HomeMy WebLinkAboutPermit Building 1991-8-19
RESIDENTIAL
PERMIT APPLICATION
..
SPRINGFIELD
,
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK: . M I 7 Q ,J I........ (,J" ']
ASSESSORS MAP'
LOT'
33
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c;).'99J..
BLOCK'
OWNER'
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DESCRIBE WORK' S ''''j I,
NEW Y REMODEL
ADDRESS:
CITY'
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STATF'
6
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JOB NU'MBER
1/D02'7
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ADDITION
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225 Fifth Street
Springfield, Oregon 97477
TAX LOT'
SUBD'IVISION: /?""....b,...; (d..vJ II J J,k.-.. \
PHON~' '/-,{S-.J17 (~
ZIP' fJ V () I
CONTRACTOR'S NAME
GENERAl' h.lu"", (]. ~J-
PLUMBING: C..r/"... ?I.....J.;...,
J
MECHANICAI.I?"/~T Ii il;~.
ELECTRICAL: j)., :r-J E r... t..~.
CONST.
ADDRESS CONTRACTOR #
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.Jf~j f'1,.f.Lr"b~ ~~,,_< 3"y~~
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K,.vI..u~ ~. Eo" Y 7 'fl)1
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~r7<l e ,<1'* C "'J -..;J O.J VcJ
7..1/, ~ ?Iv ~ct.I2rl (/~
EXPIRES PHONE
'In <IdS.f17 i.
~/';L 1../ t :>// V' {~
..zt 9:1- 7V/-O<!1<lL
zlv- ~YL '('k~2.
QUAD AREA: _J R IlJ IA J
I
OCCY GROUP: ~=3, ~ /Ill
I
(;
# OF BLDGS:
# OF STORIES:
WATER HEATER:
DEMOLISH
OTHER
FLOOD PLAIN'
ZONING CODE:
L[')fZ
~
ClU/7 V
.'?s< cf3~ 01
~ 'D~r
- OFFICE USE -
LAND USE:
1//1
I
\/ III
-F~
# OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE: A \ r)~
To request an Inspection, you must call 726-3769. ThIs 15 a 24 hour recording. All Inspections requested before 7:00 8.m. will be
made the same working day, Inspections requested after 7:00 a.m. will be made the following work day.
0' Temporary Electric
~
"
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
~ooting - After trenches are
l2::::J ~xcavated.
o Masonry - Steel locatlon, bond
beams, grouting.
~Foundation - After forms are
~ ~rected but prior to concrete
placement.
,
~ Underground Plumbing - Prior
to filling trench,
If''2( Underfloor Plumbing/ Mechanical
JL.J' _ Prior to Insulation or decking.
~Post and Beam - Prior to floor
LCJ insulation or decking.
r:::::;:::( Floor Insulation - Prior to
J?::! decking.
t5ti Sanitary Sewer - Prior to filling
)L-J trench.
r"""Vl"Storm Sewer - Prior to filling
LLJ trench.
181 Water Line - Prior to filling
trench.
lZ3 Rough Plumbing - Prior to
cover.
# OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANG~'
REQUIRED INSPECTIONS
f'::/f". Rough Mechanical - Prior to
lAJ cover.
~RoU9h Electrical - Prior to
~ ~over.
c7f'" Electrical Service - Must be
L2SJ approved to obtain permanent
electrical power.
I ~~ Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
r9'f Wall/Ceiling Insulation - Prior to
JL.2::J cover.
o Drywall - Prior to taping.
o Wood Stove - After installation."
o Insert - After fireplace approval
and Installation of unit.
D Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place.
D Fence -'When completed.
~ Street Trees - Whe"n 'all required
trees "are planted.
.0 Final Plumbing - When all
plumbing work Is complete.
o Final Electrical - When all
electrical work Is complete.
R:/t Final Mechanical - When all
~ mechanical work Is complete.
fVr Final Building - When all
~ required Inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blockfng and Set.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 plumbln9
inspections have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections" are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces L Lot Type" Setbacks "E PROPOSED WORK IN THE
Lot sq. ftg. 'f 1~J...'i X Interior I P.L. HSE GAR ACC I HISTORICAL DISTRICT. OR 0
IN r/ I THE HISTORICAL REG 1ST ?
Lot coverage .30 Corner Is ~31 I oe signed
and approved by Historical
Topography Panhandle Iw /'1' 1/'1' I Coordinator prior to permit issuance.
IT
Total height Cul-de-sac IE ,/:/ I I
APPROVED:
BUILDING PERMIT
\1\1
L\ LD2.
X $/SO, FT.
3r.70
/4./0
ITEM
Main
Garage
Carport
VALUE
6" ~ /6"1'10
t::/ t;7IQ.2c
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 violation of any provisions of said ordinances.
:;< '5;( .7 ()
Plan Check Fee'
Ldl /2..\ fJ- 7"1,67f-/e Date Paid:
Total Value
-3?f) .W Recel pt Number'
Building Permit Fee
~.-J.. ltu.SS Received By:
State Surcharge /)o.-\~'1 P53 .'65
Total Fee (A) Plans Reviewed By Date
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
It! ;((J, 1'7
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
;<,
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
~"~!~ffuJ I'S~
State Surcharge
\
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
'f
\
\
Wood Stovenns.ert/~l.replace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
~atLrc~a~",o .(f)gj6)
Tot:, ~lIa;eous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. D, and E Combined)
FEE
Ito, r!JO
/bl!), CJO
~.&O
/6 r, Jt)()
4,>0
12.60
/ '7. 190
:3 .60
'3 If .?CJ
It:), CJO
2.?.3
1'(;.73
~cV
-
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
/~
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon Is true and correct, and 1 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 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 inspectlons 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 th{Si at all times during construction.
Signa po
,
Date ~.
\
VALIDATION: ^ ~A /\
RECEIPT NUMB=~ ~. ()I ~
DATE PAID R. .: q~
-')' -,-
AMOUNT RECEIV ~
RECEIVED BY ~J )1A