HomeMy WebLinkAboutPermit Building 1996-10-21
RESIDENTIAL
PERMIT APPLICATION
Inspeelions: 726,3769
Of lice: 726.3759
,
SPRINGFIELD
LOCATION OF PROPOSED WORK'
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OWNER: / /Jd/'7"EZ> P ...-.y</7.A?_____~?__.r?c.. ~/~.r:_:PHONF'
ADDRESS: 7t/? /R ~ 7;7 -
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DESCRIBE WORK' ~/?L/~# ~/ 2JEAr 77.#/
ASSESSORS MAP'
LOT'
CITY:
NEW
REMODEL
CONTRACTOR'S NAME
GENERAl /0//~
~- /
PLUMBING:
MECHANICAl'
ELECTRICAl'
QUAD AREA:
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER:
ADDITION
BLOCK:
STATE: _~.:z? _
.
JOB NUM[JER .~Y2:7
225 Fifth Street
Sprlnglleld, Oregon 97477
TAX LOT-
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SUBDIVISION'
7~h-X"~=Y
,
ZIP'
"3/S/:::>7
DEMOLISH
r
b~.A'::::;'6"/.4-~./S'Y~ ,,-
/-
OTHER
ADDRESS
CONST,
CONTRACTOR'
EXPIRES ',") PHONE
FLOOD PLAIN:
ZONING CODE:_
. OF BDRMS:
SECONDARY HEAT:
SOUARE FOOTAGE: ___
To rOQuest an Inspectlon, you must call 726.3769. This Is a 24 hour recording. Alllnspccllons requested before 7:00 a.m. will be
made the same working day, Inspections requested aflar 7:00 8.m, will be made the rollowlng work day.
D Temporary Eloctrlc
o 'Sllo Inspoctlon - To be made
altor cxc3'Jatton, but prlor to
setting forrns.
o Underslab Plumblng/Electrlcall
Mochanlcal - Prior to cover.
D Fooling - After trenches are
oxcavated.
o Masonry - Steel locatlon, bond
beams, groutlng.
o
Foundation - After forms arc
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench,
o Underlloor Plumbing/Mechanical
- PrIor to Insulation or decking.
D Post and Boam - Prior to tloor
Insulation or decking.
D Floor Insulation - PrIor to
decking,
o Sanitary Sowor - Prior to filling
trench.
o Slorm Sowor - Prlor to IIl1lng
trench.
o Waler L1no - Prior to lilling
trench,
o Rough Plumbing - Prlor to
cover,
- OFFICE USE -
LAND USE:
. OF UNITS:
CONSTA. TYPE: _
HEAT SOURCE:
RANGE: __
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover,
o Rough Electrical - Prior to
cover.
D Eloctrlcal Servlco - Must be
approved 10 obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framlnQ Insp.
o Framing -'. Prior to cover.
o Wall/C'clling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Slovo - Afler Installation,
D Insert - After fireplace approv,,'
and Installation of unit.
o
Curbcut & Approach - After
forms arc crnctcd bul prior 10
placement of concrete.
o Sidewalk & Drivcw,lI,' - Alter
excavation Is complete, forms
and sub.base material in place.
D Fence - Wilen completed,
o Streot Treos - When all required
trees are planted.
D Final Plumbing - When' all
plumbing w9rl< Is complet.e.
o Final Eleclrlcnl - When all
electrical work is complete.
D Final Mechanical - When all
mechanical work Is complete,
o Final Building - When all
required Inspections have been
approved and building is
completed.
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MOBILE HOME INSPECTIONS
o Blocking and Sel'Up - Wilen all
blocking Is complete.
o Plumbing Connections - When
home Ilas been connected to
water and sewer.
o
Electrical Connection - When
blocklnu. set.up, and plumbing
Inspections have been,approved
and tile home Is connected to
the service panel.
o
Final - Arter all required
inspections are approved and
porches, skirtIng, decks, and
venting have been Installed.
Lot faces
Lot ~y;.
. ..:'" ;'.'. I'.
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'IS THE PROPOSED WORK IN THE,
'''HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
It yes, this appllca\lon must be signed
and appro....ed by the Historical
Coordinator prior to permit Issuance,
Topography
Panhandle'
Setbacks
~ HSE _~ ACC
N
Is
Lot sq. flg.
Interior
Lot coverago
Corner
Total helgtil
CuI-de-sac
::!i_
..E....._ __
APPROVED'
ITEM
sa, FT,
X $/50, FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT
Garage
"
This permit is granted on the.express condition that the said
construclion.stlall, In all respects, conform to lhe Ordinance
adopled by Ihe City 01 Sprlnglleld, including the
Development Code, regulating tho construction and use of
bUlldlngs, and may be suspended or revoked at any time
upon ....iolation of any provisions of said ordinances.
Main
Carport
Plan Check Fee:
Dale Paid:
Total Value
Receipt Number'
Building Permit Fee
Recei....ed By:
Slate Surcharge
Tolal Fcc
(AI
-_.-
Plans Reviewed 13y
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(BI
Systems Developmenl Charge Is due on all unde....eloped
properties within 111p. City limits which arc being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Balh(s)
N'
Sanitary s~wer
FT,
Water
FT,
Storm Sewer
FT.
Mobile Home
Plumbing Permit
Slate Surcharge
Tolal Charge
(C)
MECHANICAL PERMIT
FurnDce
Vent Fan
N'
By slgnalure, \ state nnd agree, \ha\ I ha'Je carofully examIned
the completed appllcatlon 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 accordanco
with the Ordinances of (he City of Sprlngfleld, and the Laws
of the State ot Oregon pertaining to tho work described
horeln, and that NO OCCUPANCY wltl be made 01 any
structure without permission of the Building Safely Division.
I further certify that only contractors and, employees who
arC In compliance with QRS 701.055 wltl be used on this
project.
Exhaust Hood
Wood Sto....e/lnsert/ Fireplace Unit
Dryer Vent
MeChanical Pcrmll
Issuance
Slate Surcharge
Total Permit
(D)
I further agree 10 ensure that all required Inspections are
rcquested at the proper time, that each address Is readable
from tho street, that the permit card Is located at the front
of the property. and the appro....ed set of plans will remaIn
on the sl~mes during cons uctlon.
Slgnatur~~ ~~
, ()
Da\p /0 - ~ / - 7'?
-----
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
II
Curbcul
It
Demollllon
.../8. -">
7'-5" '~,I
7''3 ' "">7
VALIDATION:
Slate Surcharge
Tolal Miscellaneous Permits (E)
,/~' slY
DATE PAIr>
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RECEIPT NUMBER
AMOUNT RECEIVED
TOTAL AMOUNT DUE (excluding eleclrical)
(A, B, C, D, ami E Combined)
F1ECEIVED BY