HomeMy WebLinkAboutPermit Building 1992-06-08- ror NUMBER ?Z-AU-4-
SUBDIVISION
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LOCAI ION Ot l'nOP()St:D WOtil(:
ASSESSORS MAP: -
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225 Flltll Street
Spri ngf ield, Oragon 97 47 7
RESlDENTIAL
PERMIT APPLICATION
lnspect ions: 7:16'376!J
Ollice: 726-il!,9
LOT: BLOCK:
IIEMOD[i-,- ADDITION -- - DEMOLISI] -- OTHER
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/.tP'...1 I At-[:
NI:W
PHONE: 2{-/- w
DESCnTBE w()RK: kz b@
OWNER: -
ROOnrss:
CIIY:
fu-e;WtrZ?r)[)"#r.#'z2b3,4ffiD
c()t.l I I:IACI()ti :; NAMt:
CONST.
MECI.IANICAI
ELECI-RICAL:
CEN t:t:lAL.
PLUMf]IN(}
RANG[::
ZONING CODE# OF BLDGS
_ OFFICE USE _
LAND USE: -- . -
WATEtl t-tEAl't,t]:
HEAT:JOURCI]
FIOOD PLAIN:
# OF BDRMS: .-..-'
SECONDARY l{EAT: -
SOUARE FOOTAGE: -
OUAD AREA:
OCCY GROUI'',
# OF STOnlFr: ---
# OF UNITS:
---CONSTR. TYPE: ----,
To re(luest ;rrr rrrspection, you nrust call 726-3769. Tlris ls a 24 hour recording. All inspections requestecl before 7:00 ;r rn. wrll lrr_r
madc the sarr r.j working day, inspections requeste(l atler 7:OO a.m. will be made the following work day.
REQUIRED INSPECTIONS
[ | t-cmporirry EleclricI t
L]
I]
ll Rough Mecharrical - Prior tolJ Cov(rr-
I -'l Rough Eleclrical - Prir;r toL--J covcr.
Site lnspection - To be rrrarle
iefter cxt;avation, trut prior lo
settirrq forms.
Undersl;rb Plunri:irrg/ Elec trical /
Mecharrical - Pti<tr to cover.
Masonry - Steel locatior-r, bond
bearlrs, llrouting.
Foundalion - After forms :rre
erecte(l [)ut prior to concrete
placenrc'rr t.
Underqround Plunrbing - Prior
to fillirrg trenclr.
Post arrd Beam - Prior to floor
insulrrl ir-rrr or <1r,.cl<i rrg.
Floor lrrsulation * Prior to
decki ng
Sanilary Sewer - Prior to f illing
trenctr
Slornt SL-wer - Prior to {illing
trenc ll
Waler Line - Prior to filljrts,
trench.
Final Plumbing - Wlrcrr ,,rll
lrlunrbing worli is corrrlrlcte.
Final Electric:rl - Wlrt:rt all
clectrical worl( is corrrplt-,te.
Final Mechanical - Wlrlrr all
rnechanical work is c;onrplelc.
Final Builcling - Wlrt:n all
required inspections l)avt; bee.n
approved and builcjrnrl r:;
t:ompleted.
Electrical Service - Must be
apf ,rov€d to obt;rin perrnanent
elet;trical power.
Fireplace - Prior to facing
m:rterials anrl f rarning lnsp.
Wall/Ceilirrg lnsulation - Prior to
cover,
l-l OrVwall - Prior to tapin0
Eo,nu,-E*-f*
Curbcul & Approach - After
forrns are ()re(jtud but prior toplar;emenl of concrete.
Sidewalk & Driveway - After
e'xr;avation il; r.'onrplete, {orms
atrrl sub-l-i:r:;L),ilitt(jrial in ltlace.
Fence - When cornpleted.
MOBILE HOME INSPECTIONS
lllocking and Set.Up - Wherr ail
Lrlocl<i ng is L-()r'nplet(r.
Plun'rbing Conneclions - Wlrcn
lrorne has l:eerr connt:t]lcri t()
water and sewer.
Electrical Connecliorr - Whr,:rrblocking, set-up, ancl y;lunrbilrr;
inspections hirve bcer r ;rlrl.lrov(:r lirnd the horrte is coltrioClc(, t()the service pilnel.
Final - After all requiredtnspections are apprcrvr_.cl ancjporches, skirting, decks, ancJventing have lrcen inst;rllr:tl.
Rough Plumbirrg -- prior to
cover.[-l Street Trees - When iill required'J trecs are l)l;ltled.
L]
Footing - After trL.nches are
exc avat Lld.
L]
tl
tl
l-l Frarning - Prior to cover.
[_-l Underlloor Plurrrbino/MechanicalI I Prior fo irr"rroii"'n ;;J;,;k-i;;. l--l wooa Stove - Af ter installation.
t__,1 lnsert - Af ler {ircplace approval
anc! installation of unit.
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Tolal height
Lot Type
-
lnterior
*--,- Corner
-
Panhandle
--
Cul-de-sac
Setbac l<s
HSE GAR ACC
^.ur. PRoPoSED woFtl< lN THE
l,,.,.lORlCAL DISTRICT' Ot-l ON
THE I-.IISTORICAL REGISTEB?
---.-lf ycs, lhis application tntts;t l:e si1;ned
and alrproved by t l-ro l-l istorical
Coordinator prior to permit issuance.
APPROVEDE
N
J
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pernrit is gr;rnted on tltc express conditiorr that the said
construr;tion shall, in all respects, conforrt to tlle Ordinance
acJoptecl by tlre City of Springfield, ir.rcludir.rg the
Development Cc>cle. regulating the construction and use of
buildings, anrJ nray lre susplcncJecl or revol<eri i]t atry tirne
upon violation of at-ry provisions o( said ordirrances'
Plans Rcviewecl BY [);]t(l
F'lan Clteck Fce:
Date P;rid
Receipt Numbc'r:--
fleceivcd BY:
VALUE
?zr @\o-
(A)
BUILDING PERMIT
Iol;rl Valur-'
tluil(iin(l P()l rrlit Fec
St;ttc Sltx;llilrge
"li.rt;rl Fet:
24?
/- /s
ze,-za-
SO. FT. X $/SO. FT.ITEM
Main
Garage
Carport
Systems Developtrtcrrt Cl)arge is clue on ;rll tttttlcvclopcd
properties within tlre City lirrrits which 3rs [;girrg itrtprror"cd'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fix t u res
ResicJential Bath(s)
S;rrritary Sewer
Water
Stortr Sewer
Mobile Home
FE,E
(c)
No
FT.
FT.
FT,
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Tot;rl Char.r;c
Wood Stove/ lnsert i Fireplace Unit
Dryer Verlt
MECHANTCAL PERMIT
(D)
No
Mechanic:rl Permit
lssuance
State Surcharge
Total Perntit
Fu rn ace
Exhaust Hood
Vetrt Fan
By signature, I state arrd agree, that I llave caretrrlly r:xanrined
the cotnpletcd application and do hereby c(:rtify lhat all
irrformation ltcreon is lrttr: ancl correct, ancl I f trtthcr ccrlily
that any alld allworl< prr:r[ortrlccl shall be done itl act;ordance
withthr,'OrdinarrcesofthcCityofspringfieId,arrtjtlreLaws
of the State of Orctlon pcrtainirrg to the worl< describcd
Iterein, ancl tlrat NO OCCUPANCY will bt-' trra<lt: of atry
structurewithoutpertnissionoftheBuildingsafctyDivision.
I f urther certi{y that only contractors and ettt[rloyees who
are in compliance with ORS 701'055 will be used on this
project.
I {urther agree to ensurc tlrat all required it-lspections are
requested at the propcr time, that each address is readable
from the street, that tlre pcrmit card is locatcd at the front
on the site at all
Signatu re
Dare - 4- -8-: f Z-
c
of the PropertY, and the aPP roved set of Plan:; will rernainMISCELLANEOUS PERMITS
Mobile Hotne
State lssuance
llt.rte Surcll.rrge
llirlcwall< ---- ft
C)r-rttrcut lt
Dt:ttrt>li tirltl
lll ;il() S(l I(;ll;rrge
Tolal Miscellaneous Permits (E)
VALIDAI ION:
RE,CEIPl' NUMt]EF]
DATE PAID
AMOUNT RECEIVEI)
NECEIVED BY
Ga2*
7=
TOTAL AMOUNT DUE (excluding electrical)
B, C, D. ancl E Combined)(A,
PL.