HomeMy WebLinkAboutPermit Building 1992-5-14
OWNER' $T~1=' ... t/i~"'-i~ NFl-SoN
ADDRESS: ? 2-0 e.O W~N ST.
CITY: _S.p.4i.M:>.Fi L"2..~. 6 /C. 0.1 LJ))
DESCRIBE WORK: _JZ... -.l~
NEW REMODEL ~ ADDITIO(J
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP' /763
LOT:
.
'l~tJ
34 22
BLOC""
STATE:
nt:.
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CON ST.
CONTRACTOR'
CONTRACTOR'S NAME ADDRESS
GENERAL: AJIJ ~o()h &vi7'.;j,. .sfJLrM.A ~
B G Er"L ,IJ JlilZyt;: ().'.II........._,/I.!. at. @'V~
PLUM IN : ._f7.!!:....__D~.__ - r:.. -,'HZ
-
MECHANICAl'
~. q-~~ g~'?A.).
ELECTRICAL: _ .' -~~
,
QUAD AREA 51{(\)(l./
. OF BLDGS: \
OCCY GROUP: _~ ~
. OF STorUES:
WATEn HEATER:
.9138''1
'. "-a~
~.:>:~,~ ~ ~
. GUe;. 979l}5
f:;foeJfl4
.
9206 <j '1
- OFFICE USE -
III/
. OF UNITS' \
CONSTR. TYPE:~)\J
LAND USE:
HEAT SOURCE:
RANGF'
JOB NUMBER
225 Fifth Streel
Springlleld, Oregon 97477
TAX LOT'
SUBDIVISION'
!5()Ci/?
PHONF'
7 L/7 - (,,/0 S7J
ZI P: II") 'I ") -,
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EXPIRES
'I.z.I-t(~
PHONE
'14/-l-ZL/'i
7:>.'i.'I- f.,9oZ,.
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FLq~D PLAIN:
ZONING CODE:
lJ. Xv
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.lll. will be
made the sarno working day. Inspections requested after 7:00 B.m. will be made the following work day.
I I Tcrnpormy Electric
D Sile Inspection - To be made
allcr cxca.viJlion, but prior 10
setting forms.
o
Underslab Plumbingl Electricall
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o
Masonry - Steel location, bond
beams, grouting.
o
Foundation - Aflcr forms are
erectetl but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
D Undertloor Plumbing/Mechanical
_ Prior to insulation or decking.
D Posl and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
deckl ng.
D Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to filling
trench.
D Water Line - Prior to filling
trench.
td Rough Plumbing - Prior 10
~over.
REQUIRED INSPECTIONS
K71" Rough Mechanical - Prior to
~ cover.
~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.
~ Wall/Ceiling Insulat'ion - Prior to
~ cover. .
~DrYWall - Prior to taping.
D Wood Stove - After Installation.
D Insert - After fireplace approval
and Inslallatlon of unit.
D
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
'excavation Is complete, (arms
and sub-base material in place.
D Fence - When completed.
o Street Trees - When all required
trees are planted. . ,
r\:?f Final Plumbing - When all
~ plumbing work is complete.
K/f Final Electrical - When all
~clcctrical work is complete.
KAFinal Mechanical - When all
~ mechanical work is complete.
t\:Ir Final Building - When all
~ required Inspections have been
approved and building is
completed.
DOtller
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.
o
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected 10
t he service panel.
o Final - Alte'r all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Lot (:lces
Lot sq. Ilg.
Lot coverage
Topouraphy
Total height
BUILDING PERMIT
ITEM
SQ. FT.
Main
Garage
Carport
Total Value
Building Permit Fee
Stale Surcharge
Totnl Fcc
Lot Type .
Interior
Corner
Panhandle
Cul.de-sac
X $/SQ. FT.
(A)
Setbacks
P.L. HSE GAR ACC
.' THE PROPOSED WORK IN THE
. .ISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
N
-----
S
.------
I[ yes, lhis application must be signed
and approved by the Historical
Coon!inator prior to pClfnil isslInnce.
E
W .
-----
APPROVED'
VALUE
~.rrE.
c::. 2..Ef>
3J 1$
~~.c>3
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) :~" \ }r,~_
PLUMBING PERMIT
ITEM
Fixtures
I
Rcsidcnllal Bath(s)
Sanitary' Sewer FT.
Waler FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
4-
N'
(C)
Dryer Vent
Wood StovellnsertlFireplace Unit
N'
J
Mechanical Parmi I
Issuance
State Surcharge
Total Permit
Mobile Home
MISCELLANEOUS PERMITS
(0)
State Issuance
State Surchargo
Sidewalk
It
Curbcut
It
Demolition
Slato Surchargo
Tolal Miscellaneous Permits (E)
FEE
--40~
"'2<;'"
42-~if)
M I.Y-,-
JS~O
/0.00
.7S"
2-5. 75
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
/33
3~
J-
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition thatlhc 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 violation of any provisions of said ordinances.
4).~~
_$/--g~/5 2-
Receipl Number: 4S-/2
Recei~~Y: ~">f"';. ,
-~ ~
PI:;:'~Aeviewed 8
Plan Check Fee:
Date Paid:
_2 i#> :>
T6'irc -
Systems Development Charge is due on all unclevelopcd
properties within the City Iirnil_s which are being improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the completed appllcalion and do hereby certify that aft
information 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. nnd tile Law~;
of the Slate or Olegon pertaining to the wOlk described
herein, and that NO OCCUPANCY will be Ill;lde of any
structure without per/niss.ion of the Building Safely Division.
I further certify 1I1at only contractors and employees wllo
are In compliance with ORS 701.055 will be used on this
projec t.
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 site at all r os ~onstrf}:-tion.
Xlgnaturc ~ ~ //IM~
, (
- / '-I - 'lz...
Dale
VALIDATION:
RECEIPT NUMBER
4&5~
Sh'-II q'd-
1~~.<,R
QB.
DATE PAir'
AMOUNT RECEIVEP
RECEIVED BY