HomeMy WebLinkAboutPermit Building 1999-6-29
RESIDENTIAL
PERMIT APPLICATION
Inspecllons: 726,3769
Office: 726,3759
.
SPRINGFIELD
LOCATION OF PROPOSED WORK' ~tr 5'
ASSESSORS MAP' /761 2 ~ lj]
LOT'
: .
M~N2f.G
BLOCK:
Ji
STATF' tJT
OWNER' t::hfua& n lb/J1cJ
ADDR"""'f.J 0, &A' 7'oI
CITY' kfA ~t?JfJ.P
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DESCRIBE WORK\o\X~00n l2.V
NEW
REMODEL
CONTRACTOR'S NAME '
GENERAl' Obi- 641('70.t4c. r,,,,
PLUMBING'
MECHANICAl'
ELECTRICAl'
ADDITION
DEMOLISH
OTHER
.
,
JOB NUMBER 9<)/0 35....../}
225 Fifth Street
Springfield, Oregon 97477
Cltl:Jr
TAX LOT: ~5Jn tJ
SUBDIVISION:
PHONE:
71{ 't - 2.b t t:J
Zlp:~q^/
ADDRESS
11(.10
CONST.
. CONTRACTOR'
tlwh4 d .'-77t7~
'," PHONE
7'tf-o/r( ?
EXPIRES
-, '
- OFFIC~'\YO't.-
LAND USE: -r:,.,.,'"' leI:: FLOOD PLAIN'
'UfJeA
· OF BL.tjGS' . OF UNITS: Aim \.., 'M/f'C/'=!.4I' ZONING CODE:
. . rrE:., C '",rl/ZED '-I..EXPIf:)~,_
oCCY. &iOup:vrl0,' _ CONSTA, TYPE: OMA1~\ UNOsA-,." '~lwl:\MS:
:VOlifi,.."rUle . v:Ore. . AN - . o..lVt:eDO 'rilSp '''C:WORI<
. o'f1.$TORleSi Sar/_ '90...., HEAT SOURCE: Y1RI).~_ RI'C/4BAN,' S~PJkRY A!::AT:
OOQn'1It9,Z;; _1.&1] -w1eC/6 '''l1ore ' "',"Y PEA ,., 'DON;:. 'ulVOr
WATER'HSNER'" ler. >-, 'JIfh_ .qulreS RANGE: 10D, sooIilAiOROOTAGE:
~'al{;^ u/1'}~J "U01,..:'uS",...-.ure,.._ YOu..
.'Ufhn_o.": 1f}t::J "' VOt ;_ "lrO" ~.c::t8.Q: -"U'!,',.-
To reqUeSI'an'll\specilon"voUrrnUS~1 can 726.:rT69. This Is a 24 hour recording. All Inspections requested before 7:00 a.m, will be
'<Jr".. .,.&. .,,'0' v,.., ~"',. .
made Ihe~same'workil\'9.ctay.€lns.De tlon,s,ren"Asted after 7:00 a.m. will be made the following work day.
..~,,~ . vn Ula. vT III -v",-oo...-.r,
"'<~ 1.;~onuli/'~t'hetele'PerUles6'REQUIRED INSPECTIONS .
.1)'{1 ''YIV. . no to
o Temporary Electric <"2.7<1 OtlfiCa.?e 0 Rough Mechanical - Prior to
"IJ, "01] cover.
QUAD AREA'
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumbhig'Electrlcall
Mechanical - Pflor to cover.
1/"'0 ~oting'- After trenches are
~.KO.V.t.d,. .' .
D Malanry - SlaallocaUon, bond
baams, grouting.
o Foundation - Atter forms are
erected but prior to concrete
placemont.
D Underground Plumbing - Prior
to !lIl1ng trench.
D Underlloor Plumbing/Mechanical
. - Prior to Insulation or decking.
O Post and Beam - Prior to floor
Insulation or decking. .
~ . . .~ .
. ~\'
o Floor Insulalion - Prior to
decking. ' '.
O Sanitary Sewer - Prior to IIIIlng .
trench.
o Storm Sewer - Prior to filling
trench. .
o \Vatar Llne'- Prior fo filling
trench. . .
o Rough Plumbing - Prior to
cover.
D Rough ElectrIcal - Prior to
cove~ .
D Electrical Service - Must be
approved to obtain permanent
olectrlcal power,
D Fireplace .- Prior to facing
materials and framing Insp.
" &/P2;"1"1I - Prior. 10 aovor.
D Wail/Ceiling Insulation - Prior to
cover. .
D Drywall - Prior to taping.
o Wood Stovo - After Installallon.
D Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - Alter
forms are erected but prior to
plac,emont of concrete.
o Sidewalk & Driveway - Alter
excavation Is complete, forms
and'sub-base material In place.'
'& I 0 Fence - ""hen cOi"llpleted.
[j Street Trees - When all required
trees are planted.. . .
o Final Plumbing - When all
plumbing worl( Is complete.
o Final Electrical - When all
electrical work I~ complete.
o Final Mechanical - When all
mechanical work Is complete.
/"'7)0 F.lnol Bullcllnll - Whon oil
<.9-~~~ulred Inspections have been
approved and building Is
completed.
OOlher
MOBILE HOME INSPECTIONS
o Blocking and Set-Up - When all
blocking Is complete.
o PlumbIng Connoctlons - When
home has been connected to
~ater and sewer.
o Electrical Connection - When
blocking, set,up. and plumbing
Inspections have been approved
and the home Is connected to
, ,. the service panel.
o Final - Alter all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
(
,
,
I Lot faces -
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type'
'.
_,Interior
'Corner
, ,
Panhandle'
Cul-de.sac
!~,
BUILDING PER~IT 'I/"if
ITEM sa. FT. x $ISO, FT,
Main
Garage
Carport
Total Val ue
Building Permit F:ee
State Surcharge
TOlal Fee
, ,,', ":... '.'1 :~". Y"I~~'
~I ~ }.,t': lJ":'_(:r;,~ .J.I?;~~'~.!' ,~t.:,
.:;..;~_"".': . .':;, I;"':;...~~:"o"
,-"" Setbacks,
I ip'L. HSE GAR ACe'
IN
Is
W
----
,E
VALUE
'.
3/u-o
Wfl/
}, 1)1:. 2. L.v
. (Aff1,Ql..~
SYSTEMS DEVELOPMENT CHARGE (SDC)
, (B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) ,N'
Sanitary S~wer FT.
Water FT,
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Va'nt Fan
N'
Wood Stovellnsert,Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
(D)
\1
TOTAL AMOUNT DUE (excluding electrical)
lA, B, C, 0, and E Combined) , '
"
FEE
~A'5
"',' THEPROPOSED WORK tN THE,
--HISTOI;lICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this application must be signed
and' approved by the Historical
Coordinator priOr to permit issuance.
,
APPROVED:'';'"
j,
BUILDIN1G ~lcrE, PLAN CHECK
AND BUILDING PERMIT
This permllls granted onthe express condition that the said
construction shall, In all respects: COnform to the Ordlna'nce
adopted by the City, of Sprlngfl~'ld, Including 'trie
Dovelopment 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:' Zrr,.'11 _ ~',
Data Paid' ~. '--fL-f_
Receipt Numbe~- I~~~~ I
Received By: 1.NJ7
. -
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
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
prolect.
I further agree to ensure that all required Inspections are
reQuest,ed 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 th61e site at ~~Imes d.U~lng cO!lstructlon.
Sign tur" '/;)~~, ___
Date t/2"1/4'J
VALIDATION: D./1 I _e:L.. I
RECEIPT NUti'B~1Y)t], U\lO--J 1
DATE PAID. ((") bt"l _
AMOUNT REt~VEfI I J~4')
, RECEIVED BY (j) .7
. ~ ~