HomeMy WebLinkAboutPermit Building 1994-7-22
RESIDENTIAL
PERMIT APPLICATION
Inspections: '726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP' / /? 1/ <y
LOT: =#::;- "
~.
SPRINGFIELD
BLOCK:
OWNER:~-' \ ;.~_:II f)/S J-na+on
ADDRESS: .:J::J..3 &ili t" III ^ r, ~ (/s7 .
CITY: 6Pt?1 JI/ GF J E L TI
DESCRIBEJ/ORK: JV1t?h ,}
NEW V REMODEL .
.
JOB NUMBER
9-fL'D 7cP~
225 Fifth Street
Springfield, Oregon 97477
. <;:CJ..P J rI
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TAX LOT: 7~~ /
SUBDIVISION: ~~_ ~/
PHONE:..2<./ 7- ; L? Y
STATE: '
(\) KE 60/\ r
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hu :r J-i Y\~('; Y\
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'DEMOLISH
ADDITION
OTHER
ZIP: q7477
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CONTRACTOR'S N~'1E
GENERA' . fr/a Y' I.
CONST,
1 ADDRESS' , ' I / ~ONTRACTOR . EXPIRES , PHONE
LAv AS5tA E t:? J-1e /1'.... LDO",,", Un-ts..Jn,.t.u-hrn-.
('O'>\+~t:..w- :>?' R. 'f' / (p
PLUMBIN'"
MECHANICAl'
ELECTRICA' .
QUAD AREA: \ Q \\ )~.i ']
\
OCCY GROUP' "^
\
· OF BLDGS:
. OF STORIES:
WATER HEATER:
- OFFICE l\SE -
LAND USE: \ \ \ \
. OF UNITS' \
CONSTR. TYPE: 'II /;j
HEAT SOURCE:
RANGE:
-
--
FLOOD PLAIN'
ZONING CODE:l.OrL
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE: 11:-0-
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. '"."'111 be made the following work day.
REQUIRED INSPECTIONS
o Temporary Electric
O Site Inspection - To be made
after excavation, but prior to
setting forms.
O Underslab Plumbing/Electrical I
MechanIcal - Prior to cover.
r>n Footing - After trenches are
~ excavated.
o Masonry - Steel location, bond
.beams, grouting.
r1l Foundation - After forms are
~ erected.but prior to'concrete
placeme~t.
o Underground Plumbing - Prior
to filling trench,
o Underfloor Plumbing/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. .
o Storm Sewer - Prior to fitllng
trench.
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
o Rough Mochanlcal ...:. Prior to
cover.
D Rough ElectrIcal - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
~ 0 Fireplace - Prior to facing
materials and framing Insp.
c::$J Fra~lng - Prior to cover.
o Wail/Ceiling Insuletlon - Prior to
cover. ,
o Drywall - Prior to taping,
,
o Wood Stova - 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 Fen~e. - When C,omPleted.
o Stroet Trees - When all required
trees are planted.,
I
o Final Plumbing - When all
plumbing work Is complete.
. ,
D Final Electrical - When all
electrical work Is complete.
-...
o Final Mechanical - When all
mechanical work Is complete.
r:p Final Building - When all
required Inspections have been
approved and building Is
completed.
DOthor
MOBILE HOME INSPECTIONS
o Blocking and Sat.Up - Whon all
blocking Is complete.
o Plumbing Connoctlons - When
home has been connected to
water and sewer.
o Elect~lcal Connection - When
blocking, set-up, and plumbing
Inspecllons have been approved
and the home Is connected to
the service panel.
o Final - After all requIred
Inspections are approved and
porches, sklrllng, decks, and
venting have been Installed.
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Lot faces ...J.li Lot Type ','
Lot sq, ltg, . 5jooo ~nterlor p.L.
Lot coverage 1-M.a.1-{t. - Corner N
Is
Topography ill _ Panhandle
Total height /.:2 ' Cul-de.sac Iw
IE
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r ,(' .: ~ ,".,i ~~':;:~{:.~ .~~"" ;
.(, THE,PROPOSED WORK, IN THE. .
....HISTOI;IICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
It yes, this application must be signed
and approved by the Historical
. Coordinator prior to permit Issuance.
Setbacks.
HSE GAR ACe' I
APPROVED:
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT, = VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
'5"[nJ( A2!:'h
#FJ
/4. /P
_r/ 2 d
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
bulidlngs, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee: ~. C:;.3
Date Paid: . ~/v"2?3? ~ ~~7/? ,
Receipt Number' ...,~ ~
")~ed By: ' A:. ~
p~viewed By ~ .., ~
Main
Garage
Carport
"
. . .
Tolal Value
Buliding Permit Fee
State Surcharge
:s'f:.~~
Total Fee
(A)
Systems Development Charge Is due on ali undeveloped
properties within the City limits which are being Improved,
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT,
Water FT,
Storm Sewer FT,
Moblie Home
Plumbing Permit
State Surcharge
Total Charge (C)
MECHANICAL PERMIT
../' Furnace
Exhaust Hood
Vent Fan N'
.
ADDITIONAL COMMENTS
FEE
.....J'
o
Wood Stovellnsert/ Fireplace Unit
Dryer Vent
By signature, I state and agree, that I have carefuliy examined
the completed application and do hereby certify that ali
Information hereon Is true and correct, and I further certify
that any and ali work performed shali 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 wlil, 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 ORS 701.055 will be used on this
project.
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
r1l
I further agree to ensure that. all required Inspections are
requested at the proper t1me~ ~hat 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.
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Signature
Sidewalk
It
OatF> .
Curbcut
It
Demolition
Total Miscellaneous Permits (E)
~
b1.Sl
VALIDATION: \ Arr-.A. ^_
RECEIPT NUM~R Y-i\..J\\
DATE PAID ~/ .::.J.~
AMOUNT REC~E- . - (.., l. .
RECEIVED BY J fY'\ )
'\../ 'J=- _
Slate Surcharge
TOTAL AMOUNT OUE (excluding electrical)
(A, B, C, 0, and E Combined)
.....