HomeMy WebLinkAboutPermit Building 1994-10-31
RESIDENTIAL
PERMIT APPLICATION
InspeClion~: '/26-3769
Office: 72G,3J:i9
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SPRINGFIELD
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JOB NUMBEfl _ b/J3_, ,
225 Fiflll Street
Springfield, Oregon 971177
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;~X LOT: ~~
LOCArlON 01 PI10POSED WOFlt'.: --_...1b.~~\,,:?"(
ASSESSOn~:; MAP: _..Jl-0Z.- --:;~ - ~ - ~
OWNER: .,., '"fQJ?::r -T..::P~L,,1-1-J~ -,...
ADDRESS: _, _'!2l?Jf2P ~J~~ 4c .
~~l.Jb~la.P
DESCRIBE WORK: - ",l~-rA:6.1 _ 7..
V
NEW ___. REMODEL ADDITION
LOT: .__,
CITY:
BLOCK: _._.:..._
SUBDIVISION:
PHONE: _....':/117.::. 61$('/
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.. 26
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ZIP: 911:Z~_~ _ _
7XZ7, I f- /0 X.z.y' I
STATE:
i1l..0~t1:::)L 1!1~1)Jj/Jh5,
DEMOLISH OTHER
CON ST.
CONTRACTOH'S NAME ADDRESS CONTRACTOR If
GENERAL: .._~~ggroJ_ _ /-14/ ~'f 97 /1.1. _6Go/'Y'_7
(.A.I/Jo...)7. co, ~v~ ~.
PLUMBING: .-.----- ----....-..-..- -. t) 7,/()f7-.---
MECHANICAL:
ELECTRICAL: ____..,
QUAD ARIA ~~~..
/I OF [lLDC~'; ".__\_
OCCY GnOUI': ~
1/ OF STOflll :;
WATER HEAl [R:
EXPIRES
.rlq~
PHONE
~=2762. .
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"
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,
- OFFICE USE -
LAND USE: _..__~\~.._
FLOOD PLAIN: .... __u
ZONING CODE: ..,LI)\2--
" OF BDRMS: _ u_...
II OF UNIT~;: ,_, _.,
CON~;TR, TYPE: ...., V-Moo
HEAT SOUFlCF: _,.._____..._.___
SECONDARY HEAT: ..
SQUARE FOOTAGE: _ ,_
RANGE:
To req'Jcst an inspection, you IIILlst call 726.-3769, Tills Is a 24 Ilour recording, AIIJ.ns.p,ec,t19nsJeg~~Le..c.J..,!]Q!ore 7:00 i),m, will be
made the :,>;IIIIl.) worldng clay, inspections rcqueslecl after 7:00 a,m, will be made the following work day,
o Temporrtry Electric;
o
Site Inspection - To be made
afle. ,:;.:,;avation, l:out prior to
sellint] forms,
O Underslab Plumbing/Electrical/
Mecha"ical - Priur to cover,
~Footino. - After trenches are
~ ~xcavaH'd,
o
Masonry - Steel location, bond
bean'ls, orouting,
CI
Foulld.,lion - Allvr farnls are
ereclel,l I)ut plior to concrete
placenl(;nl.
o
Undo'!;jlound Plumbing - Prior
to fillin~J trencll,
o
Undertloor Plumbingl Mechanical
- Pric,r to insulation or decking,
o
Post and Beam - Prior to floor
insulation or lIecldng,
" "\.
o Floor Insulation -'- Prior to
decl,i1l~J,
O Sanilary Sewer - Prior 10 filling
trench,
o Storm Sewer - Prior to filling
trencl),
o Water Line - Prior to fillillg
trench,
<
O RoufJl! Plumbing - Prior to
cover,
REQUIRED INSPECTIONS
I:=J Rough Mechanical - Prior to
cover.
o
Final Plumbing - When all
plumbing worl, Is cOIll':llcte,
1=:J Rough Electrical - Prior to
cover,
D
Final Electrical - When all
electrical worl, is cOlllplc::te,
I:=J Electrical Service - Must be
approved to obtai n permanent
electrical power,
o Final Meclwnical - WIHJn ""
mechanical worl< is carnplele,
~nal Building -- Wilen all
~~qUired inspections hrwe boon
approved and buildin~) is
completed,
D Fireplace - Prior to facing
materials and (ramlng Insp,
I=:J Framing - Prior to cover,
o Other
o Wall/Ceilinn Insulation - Prior to
cover.
o Drywall - Prior to taping,
MOBILE HOME INSPECTIONS
I=:J Wood Stove - After installation,
o Insert - Alter (Ireplace approval
aneJ Installation of unit.
o Blocking and Set.Up - Whon :"1
blocking is complete,
,
o
Plumbing Connections - Wllt;n
home has been connl':ctuct 10
water and sewer.
o
,Curbcut & Approach - After
forms are erected but prior to
placement of concrete,
o Sidewalk & Driveway - Aller
excavation is complete, forms
and sub.l)a~;e /IIaterlal in place,
o
Electrical Connection - Wilen
blocl<ing, set.up. anel plLJll1bin~1
inspections have been approvlJel
and the home is connected lei
the service panel.
, 0 Fence - When completed,
o
Final - Aller all required
inspections are approveel ami
porches, sldrling, decl<s, anc!
venting have been installec1.
o Street Trees - When all required
trees are planted,
Lot laces Lot Typee Setbacks
,
Lol sq, ftg. Interior P,L. HSE GAR ACC
-
Lot coverage Corner N
Is
Topography Panhandle -----
Iw
Total height Cul.de-sac --
IE
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT, =
VALUE
Main
Garage
Carport
Tot;:lI Value
LZJJl2 ,DU
~r\B)
l~' D<b
4\.58
Building Permit Fee
Slate Surcharge -\ 3~o
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (Sg,G)
(B) 125
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
NO
Sanitary Sewer
FT,
Water
FT.
Storm Sewer
FT,
Mobile Home
Plumbing Permit
Stale Surcharge
Tolal Charge
(C)
MECHANICAL PERMIT
Furnace
Exflaust Hood
Venl Fan
NO
Woocl Stove/Insert/Fireplace Unit
Dryer Vent
Mecllanical Permit
Issuance
Stale Sl!rcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
Stale Issuance
Slate Surcharge
Sidewalk
It
Curbcul
It
Demolition
Slate Surcharge
Total Miscellaneous Permits
(E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D. and E Combined)
L\\.~
~S THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTEFP ._...,_
If yes, this application mw;t be signed
and approved by the Historic<.J1
Coordinator prior to permi I issuance,
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition th<lt the said
construc,tion 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 rev ed at any time
upon violation of any provisions of sa' ordinances,
Plan Check Fee:
Date Paid:
JD:1\qt1_
Date
Receipt Number'
\Rm\B~. '
~ <.Jns Reviewed B
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved,
ADDITIONAL COMMENTS
By signature, I stale and agree, that I have carefully examined
the completed application and do hereby certify that all
Information hereon is true ancl correct, and I further certify
that any and all worl< performed shall be done in .;Iccordanco
with the Ordinances of the City of Springfield, clnd the Laws
of the State of Oregon pertaining to the worl< described
herein, and that NO OCCUPANCY will bo 111;\(,10 01 any
structure without permission of the Building Safely Division,
I further certify that only contractors and employees who
are In compliance with ORS 701,055 will be used on this
project.
I 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 approved set of plans will remain
on the site at ~mes d1ing constructi
Signature r~ I": A
Date' /p); /91.
VALIDATION: