HomeMy WebLinkAboutPermit Building 1997-3-24 (3)
OWNER: r \\C-. \ I '"'{\fi\\et'"
ADDRESS' '~f4tf{) \ '\ 0 ~ \\-r\\1 e ./
CITY:, ~\'('\(\~ ~(''d. ~. STATE: ()r~W1'{\
DESCRIBEWO~V 0 no II ) l+\.lQ.... b'unn ~~
NEW REMODE~ - \ ADDITION \ \ DEMOLISH - \ OTHER
, CONST,
CONTRACTO~S NA E ~DDRE*_ <\..., ~\ "I CONTRACTOR'
GENERAL: " , ~ ~~\ d'-\{)"\I.tl.}.., t;:1o()91,....
PLUMBIN(.:' 1, f:~~ \) ~'M, ~i\(\ ,- 0 -
MECHANIC! ' . \ N\ ,', )
ELECTRICAl. ~E'J~f,.i\0 oS ~ol't
"
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
ASSESSORS MAP:
LOT'
QUAD AREA-
· OF BLDGS:
OCCY GROUP'
· OF STORIES:
WATER HEATER'
..
SPRINGFIELD
.
(\1D~ l S
BLOCK-
- OFFICE USE -
LAND USF'
. OF UNIT'"
CONSTR. TYPE:
HEAT SOURCE:
RANr.~.
JOB NUMBER
_ TAX LOT:
SUBDIVISION'
o~
PHONF'
ZIP: Q.'l til
EXPIRES ,...., PHON~I\_
e<i-nQlJ2b. tt:1Lb
FLOOD PLAIN'
ZONING CODE:
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:
To requesl an Inspection, you must call 726.3769. This Is a 24 hour recording, All Inspections roquestod borore 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.
REQUIRED INSPECTIONS
o Temporary Electric
o Site Inspection - To be mado
after excavation, but prior to
setting forms.
o Undorslab Plumblng/Eleclrlc.11
Mechanical - Prior to cover.
o Fooling - 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 PlumblnglMechanlcal
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking. .
o Floor Insulation - Prior to
docking.
o Sanitary Sowor - Prior 10 filling
trench.
o Storm Sewer - Prior to filling
trench. ".
o Walor Llno - Prior to filling
trench.
r-7i' Rough Plumbing - Prior to
L.J.LJ cover.
~\
rlVRough Mechanical -' Prior to
~~ ever,
Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
~ Fra~lng - Prior to cover.
~,^!all/Celllng Insulation - Prior to
cover.
~rywal1 - Prior 10 taping,
o Wood Stove - After Installation.
o Insert - After fireplace approvl!l
and Installation or 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 malerlal In place.
o Fence - \tVhen completed.
o Street Trees - When all required
trees are planted.
n }'In.1 Plumbing - When all
~p'umblng w9rk Is complet.e.
~nal ElectrIcal - When all
electrical work Is complete.
~nal Mechanical - When all
mechanical work Is complete.
.--/Flnal Building - Whon all
LLJ required Inspections have been
approved and building Is
completed.
DOlhor
MOBILE HOME INSPECTIONS
o Blocking and Sel.Up - Whon all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
D Electrical Connection - When
blocking, se'-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.
J
....,..
Lot faces Lol ~YPo .
Lot sq. flg. Interior I P,L,
IN
Lot coverage Corner
Topography Panhandle '... Is
Iw
TOlal height Cui-de-sac IE
.'., ~::;}J~'\;;,.~i"
'.HE PROPOSED WORK iN THE.
HISTOI;lICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must bo signed
and approved by tho Historical
Coordinator prior to permit Issuance.
Setbacks
HSE GAR Accl
I
I
BUILDING PERMIT ", ';) '~
ITEM SO, FT. X $/SO, FT, - VALUE
Main
Garage
'.
Carport
APPRqVFn.
'. '.,. '... ~I
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on Iho express condlllon Ihallho said
construction shall, In all respecls, conform 10 the Ordinance
adoptod by the City 01 Springfleld, Including tho
Development Code, regulating the construction and use of
buildings, and may bo suspendod or rovoked al any time
upon violation of any provisions of said ordinances.
Plan Chock Fee'
~ <fl ['('{) fJ) Dalo Paid:
Total Valuo
- -~
\~ ' Receipt Numbor'
Building Permit Fee
. ~:S Rocelved By:
State Surcharge ":ft)
Total Feo (A) \~f:.lz... Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Resldontlal Bath(s)
N'
Sanitary S~wer
Water
FT.
FT,
FT.
Storm Sewer
Mobllo Home
Plumbing Pormlt
Slato Surcharge -\- ~O
Tolal Chargo (C)
l5~
\.m
\lo,W
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsert/Flroplaco Unit
Mechanical Permit
Issuance
State Surcharge -TWo
Total Permit (D)
MISCELLANEOUS PERMITS
Mobile Homo
State Issuance
Stale Surcharge
Sldowalk
fl
Curbcul
fl
Demolition
Slate Surcharge
Total Miscellaneous Pennlls (E)
TOTAL AMOUNT DUE (eXCluding eloctrlcal)
(A, B, C. 0, and E Comblnod)
&\~
Systems Development Charge Is due on all undeveloped
proportles within the City limits which are bolng Improved.
ADDITIONAL COMMENTS
By signature, I stale and agree, that I havo carofully examined
the comploted application and do h.reby certify Ihal 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 Clly of Springfield, and the Laws
of tho Slote of Orogon pertaining to the work doscrlbed
heroin, and thai NO OCCUPANCY will bo made of any
struclure wllhout permission 01 lhe Building Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on Ihls
projoct.
I further agree to ensure that all required Inspections are
requested at the proper time, that each address is readable
from the streel, Ihal the permit card Is located at the fronl
of tho property, and the approved set of plans will remain
X\~ tho slle al all tlmos ~Urlng construction.
'~nature &-0 It bA:-
"Oat.,.
VALIDATION: c-' r-.?v1
RECEIPT NUMWR c1.0A-Tf
DATE PAID ~ "')-/J~ "
AMOUNT RECEI~ , ^ ~/Jf...\ .\'1 /'
RECEIVED BY U \ (fyt~--/)
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