HomeMy WebLinkAboutPermit Miscellaneous 1998-6-8
OWNER: {',:JJ&J (f' lrlJ,-Io YJ PHONF'
ADDRESS:' :J ~~~;/?l(nnr.
CITY: ~t' 'J d, ~ ~ ?jJ/'7 STATE:---LJ2-
II /
DESCRIBE WORK '-~'\~(l^"1 ~LtW~ ItPt11 A r
NEW REMODEL ADDITI~ OEMOLlSH OTHER
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726-3759
ASSESSORS MAP:
LOT:
.
SPRINGFIELD
.
JOB NUMBER
5J:<B ~~~/
2r,:"
BLOCK:
225 Fi flh Street
Springfield, Oregon 97477
TAX LOT: /? '? /rj")
SUBDIVISION:
ZIP: 97V??
CONST.
CONTRACTOR'
CONTRACTAR'S~AME, ADORESS
GENERAL:ll(lIr1h~W OO{\tjJ ~q~cl.fL~
PLUMBING:
MECHANICAl'
ELECTRICAl'
I Lj Ll (a{"
91W~ ~ 6JJ~7~d1.
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 must call 726,3769, Tllis is a 24 hour recording, All Inspections requested belore 7:00 a,m, WIII.bj!l.l<.
made the same working day, Inspecllons roquested arler 7'00 a,m, will be ma.de tho rOII~t;e.~Ork day, P.E It il-lE INU
REQUIRED INSPECTIONS ~O I'EP.Mli S\'I{>'LLE~~\S I'EP.Mli IS NOi
o Rough Mechanical - Prior to i~~Fi~:"r<n'I.lW.!ilEf\_'yyIHlt\N.\IlD tOp.
Cover, ,~~~\G'j'\~IA~I?'tllrC.'
~MENCEO 0
FI cliliSlP-' When all
ei~t~1 worl( is complete.
o Temporary Electric
o Site Inspection - To be made
after excavatIon, but prior to
setting forms.
o Underslab Plumbing/Electrical!
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting. .
o Foundation - After forms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench,
o
Underlloor Plumbing/Mechanical
- Prior to Insulation or deckIng,
o
Post and Boam - Prior to troor
Insulation or deckIng,
o
Floor Insulation - Prior to
deckIng.
M Sanitary Sewer - Prior to filling
F trench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to' filling
trench.
o Rough Plumbing - Prior 10
cover, .
o Rough Electrical - Prior to
cover.
o Electrical Servlcc - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to COver,
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Slovc - After Instal/allan.
o Insert - After fireplace approved
and Installation of unit.
o
Curbcut & Approach - After
forms are erected blll prior to
placement of concr~tc. .
o Sidewalk & Drivcw3V - After
excavation is compicte, forms
and sub.base malerlal In place.
o Fence - When completed.
o Slreot Treos - Whon all required
trees are planted. .
o Final Mechanical - When all
mechanical worl< Is complete.
o Final Building - When all
required Inspections have been
approved and building 15
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connecled to
water and sewer.
o
Electrical Connection - When
blocking, set-up, and plumbIng
Inspections llave been approved
and tIle home is connected to
the servIce panel.
o
Final - After all required
Inspections arc approved and
porches, sldrtlng, decl<s, and
venting have been Inslalled.
,
. " , ,
lol Type Setbacks
Interior I PoL. HSE GAR ACC I
IN I
Corner
Is I
Panhandle
Iw I
Cul.do.sac
IE ,I
.
Lot facos
,
eoi sq, fig,
'.
IS THE PROPOSED WORK iN THE
'..'HiSTORiCAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, Ihis application must be signed
and approved by the Historlcai
Coordinator prior to permit issuance.
LOI coverage
Topography
Total height
'.
APPROVED:
,
BUILDING PERMIT
ITEM SO, FT, X $/SO, FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permi! is granted on the express condItion that the said
construction shall, in all respects, conform 10 the OrdInance
adopted by the City 01 Springfleid, Inciudlng 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.
Main
Carpon
Plan Check Fee:
Date Paid:
Tolai Value
Receipt Number:
Building Permi I Fec
Slate Surcharge
Received By:
Tolal Fcc
(A)
- -.-
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties withIn tho' City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
FIxtures
Resldentlai Balh(s) N"
Sanitary S~wcr FT. 5"",0
Water FT,
Storm Sewer FT,
Moblie Home
25,/~
, "
2-5~
2.~
"/- 7~
-,
Plumbing Permit
. . ;'1 ... '
'State:Surcharge 1,2~ -t.?)-
'. I ~
Tolal Cllarge '. (C).
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By signature, I stale and agree, that I have carofully examined
the completed applIcation and do hereby certHy that all
Information hereon Is true and correct, and J 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 Stale of Oregon perlalnlng to the work described
herein. and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certlfy thai only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
.
Exhaust Hood
Wood Stove/Insert/Fireplace Unit
Dryer Vent
MechanIcal Permit
Issuance
Stale Surcharge
Total Permll
(0)
I further agree to ensuro thaI all required Inspections are
qJquested 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 ap oved set 0 plan main
on the site at all times ring cons uct
~ature I'"
>f t, rP-: r ,p-
MISCELLANEOUS PERMITS
Mobile Home
. State Issuance
Stato Surcharge
Sidewalk
It
Datf'
Curbcut
It
Domolltlon
Slat? Surcharge
VALIDATION:
Total Miscellaneous Permits (E)
RECEIPT NUMBER
OATE PAl"
3D2./7
7/~~
--d~
. -
TOTAL AMOUNT DUE (excluding electrical)
lA, B, C, D, and E Combined)
,Zj.MJ
AMOUNT RECEiVED
RECEIVED BY
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