HomeMy WebLinkAboutPermit Building 1993-7-1
RESIDENTIAL
PERMIT APPLICATION.
Inspections: 726.3769
Office: 726.3759
LOT'
BLOCK'
OWNER' 'Ko I.( R Cfit:; LE.
ADDRE~S ~9 Sfi fiJ{)~~ /Wf"_
CITY: SrPR I A/ G .p, ~,--j) .
STAT~'
OL.e__
','
Le.?,
JOB NUMBE~ 1:()~l\S
"
225 Fifth Street
Springfield, Oregon 97477
TAX LOT: l\ ~~~
SUBDIVISION'
PHON~'
-?~7-$~~/-7~~-/dDl
ZIP: 97V77
DESCRfBE W~: /'V1i!l/l.Ov./ ClWl.xuC:r
NEW V REMODEL ~ ADDITION
70 /'}t.U:t.5 ff IJ&I)~
. .
M.,Lb<..c
CONTRACTOR'S NAME
5E L r::
GENERAL:
PLUMBING'
MECHANICAl'
ELECTRICAl'
OUAD AREA?~~\.0-
. OF BLDGS: ) __
OCCY GROUP: ~-,
. OF STORIES:
WATER HEATER: '- '\\~
DEMOLISH . OTHER
ADDRESS
~
CON ST.
CONTR~$
EXPIRES
PHONE
- OFFICE USE -
LAND USE: \ :r-P
.~-
. OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
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 Tempoi81'Y Electric
o Site Inspection - To be made
niter excavation, but prior 10
setting forms.
o
Underslab Plumbing/Electrical!
Mechanical - Prior to cover.
o
Footing - After trenches are
excavated.
o
Masonry - Steel locatlon, bond
beams. grouting.
o Foundation - After forms are
erected but prior to concrete
placemcnt.
o
Underground Plumbing - Prior
to filling trench.
o
Underlloor Plumbing/Mechanical
_ Prior 10 insulation or ducking.
o Post and Oeam - Prior to floor
insulation or decking.
o Floor Insulation -- Prior to
decking. .
o
Sanitary Sewer - Prior to filling
trench.
o
StOlm Sewer - Plior to filting
trench.
O Water Lino - Prior 10. filling
trench.
o Rough Plumbing - Prior to
co....cr.
REQUIRED INSPECTIONS
o Rough Mechanical - Prio:'" to
cever.
o Rough Electrical - Prior to
cc.ver.
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.
o Wal!1Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - After Installation.
o Insert - After flrcplaG~ approval
and installation of un!t.
o Curbellt & Appronch - After
form~ are erected but prior to
placcment of concrete.
o Sidewalk & Driveway - After
excav~tion Is cor:lplete, forms
af"fj sub-base matuial in place.
o
Fence - When completed.
o
Slrccl Trees - When nd r-::qulrad
tr.~es arc planted.
o
Final 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.
~Ui1din9 -- When all
required Inspections have been
approved and bLdlding is
completed.
o Other
MOBILE HOME INSPECTIONS
1-1 Blocking and Set-Up - When all
blocking is complele.
o Plumbing Connections - When
home has been connected 10
water and sewcr.
o Electrical Connection - When
blocking, sel-up, and plumbIng
inspections have been approved
and the home is connected to
the service panel.
r-J Final - After all required
L in3pections are approved and
porcncs, sldrtlng, decks, and
venting havc heen inst;lllcd.
Lot faces
~
~
'~terior
Lot sq. fig.
Lot coverage
Corner
Topography
Panhandle
Total height
Cul-de-sac
BUILDING PERMIT
ITEM SQ. FT. X $/SQ. FT.
Main
, '
Garage
, \'0'6.,~
\~ \()-
Carport
Tolal Value
Building Permit Fcc
State Surcharge
Total Fee
(A)
Setbacks
HSEIGARIACC
I
I
S I I
wi!
-- -- --'-1--1
I E I I I
I P.L
IN
VALUE
~(MrnBJ
,
.-.
IS THE PROPOSED WORK IN THE
HI~;TORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
H yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
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
adopled. by -Ihe Cily, 01 Springfield,. incl~ciing the
Development Coae;h~nulating;the' construction and use of
buildings, and may be suspended or revoked at any time
upon violation of an~rovisions o~dinancis.
Plan Check ~ee:~\ ~ ~~
Date Pairj:
~(,.9{d2t)
7)Q $:::I Receipt Number'
\.C03(~~y )
~~. G2.. ~. ~~D-...')\
~ ) "\. Plans "Rev,iawed By
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
\...\\~-
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary Sc~er
Water
FT.
FT.
Storm Sewer
FT.
Mob:le Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
fI
Demolition
State Surcharge
Total Miscellaneous PermIts (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D. and E Combined)
FEE
"-.\ \ ~.
\.)!~
\. ')\ ~
--;--"'I..\.~
,\:(n-~
Dale .
Systems Development Charge is due' on, all undeveloped
properti8s 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
~nformation 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 that NO OCCUPANCY witl be made of any
structure without permission of the Bui.lding Safety Division,
I further certify that only cornractors and employees who
arc in compliance with ORS 701,,055 'fill be used on this
project.
I further agree to ensure that all required inspectio.ns are
requested at the proper time, that each a~dress is readable
from the street, that the permit card is located at the front
of the prope::y:t), the ap~~~ setrJj;lanS will remain
::"~::~~:'"~':'''lbAk-
f . /
Date ~
VALIDATION:
RECEtPT NUMB)iR ~ 3-\ 'Z-
DATE PAID "{-l '1.3
AMOUNT RECEIVED 34, \6
RECEIVED BY ~