HomeMy WebLinkAboutPermit Building 1992-4-27
LOCATION OF PROPOSED WORK: \47 J - 1-/l~\I
\1 n:=s~ fl?:>~
2-
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Olfice: 726-3759
ASSESSORS MAP:
LOT'
'7
OWNER'
RIC.~ + L11o-10A
14- L (.. VV\ E::'N LO
SPRI~6F\E:L.O
ADDRESS;
CITY:
.
SPRINGFIELD
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I -''In D
BLOCI<"
meY~
LeOP
STATF'
OR
DESCRIBE WORK'
NEW REMODEL X
A-D'O ' Bll::1')'PGoYV"'l
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ADDITION
DEMOLISH
OTHER
.
JOB NUMBER
CY2!)5/6
225 Fifth Street
Springfield, Oregon 97477
TAX LOT'
SUBDIVISION:
()()){'{)
MENLO PA-RK
PHONE:
14("" - fr;B" I
ZIP' ""Tl4"
*
'"
EXPIRES
'I.
PHONE
",gc, 'O2.4~
";4d.- -'\O~'8
CONTRACTOR'S NAME ADDRESS
GE~jERA~:'~'D1'\'V\l) 2.AQ,:~Yc...~' 13\
PLUMBING: PM("p..e;~lve- PUJvYlE!.ll..'/f.,
'('(It. C. Lu. V-f..
CONST,
'CONTRACTOR N
~f.t;'l.J...
D:.f- q '2..
MECHANICA' '
ELECTRICA' '
r3IU;S
~-rP-1 c..
OUAD AREA: [) R. t\'J~
R,--~
l
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER'
~ '
- OFFICE USE -
",LAND USE: \ \ \ \ -
N OF UNITS: I
CONSTR. TypE:-.1l.../lJ
HEAT SOURCE:...c.~ d'), F vJ
RANG'"
=--~.
..... ~ -.- -~-
21%51
4-/l.S/&f'L(jg]- t:~
FLOOD PLAIN: -
ZONING CODED )~)
N OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE: ~PJ
To request an inspection, you must call 726-3769, This Is a 24 hour recording. All Inspections requested before 7:00 B.m, will be
made the same working day. Inspections requested after 7:00 a.m. will be made the following work day,
. ~,. 0 Curbcut & Approach - Arter
, , ,
... forms are erected but prior to
Sanitary Sewer _ Prior to filling placement of concrete,
trench.
o Temporary Electric
D Site Inspection - To be made
after excavation, but prlor"to
setting forms.
o
Underslab Plumbing/Electrical/
Mechanical - Prior to cover,
~ Footing - After trenches are
)61. excavated.
o Masonry - Steel location, bond
beams, grouting.
~Foundation - After forms are
~erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to fitling trench.
~ Underlloor Plumbing/Mechanical
~ _ Prior to insulation or decking,
~ Post and Beam - Prior to floor
~insulatlon or decking.
.
M Floor Insulation - Pri'or to-
~decking,
o
o Storm Sewer - Prior to filling
trenctl,
D Water Line - PrIor to filling
trench,
-dBOU9h Plumb'in~ - P~ior to
~cove~ - . .
.
REQUIRED INSPECTIONS
K:7f Rough Mechanical -... Prior to
~cove~ .
~ Rough Electrical - Prior to
~ cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp,
~ Framing - Prior to cover.
~Wal1/Ceiling Insulation - Prior to
p cover,
~ Drywall - Prior to tap~ng.
o Wood Stove - After Installation,
o Insert - After fireplace approval
and Installation of unit.
o Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place,
, ,
.0 Fence - When completed: .
o Street Trees - When,.allcrequired
trees are planted. -.... (:'. -
"'t9f Final Plumbing - When all
~ plumbing worl( is complete,
~ Final Electrical - When all
~electrical work is complete.
"'fC7f Final Mechanical - When all
~mechanical work is complete,
l':?f Final Building - When all
~requlred inspections'have been
approved and building is _ .
completed,
OOlhcr
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 Elcctrical 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 Type.
Interior
Lot sq, ltg,
Lot coverage
Corner
Topography
Total height
Panhandle
~
Cul-de-sac
BUILDING PERMIT
ITEM SQ, FT.,
Main d.~fI', A12d
X $/SQ, FT.
2..9.70
Garage
Carport
Total Value
Building Permit Fee
Slate Surcllargc
Total Fcc
(A)
.S THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance,
Setb"cks
I P.L. I HSE GAR I ACC I
I N I
I S I
Iw I
L~~_LJ
VALUE
17'7~c;,
/12.2:>'.'f>0
W.-I3
13-1. '1.1
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) U6A
PLUMBING PERMIT
ITEM
Fixtures
:s
Residential Bath{s) NO
Sanitary Sewer FT,
Water
FT.,
FT.,
Storm Sewer
Mobile Home
Plumbing Permit
Stale SUlchargo
Total Charnc
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
-<
Wood Stovellnsert/Fireplacc Unit
Dryer Vent
Mechanical Permit
/11 t';()
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
fl
Demolition
State Surcharge
l..+J,;2 I'n. I:'~~)
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
FEE
"3CJ,dO
/:;;0
_3./,. ~-O
/. -0'0
,') .
1& dO
7.s-
2k.7S'
-/In.O(!)
~/e
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition thatlhe 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.
Plan Check Fee: _.l33. "5.3
~'3_-7&2
Receipt Number: -4L:Z~
Received By: ~~--"-
J~~ '
Plan~ -'Reviewed By
Date Paid:
4//~//L
'( Da~
Systems Development Charge is due on all ur:Jdeveloped
properties within the City limits which are being improved,
ADDITIONAL COMMENTS
PATH #.1
By signature, I state and agree, Ihat 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 certHy that only contractors and employees who
are In compliance with ORS 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 site at all times during construction,
~gnature r
/
Da!~ 4-\ ,'"
VALIDATION: /I r/f-S?t
RECEIPT NUMBER ~ - -
DATE PAID --4,7....7 - y~ J
AMOUNT RECsdEI] . <_:l)2...., \ ex '
RECEIVED B/_ '7fT. /'f--..^- "