The URL can be used to link to this page

Home My WebLink AboutPermit Building 1993-10-15 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD LOCATION OF PROPOSED WORK: 7// 4 tl/ II I ~ -0 /- XASSESSORS MAP: J "7 ~ I'J::; ~ ~ c. - ~ - I ()qy()~ LOT: OWNER:J/!..eLr-S ADDRESS: ...., / J t.J . JOB NUMBER CJ-:<"/4" O_ r -........ 225 Fifth Street Springfield, Oregon 97477 SrF [D. BLOCK' ..J- J".t: tJ /1./ M 11 err-If c ~.~ Y1 /4 J A.../ . ~ T. CITY: S r",F L D DESCRIBE WORK: E u j L NEW ~ REMODEL 1') CONTRACTOR'S NAME A/cJ~C r ) / GENERAl' PLUMBING' MECHANICA' . ELECTRICAl' STATE: -.Cir'r CJ4UJOOI'?'T' ADDITION DEMOLISH OTHER TAX LOT: SUBDIVIStON: ~ 7t7?Y, PHONE: .li? - (. 7,/ () ZIP: '7 7'17 5Y" ."t~ )t~ EXPIRES ' PHONE ADDRESS CONST, CONTRACTOR' 1- - OFFICE USE - QUAD AREA: 4R\\'l<( ./ LAND USE: ,\ \ \ FLOOD PLAIN' . OF BLDGS' ~t . OF UNITS' ZONING CODE: Uj\z-- OCCY GROUP' CONSTR. TYPE:~) . OF BDRMS: . OF STORIES: \ HEAT SOURCE: SECONDARY HEAT' WATER HEATER: RANG'" SQUARE FOOTAGE: J..e.f1' ) 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. D 'f.I!mporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. ~Footlng - After trenches are r excavated. D Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking, D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. D Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. ! REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~Framing - Prior to cover. D Wall/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stove - After I~sta"atlon. D Insert - After fireplace approval and Installatl.on of unit. D Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is complete, forms and sub-base material in place. D Fence - When completed. D Street Trees - When all required trees are planted. o Final Plumbing....:.. When all plumbing work is complete. D Final Electrical - When all electrical work Is complete. D Final Mechanical - When all mechanical work Is complete. 15<::f' Final Building - When all _......quired Inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS D Blocking and Set.Up - When ali blocking Is complete. D Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home is connected to the service panel. D Final - After all required inspections are approved and porches, skirting, decks, and venting have been Installed. Topography Total height Panhandle Setbocks I' 'I P.L. HSE GAR ACC IN Is Iw IE : tI 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 faces . Lot Type Lot sq. Itg. Interior Lot coverage Corner Cul-de-sac APPROVED' BUILDING PERMIT ITEM SQ, FT. X $/SQ, FT, ~ VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Carport /~ Jt)."'D ~o This permit is granted on the express condition that the said construction shalh 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. 4t:J,~ 3 ~~ Recei pt Number: / t9 J 0 Received By: . . . ~~~- pran~CVlewed By ~ . Plan Check Fee: Main Garage Date Paid: Total Value Building Permit Fee c,2. ~a 2, .r~ 05. Cd SYSTEMS DEVELOPMENT CHARG~~~ (B)~~' (A) JO~fZ/5j 'Date ( - State Surcharge Total Fee Systems Development Charge Is due'on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Storm Sewer FT, FT. FT. ~ J,(J.S''l;!1T/.A77/Ji)( " ., .- ~//L.L ~EfJI'<4'~ --+ JOPA"HJ:F 'J)L5tf{J~/-r. , . . Fixtures Residential Bath(s) N' Sanitary Sewer Water Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Vent Fan N' 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 Ordinanc(:js of the City of Springfield, and the Laws of the State of Oregon pertaining to the work descrlbed 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 OAS 701.055 will be used on this project. Exhaust Hood Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) I further agree to ensure that all required inspections are requested at the proper time, that each address is readable . m t street, that the permit card Is located at the front If the pr perty. and the approved set of plans will remain ~ sit at all times during construction. 1 ~gnature /) -;l71u;"~~' ~~~- Datp MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) -::2.&('..... ~ J VALIDATION: (Oc::::Q3 RECEIPT NUMBER 'I ~ DATE PAID If ) .I~>--'I_~ AMOUNT REC~ /) ( .(rJ:5/ RECEIVED B'C7J(J''("~.__-,") State Surcharge Total Miscellaneous Permits (E)