HomeMy WebLinkAboutPermit Building 1994-8-29
RESIDENTIAL
PERMIT APPLICATION
Inspecllons:726.3769
Office: 726.3759
..
SPRINGFIELD
LOCATION OF PROPOSED WORK: /~~
ASSESSORS MAP: /?--~?- <:>t::: - C/ /'
??,err~ Z;6~~
, ~ A-/h 4:-
"5i:~/?
LOT:
OWNER'
ADORES""
CITY:
DESCRIBE WORK'
/~n9.?("
- ,
NEW
REMODEL
BLOCK'
.
,..
JOB NUMBER c:97'" /S 0/
225 Firth Street
Springfield, Oregon 97477
-;;;?-
TAX LOT'
SUBDIVISION'
09.<~
PHON'" '"7 y~- 2h "9 V
STATE:
~7? ZIP: ~?"":>
r
~~ t.'. 7Z:> ~'J/~ 7l~~ r" <<I":-<:--;;~/Co? <..
ADDITION
DEMOLISH
OTHER
CONST.
CONTRACTO;'S NAME..? gm ~~;!'A"'.r#ONTRACTOR' EXPIRES PHONE
GENERAL:,L,~Y ,~~/" . ,....,.-.&r'7-~r 6"o/'V~ ~-7e;;- ? ~?<:::)/7'"
PLUMBING'
MECHANICAl'
ELECTRICAL:~ .-:fA".?"" ~ ~_
QUAD AREA-
. OF BLDGS'
OCCY GROUP'
. OF STORIES'
WATER HEATER'
,
~/~5. 'C~@
b~ .0 .:"'f:-f~':: ~.~ 022 0;-0
, r r
- OFFICE USE -
LAND USE:
· OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGF'
//-/",~y <?~-<;:>/
FLOOO PLAIN:
ZONING CODE:_
. OF BORMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspection, you must call 726-3769, This Is a 24 hour recording. All Inspections requested belore 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.
D Temporary Electric
D Slto Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumblng/Electrlcal1
Mechanical - Prior to cover,
D Footing - After trenches are
excavated.
D Masonry - Steel location, bond
,beams. grouting.
D Foundation - After forms are
erected but prior to concrete
placement.
D Underground Plumbing - Prior
to filling trench.
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking.
D Sanitary Sewar - Prior 10 filling
trench.
D Storm Sewer - Prior to filling
trench.
D Water L1na - Prior to fllJlng
trench.
D Rough PlumbIng - Prior to
cover.
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
l:2t::':ough Electrical - Prior to
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D Flreplaca - Prior to facing
materials and framing Insp.
[d-Framlng - Prior. to cover.
D Wail/Ceiling Insulation - Prior to
cover.
~ Drywall - Prior to taping.
D Wood Stove - After Installation.
D Insert - After fireplace approval
and Installation of unit,
D Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
D Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
D Fence - When completed.
D Street Trees - When all required
trees are planted.
D Final Plumbing - When all
plumbing w9rk Is complet.e.
[2t!!nal Eleclrlcal - When all
electrical work Is complete. C
D Final MechanIcal - When all
mechanical work Is complete.
c::t::lnal Building - When all
required Inspections have been
approvad and building Is
complated,
DOlher
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - Whep all
blocking Is complete.
D Plumbing Connections - When
home has been connected to
water and sewer.
D Electrical Connection - When
blocking, set-up, and plulT,lblng
Inspections have been approved
and the home Is connected to
the service panel.
D Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
-
.~{ . ' .~ .
Lot ~ype e. .. ,
Lot faces
Lot sq. ltg, Interior I PL.
IN
Lot coverage Corner
Is
Topography Panhandle
Iw
Total tjelght Cul.de.sac
IE"
BUILDING PERMIT
ITEM SO. FT, X $/SO. FT. ~ VALUE
Main
Ga<age
Carport
;i~ ,;rG~~?
Total Value
Building Permit Fee
State Surcharge
Total Fee
PLUMBING PERMIT
ITEM
Flx~ures
Residential Bath(s) N'
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
Stat~ Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsertl Fireplace Unit
Dryer Vent
Mechanical Perml t
Issuahce
State'Surcharge
Total Permit
"
~
~
(A)
(B)
FEE
(C)
(0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
It
Curbcut
Oemolltlon
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
. ,:" oj : ;~, ~;' i~'. \~:;: ~ f
. ~ THE PROPOSEO WORK tN THE _
....HiSTORiCAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
. Coordinator prior to permit issuance.
Setbacks .
HSE GAR Accl
I
I
APPROVED'
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.
Plan Check Fee'
Date Paid:
Recel pI Number'
Received By:
Plans Reviewed By
Oate
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
By slgnature,l state and agree, that I have carefully examined
the completed application and do hereby certify that all
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, 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 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 times during construction.
Signature ,/jp~ J ~
57-:;"'S"-91./
Oate
VALIDATION:
RECEIPT NUMBER /(,/'71"7 ~
DATE PAir' R-2~ '<9'1'
AMOUNT RECEIVED "<<./S
RECEIVEO BY
.---? -,.., -' -
r-~.. '~.~_
-//