HomeMy WebLinkAboutPermit Building 1991-4-26
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SPRINGFIELD
q1Cl~45
RESIDENTIAL
PERMIT APPLICATION
JOB NUMBER
Inspections: 726.3769
Office: 726.3759
225 Fifth Street
TJ.'oX LOT:
SUBDIVISION:
BLOCt<'
LOT'
I
OWNER: K~f),{"'\ "\ won9\0\- -\\\~D~ PHON~' 14l.L-\ \C)tn
ADDRES~ f\ 1\\(\LJ\.'0D~ tvd '
CITY: SD1-G ~ STATE: WJtQCl/::'l-Y"\. ZIP' QI4""T,
-:-', \- ') (\ _'~
~ ~~ A\l
DESCRIBE WORK'
NEW ~ REMODEL
I
ADDITION
DEMOLISH
. OTHER
CONST,
CONTRACTOR'
~"~o"
CO NT RACTOjf\ NAME ,
GENERAL' ~<L5\\ae '"
ADDRESS
PLUMBING'
MECHANICAL:
ELECTRICAL ('-JJ... 1 ')(\ Q ~ ~
:.... OFFICE USE -
\\ \ \
. OF UNITS' . )
CONSTR. TYPE: ~/V
,~~~)0J
\
N\.
LAND USE:
QUAD AREA:
FLOOD PLAIN'
ZONING CODE: ll) ~
. OF BLDGS'
OCCY GROUP:
. OF BDRMS'
HEAT SOURCF'
. OF STORIES:
SECONDARY HEAT:
SQUARE FOOTAGE:--QP-n
RANGF'
WATER HEATER'
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.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
D Temporary Electric
D Final Plumbing - When all
plumbing work Is complete.
~Rough Electrical - Prior to
~ cover.
D Site Inspection - To be made
after excavation, but prior to
setting forms.
~Final Electrical - When all
r.::s. elec;:trl;:.al work is complete.
o Final Mechanical - When all
mechanical work is complete.
- 0 Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
~Final Building - When all
~ required Inspections have been
approved and building is
completed.
o Footing - After trenches are
excavated.
D Fireplace - Prior to facIng
materials and framing Insp.
D Masonry - Steel location, bond
beams, grouting.
%Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
DOther
~Foundation - After forms are
~ erected but prior to concrete
placement.
D Underground Plumbing - Prior
to filling trench.
o Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
D Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Wood Stove ~ After Installation.
D Blocking and Set. Up - When all
blocking Is complete.
o
Post and Beam - Prior to floor
Insulation or decking.
o Insert - After fireplace approval
and Installation of unit.
D Plumbing Connections - When
home has been connected to
water and sewer.
o Floor Insulation - Prior to
decking,
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
D Sanitary Sewer - Prior to filling
trench.
D Ele!=t~ical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
D Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material in place.
D' Storm Sewer - Prior to filling
, trench.
D Fence - When completed.
D Water Line - Prior to filling
trench.
D Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
o Rough Plumbing - Prior to
cover.
D Street Trees - When all r"quired
trees are planted.
_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.
Lot Type.
Setbacks
I PL. HSE GAR ACC
IN
Is
Iw
IE
Lot faces
Interior
Lot sq, ftg,
Corner
Lot coverage
Panhandle
Topography
Total height
C%~~de-sac
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
VALUE
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any prOViSiO. n~3d ordinances.
Plan Check Fee: 0l Q -
Date Paid' 4illJ' \
Receipt ~umber:~-"J \ ~'
Re~~~
pra/"tReviewed By
Main
\ Of\QFW
\4-.\0
f)Pn
Garage
Carport
\ ()/1Cf)~
~_5~
4.~3
q 0,9.3
---,
SYSTEMS DEVELOPMENT CHARGE (SDC)
Total Value
Building Permit Fee
~~A-/
76ate
State Surcharge
Total Fee
(A)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being improved.
(B)
ADDITIONAL COMMENTS
PLUMBING PERMIT
ITEM
FEE
0,$ 71t1A} Ap 1 & -i4~/~
--IZ~H1/ r if ANy f?1.ff~/mC.
WO",.k" IS ,If'.} J3+='. 7;)W:F
Fixtures
/
/
/
/
/
N'
Residential Bath(s)
FT.
Sanitary Sewer
FT.
Water
FT.
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
(C)
Total Charge
MECHANICAL PERMIT
Furnace
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.
Exhaust Hood
!
;.
/
N'
Vent Fan
Wood Stove/lnsertlFireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
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 al times during construction.
X Signature :i~ r .
Date ~~ .2,,(-(//
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
/
/
/
/
State Surcharge
Sidewalk ft
Curbcut It
Demolition
VALIDATION:
State Surcharge
/9 ~ 77
DATE PAID 4/~/9 r'
~( 7 5"<> e{,..~/
AMOUNT RECEIVEf' " '2.," ( /.ncL I
RECEIVED BY <~ 17J~ /
RECEIPT NUMBER
Total Miscellaneous Permits (E)
1D.83
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C. D, and E Combined)