HomeMy WebLinkAboutPermit Building 1992-8-12 (2)
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOT:
SPRINGFIELD
BLOCK'
\
\
STATE: (Vj~
. - ~~\JU1WL
DEMOLISH ~ GC\I!u..\,
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'150 N ST.
~::::::T~~_~I w%S. PDBl-5iI3~~RA~'~~lD \\~g~~ 4i5~W_
PLUMBING: ___ -.---- X-----~--.-..-,
OWNER: _~_ '~- C:L
ADDRESS: ~.B q "-
CITY: J ') i~
1\
DESCRIBE WORK:~
NEW X REMODEL
,
.l.)Jtu r*' )
ADDITION
MECHANICAl'
ELECTRICAL-
QUAD AREA: n\> ~1\ ../
. OF BLOGS: _ _t____
OCCY GnOup:_
. OF STORIES:
WATER HEATER:
~
- OFFICE VSE -
LAND USE: \ \ \ \
. OF UNITS: __,_
CONSTR_ TYPE: ___
HEAT SOURCE:
RANG~'
"
..
JOB NUMBER
qQ In~3
"
"
"
SUBDIVISION'
PHONE:
I 0 ~0 - (orr::i~
ZIP'
FLOOD PLAIf::.: 1
ZONING co~~1 XlV
. OF BORMS'
SECONDARY HEAT:
SQUARE FOOTAGE:
I 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
rnaclc the same working clay, inspcctlt)ns requested after 7;00 a.m. will be made the following work day.
o Temporary Electric
o
Site Inspection - To be made
after cxcavntion, but priol 10
setting forms.
"lV1 Underslatt:lum~I,I1'J)1 Electricall
~ Mechanical - Prior to cover.
~ Fooling - After trenches arc
~ excavated.
-rY'f Masonry - Sleel location, bond
~beams, grouting.
o Foundation - After forms arc
erectecl but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
o
Underlloor Plumblngl Mechanical
_ Prior to insulation or decking.
o
Post and Beam - Prior to floor
Insulation or decking.
o
Floor Insulation - Prior to
decking.
i"'v1' Sanitary Sewer - Prior to filling
~trcncll.
o Storm Sewer - Prior to filling
trench.
r-~ Water Line - Prior to filling
trench. .
""R7f Rough Plumbing - Prior to
~ cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
~A'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.
,BI:raming - Prior to cover.
'l:71"Wa(fi,Cclllng)lnsulntion - Prior to
~cover.
o Drywall - Prior to taping,
o Wood Slove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms arc erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place.
o Fence - When completed.
o Streot Troes - When all required
trees are planted.
;;;::7f Final Plumbing - When all
~ plumbing worl< Is complet.e.
~ Final Electrical - When all
electrical work is complete.
o Final Mechanical - When all
mechanical work Is complete.
~ 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 ~s 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 required
inspectlons are approved and
porches, skirtIng, decks, and
venting have been Installed.
'!
(
Lot faqes Lot TYP'" Setbacks et:HE PROPOSED WORK IN THE
Lot sq, ltg, Interior I P.L. HSE GAR ACC I ,,,TORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Lot coverage Corner I r yes, this application must be signed
I Is and approved by tile Historical
, ~ Panhandle
Topography Iw Coordinator prior to permit Issuance.
Total height Cul.de.sac ~-==
APPROVED'
BUILDING PERMIT
~~T'
Garage
X $ISQ, FT.
VALUE
f!),cMD.
r
Carport
Total Value
//fo.~O
.
5.B3
L~2..J2,
SYSTEMS DEVELOPMENT CHARGE (SDC)
-WA-
Building Permit Fee
State Surcharge
Total Fec
(A)
(B)
PLUMBING PERMIT
ITEM
Fixtures / n
FEE
I/) tJ. tHJ
Residential Balh(s)
N'
Sanitary Sewer
FT,
FT,
___...z.s.~
Wator
Storm Sewer
FT,
Mobile Home
Plumbing Permit
I? c..~
~~-:
_L3 / .2~
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolitlon
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical) :;?-=; ~. ~6
(A, B, C, 0, and E Combined)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that Ihe said
construction shall, in all respects, conform to the Ordinance
adopted by the Cily 01 Springfield, Including Ihc
Development Code, regulallng the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any prOVisions of said ordinances.
Plan Clleck Fee: --!1-!L?~ ~
Date Paid: li.~ Gf
5lo ~()
Receipt Number:
S,.1'dL22.
Dafe
Systems Development Charge is due on all undeveloped
properties wilhin the Cily limits which are being improved.
ADDITIONAL COMME~TS
r,vdiw~.f\o\-
~lUJ~O
~ ~-
.60~A~"
llo.L-\J.Y1 UO~
J3L&:.:fALt!d._/l.Li:lt# /T / S
_A'.8t9.1/./Llt31'
By signature, I slale and agree, Ihall have carefully examined
the completed application and do hereby certify IImt all
information hereon is true and correct, and I further certify
t11at any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield. and the Laws
of the Slale of Orogon perlaining 10 the wOII( described
herein, and tllal NO OCCUPANCY will 'be made of any
slrllcllHc without pCfmi:ision of the Building Safely Division.
I further certify 1I1at only contractors and employees who
are In compliance with CRS 701.055 will be used 011 Ihis
project.
I furlher agree to ensure that all required inspections are
requesled althe proper time, ttlat each address Is readable
from the street, that tile permit card Is located at the front
of tho property, and tile approved set of plans will remain
,In the site at all tunes during co uclion.
~gnaI0~
Datn B-/Z-CJZ-
VALIDATION:
RECEIPT NUMBEH -S-R.<'<:;;
DATE PAID 5ii-/7 .q ::2
AMOUNT RECEIVED -:z 5::>. .s '8
RECEIVED By-4~