HomeMy WebLinkAboutPermit Building 1996-10-17
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
SPRINCFIELD
.
~C/5Y"7'
....
::40B NUMBER
,
~~ 225 Fifth Street
~,/ Springfield, Oregon 97477
,
D~rS~ ~r~<::y;c,/~~IU~' 89..@J<'. #IJ~
TAX LOT: ~ 9"62~
, LOCATION OF PROPOSED WORK: ...533 ~
ASSESSORS MAP: /?-O<"'~~'"'""3 Y
- - ,
LOT:
BLOCK:
SUBDIVISION:
",
()\-{'"_,K. ," ~ (") Lv I~s PHONE: ~L/)~ /IJI 7
ADDRESS: _I:) 3 35 0 J:}J,.~ y SJ-~~ J SqlV"rrkr~
/
CITY: 5p STATE: <0 e...
OWNER:
DESCRIBE WORK:
(.J l\i'\M I\h~ J../Vn..
NEW ~
REMODEL
ADDITION
~-r ~r'\,(- \
DEMOLISH
OTH ER -Ca&.Po t""r
At.v V"'\ \ (\ G-
CONTRACTOR'S NAME
GENERAL: -.Crr.A.<-*eLu a.A
-J
. CONST.
ADDRESS . CONTRACTOR If EXPIRES ~
~~ a() QLJ:J er Jf' Aln ( r-' 4 J 6-~ I 1- rl..q'1
PHONE
to5J9/}J~-
PLUMBING:
MECHANICAL:
ELECTRICAL:
"
- OFFICE USE -
QUAD AREA: LAND USE: FLOOD PLAIN:
If OF BLDGS: If OF UNITS: ZONING CODE:
OCCY GROUP: CONSTR. TYPE: ___ If OF BDRMS:
If OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE: SQUARE FOOTAGE:
To request an Inspection, you must call 726-3769. Ttlls Is a 24 hour recording. All Inspections requested before 7:00 a.m, will be
made the same working day. Inspections requested otler 7:00 a.m. will be made the tollowlng work day.
o Temporary Electric
O Site Inspection - To be made
atter excavation, but prior to
setting forms.
D Underslllb Plumblng/Electricall
Mechanical - Prior to cover.
Il7l Footing - Atter trenches are
l,LJ excavated.
o Masonry - Steel location, bond
beams, grouting.
o
Foundation - After torms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
o
Underlloor Plumbing I Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
deckl ng.
D Sanitary Sewer - Prior to tilling
trench.
o Storm Sewer - I'rlor to filling
trench. .
O Water Line - Prior to (illlng.
, trench.
, .
D Rough Plumbing -::- Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o
Final PlumbIng - When all
plumbing w~)(I( is complet.e.
o Rough Electrical - Prior to
cover.
D
FInal Electrical - When all
electrical work Is complete.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D
Final Mechanical - When all
mechanical work is complete.
o FIreplace - Prior to facing
materials and framing Insp.
D
Final Building - When al/
required Inspections have been
approved and building Is
completed.
o Framing - Prior to cover,
~ Other Fine(, / ~~ .....pOv1ft:-,
. ~rn c;.--
o WalllC'olllng Insulnt/on - Prior to
cover.
D Drywall - Prior to taping.
I
MOBILE HOME INSPECTIONS
o Wood Slovo - Atter Installation.
D Insert - Atter fireplace approval
and Installation ot unit.
o Blocking and Sot.Up - When all
blocking Is complete.
D
o Plumbing Connections - When
home has been connected to
water and sewer.
Curbcul & Approach - After
torms are erected but prior to
placemont of concrote.
o Sidewalk & DrlvewilY - Atter
excavation Is complete, forms
and sub-base material In place.
o
ElectrIcal Connection - When
blocking, set-up, and plumbing
Inspections have beon approved
and tile home Is connected 10
the service panel.
D Fence - Wt1Eln completed.
o
Final - Atter all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
o Street Treos - When al/ roqulred
trees are planted.
..: .
. ,. . .(HE PROPOSED WORK IN THE.
. '
Lot faces Lol Type Setbacks .'
i.
I P.L. .... HISTORICAL DISTRICT, OR ON
Lot sq. ftg. Interior HSE GAR ACC
IN THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this application must be signed
Is
and approved by the Historical
Topography Panhandle \W '1 Coordinator prior to permit Issuance.
Cui-de-sac ~
Total height IE
'-. , .., " :' APPROYED:
c'
BUILDING PERMIT
ITEM SO. FT. X $/SQ. FT. '" VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
Carport
.
.
This permit Is grante.d on the cxpress condlt.lon that the said
construction shall, In all respects, contorm to the Ordinance
adopted 'by the City of Spring'r1cld. including the
Development Codc, 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
J533~
Plan Check Fce:
75:C)"3f
Building Permit Fee
7A Pl.)O~O
"'3 B. :?,.t!:>
~ ~'.~g
_~ -/. .5~
SYSTEMS DEVELOPMENT CHARGE (SDC)
Date Paid:
Total Value
Receipt Number:
Received By:
Slate Surcharge
TOlar Fee
(A)
Plans Reviewed By
Date
(B)
Systcms Development Charge Is due on all undeveloped
properties within tho City limits whlcll are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
NO
Sanitary S~wcr
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Vent Fan
NO
By signature, I state and agree, that I have carorully examined
the completed application and do hereby certlry that all
Information hereon Is true and correct, and I rurther certify
that any and all work pcrtormed shall be done In accordance
with the Ordinances ot the City ot Sprlngtleld, 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 ot lhe Building Satety Division.
I turther certlty that only contractors and employees who
aro In compliance wllll ORS 701.055 will be used on this
project.
Exhaust Hood
Wood StovellnsertlFlraplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agrec to ensurc lhat all required Inspections are
requested at the propcr 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 or plans will remain
on the site at all times during construction.
Signature _~ I~
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
tt
Date
I 6 --rt-'1 ~
,
Curbcut
tt
Demolition
State Surchargf3
VALIDATION:
.'
:Z75't?~
DATE PAID h ./7-9C
AMOUNT RECEIVED . ~0 .C2..
RECEIVED BY d ~A
//V
v
RECEIPT NUMBER
Total Miscellaneous Pcrmlts (E) ,
. !'"
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblncd)