HomeMy WebLinkAboutPermit Building 1991-5-24
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726,3759
ASSESSORS MAP'
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LOT:
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SPRINGFIELD
BLOCK'
OWNER'
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ADDRESf" \ '7>~~
CITY: '-~\'~ L(1
DESCRIBE WORK' ~(\ m \ \ \~ ~()()\Y\ \. cArt N {Y.\ (')(\ ,
NEW REMODEL , ADDITION J/J- DEMOLISH OTHER
1'" ,~..A' "l CONST,
CONTRACTOR'S ~AME ~ LQJ:J ADDRESS CONTRACTOR'
GENERAL:t\i\\.\)C\ \J\ ~ p./A~y &;1/~ &6, S/39c;.,
PLUMBING:' \\\C\. ) , 'mt)S
MECHANICA" \\ \f\ )
ELECTRICA' '
QUAD AREA:
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. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER'
STATF'
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q \O~b7
- OFFICE USE-
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CONSTR. TYPE: V N
LAND USE:
. OF UNITS'
HEAT SOURCE:
RANGE:
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT' . 0 \. C\ 00
SUBDIVISION' D KD _ \), l \Q(\~
PHON'" ~ \ - ;2.,5 \ \..0
ZIP:
q141~
EXPIRES PHONE
/1/-;>19/ ~5"-~293!.
FLOOD PLAIN:
ZONING CODE:
L,yQ_
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE: n ~
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. Inspections requested after 7:00 a.m. will be made the following work day.
D Temporary Electric
.0 Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/Elect'ical1
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
r\:7f Foundation - After forms are
~ erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
~ Post and Beam - Prior to floor
~ insulation or decking.
~ Floor Insulation - Prior to
~decking,
o Sanitary Sewer - Prior to filling
trench.
o 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.
l\?T Rough Electrical - PrIor to
~ cover.
o Electrical Service - Must be
approved to obtai n permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
~ Framing - Prior to cover.
r'\:7f Wall/Ceiling Insulation - Prior to
~ cover.
~ Drywall - Prior to taping.
o Wood Stove - After Installation.
o Insert - After fireplace approval
'and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement 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 ~Iumbing - Wh,en all
plumbing work Is complete.
"T571 Final Electrical - When all
~electrlcal work is complete.
D Final Mechanical - When all
mechanical work Is complete.
M Final Building - When all
~equlred inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set,Up - When all
blocking Is complete.
D 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.
.HE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON D'"
THE HISTORICAL REGISTERif\ 'LJ ,
If yes, this application m~~ signed
and approved by the Historical
Coordinator prior to permit issuance.
Lot faces Lot Type . Setbacks
Lot sq, ltg, Interior I P.L HSE GAR I ACC
IN
Lot coverage Corner
Is
Topography Panhandle
Total height ~ Cul-de-sac Iw
IE
BUILDING PERMIT
SQ, FT,
\~
x 8~'. ~D ~ 1.;Ab14 .
"
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
~2 :SO
:S,/J
~~Q
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
N/A
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT.
Water
FT.
Storm Sewer
FT.
Mobile Home
/
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
/
/
/
/
Vent Fan
N'
Wood StoveflnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
~5" 3
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
adopted by the City of Springfieid, 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: 40. Lo.3
Date Paid: a ,R .C\ I
Receipt Number:~q43
ReCel" By' un )
#/~~
Plans Reviewed By
5-2(-'1/
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 I n accordance
with the Ordlnanc~s of the City of Springfield, and the Laws
of the State of Oregon pertaining 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 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.
Signaturo ~ ~
Date fa >;/f)/
VALIDATION:
RECEIPT NUMBER 20 /,4 q
DATE PAIr> 1?-z.Lf -1/
AMOUNT RECEIVEn~ h;;. fa '3
(Jv~
RECEIVED BY,