HomeMy WebLinkAboutPermit Building 1991-4-24
RESIDENTIAL,
PERMIT APPLICATION
DESCRIBE WORK:
NEW + REMODEL
.
~OB NUMBER 31D5qq
225 Fifth Street
Springfield, Oregon 97477
.A ..f) I f5 :TAX LOT:
ADDITION
DEMOLISH
OTHER
)
GENERAL:
CONST,
DDRESS ~NTRACTOR #
L. \4 ~~ \l 0 (0. \ \(' 1 o~()\ 1\
PLUMBING' ffi~ XlX\
~ECHANICAL: ~ \\ D l,) : ~'\-~
ELECTRICAl ~l~~~
~ --1"-'-
QUAD AREA:
4Q~ -?
# OF BLDGS' ~
OCCY GROUP: _t' r::::A ~
1
'C--
# OF STORIES:
WATER HEATER'
- OFFICt USE -
LAND USF' \ \ \ \
\
CONSTR, TYPE: \~f'>J..
HEAT SOURCE: _ " V
F.-/
# OF UNIT'"
RANGF'
FLOOD PLAIN'
ZONING CODE:m~-
-;
# OF BDRMS:
SECONDARY HEAT:
SQUARE F,OOTAGE: ,~~
To request an Inspection. you must call 726.3769, This Is a 24 hour recording, All Inspections requested before 7:00 a,m, v.~Wbe- -
made the same working day, Inspections requested after 7:00 a.m. will be made the following work day. \
12:{] Temporary Electric
rvl Site Inspection - To be, made
lAJ after excavation, but prior to
setting forms.
D Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
D
Masonry .- Steel location, bond
beams, grouting.
o Foundation' - After forms are
erected bur prior to concrete
placement.
[Z]
Underground Plumbing - Prior
to filling trench,
ILl
Underfloor Plumbing/Mechanical
- Prior to insulation or decking,
~
Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking,
rxl Sanitary Sewer - Prior to filling
I.,.LiJ trench.
[Z] Storm Sewer - Prior to filling
trench. .
1ZI Water Line - Prior to filling
trench.
ILl Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
n71 Rough Mechanical - Prior to
L,.LJ cover.
IX] Rough Electrical - Prior to
cover,
IVl Electrical Service - Must be
L.L::J approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
[6] Framing - Prior to cover.
~ Wall/Ceiling Insulation -'Prior to
cover.
IZI Drywall - Prior to taping,
(Kl Woofi. Stove -, After installation.
, PF' / ,~5/c:>ye
D Insert - After fireplace approval
and Installation of unit.
~ Curbcut & Approach - After
forms are erected but prior to
placement of concrete,
. [Xl' Sidewalk & Driveway - After
excavation is complete, forms
and sub,b~se material In place.
o "Fence ~ When comple.ted.
. . !AI' Street Trees -"When' all req'uired
trees are planted, .
~
Final Plumbing - When all
plumbing work Is complete.
IZl Final Electrical - When all
electrical work Is complete,
o Final Mechanical - When all
mechanical work is complete,
fVl Final Building - When all
~ required InspectIons have been
approved and building is
completed,
DOther
,.r'
MOBILE HOME INSPECTIONS
D Blocking and Set,Up - When all
blocking Is complete,
D Plumbing Connections - When
home has been connected te
water and sewer.
o Electrical Connection - When
blocking, set-up, and plumbing
Inspecti.ons have been approved
and the heme is connected t.o
the service panel.
o Final - After all required
, inspections are approved and
," porches;'sklrtlng, decks, and
ventIng have been Installed.
Lot faces ~ Lot Type. Setbacks . THE PROPOSED WORK IN THE \
L Interior I P,L. HSE GAR ACC HISTORICAL DISTRICT, OR ON \
Lot sq, ftg, IN THE HISTORICAL REGISTER?
Lot coverage Corner ~. If yes, this application must be signed I
~~ Is ?,()' and a p proved by the Historical ,
Topography Panhandle
Iw /P' , . Coordinator prior to permit issuance.
Total height Cul-de-sac "
IE ,;;.?' I APPROVED:
BUILDING PERMIT BUILDING VALUE, PLAN CHECK
ITEM SQ, FT, X $/SQ, FT. 'o/~~24 AND BUILDING PERMIT
Main' lli\l This permit is granted on the express condition. that the said
4-l rh t o'tBLo construction shall, in all. respects, conform to the Ordinance
Garage adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
Carport buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
ULn'll U Plan Check Fee: - ~ \ 1A ~
Date Paid: .L\ ' C\.l,
Total Val ue Receipt Number: . \ C\R w-z....-
Building Permit Fee ~'!!,!,<<> Received BY~ ~IJ\ (). _ I
State Surcharge /h~ 7,.::>
'::? ,}iA::;:l L~ ~_J7' <5=~-9 /
Total Fee (A) '!'):Ins Reviewed By ~ ~ . Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) 1~.65""
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N' '2...
....lVJ.CTO
Sanitary Sewer
FT,
FT.,
Water
Storm Sewer
FT.,
..-- ,",:,__.r--~J1.o~ile Home
Plumbing Permit
/~o
.&
/~ .-...
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
&;.-
4.5=
9". -e>
/5. .:Fe:>
~-"""'"'
Furnace
Exhaust Hood
Vent Fan
N'
"3
Wood Stovellnsert/Fireplace Unit
~q-
Dryer Vent
Mechanical Permit
"37~5C>
/oC). -t:>
/'2. ?i3
, -=?<7.BS
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
?/.$:5'
..LCf.50
Curbcut
7'J' It
'?~
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C, D, and E Combined)
/"5'l'f.5:8
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
~ JLh'>.1 d2
..
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 in accordance
with the Ordinances 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 OAS 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.
Slgnaturp
Date
VALIDATION:
RECEIPT 'NUMBER
:::J () I.a.l/
Sl.:tdq I
tlLS"7Q,s'l<
kJ~
DATE PAIr>
AMOUNT RECElv~n
RECEIVED BY