HomeMy WebLinkAboutPermit Building 1991-4-17 (2)
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
SPRINGFIELD
LQCATIQN .oF PRQPQSED WQRK: 43 L/?
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ASSESSQRS MAP:
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BLQCK-
.oWNER: l't, /A.V I {' s 1M m IS
, - sf-
ADDRESS: - .:ze;ZZ - At a / sr
CITY: SPft c!
DESCRIBE WQRK-
S.F.
2-e5-
NEW
v:
REMQDEL
STATE: -b!2.
ADDITIQN
DEMQLlSH
.oTHER
..
q lolZIt;
J.oB NUMBER
225 Fift~' Street
. Springfield, .oregon 97477
TAX LQT:
SUBDIVISIQN:
o /5}06
12.rlll .Q VI II..J?"md
PHQNE: -.:Lt./ fa - '-Izb_q
ZIP:
Q7t.f77
CQNST.
CQNTRACTQR'S .NAME ADDRESS CQNTRACTQR #
GENERA'- Oharles ffoJmp')~d, 2'5zz 1l/2,/sI- h3zlo1
PLUMBING:JJd~ Mr('~h(;iA LPful1/1,b/Y'1 7P1L.j ('~alildlev- L~S:3z-
MECHANICAL: HavV-fJ <-J~ Sm S',- Llro ir'S<' i\!\Oc/YJ <::"f'. 6!j(.??
ELECTRICAl: . t++ c: 7-:( e c~ -fr1 C-
QUAD AREA: ~~~ ./
. .oF BLDGS:-1
QCCY GRQUP: R~", ffi \
,\
. .oF STQRIES-
WATER HEATER:
o
--OFFICE USE-
\ \ \ \
# .oF UNITS- \
CQNSTR TYPE: Vt\)
HEAT SQURCE: ~ S
RANGE: 9/
LAND USE:
EXPIRES PHQNE
10 -12--1/ -71-/0 -LJ Zh'l
Cf -7/-1 i
7 -z,J. -97_
FLQQD PLAIN:
ZQNING CQDE: ~I~
# .oF BDRMS: ,I')..,
SECQNDARY HEAT:
SQUARE F.oQTAGE:1E)~n
To request an inspection, you must call 726-3769. This Is a 24 hour recording. Alllnspectlons requested before 7:00 a.m. will be
made the same workIng day. Inspections requested after 7:00 a.m. will b'l,made the following work day.
REQUIRED INSPECTIONS
o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
o Footing - Affer trenches are
excavated.
o Masonry - Steer locatfon, bond
beams, grouting.
~FOUndatiOn - Af'ter forms are
erected but prior to concrete
placef?1ent.
D Underground Plumbing - PrIor
to filling trench.
K::;(Underfloor Plumbing I Mechanical
~.- Prior to insulation or decking.
~ Post and Beam - Prior to, floor
~ Insulation or decking.
~ Floor Insulation - Prior. to
~decklng_ _
~ Sanitary Sewer - Prior to filling
~ trench.
~ Storm Sewer - Prior to filling
~ trench. r .
~ Water Line - Prior to filling'
~rench. '
"f':7( Rough .Plumbing ~ Prior to
~ cover.
I
g Rough Mechanical - Prior to
cover.
~ Rough Electrical - Prior to .'
~ cover.
~ Electrical Service - Must be
~approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
f!laterlals and framing Insp.
~Framing - Prior to cover.
~Wall/Celling Insulation - Prior to
cover.
J8:1 Drywall - Prior to taping.
o Wood Stove - After installatl~n.
o Insert - After fireplace approval
and installation of unit.
"fi2j Curbcut & Approach - After
~orms are erected but prior to
placement of concret~. "
r""i2T Sidewalk.& Driveway - After
~xcavatlon 15 complete, forms
and sub-base material in place.
D Fence':"'; ,When completed.
~treet.Trees ~ Whe'n ~II required"
~rees are planted.
. I'5<l Final Plumbing - When all
i~PIUmblng work Is complete.
l"";71 Final Electrical - When all
~electrical work is complete.
Fi2I Final Mechanical - V/hen all
~echanical work is complete.
~ Final Building - When all
~equired inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Sel.Up --_When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection -- When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
o Final - After all requlr,od
- inspections are approved and
'porches, skirting, decks, and
. venting have been installed.
Lot faces .w. Lot Type . Setbacks .THE'PRQPQS~D WQRK I~ THE
'74>~o I P,L. HSE GAR ACC I HISTQRICAL DISTRICT, ,.oR .oN
Lot sq, fig. Interior IN I THE HISTQRICAL REGISTER?
16.5~ Corner 11' If yes, this application must be signed
Lot coverage Is S' 5' I
ills,w, and approved by the Historical
Topography Panhandle \W I Coordinator prior to permit issuance.
Total height lL..:e ~ul.de.sac /B'
IE I APPRQVED:
BUILDING PERMIT
ITEM SQ. FT
X $/SQ. FT.
::3f1. 70
ILf.IO
Main
-fl.U-
4LJI
Garage
Carport
u,s ~~c)D (FbN)
Total Value
,:' , , ..,/-=-$0 L'1'oS"O
BUlldmg PermIt Fee ~. - WJ""
State Surcharge
Total Fee
(A)
~, VALUE
L/ 171 035~ qD
-1(J 7..1'1./0
I
~/79t(lO
- '5000.~
~,25fO'
, 'AJ9. KJ
/t).'1~
'22&j. 7~
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
226.31
PLUMBING PERMIT
ITEM'
Fixtures
Residential Bath(s)
N'
, :2,'
Sanitary Sewer FT.
Water FT
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
TOlal Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood \
Vent Fan '.
N' '2--
\lYood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D).
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk 4~, ft
'2.1 fI
Curbcut
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TQTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, ..~nd E Combined)
FEE
/60~
9S~
/6~~
_(;." 0
~.SO
-.:6.1>0
~"o
..J!l.~O
It? I/O
J-I6
~.
~o. 9&
, p$
-L,'1. .'
I~.~O
3/).~S
12 3581
w I
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT ,
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
buildings, and may be suspended or revoked at any time
,upon viola~ion of any prov.is.ions of said ordinances.
Plan Check Fee: /87. 5?~
:3 -:t-Ic ..q I
Recelpl Number. /Q/7. 72-
Rec7K5r;-5~ .
Plans Reviewed By . IV - - --
Date Paid:
_4 - 5'-'1 (
Date -
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
By signature, J state and agree, that I 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 \.'York performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to th.e 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 th approved set of pi s will remain
on the site , all ti e' dU"COnstru
~~.~~~/ -
Y'/117) c;(
'VALlDATIQN: C\i1LP
.RECEIPT NUMBER \ \'
DATE PAID' 4-, \ I ,G{ I _
AMQUNT RECEIVFn n ,l~::''').~..~
RECEIVED BY ('--:X un )
, .,