnd11ilechanlcal) D
j.6J _ Prior to in~UICltlo-;;'a. 1.1-0......" ,~. Wood Stove - After Installation.
K:::1 Post and Beam - Prior to, floor
J.6.l. Insulation or decking.
,
i'Y1 Floor Insulallon - Prior to '
9decklng.
"
D'sanltary Sewer - Prior to filling
trench.
l"5(f Storm Sewer - Prior to tilling
~ench.
D Water LIne - Prior to filling
trench. ,',
j5(fRough Plumbing -Prior to
~over.
D Insert - Arter fireplace approvel
and Installation of unit.
D Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
D Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
D Fen~e, - When completed.
o Street Trees - Wh~n all. required
trees are planted. '''''. ~.' ,
\','
i":71' Final Plumbing - When all
~'plumblng work Is complete.
. .
'f'V71 Final Electrical - \l\U')en all
~ electrical work Is complete. C
I'V'f Final Mechanical - When all
~mechanlcal work Is complete.
.
~Flnal Building - When all
~equlred Inspections have been
approved and building Is
completed.
DOther
.. MOBILE HOME INSPECTIONS
D Blocking and Sot.Up - Whop all
brocklng Is complete.
D Plumbing Connections - When
home has been connected to .
water and sewer,
D Electrical Connection - When'
blocking, set.up, and plu"lblng
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,
~
Topography _ _ Panhandle
Total h,elght ~ _ CUI.de:sac
,MI
BUILDING PERMIT
~M so. FT. X $/SO. FT. - VALUE
/ Main :5/~;A .5'.c-i . ~::;- ::z,~~-r.2.
.. ~~ /~t'." ~.'24'
~j':?: fi'c-
1
~~
IS.~
q./:J-
.., . :I:z,
;;o:.'V"-
SYSTEMS DEVELOPMENT CHARGE (SDC) ,
(B) lli 5
5".&0
2..f. $'"0 --7]>A,. iY-
/Dpa
1.2.?> ~
State.Surcharge ;g9b ~H?'-U, f, f ~
Total Permit (D) ~r", .,z,21:R-:-: OC'
MISCELLANEOUS PERMITS
Lot faces
Lot ~ype.
Lot sQ.. ftg.
Interior
Lot coverage
Corner
Garage
Carport \',! ~...
?~tlH~.N ~gP
73:./6
\,.' " '-~:..
c'\.'. ..
Total Val ue
Building Permit Fee
State Surcharge
~% Ai)oy/,v,
(A)
Total Fee
PLUMBING PERMIT
ITEM
Flxt,ures
Residential Bath(s) N'
Sanitary Sewer FT.
1
Water
FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
Stat~ Surcharge
Total Charge
3% J'ij)m,,u ,
. .
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N' /;).
~
Wood StovellnsertJ Fireplace Unl,t
Dryer Vent
~L~';
1IjH-
Mechanical Permit
Issuahce
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
"."<'
\.i,'
',"".;":;..'
Setbacks.
I P.L.
IN
Is
HSE GAR
,W:'
,E
.,
~~s~
'f\ r
FEE
/7rJ.~
"-, ...
3.~D
. ,~
. 1fC-/ - /" .
7..~ ~O
0pTJ
4.5'0
0&P
,
.-3 qo
~ ~
. 44D. 31
:: i} ~;' ~~':\f:~.L
_S THEPROPOSED WORKtN THE.
. . HISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
J. \
i
ACe' I
I
I
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APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted onth,ec.expresscondltlon that the said
construction shall, In all respects, conform to the Ordinance
\ad9Pted,. by :theJClty ',0(\ 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: /-9,7 ~e:,..
Date Paid:, /'/2-9 2.. ""~
Receipt Number ,:;?-q""jf9.y,).
Received By: . /'? ~.
_.P~ '/7:' ~ ' ;, ( .)(
Pla~(R';~ew~~/
r~-i
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
c,C?"~ .eL/:eT..f?/r4-l.~y~
IS ~~.bf?.eJl
~_l
,. :'.
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 perml(card Is located at the front
of the roper and the a roved set of plans will remain
on the s times d log construction.
~nature~_ J Jh
. . ~
Date
9- 7-91
VALIDATION:
1'i'6.~:c:...
Q-7...qty'
AMOUNT RECEIVE'!' 07- c", ,7'1'
RECEIVED BY ~~.",...,...........
/~
RECEIPT NUMBER
DATE PAir'