HomeMy WebLinkAboutPermit Building 1992-9-21
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
PRINGFIELD
LOCATION OF PIlOPOSED WORK' RSI Mile '1'/.1 III
YIS-r"12-ooo'2.A
ASSESSORS MAP'
-1'1"7
LOT:
(l') II /1..T
BLOCK'
OWNER' \U)'-~ .t VIUIF:" 1+".<-
ADDRESS" Rs- r rv\ 1\ (l. 'ILl tJ LUU /L I
CITY" C,P:L Iluer j:: I F II') STATe. (') \1..0
NEW
REMODEL
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DESCRIBE WORI" Q.f"AAn'-'b" &1:..rU\(;"(=F rlaoF - BO/u) &IU 0
OTHER
ADDITION
DEMOLISH
..
0/220
JOB NUMBER
225 Fifth Street
Springfield. Oregon 97477
TAX LOT:
(') /7 ok,
J2R.IIJ wuJ to ,111><:='
.:
SUBDIVISION:
PHONE: 7 2b-Oe\7~
t,
ZIP: g7Y/~ ~I~
~~l"
")7oP-,';;V l18oJe- y~
CON ST.
CONTRACTOr~'S NAME ADDflESS CONTRACTOR N
GENEflAL: _.~~~t{l0c,J~((lV\. '}_1\18V.S.~___~Dt1 rv'<"I~~..2./C"'"
.... \....
PLUM01NG;_~_._.#___,~.__ .~- --r----- ---~:-.....:.....-::~.-------.--
MECHANICAL J2.C~"'.L2__~.-MUJ6=____
[;l N-rp IL /42.. c;...A t2... (J
ELECTRICAl'
\ ~ ~ l10
. OF BLDGS' \
OCCY GROUP: _~ ~
II OF STORIES: ~ --
QUAD AREA:
WATER HEATER:
. .
. '
EXPIRES
1--/-L'T_~.17 5'R
PHONE
,
:~ .
- OFFICE ,SE -
LAND USE: \ \ \
\ ,
CONSTR. TYPE: \J f\J
N OF UNITS'
HEAT SOURCE:
RANGe.
f1jJ . - 7Y~["'1
--
FLOOD PLAIN'
ZONING CODE:
U)~
N OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:..:184
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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.
o Tcmpormy Electric
D Site Inspection - To be made
alter excilvntion, but prioJ to
selling forms.
o Underslab Plumbing/ElectricalJ
Mechanical - Prior to cover.
~FOOting - After trenches are
~~xcavated.
o Masonry -~Steel locatlon.1;ond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing -' Prior
to filling trench. '
o Underlloor Plumbing/Mechanical
_ Prior to Insulation or decking.
o Post and Beam - Prior to floor
InsulatIon or decking.
~ Floor)nsulation - Prior to
~decklng. "
!
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
I I Water Line - PrIor to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
rv( Rough Mechanical - Prior to
?"cover.
IV( 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.
l'Vf Wall/Ceiling Insulation - Prior to
~cover.
~ Drywall - Prior to taPil;~:
o vyood Stove - After Installation.
o Insert - After fireplace approval
and installation of unit.
o Curbcut & Approach - After
forms are erected but prIor to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place.
o Fenco - Whon completed.
o Street Trees - When all required ,.
trees are planted.
o Final Plumbing - When all
plumbing work Is complet.e.
~ Final Electrical - When all
~ electrical work Is complete.
\
K/r Final Mechanical - When all
~ mechanical work Is complete.
'C:/f Final Building - W'hcn all
~ required inspections have been
approved and building Is
completed.
1
o Other
,-
. -
.-
MOBilE HOME INSPECTIONS
'1_',
..
o Blocking and Set.Up - When all
blocking Is complete.
.i
...
,
o Plumbing Connections - When
home has been connected to
water and sewer.
~ ;'1
.,
:.1
<"
:'!
'..j
i~
o Electrical Connection - When
blocking, set.up, and plumbIng
inspections have been approved
and the home is connected to
the service panel.
"
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o Final - After all required
Inspections are approved and
porches, sklrtln'g, dacks. and
venting have been installed.
.,.~
-.
M:
'-
-;1
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Lot faces
Lot..
Lot SQ. fig.
Interior
Lot coverage
Corner
Topography
Panhandle
~
-i-
Cul.de.sac
Total height
BUILDING PERMIT
SO.' FT.
464
X $/SO. FT.
ITEM
Main
Garage
Carport
Total Value
C CvJJ;teI'tC-T
Building Permit Fee
State Surcharge
Total Fcc
(A)
.'.S THE PROPOSED WORK IN THE
HISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
Setbacks
P.L HSE GAR ACC
~-----
.L- __ -.-- -.--
Y'!.-___
IE
VALUE
21~/4-
//!/J.SQ
-I--P- S" 3
$,
/79. ffi
SYSTEMS DEVELOPMENT CHARGE (SDC)~
. . (B)-e--
PLUMBING PERMIT
/
/
/
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT.
FT.
Water
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsertlFireplace Unit
Dryer Vent
Mechanical Permit
/>tIN'
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
Slate Surcharge
TOlal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
FEE
~1f2,-
/5 {TO
/0"0
,7~
.2::=5.7S
'2194.7S
If yes. this applicatlon must be signed
and :.lpproved by the Hi~;torlcal
Coordinator prior to pellnit issuance.
APPROVED'
I_'~
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permil is granted on tho express condition thaI Ole said
constructlon shall, in all respects, conform 10 the Ordinance
adopted by the City 01 Springfield. Including Ihe
Development Code, regulating the construction and use 01
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
83
Plan Clleck Fee:_//O.
Date Paid: 9 - 2- ' 7' 2-
Receipt Numbcr:__~i~
Received . .....,d~
Plans -~
-P412-
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
-ikW
#,7
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By slgnalure, I state and agree, that I have carefully cX~lIninccJ
the completed application am] do hereby certify Ih<11 all
Inforlllation hereon is true and correct, and I fun her ccr.lify
111<11 any and all work pcrformee] Shllll be done in accorcJ;mce
with the Ordinances of the City of Springfil.:ld, and tile L(lW~;
of the Stale 01 Oregon pcrlnining to the work described
herein, Ilnd that NO OCCUPANCY will 'be made of any
structure without permission of Ihe Building Safety Division.
I further certify that only contractors and employees who
arc In compliance with GRS 701.055 will be used on this
project.
"
I further agree to ensure 01al all required inspections arc
requested at the proper timo, that each address is readable
from the street, that the permit card is localed at the front
of the properly, and tile approved set of Pl~n will remain
on the Site~at ~11.ti":rr:i:: constr~ . "
V. na~ture _.1 ~ ( /q.....1 ,~
/'s4l . 'I' -,
Date c; ~I-!-'i--'U- _
VALIDATION: ~
IlECEIPT NUME3?]>__f)m -: __ n .
DATE PAID ~(~- . -~)
AMOUNT RE~.EIVl q _.__==du~~.t6---
RECEIVED E3{;J~~ J ---