HomeMy WebLinkAboutPermit Building 1994-12-9 (2)
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
OHlce: 726.3159 -
LOT'
.
SPRINGFIELD
OTHER
-JOB NUMBER
225 Filth Street
qA\~w
., ~,
ZIP:
Ol"\- --, ?)
CONTRAcr~'~ NAM~ C J' ADQRESS'
GENERAI.L.\)'\.'1..c. J.O Qf\ c f\t). .'
PLUMBING: ~.lf(\Qrt \ ):lWOo 1
MEC~ANIC~':~L\ctOf'\ Tftt->. \.
ELEcrRICA~ ~ \~. f _~ Qfl \J...! [' )
CONST.
CONTRAcrOR .
~l r"1q'?)
5 \"\ ?{1
B\. '\C\~ .
\ ()~'l~
q~~1d~
~~.es\no
q? "?"Idd/f).;
41~.A\~
QUAD ARE~:' ~ ~\' /
. OF BLDGS: \
OCCY GRO~P:. ~ 3 -\ Iv\
\
r ...
· OF STOFlIES'
WATER HEATER:
- OFFICE ~SE -
LAND USE: \ \ \. \
· OF UNIT'" '\. \
CONSTR. TYPE: 'IV N
HEAT SOURCE: ~ ~
RANGE: f......'
EXPIRES
~.\t;\ .
q, \.C{,
'1;\ Q..
<-.\4
FLOOD PLAIN'
ZONING COOE:
. OF BDRMS'
li')\(....
?,
SECONDARY HEAT:
SQUARE FOOTAGE: I\n%
To request an .Inspection, you must call 726-3769. Thla Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be
made the same working day. Inspections requested alter 7:00 a.m. will be made the fOlloWing work day.
.~ " . I .
REQUIRED INSPECTIONS
D Tempcordry ElectrIc
D Site Inapoctlan - To be made
aller excavation, but prior ta
settln.g forms.
o Underslab Plumblng/Electrlcel/
Mechanical - Prior to caver.
r'VI FlOating - Aller trenches are
L,<::ll excavated. .
o Masanry - Steel location, bond
,beams, grouting.
~ Foundation - After forms are
erected, but. prior to 'concrete
placement.
D Underground PlumbIng - Prior
to "1!lng trench.
"
~ Underllaar Plumbing/Mechanical
-,Prl,or to Insulation or decking.
~ Past and Beam - Prior to flaor
~ Insulatlan or decking.
[&] Flaar'lnsulatlan - Prior to
decking. .
IVI Sanitary Sewer - Prior 10 filling
l..O.l.trencl!. .
rc71 Slo~m.Sewer - Prior to filling
~ trench. '
I'Vl Waier Line - Prior to filling
~ trench. .
~ Raugh 'Plumblng - Prlar ta
cover.
r'i1l R~ugh M~chanlcal ...:. Prior to
~ cover.
f'Vi1 Raug'ti 'Etectrlcal - Prlar'to
~ cover.
C2I. Electrical Service - Must be
approved to obtain permanent
electrlcaf power.
o Fireplace - Prior ta facfng
materials and framing Insp.
~ Framing - Prior to cover.
~ Wail/Ceiling Insulatlan - Prior to
cover. "
&orywall - Prior to taping.
o Waad Stave - After Installation.
o Inserl - Arter fireplace approval
. and Installation or unit.
~ Curbcut & Appraach - Arter
forms are erected but prior to
placement at concrete.
~ Sidewalk & DrIveway - Arter
excavation Is completo, torms
and'sub-base material In place.
D Fence - When completed.
o Slreet Treeo - When all required
trees are planted.
~ Final Plumbing - When all
- pfumblng w9rk Is complete.
r<;n FInal Electrical - When all
~electrlcal work Is complete.
@'Flnal Mechanical - When all
mechanical work Is complete.
r.:7l Final Building - When all
L..Z::t'7equlred Inspections have been
approved end building Is
completed.
DOther
MOBILE HOME INSPECTIONS
o Blocking end Set.Up - When all
blocking Is complete.
D Plumbing Cannectlons - When
home. has been connected to
water and sewer.
o Electrical Connection - When
blOCking. set.uP. end plumbing
Inspections have been approved
and the home Is connected to
the service penel.
D Final - Arter all required
Inspectlans are approved and
porches, skirting, decks, and
venting have been Installed.
Lot (aces
Lot sq. ltg,
"
Lot 'TYpe .
.K Interior
Lot coverage
Topography
Total height
_ Corner
~ '........J,'..-anhandle
_ Cul.de.sac ,
BUILDING PERMIT
ITEM II ~_ FT.
Main -1lW
~lcO
x $/sa~
0lo,A./
14.10
Garage
Carport
Total Value
Building Permit Fee
Slate Surcharge
Total Fee
'>.:;%( \'.~) ~. ',"r ,,:'" ~;:..1~:~..g;:'(,f"'".
....., ,. Setbacks.
HSE GAR ACe' I
I
I
I'P.L
;>'1" .
. N':
Is
Iw
IE
: 1rjt
SYSTEMS DEVELOPMENT CHARGE (SDC)
';'0'1 K', q /
'11 570
2ALf ~
10:'\-1+ ~
(A) . c.3'J[ii!f'J-'
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N' c0-
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
FEE
floO.uJ
Oi\ !(ouro
4.CjJ +~.CXJ
(C) I ]l.~U
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vel1t Fan
N. ~
.
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
.50\
TOlal Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State issuance
State Surcharge
Sidewalk '70 It
Curbcut ~ It
Demolition
S~ Surchfl\~ ~ C).
\, l< 9 f.'\ \'\0. t\. ~
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. 0, and E Combined)
4.ro
ct .co
'r~'OO
11o .:su
Fa.Do
.R~
~
Q)O'~) ,
l~.q(~
<\U~
J} f) sn ~lt>
/
..( 'THE PROPOSED WORK..'tN TkE. .
'-HISTOF,iICAL DISTRICT, OR ON
THE HISTORICAl. REGISTER?
I( yes, thla apPllc~tlon must be signed
and approved by the .Hlstorlcal
. Coordinator. prior to permit Issuance.
APPROVED: .
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
, This permit Is grsnted on the express condition thatlhe said
construction shsll, In all respects, conform to the Ordinance
adopted by the City. o( Sprlnglleld, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
, upon violation of any provlalons o( said ordlnarces.
PI en Check Fee: "-'\N.J .I
Oate Paid: \i ~
Receipt Numberu V
Received By: ~ .
~~lLti
"
'/.~%
Date
Systems Developmont Charge Is due on all undeveloped
properties within the City limits which are belng,lmproved.
ADDITIONAL COMMENTS
~ll tt<"\.r-X . ~~~ ~ "xl \ll.~
'l~~n\.. \C)&D (~J)
,.,~N\Q)(" : \ V\. loO- .-
y~, \
.'
By signature, I state and agree, thai I have carefully examined
the completed application and do hereby c~iil(y that all
In(ormatlon hereon Is true and correct, and I further certlly
that any and all work performed shall be done In accordance
with the Ordinances o( the City of Springfield, and the Laws'
01 'the State of Oregon pertaining to the work deacrlbed
herein, and that NO OCCUPANCY will be made o( any
structure without permission of the Building Safely Division.
I (urther certify thai. only contractors and employaes who
are In compliance with ORS 701.055 will be used on this
proJect
I (urther agree to ensure that' all required Inspections are
requested at the proper time; that each address la readable
(rom the atreet, that the permit card 1$ located :"tthe' (r~nt
,
o( the property, and the approved set o( plans :ViII r:1fn
on the, site at ~1I~urln~~
Slgnalure~.p ~-I">~ ~
. Date' '/ ':
VALIDATION: f5. ~
RECEIPT NUMBER . /.:::
DATE PAID ItA. 9~ Cff .
AMOUNT REcm~<(Z{ts Olo
RECEIVED BY _ _ ) .
"