HomeMy WebLinkAboutPermit Building 1995-9-25 (2)
:-. - ...~ 225 Filth Street
____.____~ ~-'I Sprlnglleld, Oregon 97477
\ ,----- ---.--
\., ..-/. ~J"="~="-'-'-'-- -~
LOCATION OF PROPOSED WORK.' ".. t2 1=)7 ~ 'i ti;~' !'~<.--:
1/?~3-Q7-t;/y .. .-------
'-- -
RESIDENTIAL
PERMIT APPLICATION
Inspeclions: 726.3769
Ottice: 726.3759
I
xASSESSORS MAP:
,( LOT:
.~
SPRINCFIELD
BLOCK.
OWNER:
/d,~
.c..
F./b?~
(
ADDRESS: . ~ &" 7 ~ .'-;.2---' ~
CITY: ~/-:;1,;~';~
DESCRIBE WORK:_~
NEW V' REMODEL ADDITION
.
JOB NUMBER
9:5/Y"'7~
TAX LOT:
~/~:3
SUBDIVISION:
PHONE:
/~ 7-8/~6
n..L~
STA~; ~
z'P:_97~77
'llvrc7P
DEMOLISH
OTHER
i
CONTRACTOR'S NAME
GENERAL: &~ ~.1
PLUMBING'
MECHANICAL:
ELECTRICAL:
-' .
ADDRESS
CONST.
CONTRACTOR'
"
QUAD AREA: _:;?:.~/VW
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
g
I
WATER HEATER:
- OFFICE USE _
LAND USE:
· OF UNITS:
CONSTR. TYPE:
~
EXPIRES
PHONE
HEAT SOURCE:
RANGE: _
FLOOD PLAIN:
ZONING CODE:
/-..7?7?
. OF BDRMS.
SECONDARY HEAT:
SOUARE FOOTAGE: _
To roquesl an Inspection, you musl call 726-3769. Thl~JE~a .'2!..h.our~ro.:ordlng:-AIi Inspections requested berore 7:00 a.m. will be
made the same working dny, Inspections r-cq~uestOd after 7;00 a.m. will bo made tho following worl< day.
o Tompornry Eloctrlc
o Slto Inspection - To be mado
after excavallon, but prior to
settIng forms.
o Underslab Plumbfn9/ Eleetriea"
Mochanlcal - Prior to cover.
1\71 Footing - Afler trenches are
L,LJ exca~ed. ~~ ~~
.?'> ~ ~,..---=~
o Masonry - Steel location, bond
beams, groullng,
o Foundation - Atter forms are
erected bul prior to concrete
placement.
o
Undorground Plumbing _
to f1l1lnQ trench.
Prior
o
Underlloor Plumblngl Mcchanlcai
- Prior 10 Insulation or decking.
o Post and Boam; - Prior to floor
Insulation or doc'dng.
o Floor Insulation - Prior to
decking.
o Snnltary Sewer - Prior 10 fillIng
trench.
o Storm Sewer - Prior 10 filling
trench.
o Walor Llno - Prior to filling
trench,
o Rough Plumbing - Prior 10
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - PrIor to
Cover.
0" Rough Electr~cal - Prior to
cover, ,
o
Electrical ServIce - Must be
approved to obtaIn permanont
electrical power,
o Flroplace - Prior to facing
materials and framing Insp,
o Fram.lng - Prior to cover.
o Wail/Coiling Insulation - Prior to
cover. .
o Drywall - Prior 10 taping.
o Wood Stovo - After Installallon,
o Insert - After fireplace approvlll
and fnstallatlon 01 unll. .
o
Curbcul & Approach - Atter
forms are erected bUI prIor 10
placemont of Concrulc.
o Sidewalk & Driveway - Aller
excavation Is compicte, forms
and sub-base material In place.
o
Fence - When com~leled.
o
Streel TreDs - When all required
trees are planted.
o Final Plumbing - Whon all
plumbing W9.rl< Is complet.c.
D Final Eloctrlcal - When all
electrIcal work Is complete,
o Final Mechanical - When all
mechanical work Is complete,
[KJ
Final BUilding - When all
required Inspections have been
approved and buildIng Is
comploted.
o Other
MOBILE HOME INSPECTIONS
o Blocking and SOI.Up - When alf
blockIng Is complete.
o Plumbing Connoctlons - When
home has been connected to
waler and sewer,
o
Electrlcal Connection _ When
blocking, set-up. and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Final - Alter alf required
Inspections are approved and
porchos, sklrllng, docks, and
ventlno havo been Installed.
_ THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this applicatlon must be signed
and approved by the Historical
Coordinator prior \0 permit issuance.
Lot faces Lot Type. Selbacks
Lol SQ. Ilg. Interior I P.L. HSE GAR ACC
IN
Lot coverage Corner
Is
Topography Panhandle
Iw
Total height Cul.de.sac
IE '. . I
BUILDING PERMIT
ITEM SQ. FT. X $/SO. FT. ~ VALUE
Main
Garage
Carporl
"
Y"~tL
/.t!)./~
YRS!$
Tolal Value
Building Permit Fee
-~~~
,..~
-?''/ ~
Slate Surcharge
Tolal Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Resld~ntlal Bath(s)
Sanitary Sewer
Water
N'
Storm Sewer
FT.
FT.
FT.
Mobile Home
Pfumblng Permit
Slate Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood StoveflnsertlFlroplace UnIt
Dryer Vent
Mechanical Perml t
Issuance
State Surcharge
Total Permit
(D)
MISCEllANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sidewalk
II
Curbcul
ft
Demollllon
Slate Surcharge
7~~7Y' ,/'ze-
Total Miscellaneous Permits (E)
52:>. ~
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
IJ:2.. r; ~
APPROVED.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condllion thai the said
conslructlon shall, In all respects, conform to the Ordinance
adopted by the Clly 01 Springflelcl, Including the
Development Code. regulating the cOQstruction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of saId ordinances,
P!an '~heck Fee: .-3-:?.. ~ '3
Date Pald:__?--h ~5
""'"' 'om"'...~g,c-;.
R~Y: u_._ .A>~_;oI'}!;,_
.~#'2..-__/ /.~ ~~~
-1'I~fi~v!owed By /'" ~
~-;;?:,,),.,9S-
Dale
Systems Development Charge Is due on all undeveloped
properties within tho Clly limits which arc being Improved,
ADDITIONAL COMMENTS
By signature, I slale and agree, thai I have carefully examined
the completed application and do hereby cerllfy thai all
Information horeon 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 01 Sprlnglleld, and the Laws
of the Stato of Oregon pertaining 10 the work described
heroin, and that NO OCCUPANCY will be made of any
structure without permission of the BuildIng Safely DivisIon.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on Ihls
project.
I further agree to ensure that all required Inspections are
requested at the proper time, that oach address Is readable
trom the street, that the permit card Is loented atlho front
of the property, and the approved set of plans will remaIn
on the S9t all times dU~9 construct1on.
Slgnatur . ,;;;~t /)a~
;-
Oat. q Z 1 c; ~
VALIDATION:
RECEIPT NUMBER .11/2f-.
DATE PAID jlJ -'j/V OF
AMOUNT RECEIVED-' ( .l'1~5:/_
RECEIVED BY _.. ~_