HomeMy WebLinkAboutPermit Building 1992-9-16
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Ollice: 726.3759
..
SPRINGFIELD
LOCATION OF PROPOSED WORK: ~f () Ba.1
ASSESSORS MAP: II 0 "?J2f? 2-1
~
LOT:
OWNER. -----riM {; {J1f3&6
ADDRESS. 1 ~ S 5 Hf'/.-jObv
CITY- 5Pfl (J
BLOCK.
f:>a:q {2.J.
STATE: _O_~
· JOB NUMBEQ2.-\Q90_
225 FilII, Slrool
Springfield, Olo\lon 97477
TAX LOT:
I'?:::> 1 OU
SUBDIVISION.
PHON~.
121.0 'is/'lL.
ZIP: _g-7I07
DESCRIBE WORK:
td2. E Putz c J ~~ C?
I
ADDITION
~~6~""'\ ~
DEMOLISH OTHER ~
NEW
REMODEL
CONTRACTOR'S NAME
)..fOWl t
OWv0l--L
- ADDr:~ESS
CONST.
GONTIIAGIOII H
EXPII1ES
PHONE
GENERAL:
PLUMBING:
MECHANICAl.
ELECTRICAl.
OUAD AREA:
c::.R.tJw
. OF BLDGS.
OCCY GROUP:
. OF STORIES:
WATER HEATER.
- OFFICE USE -
LAND USE:
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGF.
FLOOD PLAIN.
ZONING CODE:
. OF BDRMS.
SECONDARY HEAT: _\I' J
SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769. ThIs Is a 24 tlour rocordin~l. Alllnspcclions rcqucslcd before 7:00 a,rn. will be
made tho sarno working day. Inspections requested after 7:00 a.m. will be made 1110 following work dny.
D Temporary Electric
o Sito Inspocllol1 - To be made
after excavation, but prior to
settIng (arms.
D
Underslab Plumbingl ElectrlcalJ
Mechanical - Prior to cover.
D
Footing - After trenches are
excavated.
D Masonry - Steel location, bond
beams, grouting.
o
Foundation - After forms are
erected but prior to concrete
placemc~t.
I
D
Underground Plumbing - Prior
to filling trench.
D
Underlloor PlumbinglMechanical
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
docki ng.
D Sanitary Sewer - Prior to fillln{J
trench.
D Slorm Sewer - Prior to filling
trench.
D Waler Llno - Prior to filling
trench.
D Rough Plumbing - Prior 10
cover.
REQUIRED INSPECTIONS
0" Rough chanical - Prior to
cove
- I-'lIullo
D Eleclrlcal Service - Must be
approved to oblain pcrrnancnl
eleclrlcal power,
D Fireplace - Prior to facing
materials and framing Insp.
~g - Prior 10 cover.
D WalllCeiling Insulation - Prior to
cover.
D Drywall - Prior to taping.
D Wood Stove - Artcr installation.
D Inserl - After fireplace approval
and Installation of unl!.
o Curbcul & Approach - AHer
. forms arc erected but prior. to
placement of concrete.
D Sidewalk & Dl'iveway - Arler
excavation Is complele. forllls
and sub.base materIal in plaec.
D Fence - When completed.
D Slreel Trees - When all required
trees are planted.
[:=J
Final Plumbing - When nl/
plumbing work is complete.
I -I r=innl Elecllic<il - Wl1rm ;Ill
- clccltlcal wo!l( is cu,,'pli!It!.
~ecl,"nlcnl. - Wilon nil
rneclwnl -/ work is complete.
il1nl Duilding - Wilen illl
required .inspections Ilave been
approved nnd buildinU Is
completed.
I I Other
MOBILE HOME INSPECTIONS
I 'Blocking oml Sel-Up - When all
blocking is complete.
I~ Plumbing Connections - When
home has been connected to
water and sewer.
I~ Electtical Connection - Wilen
blockln~l. sel-up. nod plulIlbinU
inspections have been npPfOvod
and the home Is connected to
the service panel.
1- I Finnl - After <111 required
inspections arc approved and
porches, skirtIng, decks. and
venting have been instcllled.
Lot face:,
Lot 'Iypo
.
__ _~~Jtbacks _
_Ih HSE GAJ:l_ ACC_
N
------
\. ...HE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If ycs, this application must be slgncd
and approved by the Hislorlcal
Coordinator prior to permit issuance,
Lot sq. flg,
tllte,iul
Lot cover;uJe
Cornul
"OI)OurapllY
PanlliLlHllc
"
"
----- ..-.-- -----
Total height
Cul-(IC-S<1C
Y'!..- _ __
.1:._______
APPROVED:
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Carport
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 Springflcld, 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 Fcc: \ "-I ~
Main
Gnrage
J;:;D7) .60 Date Paid:
Total Value
ICJ.6D Receipt Number'
Ouilcling Perfllit Fee
.76 Received By:
State Surchar{Jc
TotLiI Fee (A) --.\.6-. J!2 Plans Reviewed By Dale
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City Iimlls which arc being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential 8:ltll(5)
N'
Sanitnry Sewer
Fl~ _u__._
FT.
Water
'Storm Sewer
FT.
Mobile Horne
Plumbing Permit
State Surcharge
Total Chargc
(C)
MECHANICAL PERMIT
Furnace
Total Permit
(D)
1~.60
--V) . C5D
.'10
2.0./"1
By signature, I state and agree, that I have carefully examined
tile completed application and do hereby certify thaI 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 thai NO OCCUPANCY wilt be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliDnce with ORS 701.055 will be used on tllis
project.
Exhaust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
.
Stale Surcharge
Sidewalk
ft
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 permit card Is located at the front
of the property, and the approved set of plans will remain
on the site , es during onstr ctton.
I
Signature 1
6-/~~vn--
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
DLitn
Curbcut
ft
Demolition
TOTAL AMOUNT DUE (excluding elecldcal)
(A, n, C, D, illld E Comhlned)
~u~~
VALIDATION:
RECEIPT NUMBER (o2--ID
o /110 --'1 2-
AMOUNT RECEIVEn ~ Lf I - 130
~
DATE PAin
Slate SurctHHt]c
Total Miscollaneous Permits (E)
-
RECEIVED BY