HomeMy WebLinkAboutPermit Building 1993-10-22
OWNER:~C1??RMrn/ Q~oud.
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DESCRIBE WORKW)\...~ Cl \::, \. ~
NEW REMODEL ADDITION
.~--,. l..,
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOT.
.. SPRINGFIELD
BLOCK:
(Ut: ./
~(\ Q,~ )
DEMOLISH
OTHER
CON ST.
CONTRACTOR'
O~ -sn4-
CONTRACTOL:iS _NAMCJ _ r'\. ADDRESS
GENERAL:! lX\\f\ 0\\\t\0^- \~ '
PLUMBING: G
MECHANICAL-
ELECTRICA' -
!B NUMBER il3 \ [d2J~
225 Fifth Street
TAX LOT:
SUBDIVISION-
PHON"-
ZIP:
C-(fJ4//R
- -
t EXPIRES
UJ-\-Q4
PHONE
'146.C'b1q
- OFFICE USE -
QUAD AREA- LAND USE: FLOOD PLAIN:
. OF BLDGS: . OF UNITS- ZONING CODE:
OCCY GROUP- CONSTR. TYPE: . OF BDRMS-
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANG"- SQUARE FOOTAGE:
To request an i,!~pectlon. 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 Temporary Electric
o
Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab Plumbing I Electricall
Mechanical - Prior to cover.
o Footing - After trenches are
excava ted.
o
Masonry"ii- Steel location, bond
beams, grouting.
o
Foundation - After forms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to' filling trench.
o
Underlloor PlumblngJ Mechanical
_ Prior to Insulation or decking.
o
Post. and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
o Sanitmy Sewer - Prior to filling
trencll.
o Storm Sewer - Prior to filling
trench. ,.
o
Water Line - Prior to filling
trenct!.
o Rough;'Plumblng - Prior to
cover. i
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to'
covel.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
~ramlng - Prior to cover
H1 ~all~~atior: - Prior to
~cove-r.- \)
~ Drywall - Prior to taping
o Wood Stove - After lnstallalion.
o Insert"": After fireplace approval
and installation of unit.
o
Curbcut & Approach - After
forms are erected but prior to
placement o'f concrete.
o Sidewalk & Driveway - After
excavation 15 complete, forms
and sub.base material in place.
o Fence - When completed.,
o Street Trees - When all re'quired
trees arc planted.' .
o
Final Plumbing - When all
plumbing work Is com pi eta
o Final Electrical - When all
electrical work is complete.
o Final Mechanical - When all
mechanical work Is complete.
~Inal Building - When all
required inspections have been:
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking is complete.
o Plumbing Connections - When
home has been connected to
water 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 - After all required
inspections are approved and
porches, skirting, decks. and
venting have been installed.
. .tl THE PROPOSED WORK IN T~ ' --.
Lot faces.. Lot Type So I bac ks
, IHSE ACC I
, p.L. GAR HISTORICAL DISTRICT, OR ON
Lot sq. ltg. Interior
I THE HISTORICAL REGISTER? "
,
Lot coverage Corner N II yes, this application must be signed I
Is I and approved by the Historical I
Topography Panhandle Iw I Coordinator prior to permit issuance.
Total height CuI-do-sac
IE I APPROVED'
BUILDING PERMIT
ITEM SQ. FT. X $/SQ. FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Carport
This permit is granted on the express condition that the said
construction shall, in all respects, conform Ita the Ordinance
adopted by' the City of Springfield, including the
Development Code, regulaU'ng the construction and use of
buildings, and may be suspended or revoked at any time
upon'violation of any provisions of said ordinances.
Main
Garage
.\ Plan Check Fee:
\~,cO Date Paid:
Total Val ve
c9~ cD Recel pi Number'
Building Permit Fee
J l. $.-S Received By:
State Surcharge ; !-
Total Fee (A) (lio. -J-5 Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
Systems Development Charge Is due 'on all undeveloped
properties within the City limits which are being improved.
(B)
PLUMBING PERMIT
ITEM FEE
Fixtures
Residential Bath(s) N"
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan N"
Wood Stove/lnserllFireplace Unit
Dryer Vent
i
';;' Mechanical Permit
Issuance
State Surcharge
Total Permit (D)
ADDITIONAL COMMENTS
By signature, I stale 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 Ordinancus of the City of Springfield, and the Laws
of the Slate of Oregon pertaining to the work described
herein, and thOat 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.
State Issuance
(
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
o the sile at all times d~nst!Uction.
Signaturn ~~ V ~
/0/ 'zAJt:3
MISCELLANEOUS PERMITS
Mobile Home
.,
State Surcharge
Sidewalk
It
J ~
Curbcut
It
Demolition
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C, D. and E Combined)
--ah~c.,
VALIDATION:
RECEIPT NUMB!]';- / ) nf 01 fL,f)
DATE PAIl' /{).c!)f}, .q,,-=<s
AMOUNT RECEtYEd . m O.~
RECEIVED BY ~ (1).1 ./
I
St~te Surcharge
Total Miscellaneous Permits (E)
.
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I ORAWINj NUMBER