HomeMy WebLinkAboutPermit Building 1997-8-11
. SPRINGFIELD .--
RESIDENTIAL 9'>/2~
PERMIT APPLICATION JOB NUMBER
Inspections: 726.3769 225 Flllh Street
Office: 726.3759 Sprlnglleld, Oregon 97477
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ASSESSORS MAP' TAX LOT' l?&-5;;..:s&>>
LOT' BLOCK' SUBDIVISION:
OWNER'
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STATE: /'J..et: GOM
ADDRESP'
CITY'
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DESCRIBE WORK'
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NEW
REMODEL
ADDITION
IX
OTHER
. PHONE:
- 742- 1/D8
DEMOLISH
ZIP:
97401
CONTRACTOR'S NAME
/c?flEA
CONST.
ADDRESS CONTRACTOR #
!h;VSTA?v'C77MJ /721" RA/AJ60w L/. S/RJ?
EXPIRES ,,., PHONE
/2/835 ~8' 74'--77&>.D
GENERAl'
PLUMBING:
MECHANICAL:
ELECTRIGA' .
- OFFICE USE -
QUAD AREI" LAND USE' FLOOD PLAIN'
. OF BLDGS' . OF UNITS: ZONING CODE:
OCCY GROUP' CONSTR, TYPE: . OF BDRMS'
# OF STORIES' HEAT SOURCE: SECONDARY HEAT:
WATER HEATER' RANG F.' SQUARE FOOTAGE:
To request an Inspecllon, you must call 726.3769, This Is a 24 hour recording. Alllnspeellons requested before 7:00 a,m, will be
made the same working day, Inspecllons requested aller 7:00 a,m. will be made the following work day,
REQUIRED INSPECTIONS
o Temporary Electric
D Site Inspection - To be mado
after excavation, but prior to
setting forms.
D Underslab Plumblng/Electrlcal1
Mechanical - Prior to cover.
D Fooling - Aller trenches are
excavated. .
D Masonry - Steel locallon, bond
beams, grouting.
D Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
D Underlloor Plumbing/Mechanical
- Prior to Insulellon or decking.
D Post and Beam - Prior to floor
Insulation or decking.
O Floor Insulation - Prior to
decking,
D Sanllary Sewer - PrlOl to filling
trench.
D Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench. . .
D Rough Plumbing - Prior to
cover.
o Rough Mechanical ~ Prior to
cover.
D Rough ElectrIcal - Prior to
cover.
D Electrlca' Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
D Framing - Prior to cover.
D Wail/Ceiling Insulallon - Prior to
cover.
o Drywall - Prior to taping,
D Wood Stovo - Alter Installation.
D Insert - After fireplace approval
and Installation 01 unit.
o Curbcut & Approach - After
. forms are erected but prior to
placemont of concrete.
D Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place.
o Fence - wnen completed,
D.Street Trees - When all roqulred
trees are planted.
D Final Plumbing - When all
plumbing Work is eomplel.e.
D Final Electrical - When all
electrical work Is complete.
D Final Mechanical - When all
mechanical work Is complete. ..'
IA'l Final BUilding - When all
,JL-\-J required Inspections have been
approved and building Is
completed.
IZl Other ~~ 'fftJA.?7
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MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connecllon - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel,
D Final - After all required
Inspections are approved and
porchos, skirting, decks, and
venting have been Installed.
Lot faces
~t ~pe.
Lol sq. Itg.
Lot coverage
Topography
Total height
Interior
Corner
"
Panhandle
Cul.de.sac
,l 'J
BUILDING PERMIT
ITEM SQ, FT.
"
t
X $/SQ. FT, -
Main
Garage
Carport
;(I??(~ !f--'~
Total Value
Building Permit Fee
State Surcharge
Total Fcc
(A)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S!'wer
Water
FT.
Storm Sewer
FT.
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood StovellnsertlFlreplace Unll
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
It
Curbcul
DemOlitiOn
State Surcharge
J~
Total Miscellaneous Permits
(E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Gomblned)
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\. IS THE PROPOSED WORK IN THE.
HISTORICAL OISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this appliCation must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Setb"cks .
I HSE GAR I ACC'I
I PL.
IN
Is
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FEE
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APPRov"n.
. . - .,
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the Glty .of Springfield, Including the
Development Code. regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Gheck Fea.
Date Paid:
Receipt Number:
Received By:
Plans Reviewed By
Date
/~-
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$-~
SYSTEMS DEVELOPMENT CHARGE (SDC)
Systems Development Charge Is due on all undeveloped
properties within tho City limits which are being Improved.
ADDITIONAL COMMENTS
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 pertaining to the work descrIbed
herein, and that NO OCCUPANCY will be made of any
structure without permlsslo~ of the Building Safety Division.
I further certify that oniy contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I further agree to ensure thai all required Inspections are
requested at the proper time, that each address Is readabla
from the straet, that the permit card is located at the front
of the property. and the approved set of plans will remain
on the site at ~I~es during ~structlon.
Signature -IJ)-,./--#./t $--"-.
Date
4-//- '?7,
VALIDATION:
REGEIPT NUMBER -Z ")O~ ?I
i!f'Y/'9?
AMOUNT RECEIVED ~Cc/
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'1/'
DATE PAir'
RECEIVED BY