HomeMy WebLinkAboutPermit Building 1995-1-10
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS M.!"P, 1'7'-r-" .,...'<'1
LOT: # ,~
9f; S'l5
225 Fifth Street ,
Springfield, Oregon 97477
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ADDITION
DEMOLISH
OTHER
BLOCK: ~/"'L "'l+,~.,.e;..,. SUBDIVISION'
OWNER:" .r:::Ir..l...hc;, cfo" ....u....... ~ ': PHONE: ~_t ~4-
ADDRESS: ~'2 tlf;7 IIL-....~ ~/_" ~
CITY' ~r? STATE: ~ ZIP: Q'14-7...,
NEW 'X'"
DESCRIBE WORK: A~"'" lZ.~ .e;", ,(~) ~.1Z... (~Y:z..)~-(\( Wot-tt-
~ - ~,-
REMODEL
CONST,
ADDRESS CONTRACTOR'
~e,.?P8:J IlA.cf'Or/,( _,~ 201
CONTRACTOR'S NAME
GENERAL: ~ .';.........,t-i MIU-ILIZ....
. .PLUMBING'
MECHANICA' '
ELECT.R,ICAL' WI' ~~~
QUAD AREA: ~Rft(\ ~
. OF BLDGS' \
OCCY GROUP: ~~.\- N\
. OF STORIES:_~
WATER HEATER:
IE:
- OFFICE USE -
LAND USE: \ l \ \
\
CONSTR. TYPE: \i AJ
/!~
. OF UNITS'
HEAT SOURCE:
EX~~.~.H~~
7.w_-~~
. ,
FLOOD PLAIN:
ZONING CODE: Lll f2-
. OF BDRMS: .. c:;
SECONDARY HEAT:' 'FP
SQUARE FOOTAGE: ~
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.
D Temporary Electric
o Site Inspection - To be made
. after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical!.
Mechanical - Prior to cover.
~Footing - After trenches are
~xcavated.
o M.asonry - Steel location, bond
beams, grouting.
~Foundation - After forms are
~erected but prior to concrete
placement.
D Underground Plumbing - Prior
to filling trench.
RANGE: F
REQUIRED INSPECTIONS
~ Rough Mechanical - Prior to
cover, 'ZlXD ct.A.~ r,j!fJ.
1V1 Rough Electrical - Prlor.to
~ cover.
~ Electrical Service - Must be
)6J.. approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
~ Framing - Pr~or to cover.
~ Wall/Ceiling I~sulation - Prior to
~ cover.
~ryWall - prl~r to taping,
"1V1 Underfloq(Plumbinit11'llechanic'!!> " ' . .
~:_ Prior tU\""ulc"iOTI VI ut:l..Or\lny. .0 W~od Stove"":' After Installation.
1V1" Post and Beam.- Prior to floor
~nsulatjon or decking. . .
~ Floor Insulation - Prior to
~ecklng.
~Sanitary Sewer - Prior to filling
~ trench.
IV'f'Storm Sewer - Prior to. filling
~trench.
)QfWater Line - Prior to filling
~ trench.
rvrRough Plumbi.ng -:- Prlor to
~cover.
\\
o Insert - After fireplace approval
and installation of unit.
D Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
excavation is complete, forms
a\ld ~ub~~ase material in place.
D Fence - When completed.
,~tre~t Trees ~'Wht;m all required
~ees are Planttd. '.
I"'V'f"'Flnal Plumbing - When all
~ plumbing work is complete.
'1)?j Final Electrical -When all
~ electrical: work is complete.
'f><l Final Mechanical - When all
~mechanical work is complete.
f'Vt Final Building - When all
~ required inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
. ,', .;.
o Blocking and Set.Up - When all
blocking is complete.
D 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 ~ Lot ~ype_ Setbacks _HE PROPOSED WOR~';~'
Lot'sq, ftg, 7/YfDP ----X Interior I PL. HSE GAR ACC I HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Lot coverage ~ Corner If yes, this application must be signed
/~~ Panhandle Is 3~' I and approved by the Historical
Topography Iw I Coordinator prior to permit issuance.
Total height ~ ~'
Cul.de.sac
( qf) ') IE ,~.!. I ' APPROVED:
BUILDING PERMIT
ITEM SQ, FT.,
X $1 SQ, FT.
)b .,d
1 -f 1'0
VALUE
/3"1'92,)'0.
I
&,//0.00
Main
~;'~3'
~37
Garage
Carport
/-1bO,3S;~
,
C:7'::' _:z.s
--. -
, 4Zf...2.
%7-2.7
SYSTEMS DEVELOPMENT CHARGE ~D,C)
(B) 11/11 If/ 1&./3
IJ-'D-1f-
FEE
Total Val ue
Building Permit Fee
State Surcharge :2~ ~ (. +
Total Fee
(A)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N' -~
Sanitary Sewer FT,
Water FT,
Storm Sewer FT,
Mobile Home
Plumbing Permit
State Surcharge q~3~ 5."
Total Charge (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan N' ::2,
j'72 ?"f)
/5,~1
2.07.91
Ca~
-I-Sc
9,40
/.-=:jc--D
~'.~
Wood Stovellnse~rePlace uni0'
Dryer Vent
Mechanical Permit
.:j,'7.50
/O.~O
3.D1
C:;O,51
Issuance
State Surcharge /. B& + /./3
Total Permit (0)
MISCELLANEOUS PERMITS,
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D,and E Combined)
~2f;,6'T
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.
~-II. -r'( ,
/2 -5-"l1
Receipt Number' /S'fP c::..~
Rec;:t/~~~
Plan~e1ieWed By ~,
Plan Chec~ Fee:
Date Paid:
/~1AI
Dat~
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
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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 CRS 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 permit card Is located at the front
of the property, and the approved set of plans will remain
on the s.lte a~i.mes during construction.
'xignature~/. Pd~
/ .
Date /-/0 -7 <:
VALIDATION:
RECEIPT NUMBER
/S"?s-7
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DATE PAIr>
AMOUNT RECEIVED
RECEIVED BY
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