HomeMy WebLinkAboutPermit Building 1998-8-19
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK'
1702..
ASSESSORS MAP'
LOT'
'>>;.(t.'
~
SPRINGFIELD
31
BLOCK:
OWNER' I?d&,r> _ ,I1rV/5"
ADDRESS..-t9/1he mAY /91~L\
CITY- 6./~~/
DESCRIBE WORK' i}R1
NEW REMODEL
CONTRACTOR'S NAME
GENERA" EI/71/l.flJt./fc
b/'\1.-1.J
OR
STATE'
f),kT i&?Jq 1,(,.
ADDITION DEMOLISH
.
~t5/63J
JOB NUMBEA
225 Fifth Street
Springfield, Oregon 97477
TAX LOT
SUBDIVISION:
~A
~
.'-\IF -
~
PHONE'
//~5'r
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ZIP'
77V67 _
OTHER
ADDRESS
(k,.'Yc'I'-f
CON ST.
CONTRACTOR · EXPIRES <':'
Cc 13 II.'1Cf9?- 'l2~'e
PHONE
PLUMBING:
MECHANICAl'
ELECTRICAl'
- 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: RANGE' SQUARE FOOTAGE:
To request an Inspecllon, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons requested before 7:00 a.m. wlfl be
made the same working day, Inspections requested after 7:00 a.m. will be made the following work day.
o Fireplace - Prior to facing
materials and framing Insp.
o Masonry - Steel locallon, bond@)\
.beams, groullng. ~r Ing _ Prior to cover.
o Foundation - After forms are
erected but prior to concrete 0 Walt/C'elllng Insulation _ Prior to
placement. cover.
o Temporary Electric
D Site Inspection - To be mado
after excavation, but prior to
setting forms.
o Underslftb Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
D Underground Plumbing - Prior
to filling trench.
D'underfloor Plumbing/Mechanical
- ~rlor to Insulation or decking.
o Post and Beam - Prior to floor
InsulatI011_or deckIng.
-------
/0 Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtaI n permanent
electrical power.
o Drywall - Prior to taping.
o Wood Slovo - After I~stallatlon.
o Insert - After fireplace approvlSl
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Drlvew3Y - After
excavation Is complete, forms
and sub-base material In place.
o Fence - \tVhen completed.
o Street Troes - Whan all required
trees are planted. .
o Final Plumbing - When ell
plumbing w9rk Is complet.c.
D Final Electrical - When all
electrical work Is complete.
o Final MechanIcal - When all
mechanical work Is complete.
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
Inspecllons 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.
Setbacks"
~
l. IS THE PROPOSED WORK IN THE.
'~"HISTOI'lICAL 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
L~I ~yp_
"-:"
~ .-: :'
~',.: '\"~.; \: ':~''.:.\NC~~.
Lot SQ. flg.
Inlerlor
I 'P.L. HSE GAR Accl
IN I
Is I
Iw I
IE I' I
APPROVEf"
Lot coverage
Corner
Total height
Panhandle ~.
Cul-de'sac
Topography
X $/SO. FT. -
VALUE
". ~,1: '"J "
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT "I
ITEM SO. FT.
';]t
Garage
"
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
ado pled by the City. 01 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.
Main
Carport
~Ar~U~ (. J.. tVlt"u-'5) I~<<>.ot) Plan Check Fee:
Date Paid:
Total Value
"'7'56-0 Receipt Number
Building Permit Fee
;.!). 5" .,... ( 75" 2~ Received By:
Slate Surcharge AlA
27.lrO
Total Fcc (A) Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on al/ undeveloped
properties within tile City IImlls which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Balh(s)
N'
-
,
Sanitary S~wer
Water
FT.
--: Note:
-, Building Inspector may require
~ additional plans information, .
...; and/or fees for the completion of
I this project.
-' ~
Storm Sewer
FT.
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(e)
MECHANICAL PERMIT
Furnaco
. ycnt Fan
N'
By signature, I state and agree, that I have carefully examined
the completed application and do hereby'certHy 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 01 the City of SprIngfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and thai NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I lurlher cerllfy thai 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 ensuro 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'rs during construction.
~nature /#~ d'~~/
.......-. ,,. /'
6P-/?/~n
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sidewalk
It
Date
Curbcut
fl
Demolition
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
t? ."'7. d10
-.. (
VALIDATION:
RECEIPT NUMBEr 03/12:, 0
DATE PAID.;<; / Jq Jt; y;
- I .
AMOUNT RECEIVEf' ')7.. ()C)
RECEIVE~ -~'A/--L /.
je)
,
State Surcharge
Total Miscellaneous Permits (E)