Loading...
HomeMy WebLinkAboutPermit Building 1991-3-29 OWNER' <K Q X\ C\9j t\ ~. v.. 9 Y' l\.~ ADDRESS' n~?L~ ~C\ in ~~\o CITY:, ~~~ [")L..' STATE: (\)1./ ,-IJAf\C\~ \9..)~(\Q wI ti 0 ~~ REMODEL A~1TI0N DEMOLISH on-kR ,.:;; RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT' DESCRIBE WORK' NEW CONTRACTO~'1. NAM: ~ GENERAL: ""f'It'~ n HJlll .J \1. PLUMBING' MECHANICA' ' ELECTRICA' ' QUAD AREA: ,3 \? .~Q..... :~:yB~:::~, ~ ~ I . OF STORIES: WATER HEATER: ?-- . n2A~c=..... BLOC..-' -.;.'~~ .. JOB NU~R q\~ 225 Fifth Street Springfield, Oregon 97477 TAX LOT' SUBDIVISION: PHON~' ZIP: q[4(fj ADDRESS CONST. .~g~2D' PHONE - OFFICE USE - \\~n I LAND USE: . OF UNITS' CONSTR. TYPE: HEAT SOURCE: RANGE: ----.:.7 ~ ~~~ Br~fc:n \ , ',...... ~~ FLOOD PLAIN' ZONING CODE: . OF BDRMS: ...2 SECONDARY HEAT' SQUARE FOOTAGE: To request an inspection, you must call 726-3769. This Is a 24 hour recording. Alllnspectlons requested before 7:00 a.m. will be made the same working day. Inspectlons requested after 7:00 a,m. will be made the following work day. o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. D Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete placement. D 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. o Floor Insulation - Prior to decki ng, ' D Sanitary Sewer - Prior to fllllng' trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. . o 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. o Framing - Prior to cover. D Wall/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stc;>ve - After Installation. D Insert - After fireplace approval and Installation of unil, o 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. o Fence - When completed. o 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. o Final Mechanical - When all mechanical work is complete. o Final Building - When all required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS m Bloc~ing and Set.Up - When all F blocking Is complete, ~IUmblng 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. ~inal - After all required inspections are approved and porches, skirting, decks, arid venting have been installed. " -- Setbacks .. IS THE PROPOSED WORK IN THE , Interior I P.L. HSE GAR ACC' HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? , Corner N I If yes, this application must be signed I S and approved by the Historical '"I Panhandle Iw Coordinator prior to permit issuance. Cul-de-sac IE APPROVED: Lot faces Lot sq, ftg, Lot coverage Topography Total hei ght BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, Main Garage Carport Total Value Building Permit Fee State Surcharge, Total Fee VALUE (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit FEE N' FT. FT, FT. \SOU (C) ISCO ,t)S 15n~ Mobile Home MISCELLANEOUS PERMITS (D) State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge PFJ,{).s 1 S /}C:; "S, Q <) Total Miscellaneous Permits (E) ~ TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT 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 tlme . upon violation of any provisions of said ordinances. Plan Check Fe~' Date Paid: Receipt Number' Received By: 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 pert.aining 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. I further agree to ensure that all required Inspectlons 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 all times during construction. Signatur~k?AL ~- 4r~ Date ~ ;'9- <7/ " VALIDATION: ~C::!q RECEIPT NUMBER ~90 11/'1 DATE PAID A . 25-1 ~ / liU./J- 00 AMOUNT RECEIVED . ~Lro_J RECEIVED BY '[-C-' , , I ' I--Ir-~ ' I ' ,-r-I-r-TTTT~T-r-' , I ' I' . ..-- I 1- .-1 I i-, i I I 1- L 1 '. 1 I I --f-l11""C€ I I I I I I. J: : ---:~'-,!-. ,-- ~~' 1---'-+--=l-l ___ __ I \I',_--L_ I _-+ f8J=\!>tl ==+=1==- IJ i "~ _ I i-----t LL ~Jft.~- I--~----I I 1+'-----==[ :--1--= I ,[',~~~I I 1+ I I J\ ~~I~I --- 1-=-- -:i-+=- -: --I :=-[ 1--- 1---1 1-11--1--1 -I I 1--- C1--: !=I I !J iJj =: I -tl! ~i--- T- ~i __I I ]-_1 II------I-f-J--I= I I I I I I I I I I- I I I I ~ I I I I I I I- I I -I ---~ *1 [ : 1---[ [---f I~ I ,f -!----j,-'?-I i-I 1----- - 1- I~ 1---1 ). 1- 1---- I ~ I I' r I----~--- -I I 1--1 J~1--- 1--------- I I 1_- I --;1)8" 1- -I ----- I -L -3{ ---- ~ ---- ~~ ------ -- ----- I -I ___=1 1-' " I I 1_ 11=_+- ---,- II -+~=- ----- 1_,,1_, _ __ I 1- 1-- ---- .~ if;. ___=j - =__Jlt_1 -=: =~~" -: I ~ :- (l,. i! = . I -(- =-tJJ 1 ,. J-I--I-nl\M/~ i r1 : : ~-t-n'J ~ 'It-II' I 1<'+'1' I I I I I I I -I 1 1------ ----'1 1---'---- I I 1 I I I I I I I,! I I I , ! , , , 1.1 I , , ! +-,+,-U-,