HomeMy WebLinkAboutPermit Building 1997-12-19
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
<JOB NUMB~R_9 71?,~
225 Fifth Street
Springfield, Oregon 97477
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SUBDIVISION'
79
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LOCATION OF PROPOSED WORJ<'
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OWNER'
ADDRESS' ((?'1
CITY: '(~/".R
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DESCRIBE WORK: /-;,~~4 tI~/> ~(,pr
NEW REMODEL ~ADDITION
.J~F R';,';/Ih
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DEMOLISH
OTHER
CONST.
CONTRACTOR\'
9773t::t
CONTRACTOR'S NAME
aLL
ADDRESS
2:19'0
EXPIRES ~
3-2"'-'111 .
PHONE
7Y6-1'1q.'l.....
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GENERAl'
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PLUMBING'
MECHANICAl'
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ELECTRIC" I '
- OFFICE USE -
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~\J.I ~EP.~1i ~~t~1>l"P.~li IS NU \
1\'11" I NOE\"\ t [l'V fOP. ,
'-IIOP.\'ZEO ~OF .BGlRo.ti\noNEO
f>,U I oPt \~ ,",01'<'"
~ENCE;~~~~~RY HEAT:
t.':'~". ~8() OPl SQUARE FOOTAGE:
LAND USE:
QUAD AREA:
. OF UNITS:
. OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
OCCY GROUP:
. OF STORIES:
WATER HEATER'
To request an Inspecllon, you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 a,m. will be
made the same working day. Inspectlons requested after 7:00 a.m. will be made the following work day,
REQUIRED INSPECTIONS
o Final Plumbing - When all
plumbing W9rk Is complet,e.
o Rough Mechanical - Prior to
cover.
o Temporary ~Iectrlc
D Site Inspection - To be made
after excavatlon, but prior to
setting forms.
D Rough Electrical - Prior to
cover.
o Final Electrical - When all
electrical work Is complete.
o Final Mechanical - When' all
mechanical work Is complete,
o Underslsb Plumblng/Electrlcall
Mechanical - Prior to cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
K7f"'Flnal Building - When all
p ~equlred Inspections have been
approved and building Is
completed.
D Footing - After trenches are
. excavated.
o Fireplace - Prior to facing
materials and framing Insp.
D Masonry - Steel location, bond
, beams, grouting.
%Framlng - Prior to cover.
'f;::?(wall/Celllng Insulation - Prior to
~ cover.
OOthsr
O Foundation - After forms are
erected but prior to 'concrete
placement.
D Underground Plumbing - Prior
to filling trench.
~DryWall - Prior to taping,
MOBILE HOME INSPECTIONS
O Underfloor Plumbing/Mechanical
_ Prior to Insulation or decking.
o Wood Stovo - After Installation.
"
o Blocking and Set. Up - When all
blocking Is complete. .
o Post and Beam - Prior to floor
Insulation or decking.
o Insert - After fireplace approval
and Installation of unit.
D Plumbing Connections - When
home has been connected to
, .
water and sewer. .
D Floor Insulation - Prior to
decking,
D Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sanital)' Sewer - Prtor to filling
trench.
o Electrical Connection - When
blocking, set-up. and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Sidewalk &: Driveway - After
excavation 15 complete, forms
and'sub.base material In place,
o Storm Sewer - Prior to mUng
trench.
D Fence - When COiYlpleted.
D Water Line - Prior to filling
trench.
D Final - After all required
... Inspections are approved and
porches, skirting, decks, and
venting have been Installed.'
O .St~eet Trees - When all required
trees are pianted.
o Rough Plumbing - Prior to
cover.
I
Lot sq. Itg.
Interior
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Setbacks .
HSE GAR ACC'!
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Lot faces
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Lot Type
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BUILDING PER!tIIIT\),"ii~ '~
X $/SO. FT. -
E
I
I
BUILDIN'G V'Au1E, PLAN CHECK
AND BUILDING PERMIT
l. IS THE PROPOSED WORK IN THE.
HISTORICAL DISTRICT, OR ON I
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Lot coverage
Corner
. I'F~ L.
IN
Is
Topography
Total height
~r" Panhandle ~:
Cul-de~sac
W
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APPROVED:
'.
ITEM
SO. FT,
VALUE
3~~'1.~:
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.
2..20,1.3
Plan Check Fee:
Main
Garage
'.
Carport
"7rft;51 ;7-<<( ef
A.rJ.. ~
~JJ
Date Paid:
Total Val ua
Building Permit Fee
State Surcharge I Z:i.J i,!,]?'
(A)
#;;0-
~_3.5"7
_ +~ ~7
SYSTEMS DEVELOPMENT CHARGE (SDC)
Receipt Number:
Received By:
Total Fee
Plans Reviewed By
Date
(B)
Systems Development Charge Is due on all undeveloped
properties wIthin tile City limits which are being Improved,
PLUMBING PERMIT
ITEM
FEE
ADDITIONAL COMMENTS
No f:il1:1. -+r 77hs:: TJl11b
NqE.. !J.J5KL,IA) wALL.,/ r:b'IL__
+ rr LJfm ~ / li~, /7"'lf)c ?.f1l4KJ't
~~f";ot)("11::. , .
, - I -- .
Fixtures '. ,-
Resld~ntlall Bat~(s) . ':., N~ - <
, "~
','
FT. '
'/P
,.'
, "J .~.
~~i, ' i
Sanitary S~wer-,.,..
Water
'"
FT. ':.t ,;
, . ~;:~.'^/( '-"
F.T." ';" ',"l' '.1,_,
, ~',
,"',
Storm Sewer
\,. V~j ,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By signature, I stato and agree, that I have carefully examined
the completed application and do hereby certify that alf
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.
Exhaust Hood
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit .
(D)
I further agree to ensure that all required Inspections are
requested at the proper, t!me, 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.
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Date
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
I I
Curbcut
It
It
, I
Demolition
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,I
State Surcharge
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VALIDATION:
i'
1-
RECEIVED BY
bib :5 Ii-
J21/'J/'i'7
I /.~> 71-t)
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TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
-+.'7-t:)(/
RECEIPT NUMBER
DATE PAlO
AMOUNT RECEIVED
Tolal Miscellaneous Permits (E)