HomeMy WebLinkAboutPermit Building 1993-3-24
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RESIDENTIAL '
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
013
LOT:
OWNER:
ADDRESS:
CITY: jJ~Cu::J~
DESCRIClE WORK:
NEW V
SF/!)
REMODEL
CONTRACTOR'S NAME
GENERAL:
HE and i Const.,Inc,
PLUMBING: ~
MECHANICAL: J
ELECTRICAL: J
I
I
!
- i
QUAD AREA: ~
, I
/I OF BLDGS: J
OCCY GROUP: J
Lynns Electric
Don Lewis Plumbing
Marshalls Oil & Ins.
/I OF STORIES:;
WATER HEATE9
Brooks Excavation
,'--
~ /fD 7
BLOCK:
STATE:
(J)/L,
ADDITION
DEMOLISH
OTHER
c71iA-L' d~/7 ~
JOB NUMBER _CZ~3;) ~\
-----...
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION://~~ .;LJ~
PHONE:
70?(;,-3898
ZIP:
97f/55'
ADDRESS
, CONST.
CONTRACTOR /I
84959 Parkway 71158
Pleasant Hill, Or 97455
P.O. BOX A 23101
Fall Creek 97438 '
500 Greenfield 33076
Eugene, Or 97404
4131"E"St. 25790
Springfield, Or 97478
27661 Cn)w F.:d
Eugene, Or '37402
~_.- ----...
55921
03/93 345-7564 I
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To request an inspection, you must call 726.3769, This is a 24 hour'recording, All inspectior1s requested before 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.
o Temporary Electric
o
Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab Plumbing! Electrical!
Mechanical - Prior to cover,
I5lJ Footing ~ After trenches are
excavated. ,
o Masonry - Steel location, bond
beams, grouting.
'-;;.JFoundation - After forms are
'4;t:f erected but prior to concrete
placement.
o
DQ
~
Underground Plumbing - Prior
to filling trench.
Underfloor Plumbing! Mechanical
- Prior to insulation or decking,
Post and Beam - Prior to floor
insulation or decking.
ttJ' Floor Insulation - Prior to
decki ng.
r"iliSanitary Sewer - Prior to filling
Lf-J trench.
1\(-1 Storm Sewer - ,Prior to filling
'P trench.' " ~
t
r7f,Water Line - Prior to fiiling'
~ trench. , .
M ROU~h PIUmbi'~9 - P.rior to
~cover '
REQUIRED INSPECTIONS
d Rough Mechanical- Prior to
~ cover
,g) Rough Electrical - Prior to
cover J)
~ Electrical Service -. Must be
~ approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp,
~Framing - Prior to cov~r,
\ ~
~ Wall/Ceiling Insulation - Pr,ior to
cover
cztDrYWall - Prior to ,taping.,
D' Wood Stove - After ir.stallation,
o Insert - After fireplace approval
and installation of IJnit.
~Curbcut & Approach -After
forms 'are erected but prior to
placement of ,concrete.
1ZI Sidewalk & Driveway - After
excavation is complete, forms
and sub.base material in place,
D. Fence - When completed,
i \JI Street Trees .--: When all required
~rees are planted.
~
Final Plumbing - When all
plumbing work is complete.
~ Final Electrical - When all
- electrical work is complete.
r'71 Final Mechanical - When all
~ mechanical work is complete.
~inal Building - When all
L.,.LJ required inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o 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 to
the service panel.
o Final - After all required
inspections are approved and
porchps, skirting, decks, and
venting have been installed.
Lot faces
Lot Type
lot sc;. ftg,
Interior
Lot coverage
Corner
Topography
Panhandle
-1Lo .8'
Cul-de-sac
Total height
BUILDING PERMIT
ITEM
SQ, FT.
j421d-
4t1
X $/SQ, FT
Main
Garage'
Carport
Total Value ,
Building Permit Fee
State Surcharge
Total Fee
(A)
Setbacks
P,L. 'JjSE !Q.~BJ ACC I
N
'-', THE PROPOSED WORK IN THE
;STORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
S
W
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SYSTEMS DEVELOPMENT CHAROE (SDC)
. (B) II 1<6 ~D 03:-
PLUMBING PERMIT
ITEM
Fixtures
j
Residential Bc::th(s)
NO cb-..
Sanitart Sewer
FT
Water
FT.
~
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Totai Charge
(C)
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
3
Vent Fan
NO
Wood StoveJlnsertlFireplace Unit
Dryer Vent
Mechanical Permit'
Issuance
State Surcharge
Total Permit
(D)
MISCELLAN,E~:()US PERMITS
~
Mobile Home
State Issuance
FEE'
JlrD~
{W.O!
P3.c:D
,lIaR .CO
l.o :CD
4- ' :)J----
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s. _
':-J .au
6T)-'SC?
IQ.~_.
J. <6 (7-,
~,3D
State Surcharge \C\~
Sidewalk roO ft
Curbcut 2i) ft - \4.:0_
'r
Demolition
State Surcharge 4f)~
(, ~ \f\ .(\_ (\~_..I
if yes, this application must be signed
and approved by the Historical
Coordinator prior .to permit issuance.
-\
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on th,e express condition,that the said'
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Gode, regulating the construction and use of
buiidings, and may be suspended or revoked at' any time
upon violation of any provisions of said ordinances:
::,~ :::Ok Fe~~
Receipt Number'
~B~ff1!
p~IR~v~ewed By ,F
'~ 13 B3
Date
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved,
ADDITIONAL COMMENTS
~X\Q~\~-~~~ \0.'\:)
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By signature, I state and agree, tha!"I'have carefully examined
the completed application and do h~reby 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 th~'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 t11at only contractors and employees who
are ,in ,com:pliance with ORS 701.055 will be used on this
project.
VALIDATION: ~I ,;,--,- - .
RECEIPT NUMBER, . . JqCl.r.7~:---';<
DATE PAID (~,~~
A~OUN'T'RE,~ Elvv;f ~rzffi~~c::::"
HRECEIVED V'~~-).
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (exclL:ding electrical~~.~
(A, B, 'C. 0, and E Combined) , J