HomeMy WebLinkAboutPermit Building 1996-9-16
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LOCATION OF pROp,RSED W9JIll<" /4C\ \.0 fl4'1'f\ .Pm f'O J
ASSESSORS MAp:\' \ nr;i J=-4-0t
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RESIDENTIAL
PERMIT APPLICATION
.
, ,
Inspections: 726,3769
Ollice: 726,3759
LOT'
SPRINGFIELD
.
JOB NUMBER
CHol rAq
BLOCK:
225 PitHl Street
Sprlnglleld, Oregon 97477
TAX LOT:
U)\ \ '/
SUBDIVISION'
OWNER: \\\,Qr\Q, ~COX\ PHONE:
ADDRE~~ l\\.o r)c\ ~ l1)\n~
CITY:~ ~\H\~~_O~01 STATE:!llrOl)(T0
DESCRIBE WORK: --6~ (\)L;
NEW
REMODEL
ADDITION
CONTRACTPR'S NAME )
GENERAL: \~h l )f\O_~
PLUMBING:
MECHANICAl'
ELECTRICAt '
QUAD ARE,.,
. OF BLDGS'
OCCY GROUP'
. OF STORIES:__
WATER HEATER'
DEMOLISH
OTHER'
'144, ?~'?['f6
_ Ztp: UI1+'l cK
EXPIRES
PHONE
ADDRESS
CONST,
CONTRACTOR'
FLOOD PLAIN:
ZONING CODE:_
. OF BDRMS'
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, wilt be
enade the same working day, Inspections requested after 7:00 a.m. will be made the fOllowing work day.
D Temporary Electric
D Site Inspection - 10 be made
after excavation, but prior to
setting forms,
o
Underslab Plumblngl Electrlcall
Mechanical - PrIor to cover.
'l\:/( Footing - After trenches are
~ excavated,
o Masonry - Steel location, bond
beams, groutIng.
D Foundation - After forms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench,
D Underl100r Plumbing/Mechanical
- Prior to Insulation or deckIng.
D Post and Boam - PrIor to floor
Insulation or decking.
o Floor Insulation - PrIor to
decking,
o Sanitary Sewer - Prlo'r to flflfng
trench,
D Storm Sewer - Prior to filling
trench. l
O Water Line - Prior to filling
, trench.
D Rough Plumbing - Prior to
cover.
- OFFICE USE -
LAND USE:_
. OF UNITS:
CONSTR. TYPE: _
HEAT SOURCE:
RANGE: _
REQUIRED INSPECTIONS
D Rough Mochanlcal - Prior to
cover.
o Rough Electrical - Prior to
cover.
o
Electrical Service - Must be
appro\Jed to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
% Framing - Prior to cover,
o Wall/C.olllng Insul.atlon - Prior to
cover.
o Drywall - PrIor to taping.
o Wood Slovo - After Installation,
o Insert - Aftor fireplace approval
and Installation of unIt.
o Curbcut & Approach - Atter
forms are erected but prior to
placemont of concrete.
D Sidewalk &: DrIvewav - Atter
excavation Is complete. forms
and sub.baso maIEttlaliilDJR!at:e.
o Fenco - Wt1cn comple.ted.
D Streot Treos - Whan.,all roq~lred
trees are planted, . .:..
" \, ..:
D
Final Plumbing - When all
plumbing w9r!( Is complet.e.
o
Final Electrical - When all
electrical work Is complete.
o
Final Mechnnlcal - When all
mechanical work Is complete.
o
Final Building - When all
required InspectIons have been
approved and building Is
completed. .
OOlhor
MOBILE HOME INSPECTIONS
o Blocking 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 plumbing
Inspecllons hav~~SQ..5W.P..!.s'LQJI
and,the home i~onnccted to
the servIce p,anel.
"
o Final - After all requIred
InspectIons are approved and
porches, sKlrllng, decks, and
venting have been Installed,
. ;: . tS I PROPOSED WORK IN THE,
Lot Type Setbacks
I P.L. Accl .., HISTORICAL DISTRICT, OR ON
Interior HSE GAR
IN I THE HISTORICAL REGISTER?
Corner If yes, lhls application must be signed
Is I and approved by the Historical
Panhandle Iw I Coordinator prior to permit Issuance.
Cul.de-sac
IE I APPROVED:
Lot faces
Lot sq, ftg,
Lot coverage
Topography
Total height
BUILDING PERMIT
tTEM
SQ, FT,
X $/SQ, FT,
VALUE
Main
Garage
"
Carport
~
/ff
~.g;S
/..2cJO ~r[)~
~ .><!J
~ /. G>"
72 ./5'
Total Varue
Building Permi t Fee
Slate Surcharge
I,OJ+- ,~2.-
Total Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(6)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Resldentlal Bath(s)
N'
Sanitary s~wer
Water
FT,
FT,
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flrcplace Unit
Dryer Vent
Mechanical PermIt
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
II
Curbcut
ft
Oemolltlof} _
,,,,,,-.. ~
.............. "'.......,.....~l3'
/L4"d ./Mc3-V
~
~_r
/~.33
Total Miscellaneous Permits
(E)
TOTAL AMOUNT OUE (excluding electrical)
lA, 6, C, D, and E Combtned)
...,.~()
<-~~;':\I) .
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is gran led on the express condition that the said
constructlon shall, In all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulallng 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:
Receipt Number'
?AA~
7 - )Date
Systems Development Charge Is duo on all undeveloped
properties within the City limits which arc beIng Improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carofully examined
the complelcd application and do hereby eertHy Ihat 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 at Oregon perlalnlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without. permission of the BuIlding Safely DivisIon,
I furl her eertHy thal only contractors and employees who
are In compliance with ORS 701.055 will be used on thIs
project.
I further agrec to ensure that all requIred Inspections are
requested at the propcr time, that oach address Is readable
from tho street, that the permit card Is located at the front
of the property. and the approved set 01 plans wIll remain
on 1:f7lte at all lImes d~rlng co.. structlon.
/,-';.
Slgnatur -----'-
Datp / d-:y ~~V
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VALIDATION: f'\ "'2. Y"\ r-vl./
RECEtPT NUMBER D~o
DATE PAID Cj'. \ h..Clb
AMOUNT RECElvr~,J Jh ,4>3
RECEIVED BY Y0] I ~ ~