HomeMy WebLinkAboutPermit Building 1996-10-15
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RESIDENTIAL
PERMIT APPLICATION
. Inspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT.
17,eJC.
OWNER:
ADDRESS:
CITY:
DESCRIBE WORK:
NEW
REMODEL
CONTRACTOR'S NAME
GENERAl.
PLUMBING:
MECHANICA' .
IfM.I/E1I rJJ",;,cc Co,
f
ELECTRICAL.
OUAD AREA-
. OF BLDGS.
OCCY GROUP:
. OF STORIES: __~
WATER HEATER:
~4
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JIa:~
-.CJkO CP-fy V(OEW
/i
JOB NUMBER
\
F9~/~3 \
BLOCK:
225 Filth Street
Springfield, Oregon 97477
TAX LOT.
n5~D71
SUBDIVISION:
PHONi=.
Lf-7<f-- - 36t1
STATE:
o,eYr-OrJ
ZIP:
97 ~77
(JJ F h E4-f {1J U,-v1 j:J
ADDITION
DEMOLISH
OTHER
S f./ S ft5t1
/
ADDRESS
CONST.
CONTRACTOR'
PHONE
REQUIRED INSPECTIONS
'C7l Rough MechanIcal - Prior to
~cover,
~ROU9h Electrical - Prior to
~er.
o Electrlcal Servlco - Must be
approved to obtoln permanent
electrical power,
o
Fireplace - Prior to facing
materIals and framing Insp.
~ . - , .
O:::P ,>;; l\/ V~<:::, .-=V"'Y
F()6-61/C. OP_ 0,7 r{.o3
"
- OFFICE USE -
LAND USE:_
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE: __
EXPIFIES
tJd071
to-31-'1r,
7~-1(,~1
cLOOD PLAIN.
ZONING CODE: ___
. OF BDRMS:
SECONDARY HEAT:_.
SOUARE FOOTAGE:
To request an Inspection, you must call 726.3769. Ttlls Is (l 24 hour recording. All Inspections requested before 7:00 8.m, will be
made the same workIng day, InspectIons requested after 7:00 a,m, will be made the followIng worJ<"day,
o Temporary Elcctric
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 flHlng trench,
o
Underlloor Plumbing/Mechanical
- Prior to Insulation or decl~lng,
o
Post and Boam - Prior to floor
Insulation or decking,
D
Floor Insulation - Prior to
decking.
O Sanitary Sewer - Prior to filling
trench.:,!
o Storm Sewer - Prior to filling
trench, '_~ .~. ~":..._ >::.:
O Water Line ,- Priorlto fj[ll~g
. trench. -' .'
o
..... ',\.
Rough Plumbing"---: Prior to
cover, -
... --
....
"
o Framing - Prior to cover,
o Wall/C.olllng Insulntlon - Prior to
cover.
o Drywall - PrIor to taping,
o Wood Stovo - After .Installatlon,
D Insert - After fIreplace approval
and Installal10n or unit.
o
Curbcut & Approach - Arter
forms are erected but prior to
placement of concrete.
o Sidewalk & Drlvew3V - After
excavation Is compiete, forms
and sub.base material In place.
o Fence - When completed,
o Stroot Trcos - When all required
trees Brc planted.
o Final Plumbing - When all
plumbing worl~ Is complete,
. .
I'5<r"Flnal Electrical - When all
p~ectrlcar work is complete.
C7I Final Mcchnnlcal - When all
~eChanjcal work Is complete,
D Final BuildIng - Wilen all
requIred Inspections have been
approved and building Is
completed.
o Other
MOBILE. HOME INSPECTIONS
o Blocking Dnd Sel-Up - When all
blocking Is complete,
D
Plumbing Connections - When
home has been connected to
water and sewer,
o Electrical Connectton - When
blocking, set-up, and plumbing
Inspections have been approved
and 1l1e home Is connected to
the serv)ce panel.
D
Final - After all required
Inspections are approved and
porches, sklrllng, decks, and
venting have been Installed,
Lot faces Lol Type Setbacks ..; THE PROPOSED WORK iN THE.
I P.L. 'HSE'GAR'ACCI .,-, HISTORICAL DISTRICT, OR ON
. Lol.sq. [ig. Interior
..... IN I THE HISTORICAL REGISTER?
.,
Lot coverage Corner Is I If yes, this application must be signed
and approved by the Historical
Topography Panhandle \W I Coordinator prior to permit Issuance,
Total height Cul'de-sac
IE I APPROVED.
..
BUILD.ING 'PERMIT
ITEM SO. FT. X $ISO. FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
.,
This permit Is granted on the express condition that the saId
constructlon shall, In all respects, conform to the Ordinance
adopled by the Cityo[ Springlleld, Including the
Development Code, regulating the constructlon and use of
buildings, and may be suspended or rcvoked at any time
upon violation of any provisions or' said ordinances.
Main
Carport
Plan Check Fee: _
Dale Paid:
Total Val ue
Receipt Number'
Bulldlng Permit Fee
Received By:
State Surcharge
Total Fcc
(A)
Plans Rcvlewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on, all undeveloped
properties within tho City limits whlctl are being Improved,
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Balh(s)
N'
Sanitary S~wer
Water
FT.
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Tolal Charge
(C)
MECHANICAL PERMIT
Furnace
~
Exhausl Hood
,
,
-:
By signature, I stato and agree, that I have carefUlly examined
the completed application and do hereby certify that all
Information hereon Is true and correct, and Ilurther certify
that any and all work performed shall be done in accordance
with the Ordinanc~s of the CIty of Sprlngfleld, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will bc made .of any
structure without permisslon?f the 8ul~dlng Safety Division,
I fu~ther certify thaI only contractors and employees who
,uo In compliance with QRS 701,055 wIll be used on this
project.
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Oryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensure that all required Inspections are
requested al the proper time, that oach address Is readable
from the street, that the permit card Is located at the front
of the property, <3nd the approved set of plans wIll remain
on thc site aE:r~7~t1~? / A
Signature ~ .1' ,@~ (..{J
{O-lc;-'t6
Date
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
II
Curbcut
II
DemolItion
"
Slate Surcharg~
VALl DATION:
Total Mlscellaneo!-ls Permits (E)
DATE PAID
23~g?
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2/;, _ 2y6
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RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding elcclrical)
(A, B, C, D, and E Combined)
AMOUNT RECEIVED
RECEIVED BY