HomeMy WebLinkAboutPermit Building 1995-4-6
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SPRINGFIELD
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Inspections: 726.3769 .~
Office: 726.3759 ~JI
LOCATION OF PROPOSED WORK: ~7"~"3 ~7!f~~L
~SESSORS MAP: ,/7~-2 Y'-7".=?
-1.0T: ' BLOCK:
OWNER: / .Jv,,( ~~// .-- / ...€XJI_
A~~REss4~' ~R ~ ;H~ ,C~~~7""."
CITY: s~~tLJ STATE: 'I)L.
RESIDENTIAL
PERMIT APPLICATION
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JOB NUMBER
-:.'-
225 Fifth Street
Sprlnglleld, Oregon 97477
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TAX LOT:~~~C:;;
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SUBDIVISION:
PHQN E:,2fl--ti2t37
ZIP:
,~7jLQl:
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DESCRIBE WORK: ~n;tJ /Jd, ~ ~L1#/~ d 'r- ..bJS~L S~ T.u N:~__ ,.~~k1~
, . - .
NEW REMODEL -l/' ADDITION ,.' DEMOLISH OTHER' '.
CONTRACTOR'S NAME
GENERAL:
,PLUMBING:'~,
MECHANICAL: _
ELECTRICAL:..IId-~/dc ~$tt{~ c).tW'#47e~
t
QUAD AREA:
# OF BLDGS: '
OCCY GROUP:
# OF STORIES'
WATER HEATER:
-
, CONS~
ADDRE~ -- /) CONTRAC:O~ # /'
c::>Cj7 . _ _.,e.,~' l' ~ ~
. ..... . -': - (
EX,:Y,,1~2Q;' . PHONE ,~/
>77"~ '{/~p-tSPd~'
- OFFICE USE -
,
LAND USE:
FLOOD PLAIN:
ZONING CODE:
# OF BDRMS'
# OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
SECONDARY HEAT:
SQUARE FOOTAGE=-
-jiANGE: _ - -
To request an Inspection, 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, Inspections requested after 7:00 a.m. will be made the followIng work day,
o Temporary Electric'
D 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
erect~d' but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench. , '
O Underfloor Plumbing/Mechanical
, -, Prior to Insulation or decking.
.
O Post and Beam - Prior to floor
Insulation or decking. ., :
. . ~ . ~',
" , . ,I."
o Floor Insulation ::i.:.IPrlor'to.' .
decking.
o Sanitary Sewer - Prior to filling
, trench.
o Storm Sewer - Prior to filling
trench. '
o Water Line - Prior to filling
trench. .
[(] Rough Plumbing - ~rl.or to
cove~ ' ' , '
REQUIRED INSPECTIONS
.
,
o Rough Mechanlcal-"':" Prior to
cover.
.- "[Xl Final Plumbing - When all
. plumbing work Is complete,'
.~ -
r\/l Roug'hElectrlcal - Prior to
L,L.J cover, '
r-571 Final Electrical - When all
,L,.LJ electrical work Is complete,
o Electrical Service.....; Must be
" approved to obtain permanent
electrical power.
o Final Mechanical - When all
, mechanical work Is complete,
o Fireplace - Prior to facing
materials and framing Insp.
I\7l Final Building - When all '
YLJ required Inspections have been
approved and building is
completed.
l:::EI Framing ~ Prior to cover.
D Other
ILl Wail/Ceiling Insulation - Prior to
cover. '
o Drywall - Prior to taping.
-.-...
MOBILE HOME INSPECTIONS
, .
o Wood Stovo - After Installation,
o Insert - After fireplace approval
, and Installation of unit.
.'
. -........ '"'I
D Blocking and Set.Up - When all
blocking is complete,
.
o 'Curbcut & Approach - After
:,: forms are erected but prior to
placement of concrete.
o PJumblng Connections - When
home has been connected to
water and sewer,
o Sidewalk & Driveway - After
, . excavation Is complete, forms
and'sub-base material in place,
o
Electrical Connection - When
blocking, set,up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Fence - When completed.
D Street Trees - When all requ!red
, trees are planted. ' ,
o Final - After all required
inspections are approved and
porches. skirting, decks. and
venting have been installed,
-
Setbacks
.,,""'" ~
...
, .-~~ 'TH E, PROPOSED WORK. tN T~'~~'"
HISTO~ICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
'.'~-' ~
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'!\,' ',-1 ~i ~;:';'S;~f!i:1l.:X~:
Lot faces
Lot ,sq, ftg: .
- .,' -
Lot coverage
Topography
Total height
. Lot 1'.
' ....
.' .-... .
Interior
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Panhandle
p.L.
N
Is
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HSE GAR Accl
Corner
Cul-de-sac',
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APPROVED:
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT, = VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT .
Garage
Carport ' ,
~/~/-V~ I'~~~C::- ~ ~
"
This permit Is granted on ~he,expr~s ,condition that the said
construction shall. I'n all respects, con'form to the Ordinance
adopted by the City of Sp'rlngfleld, 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.
I ~
Main
......
Building Permit Fee
Receipt Number:
'25:c:>3
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,
~~.
{//' ,-
Total Value
" .PIa,:" Check Fee:
Date Paid:
StaJc Su rcharge
{f
Rec.,elved By: '
Total Fee
(A)
Plans Reviewed By
Date
(B)
Systems Development Charge Is due on all undeveloped
prqpertles within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
(
Residential Bath(s)
NO
Sanitary Sewer
FT,
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
~pY~
Pi
/5'. '-, "'>
:~
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State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Wood Stove/lnsert/Flreplace Unit
',I
By signature, I state and agree, that I have carefUlly examined
the completed application and do hereby 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 Ordinancl:ls of the Cltyof 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
Vent Fan
NO
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
, ,
MISCELL.{-\NEOUS PERMITS
Mobile Home '
, '
'.
J further agree to ensure that all required Inspections are
requested at the proper time; that each address Is readable
from the street, that the permit card Is located at the front
of the property, and the appr d set of plans will remain
on the site at a I times du co tructlon.
SI~n~tur t' .
Date ,~6A-S
Tela! Permit
(D}
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
. , .
ft
Demolition
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
,'52 ?'9
VALIDATION:
RECEIPT NUMBER ~~g
DATE PAID C/~-~c:;--
AMOUNT RECEIVED -8::?~ 25:2
R~CEIVED BY a~.-
Slate Surcharge
Tolal Miscellaneous Permits (E)
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