Loading...
HomeMy WebLinkAboutPermit Building 1997-4-28 (2) RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 ~.dy Office: 726.3759 ~_J,I LOCATION OF PROPOSED WORK: 1)355 ThI2j -it N 2.- ASSESSORS MAP: I? ~"< - 3? 3 - 7 Y !LOCK: OWNER: ~f.w~ -I- ~a~ W~8i0 CITY:..:.- ,NVL5(tl Utt; , ~'Jjr ~{< 11. DESCRIBE WORK: ftW I . LOl: NEW REMODEL ADDITION CONTRACIOR'S NAMf ~~ '\ GENERAl. \. \ ~ PLUMBING: MECHANICAL: ELECTRICAL: SPRINGFIELD STATF' fJR~ . JOB NUMBER "7..A:?b'::<~ 225 Fifth Street Springfield, Oregon 97477 2fPWj-fi ej rIv TAX LOT: c::J 7"6'""2 Y SUBDIVISION' " DEMOLISH OTHER PHONE: ~L//.~ 43 qf.o ZIP: q 1978 ADDRESS CONST. CONTRACTOR # ~" EXPIRES PHONE - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN' '. # OF BLDGS: # OF UNITS: ZONING CODE: OCCY GROUP: CONSTR. TYPE: # OF BDRMS: # qF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGF' 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 Temporary Electric D Site Inspection - To be made after excavation, but prior to' setting forms. o Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. . o Underfloor Plumbing I 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 filling trench. . D Storm Sewer - Prior to filling trench. o Water Line - Prior t'o filling trench. '. o Rough Plumbing -' Pdor to cover. , REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Rough Electrical - Pdor to cover. 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 Wall/C'elllng Insulation - Prior to cover. o Drywall - Prior to tapln'g. o Wood Stovo - After Installation. o Insert - After fireplace approvlll 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 Treos -When all required , trees are planted. . . o Final Plumbing - When all plumbing w9rl< Is complet.e, o Final Electrical - When all electrical worl< Is complete. o Final Mechanical - When all mechanical worl< Is complete: o Final Building - When all required Inspections have been approved and building Is completed, o Othor MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complele. o Plumbing Connoctlo~s - When home has been connected to waler 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. , , . ~~.... y.. :.~" .....t' . . " Lot faces Lot Type Setbacks Lot sq. ftg. Interior I p.L. HSE GAR ACC IN Lot coverage Corner Is Topography Panhandle \W Total height Cul.de.sac IE . t.HE PROPOSED WORK tN THE. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTE~? If yes, this application must be signed and approved by the Historical Coordinator ,prior to permit Issuance:' APPROVED: BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT. = VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT . Garagc Carport &7$?, ~~ r:- /~-~ 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 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. Main , " Plan Check Fee: /b, ~? Date Paid: Total Value (A) A -5: .--~ 1-2.~ .75- ?-?~ Receipt Number' Building Permi t Fee Received By: Stalc Surcharge Total Fee - --.... -_.~...- Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties within tho City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) NO Storm Sewer FT. FT. FT. Sanitary S!'lwer Water Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Vent Fan NO By signature, I state and agree, that I have carofully 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 In accordance with the Ordinances of tho City of Springfield, and the Laws of the State of Oregon p.erlalnlng to the work ,described herein, and that NO OCCUPANCY will be made of any structure without permission olthe 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. Exhaust Hood Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) I further agree to ensure that all required Inspections are requested at the proper time, that each address Is readable from tho str et, that the permit card Is located at the front of the prope ty, and the approved set of plans will remain on the site at II time ~;.../ lJ, lA.At Signature J/ I :7' ) J Date 1~/q7(J - MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge VALIDATION: TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) S0: '2p- RECEIPT NUMBER 75':;?c..> c.:;::/ S/-2g ~5? L77'~ -.:2.;;;:- /2~~ ,)- /' DATE PAID Total Miscellaneous Permits (E) AMOUNT RECEIVED RECEIVED BY