HomeMy WebLinkAboutPermit Building 1991-06-28SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97 477
LOCATION OF PROPOSED WOBK; 2155 Yol anda, Springf ieldrOrege* 97 177
ASSESSORS MAP:/7-av -z?- 1)TAX LOT:OOBaa
SUBDIVISION
*"r, -b=Ken and Barbara Leng PHoNE:
ClrY: Spr+ngf +eld STATE q'7t77ztPOreqon
ADDRESS:
OWNER:
NEW
-
REMODEL E ADDITION DEMOLISH OTHER
WffiDESCRIBE WORK:Rc ni l.r.h tha rnnf Avar {-ha na*r-u. !-^J-^
MECHANICAL:
ADDRESS EXPI RES PHONE
e^l f
CONTRACTOB'S NAME
ELECTRICAL:
CONST.
CONTRACTOR #
G EN ERAL:
PLUMBING
#o
WATER HEATER:RANGE:
# OF BDRMS
- OFFICE USE _
LAND USE:FLOOD PLAIN:
* OF UNITS:
QUAD AREA:
OF BLDGS
F STORIES:
GROUP:
SECONDARY HEAT:
SQUARE FOOTAGE:
CONSTR. TYPEr
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a24hour recording. AII 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.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.[-_l Final Plumbing - When ailu plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.
8 Fr" ing - Prior to cover.
Foundation - After forms are
erected but prior to concrete
placement.
Other
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.Drywall - Prior to taping
MOBILE HOME INSPECTIONSUnderlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation.
Posl and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and installation of unit.
Blocking and Set.Up - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcut &Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prior to filling
trench.[-l Fence - When completed.
Rough Ptumbing - Prior to
cover.
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved andporches, skirting, decks, andventing have been installed.
E
?/4Ae,
LOT
-
BLOGK:
ZONING CODE:
E
E
E
E
E
E
E
E
E
E
n E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type iv
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Se acks
PL.HSE GAR ACC
N
S
E
,_iHE PROPOSED WORK rN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED
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.
DatePlans Reviewed By
Plan Check Fee
Date Paid:
Recei pt Num
Received By:
VALUE
<?
(A)
.D
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT,
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood 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 f urther 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
sig
Date
on the site at strucs durin
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut ft
Demolition
State Surcharge
Total Miscellaneous permits (E)
ToTAL AMoUNT DUE (exctuding electrica\ /525(A, B, C, D, and E Combined)
CDATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
sl ., .lELo
DEVELOPMENTSEPY'CES
PUBLIC Urc'RKS
M ETROPOLITAN WAST EWAT ER M AN AG EM EN T
225 FIFTH SIBEET
SPRINGFIELD OR 97477
(saq 726-3753
JuIy 8, 1991
Ken Long
2166 Yolanda Avenue
Springfield, 0regon 97477
Dear }lr. Long:
0n June 28, 1991, our office issued you a permit to reconstruct a roof at ZL66Yolanda Avenue, Springfield, Oregon. The job number that vas issued to you isincorrect. Please change your permit job number from 910689 to 91O7BO.
r apologize for any inconvenience this may have caused. rf you have anyquestions, please phone me at 726-3790.
Sincerely,
Lisa Eopper
Building Technician
Ih