HomeMy WebLinkAboutPermit Building 1993-7-13 (2)
RESIDENTIAL
PERMIT APPLICATION
Inspection~: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WQRK:
/~C;; 2-
ASSESSORS MAP'
LOT:
.
SPRINGFIELD
BLOCK'
OWNER: 7) /- Jl ~ ),01".-
ADDRESS ~~/ j./ /.A-,.t?A? ~/,rn.~)
CITY: ~J=-.wtC; (71 7.1f::.
DESCRiBE WORK:
5<~ /D<.
.
NEW ~ REMODEL
ADDITION
CONTRACTOR'S NAME .
..' t" .~
GENERAL: -1;) , .. ,=~. J.~'~
, /he rfiu ~.{"r
PLUMBING: -"7
MECHANICA' .
ELECTRICAl'
STATE: _~
dJPr-J::- _
DEMOLISH
OTHER
..
JOB NUMBER
9"2.~2..-
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION'
tPS'~ ~
PHONE:
he, 85"1 7;:;<1-
ZIP'
9'71'7J?
. CONST.
ADDRESS CQNTRACTOR ·
~ td~A'/.auzIld~:~ S-or;" 2-'7
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Electrical - prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
~ Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
co'/er.
o D."ywall - Prior to ~ap:ng.
o Wood Stove - After lns!ailation.
D Insert':"" After fireplace approval
ard installation of un!!.
D Curbcut &. Approach - Alter
, form:-> arc crcctlJd but prior to
pl8.CClllcnt of con~rete.
o Sidew~lll< & Drivcw.JY ,-. ^f~cr
E:l(cavalion is com~lel~, forms
ancl sub-!...asc lIln.terla: in pla:;e.
, .
LI
FerH.:e - ....'Vhen CfJmr.1e:t.'d.
- OFFICE USE -
EXPIRES PHONE
/1hr J' ~~g-I?5-1'
QUAD AREA' LAND USE: Iii} FLOOD PLAIN:
. OF BLDGS: . OF UNITS: ZONING CODE:
OCCY GROUP' CONSTR. TYPE: \ljJ . OF BDRMS:
# OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE: SQUARE FOOTAGE:
,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.
o Temporary Electric'
I 0 Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Und!?rslab Plumbing/ Electricall
Mechanical - Prior to cover.
~ Footing - After trenches are
~cxcavaled.
o Masonry - Steel location, bond
bearns, groutinu. .
o Foundation - After forms arc
erected but prior to concrete
placement.
o
Underground Plumbing""': Prior
to filling trench.
o
Underfloor Plumbing/Mechanical
_ Prior to insulation or decking.
o Post and Bc~m - Prior to floor
insulation or decking. . ~
o Floor Insulation - Prior'to
decking.' -:
o
Sanitary Sewer,- Prior to filling
trench.
o
Storm Sewer ~ ,Plior to lilling
trench.
o Water Line -:- Prior to fi!ling
trench.
o
Rough Plumbing - Prior to
cover.
o
SlrcJ:!t TrC'cs - V\'hun all rcq'Jired
tr'l\J$ am prnrtce.
o
Final Plumbing - When all
plumbing work Is complet.e.
o Final Electrical - When all
electrical work is complete.
o Final Mechanical - When all
mechanical work is complete.
f""i:7'f Final Building - When all
~required inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set-Up - When all
blocking Is complete.
o Plumbing Connections - When
- home has been connected to
water and sewer,
11 Electrical Connection - When
___J blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
o Final - After all requIred
inspections are approved and
pcrchcc, sldrting, decks, and
venttna Ilave been installed.
Lot faces
,.
Lot Type Setbacks
Interior I P.L. HSE GAR ACfJ
IN I
Corner !
Is I
Panhandle
I
W I
Cul-de.sac '. ~-~1
E
.
IS THE PROPOSED WORK IN THE
. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed I
and approved by' the Historical
Coordinator prior to permit issuance.
Lot sq. ftg.
Lot coverage
Topography
Total height
APPROVED:
BUILDING PERMIT
ITEM SQ. FT. X $/SQ. FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
1)f'c.-I<-
~~z,5""
5.t>P
-.&1'-'5
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the Ci ty of Springfield, including the
Development Code, regulating the construc.tion and use of
buildings, and may be sl!spe'nded or .revoked at any time
upon violation of any provisions of said ordinances.
, . J"7 2-3
Plan Check Fee: _ / .
Main
Garage
Carport
Date Paid:
Total Value
Building Permit Fee
?9-.,0J>
/10
-Z-CJ.-IO
Receipt Number'
Total Fee
(A)
R~ceived~
PI n Reviewed By
~~
State Surcharge
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due" on all undeveloped
propertiez within the City limits which are being improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Balh(s)
N'
Sani tary Sewer
FT.
FT.
Water
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify thaI all
Jnformation hereon 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 of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and t~at NO OCCUPANCY.will be made of any
structure without permission of the B.uilding Safety Division.
J further certify that only cornractors and employees who
arc in compliance with GRS 701.05:5 will be used on this
project.
Exhaust Hood
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I furtllCr agree to ensu~e that all re.quired inspectio,ns 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 prop~nd the approved set of plans will remain
I Date7//~9'3' - - .
/
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
ft
Demolition
State Surcharge
.~~/;:w
VAll DATION:
1"7,23
RECEIPT NUMBER
q~~r:..
"7/1'3/5- 3
--#~
, .
Total Miscellaneous Permits (E)
DATE PAIr>
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
-#-~
AMour,IT RECEIVED
RECEiVED BY