HomeMy WebLinkAboutPermit Building 1995-7-25
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Oltice: 726,3759
.
SPRINCFIELD
&t(p
LOCATION OF PROPOSED WORK:
ASSESSORS MAP: /7 CJ S 2 ?
LOT: --L.:J 03 2. J 'S'f(i:noo BLOCK:
l4 51... R",~w
3+
{).(',
~ d . /VI 1\\ ./
OWN ER' ~ -e ( 1\ e.
ADDRESS ~_._____.llf i~____I?::'\o~"':"W
CITY: <:;;fr.hr-- Q'<.U ______
Or~__
STATE:
<3'<2-
. JOB NUMBER 95/2. 2. 7
225 Flllh Slreet
Sprlnglleld, Oregon 97477
TAX LOT'
SUBDIVISION:
z...~ ;,2SZ.
,
C7l9 2. 0---..-;
. PHONE: 741-fR')f,
fVELJ
ZIP:
Q7'1771
("~+ Ii 6e".........
<.I"'.d<w
-e:-..s:..(<,,~ ~",-qL r ""J_-<.-t~.r
OTHER
DESCRIBE WORI,:
NEW REMODEL _L ADDITION
DEMOLISH
CONST.
CONTRACTOR'
40664
CONTRACTOR'S NAM^" \ I (I ItDDRESS/
GENERAL: _C..) ,\ \ <t.,,^-ILit::'''l<'\ \ ~y L<=>--<; +-
PLUMBING: ---e-
..,.e-
MECHANICAl'
ELECTRICAL:
-e-
EX~RES PHONE
If''2<-hb ;,I.{.J- )-Z,GG
QUAD AREA:
. OF BLDGS:
OCCY GROUP: __
. OF STORIES: ___
WATER HEATER: _.
- OFFICE USE -
LAND USE:
. OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANGF.:__
FLOOD PLAIN:
ZONING CODE:_
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE: ___
To request an Inspection, you muSI call 726,3769. This Is a 24 hour recording. All Inspections requested belore 7:00 a.m. will be
malje the same working day, Inspoctions requested otter 7;00 a.m. will be ma~e tho rollowlng work day.
D Tompornry Eloctrlc
D Slto Inspection - To be mado
after excavatlon, but prior to
settIng forms.
D Underslab Plumbing/Electrical I
Mechanical - PrIor to cover.
~Footlng - After trenches are
~xcavated.
D Masonry - Steel location, bond
beams, grouting.
D Foundation - Atter forms are
erected but prior to concrete
placemont.
D Underground Pl~lrllbing - Prior
to fllllnQ trench.
D Underlloor Plumbing! Mechanical
- Prior to Insulation or decking.
D Post and Bca~ - Prior to floor
Insulation or docl<lng.
O Floor Insulation - Prior to
decking. ,
D Sanltpry Sewer - Prior to filling
trench.
D Storm Sewer - Prior to lifllng
trench.
D Water Line - Prior to filling
trench.
D Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
D Rough Electr~cal - Prior to
cover. I
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and Iramlng Insp.
~Fram.lng - Prior to Cover.
D Wail/Ceiling Insulallon - Prior to
cover.
D Drywall - Prior to taping.
D Wood Stovo - After InstallatIon.
D Insert - After fireplace approv~1
and Installation of unll. .
D Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
D Sidewalk & Driveway - Afler
excavation Is compiete, forms
and sub,base material In place.
D Fence - When completed.
D Slroel Troos - When all required
trees are planted.
D Final ptumblng - When all
plumbing worl< Is complete.
D Final Electrical - When all
electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
5<1 Final Building - When all
~requlred Inspections have been
approved and building Is
completed.
D Othor
MOBILE HOME INSPECTIONS
D Blocking and Sel'Up - When all
blocking Is complete.
D Plumbing Connoctlons - When
homo has been connected 10
water and sewer,
D Electrical Connoction - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
D Final - Alter all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
1'.'
Panhandle
Setbacks
PL, I HSE GAR
N I
I S I I I I
Iw I I I I
lLLLl-.J
Accl
I
~S THE PROPOSED WORK IN THE
. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, Ihls application must be signed
and approved by Ihe Historical
Coordinator prlor to permit Issuance,
LOI faces
LOI TYPO.
Interior
Lot sQ. fig.
Lol coverage
Topography
Total height
Corner
Cul'de.sac
APPROVED: .
BUILDING PERMIT
ITEM SO. FT.:
c,~~ bJ
/2./'t-r) PtJ
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express cor1dllion Ihat tho said
construction shull, in all respects, conform 10 1t1e Ordinance
adopted by the City of Springfield, including ,the
Development Code, regulating tho construction and use of
buildings, and may be suspended or revol<cd at any time
upon violation of any provisions of said ordinances.
X $/SO. FT. = VALUE
Main
Garage
Carport
"
Plan Check Fee:
Total Value
Dale Paid:
...__ "__'_n..._. _.___._.____._.
Building Permil Fee
Slale Surcharge / f'"J + . G. 2-
Tolal Fee (A)
:;2.D, :)-0
/.~r
2. 2/ r
Recelpl Numbel:.___. ___.
Received By:
Plans Revlewed'"By".'---'---
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmenl Charge Is due on all undoveloped
properties within 1110 City limits whicl, are baing improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Resldenllal Balh(s) N'
Sanllary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
TOlal Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
By slgnalure, Istate and agree. Ihatl have carefully examined
the completed application and do hereby eartHy that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be dona in accordance
with the Ordlnancus of Ihe Clly 01 Springfield, and Ihe Laws
of the Stato of Oregon pertaIning 10 the work described
herein, and thai NO OCCUPANCY will be mado 01 any
structure without permission of the Building Safety Olvlslon.
I further certify that only contractors and employees Who
are In compliance with OAS 701.055 will bo used on this
prolec!.
Wood Stove/lnserllFlroplace Unit
Dryer Vent
Mechanical Permit
Issuance
Slate Surcharge
(D)
I furlher agrae to ensuro that all required Inspections are
requested at the proper time, that oach address Is readable
from the street, that Ihe permit card Is located at the fronl
of the proparly, and Iho approved s~~~:'I~~~~ will ramaln
X the slle al a limes durin c?~
Signature
Total Permit
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Slale Surcharge
Sidewalk
fI
Date
7/-u;6 ~
Curbcul
It
Demolition
State Surcharge
JJ~~/er..J
VALIDATION:
/~}3
/~-f?t?-,
"7.h r/7...r
~ 5-~~
AMOUNT RECEIVED ____ ~
_1,,2l':z:t"'--"--'1.
/,....,e...___.:__.__..__... .
DATE PAID ___
RECEIPT NUMBER
Total Miscellaneous Permlls
(E)
TOTAL AMOUNT DUE (excluding eleclrlcal)
(A, B, C, 0, and E Combined)
_'3..S:~~
RECEIVED BY