HomeMy WebLinkAboutPermit Building 1993-10-18
OWNER' jJq v:oI .;- III I,., j~v.e/1 / /
ADDRESS:' J b S 7 tf2./ Rose
CITY: <-,/)tZ..!~!.-J ' STATE: 17M
DESCRI~ WORK: _'=~ Q 50\[\9 01\oiL(_~rN /~~ r.~voiciL.
NEW REMODEL X ADDITION X DEMOLISH OTHER
uc:;-e
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
ASSESSORS MAP:
LOT
.
SPRINGFIELD
BLOCK:
~.
JOB NUMBER
-93/'7-'':1 /'
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
~t:::>/p/,
SUBDIVISION'
PHON~'
ZIP:
p9'77
CONTRACTOR'S NAM'E
GENERA" Jcrr
ADDRESS
r: ue/tO t L,,-.J.
CONST,
CONT~ACTOR N
(m (1 oS frr II c. h .,.,..
;hl;hJl
PHONE
697-7f70
PLUMBING:
MECHANICAl'
ELECTRICAl'
QUAD AREA:
~~\( \\1\ U
N OF BLDGS'
OCCY GROUP:
N OF STORIES:
WATER HEATER:
- OFFICE USE -
\ \ \ \
LAND USE:
N OF UNITS:
CONSTR, TYPE: ,\/ f'...J
HEAT SOURCE:&'kc r:-.Il
RANGE:
FLOOD PLAIN:
ZONING CODE: _lDJ2.--/
N OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:dU
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 Sito Inspection - To bo made
after excavation, but prior to
setting forms.
o
Underslab Plumbing/ElectricalJ
Mechanical - Prior to cover.
[2l
Footing - After trenches are
excavatecl.
o
Masonry - Steel location, bond
beams, grouting.
[J]
Foundation - After forms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
CE1
Underlloor Plumbing/Mechanical
_ Prior to Insulation or clecking.
."
[Xl
Post and Beam - Prior to floor
insulation or decking.
rn Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trencll.
o Storm Sewer - Prior to filling
trencll. .
o Water Line - Prior to filling
tfenctl.
ILi.Y Rough Plumbing - Prior 10
I.-A=J cover.
REQUIRED INSPECTIONS
[1} Rough Mechtlnical - Prior to
cover.
~,
"
00 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.
[lJ
Framing - Prior to cover.
r7l Wall/Ceiling Insulation - Prior to
l.Lf-l cover. .
~ Drywall - Prior. to taping.
D Wood Stove - After installation.
o Insert - After fireplace approval
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 Stroet Trees - VVhen.all required
tre~s are planted.
I7l Final Plumbing - When all
~ plumbing work is complete.
~ Final Electrical - When all
~ electrical work is complete.
rn Final Mechanical - When all
meChanical work is complete.
r7l Final Building - When all
Ltf-l required Inspections have been
approved and building is
completed.
OOthe.
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking is corn.plete.
o Plumbing Connections - When
tlome has been connected to
water and sewer.
o Ele~trica~ Connection - When
biocking, set-up, and plumbing
inspections have been approved
and tile home Is connected to
the service panel.
o Final - After all required
inspections are approved and
porches. skirting, decks, and
venting have been Installed.
Lot faces
.A6.
Lot Type"
,){. Interior
Lot sq, fig,
Lot coverage
Corner
Topography _
Total height ri,?:/
Panhandle
Cul.de.sac
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT.
Main
Garage
Carport
.~PZ::> "3'.1&>. 9B
~P.2
~~
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
(A)
Fixtures
;:g
Residential Bath(s)
NO
Sanitary Sewer
FT,
FT,
Water
Storm Sewer
FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
~
Wood Stove! Insert/Fireplace Unit
Dryer Vent
~ ;?ltqw~.
Mechanical Permit
Issuance
State Surcharge
Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fI
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C, 0,' and E Combined)
,_ THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
Setbacks
I P.L. I HSE I GAR I ACC I
I N 6l1j?-~ I
Is w' I
I W 1$' I
IE ~.r. I
VALUE
FEE
~-
~-
~6't:?
~~40
~.-
~.-
(;~"'t?
/!!!i-
/t?~ --
.75"'
-:zG: 7S-
:2'G'~~
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condilion that the said
construcl'ion shall, in all respects, conform to the Ordinance
adopted by the City of Springfield. including the
Development Code, regulating the construction and use of
builqings, and may be suspended or revoked at any time
upon violnlion of any provisions of said ordinances.
Plan Clleck Fee: ~. r::3
Date Paid: &;-2 <./. 9"3
Receipt Numbel ~5!i:
Received By' ~....;_
.4J1.-~~"?
..p~ ReViewed '
/&7-/fiT-"7?
Date
Systems Development Charge is due' on all undeveloped
properlies witilin 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 cerlify 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 at any
structure without permission at the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 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, lhat the permit card Is located at the front
of the property, and ~ap roved set of ans will remain
on the site all ti ding nstru ion,
Signat~, ; ~ '
Dato II) - If - ~...5
I
VALIDATION:
if'Dc,c,L.f
ID)191,n
'$d..{a9 If&-'
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(} <;/??~ 7.
/', .
~~.,-
~Y22-~
j-?'2:..~
7. G'3
L.6 ,,: L?
SYSTEMS DEVELOPMENT CHARGE (SDC)
t/ 6l? (B) b':~:-
PLUMBING PERMIT
ITEM
RECEIPT NUMBER
DATE PAlfl
AMOUNT RECEIVED
RECEIVED BY