HomeMy WebLinkAboutPermit Building 1998-7-2
LOCATION OF PROPOSED WORK: ~
ASSESSORS MAP' /7 1'9 'Z- "5 2. L1. j
/767--524/
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ADDRESS' Ltt?tO~ /YA-J --U ~-/-~e+
CITY: :5 pJ?;~.J(/-<C~.j/
DESCRIBEWORK:....J2e~ #.<AdL~~/ eGrP?/rA'5 #A.Jd ;{Q;u.) ~kil-~--
NEW V REMODEL ADDITION DEMOLISH OTHER
r
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOT'
OWNER:
CONTRACTOR'S NAME
GENERAL: -go> / J..P--r Lv
,0.-_ I
PLUMBING:
MECHANICAl'
ELECTRICAl'
.
/114-;.v 0-6
BLOCK:
STATE: _~
.
'(j~OZIC;
JOB NUMBER -f 7
225 Fifth Street
Sprlnglleld. Oregon 97477
c; la1;Pb/:/~~d ~
. . .. ,
TAX LOT' "':;-,0,..0
SUBDIVISION' /U') S--VO
PHONE: 7q'~-2 7rh8
ZIP: 97.f/7,f?
CONST,
ADpa)SS/ "j- CONTRACTOR'
/J!2;b~/t:;,!?/
QUAD AREA:
· OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER'
NOTICE: - OFFICE USE -
TUI~ Cll:RJ.AIT ql-l~LL EXPlillirUO TiIrlfEWORK
AUTHORIZED UNDER THIS ~T~~ NOT
COMMENceo Oft IS ABA~~F(i)~h:
ANY 180 DAY PERIOD. HEAT SOURCE:
RANGF'
EXPIRES ..... PHONE
~ -jit,{. ~/<ff5
FLOOD PLAIN:
ZONING CODE:_
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:
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.
o ootlng - After trenches are
excavated. 0 Fireplace - Prior to facing
. materials and framing Insp.
Masonry - Steel location, bond @
beams grouting. 0
' Fr mlng - Prior to cover.
o Foundation - After forms are
erected but prior to concrete 0 Wail/Ceiling Insulation _ Prior to
placement. cover.
o Temporary Electric
O Site Inspection - To be made
after excavation, but prior to
setting forms.
Underslab Plumbing I Electrlcal/
chanlcal - Prior to cover.
o Underground Plumbing - Prior
to filling trench.
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and 8eam - Prior to floor
Insulation or decking.
,',
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to tilling
trench.
o Water Line - Prior to till1n'g
trench. .
o 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 Drywall - Prior to taping,
o Weo:! Stovo - After Installation.
o Insert - Atter fireplace approval
. and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewall< & Driveway - After
excavation Is complete. forms
and sub.base material In place.
o Fence - VVhen cor,'pleted.
o Street Trees - When all required
tree:s are planted.
o Flnat Plumbing - When all
plumbing work Is complete.
. .
o Final Electrical - When all
electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
-----...,
o Fln-;;;Oulldlng - When all
requlre9 Inspections have been
approved and building is
pleted.
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.
L~t ~pe. ,
Lot faces
Lot sQ. fig. Interior I PL.
IN
Lot coverage Corner
Topography Panhandle .... /S
Iw
Total height Cul-de-sac IE
"', ~~:..: ~f' \{~~.,
._ THE PROPOSED WORK IN THE.
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, Ihls application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
~
Setbacks .
BUILDING PERMIT "1
.~ "f
HSE GAR ACe' I
I
I
I
I
BUILDING \lALlJE, PLAN CHECK
AND BUILDING PERMIT
APPROVED:
ITEM
sa. FT,
X $ISO. FT. =
VALUE
Garage
Carport
"
This permit is granted on the express condition that the saId
construction shall, In all respects, conform to the Ordinance
adopted by the Cily 01 Springfield. Including the
Development Code, regulating the construction and use of
oulldlngs, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
1--/.1 J
Plan Check Fee:
Main
Date Paid:
Total Value
State Surcharge
5Z.5~
2.vo
_~/o
SYSTEMS DEVELOPMENT CHARGE (SDC)
Receipt Number:
Building Permit Fee
Received By:
Tolal Fee
(A)
Plans Reviewed By
Date
(B)
Systems Development Charge is due on all undeveloped
properties within tho City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
, FEE
Fixtures
Residential Bath(s)
N'
Storm Sewer
FT,
FT,
FT.
Sanitary S~wer
Water
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Vent Fan
NO
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 Ihe City of Springfield, and the Laws
of the State of Oregon pertaining to tho work described
herein. and thai NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I furthEi/certify that only contractors and employees who
are in compliance wilh ORS 701,055 will be used on this
project.
Exhaust Hood
Wood SlovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensuro that all required inspections are
requested at the proper time, that each address Is readable
-'rom the_street, thl=l.t the permit card Is located ai the front
of the property, and the approved set of plans will remain
on Ihe site ~tlr~1es during chtruc)fn~
Signature f5~:~ 2 16~,!/./Ae--
Datp 7- ~ Y:-;i"
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
II
Curbcut
fI
Demolition
State Surcharge
VALIDATION:
RECEIPT NUMBER (}3D ~lf r
DATE PAiD 711::./5_.'1
AMOUNT RECEIVED . ~(,. ')..-l.{ l
RECEIVED BY &(J W~/
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)