HomeMy WebLinkAboutPermit Building 1996-12-18
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
SPRINGFIELD ,I...." , .
LOCATION OF PROPOSED WORK: _\ ).~q _ 0...!::i::(~lL-
ASSESSORS MAP: l ~ ("'):=. ?,.(,p A I
LOT'
BLOCK:
OWNER:.MM.~ ~ -r:::.vA. E.~w.<..b-I
ADDRESS: 1-:1. -=7<1 C>l...'( U.RIL-
CITY: c.,~e>.1 ~/"'?\'l'<-.\ 17
STATE:
0'e-
DESCRIBE WORI<' l2.i;:.\..\b..~ Qr \:)'flL. -1L..-L..qD
NEW
REMODEL
ADDITION
DEMOLISH
'OTHER
.
JOB NUMBER q CD liD ~
225 Fi flh Street
Springfield. Oregon 97477
TAX LOT: -1.1."1.00
SUBDIVISION'
PHONE:
'1-4<" -'Sa'
ZIP: q '1-4-+ 1
CONTRACTOR'S NAME ADDRESS
I. f\. Y'obo-;.?:dil
GENERAL: MLCM.l\lt,L.M<llllL(.;().A&.T. ,.""~Q v~_
PLUMBING'
CONS,.
CONTRACTOR'
'7l>":t..:1A.1
\2/-~
MECHANICA' .
ELECTRICA' .
QUAD AREA'
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND USE: _.___--'--.:.......
. OF UNITS:
CONSTR. TYPE: __
HEAT SOURCE:
RANGE: __
EXPIRES
PHONE
141-~1.74-
FLOOD PLAIN:
ZONING CODE:
. OF BDRMS'
SECONDARY HEAT:
SOUARE FOOTAGE:
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. AI/Inspections requested before 7:00 a,m, will be
made the sarne working day. Inspections requested after 7:00 8.m, will be made the followIng worl( day.
o Temporary Electric
o Site Inspection - To be made
after excavatlon, but prior to
selling IOrllls.
o Undcrslab Plumblng/ElectricalJ
Mechanical - Prior to cover.
D. Footing - After trenches are
excavated,
o
Masonry - Steel location, bond
beams, groutlng.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o
Underlloor Plumbing/Mechanical
- Prior to Insulation or decl<ing.
o
Post and Beam - Prior to floor
Insulatlon or decl<ing,
o Floor Insulation - Prior 10
decking.
o Sanitary Sewer - Prior 10 filting
trench,
D Storm Sewer - Prior to filling
trench.
..~ .
RjQUIRED INSPECTIONS
~ ~ough Mechanical - Prior to
cover.
~OU9h Electrical _0 Prior to
covel.
o Electrical Service - Must be
approved to ohlnln permanent
electrical power,
o Flreplaco - Prior to facIng
materials and framing lnsp,
~Oming - Prior to cover.
o Wall/C'clling Insulation -.. Prior to
cover.
~rYWall - Prior 10 taping.
o Wood Stove - After Installation,
o Insert - After fireplace approval
and Installation of unit.
o
Curbcllt & Applo<Jch - After
forms arc crccttd but prior to
placement of concrete,
o Sidewalk & Dri\Cw:JV - After
excaviltion Is complete, forms
and sub.base rrateria! In place.
o Water Line - Prior toJfiJlin'g ~.., 0
trench, .... ,~:;
'.
Fence - When completed.
~OU9h Plumbing - Prl~r\t.o. '., .'; 0
cover.
\
!';treot Trees - When all required
trees are planted, ..
'. ,
t?inUI Plumbing - When l.lll
plumbing worl< Is complete.
~inal Electrlcill - Wilen all
electrical worl< is complete,
~IIlDI Mcch.mical - When all
mechanical worl< Is complete.
~Ol Building - Whon 011
required Inspections have been
approved and building is
completed,
o Othe~
1.,
MOBILE HOME INSPECTIONS
o Blocking Dod Set. Up - Wilen DI/
blockln{J Is complete,
o Plumbing Connections - When
home hilS been connected to
water anti sewer,
o Electrical Connection - When
blocklnu, 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, sl<lrtlng, decks, and
venting have been installed,
Lot faces
.
Lol Type
Lol sq. ftg, .:.'
6_----.---,.-.
Interior
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.de.sac
tHE PROPOSED WORK iN TH~
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes. this application must be signed
and approved by the Historical
Coordinator prior to permit issuance,
I P.L.
IN
Is
Iw
IE
Setbacks
'HSE'GAR'Accl
I
I
I
~J
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT. VALUE
Main
.
Garage
Carport ,.
. , .
,
Total Value IOOO~
Building Permit Fee 11."'0_
Slale SUrClltHgc _....L.________.
'. . ...., ,n! :
Totat Fcc " (A)
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Residential Balh(s)
N"
Sanitary S~wer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
PlumbIng Permit
~\Il.~~.
State Surcharge
Totar Charge
(e)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StovellnsertlFlrcplace Unit
Dryer Vent
f;~ff.. ~<<;"F,V^.
Mechanical Permit \..AI"! .~~
Issuance
State Surcharge
Tolal Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
Slate Issuance
Slate Surcharge
, Sidewalk
It
Curbcul
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding eleclrical)
(A, B. C, D, and E Combined)
FEE
I()~
If'>O~
~~
l5<e
_l.9 <e..
._(Rl.~1.
; .r
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the c~pre~s.condltion that the said
construction slla11, in'all'respccts, t~;'form to'trte"Or'dinance
adopted by the Cily. of. Springfield, ..including the
Development Code: ~eguratrng the constructto'n and use of
buildings, and may be suspended or ,evoked at any time
upon violation or any provision's of ~aid' ordinances.
Pla~ Ch.cck-lFep:
Date Paid:
Recei pt Number:__.
ReccivecJ By:
", ,
.'
,,,... ..:'.
Plans Reviewed By
Date
Syslcms Development Charge is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
By signature, I stale 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
1hat any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of tile Stale'of Oregon perlainlng to the work described
herein. and ltlat NO OCCUPANCY will be made of iJny
structure without permission of the Building Safety Division,
I further certify that only contractors and employees who
arc In compliance with ORS 701.055 will be used on this
project.
VALIDATION:
RECEIPT NUMBER O:lA-C)Cj'z;:;
DATE PAIr> \:l../ \e,tq<.o
, .
~MOUNT RECEIVED~1.~\
RECEIVED BY .:=:b~( ~
~