HomeMy WebLinkAboutPermit Building 1995-3-24
LOCATION OF PROPOSED WORK: ;;';1/ A//)~ 71!~l)6r.. A t/E
ASSESSORS MAP:: . 1"10"2 ~L__ _...._ '"
'I-
.f
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Oftlce: 726.3759
LOT'
j6
.
SPRINGFIELD
<fil1J,
'. .
BLOCK'
OWNER: ;f01#UE/7ERG!1/f/Jl
ADDRE~"" f't(Jt,t Ah1?7// /{,'./J h~ 17t/tf.
CITY" . <J?;:LJJ.
STATE:
/'JA'c
NEW
REMODEL
,)~,tJ/lA'J4 7E b/lIlJ4/7~
v
ADDITION
OTHER
DESCRIBE WORt<.
DEMOLISH
.
JOB NUMBER
9J(J 2~/
225 Fifth Street
Springfield, Oregon 97477
_ :(TAX LOT: /)1./ < / 7
SUBDIVISION: .i'E/lu- /11ol1.T
'I~
-
PHONE:
7t/ 7- <<.J 1 f
ZIP: ~7~77
CONST,
CONTRACTOR'
CONTRACTOR'S NAME ADDRESS
GENERAL: f(tJ11/~~'";~h-f1,<JJ)r
PLUMBIN'"
MECHANICAl'
1: ELECTRICAL: ,lItt./ /A//l7 P.IPP-l-
~ ~J\)8
,
\J\.
QUAD AREA:
· OF BLDGS'
OCCY GROUP:
. OF STORIES'
WATER HEATER:
~ \\)~~
- OFFICE USE -
\ \ \ \
· OF UNITS: \
CONSTR, TYPE: ~..t-l
LAND USE:
HEAT SOURCE:
RANGF'
EXPIRES PHONE
7'17- f/..(77
\ n-2.f),QS loC{,~L?i05
FLOOD PLAIN:
ZONING CODE:
. OF BDRMS:
.LDe.-
SECONDARY HEAT:
SQUARE FOOTAGE: .15Y/J
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested belore 7:00 a.rn, will be
made the same working day. Inspectlons 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/Electrical/
Mechanical - Prior to cover,
fV1 Footing - After trenches are
Lp..J excavated.
o Masonry - Steel location, bond
beams, grouting.
rt=l Foundation - After forms are
L.bJ erected but prior to concrete
placement.
o 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
decking.
O Sanitary Sewer - Prior to IIll1ng
trench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to IIll1ng
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
r7l 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.
[pl Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping,
o Wood Slovo - Alter Installation,
o Insort - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
o 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 DII
plumbing work Is complete.
r71 Final Electrical - When all
~ electrIcal work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
rvI Final 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
InspeclIons 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.
,
Lot faces
Lot sq, Itg.
Lot coverage
Topography
Total helgr 0'l~
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
2n.,>O~
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fcc
Lot TYP.
..-/
_ Interior
Corner
Panhandle
Cul'de.sac
X $/SQ, FT,
gt'o
1.."\~+:!> ~
(A)
. '\': . ,- ~ ';:.'
,
.S THE PROPOSED WORK IN THE. '
HISTORICAL DISTRICT, OR ON
THE HISroRICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Setbacks
I :L. 'HSE' GAR' ACC i
I S I
Iw I I I
lLLLL
VALUE
".~~~
le%,OO
,-p. , ~
~.LU
l~,~
SYSTEMS DEVELOPMENT CHARGE (SDC)
-G-~
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
TOlal Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
(B)
N'
(C)
Wood Stove/lnsert/Flreplace Unit
N'
Dryer Vent
MechanIcal Perml t
Issuance
State Surcharge
TOlal Permit
(D)
Mobile Home
MISCELLANEOUS PERMITS
State Issuance
State Surcharge
SIdewalk
ft
Curbcut
ft
Demoll lion
Slate Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and' E' Combined)
l
FEE
cz
\;>
fX
l~.<;S
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the sold
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 time
upon violation of any provisions of said ordinances.
Plan Check Fee: ~"1'. 5'3 .
. i,/>(5'J
/(447/ Z.
~
Date Paid:
Receipt Number:
Received By:
PlaE ~~wed 8y
~teS
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved,
A9-,DITIONAL COMMENTS
-~L\'ak ~Ul:.~....!>~U'tn~~
~~ \ .
,
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
Information hereon Is Irue and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordlnancus of the City of Springfield, and the Lows
of the State 01 Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission ollhe 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 re<:lulred 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 all times during construction.
Signature
Date
VALIDATION:
RECEIPT NUMBER
/&:; ;:>? <f'
'"? ~-.:;z '/ - "7 S-
.:l2..C'~~ ~ I~ Y,~7
~~
DATE PAin,
AMOUNT RECEIVED
RECEIVED BY
v