HomeMy WebLinkAboutPermit Building 1993-10-6
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RESIDENTIAL
PERMIT APPLICATION
SPRINGFIELD
Inspections: 726,3769
Office: 726,3759
LOCATION OF PROPOSED WORK: +,~ 2-d--.~St~ ,77-f'/A
ASSESSORS MAP' J s::!.o z.. t<':>"" "? I I
LOT'
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JOB NUMBER
9'ui-#
225 Filth Street
Springfield, Oregon 97477
BLOCK'
SUBDIVISION:
TAX LOT:
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OWNER:~' R. ~ tt=.7J'U' R~I:::::.S "- _ PHONE' ".d.'7- 5~)9
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:"f'R./~FJF-L'J) STATE: ~O ZIP: 971-1''::1
ADDRESS:
CITY:
~'r: .A7~-,
NEW ~ REMODEL
ADDITION
~~A6';:; t?u'
DEMOLISH
OTHER
DESCRIBE WORK:
CONTRACTOR'S NAME
GENERAL:~<'
~'!"'....c",
PLUMBING:
MECHANICAl'
ELECTRIC," '
QUAD AREA:
. OF BLDGS'
OCCY GROUP:
. OF STORIES:
WATER HEATER:
ADDRESS
,'CONST,
" ',l',:C0NTRACTOR .
,\ ,
EXPIRES
PHONE
~~?'-~9
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\.... 1f!;t!;.??
'f .. _.
- OFFICE USE -
. ~"" . , . .... ~
"~" ~{ "~AND U~E:
. OF UNITS'
CONSTR, TYPE:
HEAT SOURCE:
RANGE'
a/2 Jh~
"
FLOOD PLAIN:
ZONING CODE:
. OF BDRMS:
. SECONDARY HEAT:_,
SQUARE FOOTAGE: _'
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. wilt be made the following work day.
o Tem~orary Electric
o
Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab Plumbing! Electrical/
Mechanical - Prior to cover.
[Z]
Footing - After trenches are
excavated.
o
Masonry - Steel location, bond
beams, grouting.
IXJ
Foundation - After forms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
o
Underlloor Plumbing/ Mechanical
_ Prior to insulation or decking.
D
Post and Beam - Prior to floor
insulation or decking.
o
Floor Insulation - Prior to
decking.
o
Sanitary Sewer - Prior to fitling
trench.
o
Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench. , .
o Rough ~Iu,mblng - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o
Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o
Fireplace - Prior to facing
materials and framing Insp.
JKl
Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping,
o Wood Stove - After installation.
D Insert - After fireplace approval
and installation of unit.
o
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation is complete, forms
and sub.base material in place,
o Fence - When completed.
o Street Trees - Whe~ .all rg~uired
trces are planted. '
o
Final Plumbing - When all
plumbing work is complete.
o
Final Electrical - When all
electrical work is complete.
D
Final Mechanical - When all
mechanical work Is complete.
[Z]
Final Building - When all
required Inspections h",;ve been
approved and building is
completed.
DOther
MOBILE HOME INSPECTIONS
D Blocking and Set.Up -. When all
blocking is co~p'ete.
o
Plumbing Connections - When
home has been connec:ted to
water a'nd sewer.
o Electrical Connection .- When
blocking, set.up. and plumbing
inspections have been approved
and the 'home is' conmlcted to
the service panel..
o Final - After all required
inspectIons are approved and
porches, skirting, decks, and
venting have been installed.
.
Lot faces .0- Lot Type Setbacks
Lot sq, ltg, Inlerior P.L, HSE GAR ACC I
. I
Lot coverage Corner N
Is :5' II
Topography Panhandle
Iw I~/I
Total height .,x... Cul.de,sac
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BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT,
VALUE
Main
Garage
1--'-
! 1__
--~~~.'-- -
Carport
5~
-&.Sb
/~/O
J'~51f!:lf
( ---
Total Value
; ~Z.f~f'
. -I-'-/~ ,
---' . 3,_~
!_~~63J
SYSTEMS DEVELOPMENT CHARGE (SDC)
Bullding Permit Fee
Stale Surcharge
Total Fee
(A)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures.
Residential Bath(s)
N'
Sanitary Sewer
FT,
Water
FT,
Storm Sewer
FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan \
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
,
Issuance
State Surcharge
Total Permit
(D),
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fl
Curbcut
fl
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding eleclrical)
(A, B. C. D. and E Combined)
.LdS:,~ .3
,
IStE PROPOSED WORK iN THE
'HISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition Olat 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: /.H;(t7 D,/Ir A'~. ~t!';1'C&.J
::~:i::i:umber q~~~:
Received By: )..-r.
PI~t~~~ ~lAJ
Systems Development Charge is due' on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
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Ull71ftAJ tP >>;~, (/Sn ~.sJ
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information tlcreon 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 wittloul permission of the Building Safety Division.
I further certify (flat only contractors and employees who
are in compliance wittl GRS 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 all times durln~onstructton~
~ignatllre,;h...'" ,~'-.
,
Date
/~~"
VALIDATION:
RECEIPT NUMBER
/c::J~~ ~
//)~f"! :J
I /.../) 7 &. :J
i~
DATE PAID
AMOUNT RECEIV~n
RECEIVED BY