HomeMy WebLinkAboutPermit Building 1992-12-11
OWNER: ~ {fa
ADDRESS': ,~;~ l 0 ff\ 'q.( W1 ~ 1tJ\ 001-,
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726,3759
ASSESSORS MAP'
LOT:
7
CITY:
.
SPRINGFIELD
:2'
BLOCK'
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STATE:
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NEW
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DESCRIBE WORK'
REMODEL
ADDITION
DEMOLISH
OTHER
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JOB NUMBER -.9;) I (p /9
225 Fifth Slreet
Springfield, Oregon 97477
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TAX LOT: ~()O
SUBDIVISION.-?117 fit t..iAJ ,A/ bJ 111 tel
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PHONF'
7l/6 - 5399
ZIP' c;7 It 7 A
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CONST.
CONTRACTOR'
CONTRACTOR'S NAME ADDRESS
GENER".L~?fIJ: , 'NSCf~~:::, ,!1j?~J( y~ ,
f"PLUMBlffl: 'h~ <:]. " &L, ~ ' (
~':t;.NICAL: -fl:12 tv-k P.a 1:30LLE..1?9'" E/Ju"",,-
J , I r- L " /I -. J.1
ELECTRICAL:...bY./1-' j J':;: ie. "0 ~O;( fJ FtuYt!J'ut
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EXPIRES
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PHONE
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- OFFICE USE -
QUAD AREA: ~ R ~c::.(I~' -I LAND USE: II \ I FLOOD PLAIN: l1)0
. OF BLDGS' \ . OF UNITS' \ ZONING CODE:
OCCY GROUP: ~~ aM CONSTR. TYPE: V/'J . OF BDRMS' ~
. OF STORIES' 1 HEAT SOURCE: 1-7 SECONDARY HEAT:
WATER HEATER: 'I RANGE: t... SQUARE FOOTAGE: lkl:l
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.
~TempOrary Electric
o Site Inspection - To be made
after excavatlon, but prior to
settlng forms.
o Underslab Plumblng/Eleclrical/
Mechanical - Prior 10 cover.
F::/r Fooling - After trenches are
~excavated.
o Masonry - Steel location, bond
,beams. grouting.
1"Vf Foundation - After forms are
~rected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
I':7f Underflo& Plumbln~chanlc.i)
.J,O.I - Prior to"",;;;:ouh:1lI0n tn-decklng.
'f':71 Post and Beam - Prior to floor
~ Insulation or deckln,g.
1':71 Floor Insulation - Prior to
100.\. decking.
~ Sanitary Sewer - Prior to filling
~ trench.
~ Storm Sewer - Prior to '"ling
~ trench.
~ Water Line - ~rlor to flIllng
~ trench.
~ Rough Plumbing - Prior to
~cover.
REQUIRED INSPECTIONS
r'Y'1 Rough Mechanical - .Prlor to
~over.
~ Rough Electrical - Prior to
~ cover.
'0'1 Electrical Service - Must be
~ approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
~ Framing - Prior to cover.
I"Qf Wail/Ceiling Insulation - Prior to
~ cover.
~ Drywall - Prior to taping.
o Wood Stove - After I~stallatlon.
o Insert - After fireplace approvlll
, and Installation of unit.
f';;/I' Curbcut & Approach - After
~ forms are erected but prior to
placement 0' concrete.
~ Sidewalk & Driveway - After
~ excavation Is complete, forms
and sub.base materIal In place.
o Fence - When completed.
~Street Trees - ~hen ;11 requIred
~trccs aro plantod. . . .
1'V'1 Final Plumbing - When all
~ plumbing wC;Hk Is complete.
rvf Final Eleclrlcal - When all
~lectrical work Is complete.
15<1 Final Mechanical - When all
- ~"echanlcal work Is complete.
~ Final Building - When all
~requlred Inspections have been
approved and building Is
completed.
DO'her
MOBILE HOME INSPECTIONS
o Blocking and Set,Up - When all
blocking Is complete.
o Plumbing Connections - Wt1en
home has been connected to
water and 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
Inspectlons are approved and
porches, skirtIng, docl<s, nnd
venting have been lnsl<tllcd,
Lot faces (p@ Lot Type. Setbacks . THE PROPOSED WORK IN THE
Lot sq, fig, ~nterlor I P.L. HSE GAR ACC I '-"HISTORICAL DISTRICT, OR.~
IN /S' I THE HISTORICAL REGISTE
Lot coverage .Mo Corner If yes, this application must be signed
"::'2.P4 Is 23' I and approved by the Historical
Topography Panhandle Iw I Coordinator prior to permit Issuance.
~ W'
Total height Cul.de,sac. IE I
APPROVED'
I further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
MISCELLANEOUS PERMITS from the street, that the permit card Is located at the front
-/o.,:"~::o : :0',',0 .c-."""~h7~_/'7D- - of the propert." and the approved set of plans will remain
State Issuance 0n :::u:~e:t ,~~z,~uril1T~f'\?tructlon.
State Surcharge ~ 'U-
Sidewalk ?~n It ~.()O
-~ Oat"
_/7, . ~o
BUILDING PERMIT
ITEM
SO, FT,
IOL-fD
CAB,
X $/SQ, FT,
t:,L,.::1
\4 ' to
= VAL~EMA
~~j
" 1lt]c9Jp
Main
Garage
Carport
Total Value
~1~
/0.7t!J
35tJ .7~
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
r---
(6)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential 6ath(s) N' 2-
Sanitary Sewer FT
Water FT
Storm Sewer FT,
Mobile Home
-.L( ~,I)-(J
Plumbing Permit
State Surcharge
Total Charge
S:;~
/tflf!>~()
(C)
MECHANICAL PERMIT
b-, '? <)
4,5"0
q,CtP
Furnace
Exhaust Hood
Vent Fan
N'
~
Wood Stovellnsert/Fireplace Unit
Dryer Vent
~p/O
Mechanical Permit
:/.2 ,So
/D,OO
~/"3
,~ ~ '-3
Issuance
State Surcharge
Total Permit
(D)
Curbcut
24 It
Demolition
State Surcharge
A1!Mj I$0Cr.J J
, .
Total Miscellaneous Permits (E)
/Ce f5'O
/ /3.~
~fJ.:5
S~~
TOTAL AMOUNT DUE (excluding electrical)
(A, 6, C, D. 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 01 Springfield, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of ~Orovisio~,o~ald ordinances.
Plan Check Fee~,\ f ')~'\( )/..1J\....-
Date Paid: ~ ~@...2.E)~,
-
Receipt Number:
.cPo~
~'q2_
Systems Development Charge is due on all undeveloped
properties within the City limits whIch are being Improved.
ADDITIONAL COMMENTS
~Cvw-.o _ Q~ '5/1 .tV, S;S:DJ
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By signature, I state and agree, that J 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 01 Springlleld. and the Laws
of the State of Oregon pertaining to the work described
herein. and that NO OCCUPANCY will be made 01 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.
VALIDATION: rrl1
RECEIPT NUIJ1~ER f]l A;-J \
DATE PAID !rJ -II q/J..---' /
6~'6. ~
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