The URL can be used to link to this page

Home My WebLink AboutPermit Building 1995-8-4 I - RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 . LOCATION OF PROPOSED WORK: ~8 ~A/ ~ yo ASSESSORS MAP: &e-6<> -&l5'-~ OWNER." /. if ~~" q ~c.. '-<D~ ADDRESS' . ~ ~g,. ?~ y.--4"5:? -5~_ . ,... DESCRIBE WORK: &~.:&:t'~C.A'--')j'~-~E: ~_~ NEW - REMotl"Ef'.,I'7'7~1TI0N DEMO~ . OTHER ~ t ~ .;:t;:.:>-". \ ---.-- LOT' BLOCK: . JOB NUMBER -=9.S'/.:?~ 225 Fi rth St reet Springfield. Oregon 97477 . . TAX LOT: ~ '3 ~ do / SUBDIVISION: CITY' STATE" ~. PHON~' -"'/ y'~ -:/2? ~ /.Iy-~g3-~7' 1/,-c9;. . ZIP: "'7'> ,?,,:::>,g CONTRACTOR'S NAME GENERAL:~AY'~~ PLUMBING:- /~.......~~ MECHANICAl 'tf.t-~::?:. ELECTRICAL' /:y_JV~ , ADDRESS CONST. CONTRACTOR' EXPIRES -, PHONE QUAD AREA: . OF BLDGS:_. OCCY GROUP: . OF STORIES: WATER HEATER' - OFFICE USE - LAND USE: · OF UNITS- CONSTR. TYPE: HEAT SOURCE: RANG~' FLOOD PLAIN: ZONING CODE:_ . OF BDRMS' SECONDARY HEAT: SQUARE FOOTAG~: 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. REQUIRED INSPECTIONS D Temporary Electric D Site Inspection - To be mado after excavatlon, but prior to setting forms. D Underslab Plumblng/Electrlca" Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting, D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. D Underfloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - PrIor to decking, D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. D Water Line - Prior to filling trench. (KJ Rough Plumbing - Prior to . cover. rAl Rough Mechanical - PrIor to I,L.U cover. rn Rough Electrical - PrIor to cover. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ILJ Framing - Prior to c~ver. [2J Wail/Ceiling Insulation - Prior to cover. [)ZI Drywall - Prior to taping, D Wood Stove - After Installation. D Insert - After fireplace approval and Installation of unit. D Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After . excavation Is complete, forms and sub.base material in place. D Fence - When completed. D Street Trees - When all required trees are planted. 171 Final Plumbing - When all ~ plumbing w9rk Is complet.e. r;7I Final Electrical - When all W electrical work Is complete. rvJ Final Mechanical - When all 7'f-J mechanical work Is complete. ~ Final Building - When all ~ required Inspections have been approved and building is completed. DOther MOBilE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. .' D Plumbing Connections - When home has been connected to :.. water and sewer. D Electrical Connection - When blocking, set-up, and plumbing Inspections haVe been approved and the home Is connected to the service panel. D Final - After a/l required Inspections are approved and porches, skirting, decks, and venting have been Installed, Lot faces Lot 'sq, ltg, Lot coverage Topowaphy Total height " - Lot TYP. Interior Corner Panhandle Cul.de.sac , ".~ . ';~: :"j",~ \. "IS THE PROPOS'ED WORK IN THE. " "HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? " yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Setbacks 'HSE'GAR'ACcl I I P,L. IN Is Iw IE BUILDING PERMIT ITEM sa. FT, x $/sa. FT = VALUE /L -' ~ .t..:w-.__ ~ , ~.~ ~. ;.~ .B?~ SYSTEMS DEVELOPMENT CHARGE (SDC) #,/1. Main. .. ".,~ .........- , , Garage '-, "," . ' ...- ".,..-; Carp,?r,t:.."\ .. n. ......- ,....~:. '. . ~ ," Total Value (-~ Building Permit Fee Stale Surcharge Total Fee PLUMBING PERMIT tTEM Fixtures ~ Residential Bath(s) N' Sanitary Sewer FT Water FT. Storm Sewer FT, Mobile Home Plumbing Permit Stato Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' / Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit , " ..- -...' . -.., . - , " (C) '. (A) (B) FEE ""0. ..- '" ,~- ~- r ('2!'::.. .;;::::>Jt? "=3 2.l7t> /h/I/ /? ~ /O.~ ~y- .~ (D) --#-:2 e> MISCELLANEOUS PERMITS Mobile Home S,tate Issuance State Surcharge Sidewalk fl Curbcut fl Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE <excluding electrical) (A, B, C, 0, and E Combined) -/~/. /:?- J45..sr .-J APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said constructlon shall, In all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: 5"Z - "3 1 Date Paid: J? .""=s-9> Receipt Number' /~~~ Received By: / ff~ - Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved, ADDITIONAL COMMENTS "'i?.~:;z:> /0/.-.<: ~~.MC?' ~ ~ /7n' /;?{~ . By signature, I stato and agree, that J have carefully examined the completed application and do hereby certify that all Information hereon Is true and correct, and I further certify that any and all work perfom;ed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws 01 the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will 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. I further agree to ensure that all required inspections are requested at the proper time, that 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/:i~mes during constru(llr" A . / /J Signature ~ :PY7flU$'--I Date ~7'-/0~ VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED /% S-5'g g/#9,r ~--:s..--:~\~rj;. 'jlCl $~ ' RECEIVED BY