HomeMy WebLinkAboutPermit Building 1991-4-30
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RESIDENTIAL
PERMIT APPLICATION'
Inspections:, 726-3769
Office: 726:3759
..
LOCATION OF PROPOSED WORK:
AS9ESSOR.S. ~~P'
:# /3"
LOT:
OWNER' .~ ~lC.~-t-
ADDRESS: 0299-3
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Ma...-{.:J/,..r
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DESCRIBE WORK" s,.~:/<..
NEW X REMODEL
SPRINGFIELD
!fa", --:V"~",,,",d sf:-
BLOC!'" '<
""i","-fL~_ .
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STATE: O"~f..,.I
,r;".!:J kL.cfr_I,,,,/
ADDITION DEMOLISH
CITY:
CONTRACTOR'S NAME
GENERA" (..1",--< (5 j.J~....,,.
PLUMBING' C....slo_ 7/.._1""",.
MECHANICAL:'";>" / t:.... ;./u../'~<
ELECTRICAL: /1.,_<'&- J E/,. f _" ~
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OTHER
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JOB NUMBER
,q\0-.~1
, 225 Fifth Street
Springfield. Oregon 97477
TAX LOT:
'" ~U~~;;ISlo'~:R,...6~ /? -' ki- r-
PHONF'
4.FS317 (.,
ZIP:
<7 7 "/0/
CONST.
CONTRACTOR ~
ADDRESS
"'f~3 Mtt.-h>/'wriJ.
.. 1(< A/f""'D""
3 ,("70 ,?,.~ ,'1ft.
7f(7u.~ Jllls.J. t?J
C"'j
e..,
';01 7 L/
.J..o;l<l-u.
Sfs.)f..,
':-J'
'-L-
\R\\')\V - OFFICE USE -
QUAD AREA: LAND USE: \,\' \
# OF BLDGS: \ # OF UNITS: \
OCCY GROUP: ~~-\-W\ CONSTR. TYPE: _:.J,J\J
# OF STORIES: , HEAT SOURCE: ~6
WATER HEATER: (; RANGF' p--,
"?IP 'I- H'
EXPIRES
to/,;,
t.HI.
.<<It L
7hl
iJYJ. -$t.. 7 )
PHONE
LOs.l,? "
</';-5"11" (~
7oJ/ODO L
,.
FLOOD PLAIN' .
ZONING CODE: m V
~
# OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:di JD5_
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. Inspectlons requested after 7:00 a.m. will be made the following work day.
%TemporalY Electric
o .Site Inspection - .To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrlcal1
Mechanical - Prior to cover.
o Footing - After trenches" are
excavated.
D Masonry - Steel location, bond.
beams, grouting.
~Foundatlon - After forms are
~ erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
i'X1 Underfloa(P'J"mbjl'~.wrechanlc;Jil>
~ - PrIor to Insulation or decking.
f'::I1 Post 'and Beam - Prior to floor
J,6llnsulatlon 'or'decklng. . .'
f':./r.Floor Insulation - Prior to
~decklng.
'K7f Sanitary Sewer - Pr'lor to filling
~trench.
M Slorm Sewer - Prior 10 filling
~trench.
rvf Wate' Line - Prior to filling
~ trench.
rv1. Rou~h Plumbing - Prior to
~cover.
REQUIRED INSPECTIONS
1C"'7t Rough Mechanical - PrIor to
~ cover.
8J Rough Electrical - Prior to .. ~.
cover.
I\J1' Electrical Service - Must be
~ approved 10 obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
g Framing - Prior to cover.
~ Wall/Ceiling Insulation -'Prior to
~ cover. .
.l81 Drywall - Prior to taping. .
ro( WoC!d s~ov~ -:- 'After Instali~t1on.'
).<:::::l.. gIlD &..,"1.. was F.)).
o Insert - After fireplace approval
and Installation of unit.
-..c7f Curbcul & Approach - After
~forms are erected but prior to
placement of concrete.
~ Sidewalk &.Oriveway - After
~xcavatlon Is complete, forms
and ,sub.base material In place.
o Fence - When completed.
,(~ree; Trees ~ When 'all requi'ied
~ ,e~~ are .Plantrd. , .
, , ,
.....-1,
~Final Plumbing - When all
~ plumbing work Is complete.
.-".rv('Flnal Electrical - When all
~electrlcal work Is complete.
. . -" .' .
r\A""'Final Mechanical - When all
~mechanical work Is complete.
'K/(Flnal Building - When all
? required l'!spectlons have been
approved'and building is
completed.
o Other
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 Co~nection - When
blocking, set.up, and plumbing
inspections have been approved
and the home is connected to
the service panel. .
o Final - After all required
. .Il"'!spectlons are ap'proveq and
porches, skirting, decks', and
venting have. been Installed. ..
~ Lot Type. .
Lot faces Setbacks IS THE PROPOSED WORK IN THE
Lot sq. Itg. W5 _ Interior I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON
IN " I THE HISTORICAL REGISTER?
Lot coverage 2fL!" X Corner 22ii If yes, this application must be signed
~ Panhandle Is It!/ I and approved by the Historical
Topography ill~ Iw ;4' /4' I Coordinator prior to permit issuance.
Total height Cul.de.sac IE / ~II (2/ I
APPROVED'
BUILDING PERMIT
s971
'~~
X J/SQ, FT. /d::VALUE
/!'L9e,~+ ~!(JtP~
/4 t!!' <<;~q4 ~
ITEM
Main
Garage
Carport
Total Value
q~([D
4n~~
2/) I!>
_423g
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) -/.3-c::;n 4-0
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N'
2
J?/J !?E..
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
.(:\o~le Hom~ "'
\:::11 C'f ' ~'_J
Plumbing Pe I
9JO.#J
Jh~ ':0
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
/-.~
-1Se?
9.,:)0
/5.00
~."O
6,40
.2.61. S''D
/rJ.t50
2.. (8
5/.98
Exhaust Hood
Vent Fan
N'
2..
Wood Stove/Insert/Fireplace Unit
Dryer Vent
0As< u,viE
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk /7/ ft
Curbcut 2m It
35,~
),'2,. ")0
Demolition
State Surcharge
, + ~ Af'\ fr'<L...
Tota\ ~scellaneous Permits
(E)
4-9. S"S
2t?f~ &f:,
TOTAL AMOUNT DUE (excluding electrical)
(A, .B, C, 0, and E Combined)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
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.
Plan Check Fee: rCY 0 (. qC;.
"'.~" ~ qL
Receipt Number: tLJ ~ )'
Re~eive~~ .~_
~ ~})A' . .~ 9(
PI SlR'evlewed By ~~
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
. I
~'11m~ 0
...
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 corree;. 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.
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 s 1jJat all tjmes~~~nstruction.
slgnatu/1 rP~ (j~
Date J/bD/ ~ / .
VALIDATION: q n _
RECEIPT NUMBEFi _ / cr-
DATE PAID ~pJ\ A ' \...~ ~ Cf I
RECEIVED BY /)()l ")
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