Loading...
HomeMy WebLinkAboutPermit Building 1992-06-02RESIDEf\ii IAL PERMIT APPLICATION lnspections: 7:'0-3769 Oflice: 726'311") st,[llN(;, rELt) ION Ot' I)BOPOSI:D WORK:- A^f ASSESSoRS MAP:- /723- ss--lz - LOT:BLOCK: JOT] NUMBER 225 Fllth Street Spri nO lield, Oreg<:n 97 477 ,fere t/< n rl D TAX LOT: -A-522O _ SUBDIVISION:---.--__ _ZzoZs/ Irr,M()t)t t A= At)t)l'tloN DEMOT'l{ltl -- oTHER - - PHONE:a)3P z- Sra @L -' e b *rc<Zil4o-Ztttt z D..-,-OWNER eoonEss; I OR r7r q S'[ATE: -*CITY: NF,W DESCRTBF:, vvc)nK: fllct-aS t - l,t toNt'EXPIREIIn t)DtlF-:;s CONST. CONTRACTOR C CON TFIACIOII :J NAN,1I] t-- dEruEttnL, (- PLL'MBINC, MECHANICAI ELECTRICAL: FLOOD PLAIN: ZONING CODE: # OF BDRMS: -.- -- SECONDARY I-IEAT SOUARE FOOTAGE: QUAI] A[I1:A: # OF iILDC.S OCCY GIIOUI' s Ot :iTOlllt . WAf t:ll tlt:AIr ll - OFI'ICE USE _ LAND USE: - CONSI R. TYPE: l-IEAT:lOURCt' BANGE: -- To request .rn irrspectioll' you must call 726'3 lnaclr-'the sillrrlr worklng <Jay' inspections re(l 769. Ttris is a 2'1 lrour Lreste(l alter 7:00 a'nt' REOUIRED INS | | lcntuor;'Irv Elccrti(: I -l |;J::t Meclrirtric:rl - l'rior to I' lsitc lrr:.licctioll - lt) llc trr'rtlt: I lRotrOh El<'etricirl - Ptttlr to L I .1;i.,':;,'.;"1,ii,,,,, t,',t 1.,r"" t'' I r "o'"r scttrltO l 'lllls i--l Under sl.rlr Plunrbirrg/ Electrical / Meclralrical - Priot to covt:r' I - I Electrical Service - Must be t -l ;pl)roved lo obtain perrilanent recorcling' All inspections requested before 7:00 ;'r tn will lte will be made the followir.rg work day' PECTIONS Final Plumbirrg - Wtrorr :tll 1-rltrttrlling wclt I is t:ott t1 rlt:tt-'' F- -l Final Electric:rl - Wlr.rl :rll L-J,'1""1,1aa| wutI' is colrrl'l.t('' l--'_l Final Mechanical - Wllr;n all I | ,r,oclranical wttr[< is cr,trtplett:. Final Building - Wht:rr all ieouireO inspuctions llirv(: b('r:r I approved and building ts comPleted. n Footirrg - Af tcr trenches are €X(l?V3tl' l' MasonrY - Stcel localiorl' bond beatns,,lrouting' Foundation - After fornts ;rre ui""toct l;ut Prior to concrete Placenl (,11t. Underground Plumbing - Prior to fillirlg trenclr' Underlloor Plumtringl Mechanical :';',;;,- to instrlatiorr or tlecking' Posl an(l Beam - Prior t<i floor ' nsUl -it i(ll1 or ctrlr:lit ttg' l--l FirePlace - Prior to facing I I m.rlrtals irncl framing lnsP' FFraming -' Prior to cover' eler;trical Power' WalttCeilirrg lnsulation - Prior to cover. Other -- nt L] LJ tl tl I orvwall - Prior lo taping' IJ Wooa Stove - After installation' lnsert - Af tcr f ireplacc approval an(l lnstall,tliorr oI unit' Curbcut & APProach - After ioi,,l" "tu erectecl t)ut Prior to placement o[ colloretc' I --l Sidewalk & DrivewaY - ff te1 I --l ;;;;;;tiorr is conrplete' fornts and sub-bl':;c ttlatcrial irr Place' l--l Fence - Wlten comPleted' MOBILE HOME INSPE TIONS l---l Blocking anct Set'Up - Wlturr t I hlocking is cornPlctc t-' I Plunrbing Cotrrlectiorls ._ Wlrt:rr | | ito,a" tras lre cn collll(:(:lt:(l lo water and sewcr'Floor ltl:;ulatiorr - Prior to det: I'i tl,1 SanilarY Sewer -- Prior to filling trL:llcll Stottrt Suwer -- ['r l()r to lilllrl0 tIctl(lll. Waler l-irle - I'rior to fillittg trenc lt. Rough I)lumbirrg - Prior tcr COVOI, I] Streel Trees - When all required trec's are [)larrted' Electrical Connectiorl - Wtictt iri".xi,.lg, set-trl)' atrtl lrlurrtbitt<1 ,rianaati,jnt lt'tve bc'"tr'rl'provt:(l ,riJ ,r," ltornc is colllrr':(;tu(' t(r the service parlel. Final - After all reqtriretl insoections are aPPluv(i(l an(l ""iino", skirting, docl<s' and iuniing havt., treen in:;tirllucl' rl tl zv,QHJ -c/os 6 Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Typr \/ - lnterior - Corner - Panhandle - Cul-de-sac Setbacks ACC IS THE PROPOSED WORI( Ti THE }]ISTORICAL DISTBICT, OR ON THE H ISTORICAL REGISTER?,_--- lf yes, this application musl be signed arrcl approved by thc llistorical Coor<lirrator prior to peilnit issuance. APPROVED: P.L.HSE GAFI N S E VALUE _/5r(A) @ 5.@ X $/SQ. FT. BUILDING PERMIT ITEM SO. FT, Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condilion that the said construction shall, in all respects, conform lo tlre Ordinance adopted by the City of Springfield, inctuding the Development Code, regulating the construclion and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordirrances. Receipt Number:_ _ - Plans Reviewed By Date Date Paid Received By: PIan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developnrent Charge ls due on all un(,eveloped properties within the City lirnits which are bcir.rg irnproved. ITEM Fix t u res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE N0 FT. FT. FT. (c) Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/Fireplace Unit Dryer Vent MECHANICAL PERMIT (D) No Mechanical Permit lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan By slgnature, I state ard agree, that r have caref uily exanrinedllre cornpleted application an<.1 do horeby r;r:rtity th;rl allinformation hereorr is lrue and correct, ancJ I f urilter certif y that any and all work pcrformecJ shall be clone in accordance with the Ordinances of ilre City of Springfielcl, an(, the Lawsof the State of Orcgon pertaining to the worl< rJescribc<lherein, and lhat NO OCCUPANCy will be rrr;.rdr: of anystructure without permission of the Building Safety Division.I further certify that only conlractors and ernployees whoare ln compliance with OFIS 701.055 will be trsecj on lhisproject. I further agree lo ensure that all required inspections arerequested at the proper time, that each address is reada trS n gn fpl lre on lhe site Date from the street, that t ard is locateci a f rontof the property,app MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk _-_.-- ft Curbcut ==-=-- ft Demolilion Slate Surcharge Total Miscellanoous permits (E) TOTAL AMOUNT DUE (excluding el6ctrtcal)(A, B, C, D, and E Combtned) 29 VALIDATION: RECEIPT NUMFsER DATE PAID AMOUNT RECEIVED L 5 7t RECEIVED BY --. , ,75- Permit No:a./12 I Address:/<,4-/,64. lssued b Date: R OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTTON RESPONSIBILITTES Note: Oregon Law, ORS 701.055(4) , requires residential construction permitapplicants who are not registered with the Construction Contractors Board tosign the following statement before the building permit can be issued. This state-ment is required for residential htrilding, elec[rical, mechanical, and plumbingpermits. Licensed Architect and Engineer applicants, exempt from registratiot under ORS 701.010(7), need not submit this statement. Thib statement wilt befiled with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 38: I own, reside in, or will reside in the completed structure. aftz 1 2 3 A I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. My general contractor is , Contractor reqistration number-. I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR 3. B..El I will be my own general contractor. lf I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. lf I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certily that the above informatio and that I have read and understand the lnform Property about Construction Responsibilities on the reverse side is /2L ignature Permit licant e CONSTRUCTION CONTRACTORS BOARD 0244J 8191 WHITE @PY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT