HomeMy WebLinkAboutPermit Building 1999-9-1
RESIDENTIAL
PERMIT APPLICATION
-.
Inspections: 726-3769
OHlce: 726.3759
LDCATIDN .oF PRDPDSED WDRK: 3 ~7 $
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DESCRIBE WDRK:_
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CDNTRACTDR'S NAME
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PLUMBIN"" dWAlell
MECHANICAl' ri6'f.~:
ELECTRICA" TI\lCr=",.'IT~1-l1\11 F)(PIREIFTHEWORK
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COMMENCEDORISABANDONEDFeFPFFICE USE -
--r -X'rCnlOD LAND USE:
1'\1'11 IOULJ I .
NEW
REMDDEL
GENERA' '
QUAD AREA:
. .oF BLDGS'
DCCY GR.oUP'
. .oF STDRIES:
WATER HEATER'
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fe~~:':: :-:.:':: ':"....#'o~+~A h:' tho ~rgnnn lltilit\;
N(C~N$T.", r"nt~r, Thosp n lies are set foni'
CDNrFlACTOo R1 0010throEXf1tIRESR g"')-QRi;i, .oNE
in OAR 952. U - uy I u'R '''' v
nn(\n v", I n"I~\J f\htain r.nnip.!; of the rules b~
- - ~~lIing the center, (Note: the telephone
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numoer Tonne ureyul LUUlIlY '..'VLlJlI.......uv..
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DEMDLlSH
ADDRESS
· .oF UNITS'
CDNSTR. TYPE:
HEAT SDURCE:
RANG'"
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Cfrl/?~
JDB NUMBER
225 Fifth Street
.Sprlngfleld, .oregon 97477
TAX L.oT'
D2(,.00
SUBDIVISIDN'
PHON'" S'-t/- '!~,- 'i 70 ()
ZIP'
r7'17~
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FLDDD PLAIN'
ZDNING CDDE:
. .oF BDRMS'
SECONDARY HEAT:
SQUARE FDDTAGE:
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
O Slto Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electrlcall
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 Undorground Plumbing - Prior
to filling trench,
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking,
o Post and Beam - Prior to floor
Insulation or decking.
/AFloor Insulation - Prior to
~ decking,
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to Hlllng
trench.
O Water Line - Prior to filling
trench.
,DROU9h PlumbIng - Prior to
\bV cover.
)iEPUIRED INSPECTIONS
In jlough Mechanical - Prior to
Vcover.
ryou9h Electrlc.1 - Prior to
blover.
o Electrlca' Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
(S:v~remlng - Prior to cover.
(n-:;Wall/celllng Insulation - Prior to
~ cover.
~JryWall - Prior to taping,
o Wood Stovo - After Installation.
o Insert - After fireplace approvlll
and Installation or unit.
o Curbcut & Approach - After
forms are emcted but prior to
placemont of concrete.
o Sidewall< & Driveway - After
excavation Is complete, forms
and sub-base material In place.
o Fence - When cOinpleted.
o Street Trees - When all required
trees are planted.
@Inal Plumbing - When all
pl_umblng W9rk Is complet.e.
(r---I Inal Eloctrlcal _ When all
~electrlcal work Is complete.
(gJ
Final Mechanical - When all
o echanlcal work Is complete.
r []\Ina' Building - When all
Qf~eqUlred Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking end Set-Up - When all
blocking Is complete,
o Plumbing Connections - When
home has been connected to
water .'3nd sewer;
o Electrical Connection - When
blocking. set,up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections are approved and
porchos, skirting, decks, and
venting have been Installed.
(-
/
Setbacks
I PL. HSE GAR ACC
IN
Is
Lot facos
L~t ~yp.
Lot sq, ftg,
Interior
Lot coverage
Corner
Topography
Total height
,.
Panhandle
Cul-de-sac
IN
E
BUILDING PERMIT'
;, .t
ITEM
SQ, FT,
x $/SQ, FT,
VALUE
Main
Garage
"
Carport
. ': ::. ,: t,'~ \::i.~\~;
_S THE PROPOSED WORK IN THE.
HISTORICAL DISTRICT, OR ON
'THE HISTORICAl. REGISTER?
If yes, this applldatlon must be signed
and approved, by the Historical
Coordinator prlot to permit Issuance.
APPROVED:
, .~ ,. .'. . 'I
BUILDING VALtiE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condltlon that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City. of Springfield, Including the
Dovelopment Code, regulating the construction and use of
oulldings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
'f'!. .s- J
Plan Check Fee:
~ ()OO <J? Date Paid:
Total Value
~8'.>O Receipt Number.
Building Permit Fee
c,. (') Received By: ~ 9) (ff'
State Surcharge 4Jl~
75: 35
Total Fee (A) Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
20
Fixtures
Z-
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
Storm Sewer
FT,
FT.,
Mobile Home
Plumbing Permit
2<:/
2-
').. 2-. iN
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood StovellnsertlFlreplace Unll
Dryer Vent
].00
Mechanical Permit
;5:00
/O,OtJ
t .j'7J
U.S'O
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcul
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT QUE (excluding electrical)
(A, B, C, 0, and E ~ol)1blned)
-Lf, ~ ]~
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved,
ADDITIONAL COMMENTS /7
/I- ~~tWe ~'1ttlc.J/ ~".,/
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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 Ordinances of the City of Springfield, and the Laws
of the State of Oregon perlalnlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of Ihe 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.
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VALIDATION:
t),?'ilf/L
RECEIPT NUMBEr
DATE PAIr> t:(/ I 11'4
AMOUNT RECEIVED (, (~8iJ3 7
RECEIVED BY P t.J~