HomeMy WebLinkAboutPermit Building 1996-9-6
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LOCATION OF PROPOSED WORK: b9~C ~~~/C#
ASSESSORS MAP' /1F 'd< <:::>;2 -2. '3
RESIDENTIAL
PERMIT APPLICATION
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Inspections: 726.3769
Ottice: 726.3759
LOT:
BLOCK:
SPRINGFIELD 1.1,,,,
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y ~
OWNER' 1//h'J)y?/~.../ $~/,
ADDRESS: "7 2 ~?'2. ~~/ ~
CITY' /1~/-S~fi'
DESCRIBE WORK: ~.-.r-
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NEW
REMODEL
ADDITION
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STATE:
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,-JOB NUMBER ~.o~.vB
225 Filth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION:
CJ~~
PHONF'
q":?~ ~ ? ~?~
ZIP:
~? ~'?7'"
.~~ ~: - L.. ,/';;,?~:>~.~-<--.:..
DEMOLISH
OTHER
7' ~ 4: ;e;>~6!::J ,
/' /~~;O/'.,/
CONST.
CONTRACTOR'
CONTRACTOR'S NAME ADDRESS
GENERAl' ~~~
PLUMBING: -~~~:f,;:r?"
MECHANICAL:~~,~.hf", -..,
ELECTRICA" ;:;:"7~
QUAD AREA'
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND USE:_
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE: __
EXPIRES
PHONE
~
FLOOD PLAIN'
ZONING CODE:_
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE: _
To request an Inspection, you must call 726.3769. Tills Is " 24 hour recording, Alllnspecllons requested before 7:00 a.m, will be
made the same working d<lY, Inspections requested of tor 7:00 a.m. will be made the followIng work day.
o Temporary Eloctrlc
O Slto Inspection - To be made
after excavation, but prior \0
setting forms.
o U~derslnb Plumblng/Elcctricnl1
Mechanical - PrIor to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel rocatlon, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
D
Underground .Plumblng - Prior
to filling trench,
o
Underfloor Plumblngl Mechanical
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulatlon or decking.
D Floor Insulatlon - Prior to
decking.
D Sanitary Sewer - Prior to fllllng
trench.
D
Storm Sewer - f'rlor to filling
trench.
D
Water Line - Prior to filling
trench.
D
Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
D Rough Mechanical ~ Prior to
cover. _
o
Rough Electrical - Prior to
cover.
o
Electrical Service - Must be
approved 10 obtain permanent
electrlcal power.
o Fireplace - Prior to facing
materials and framing Insp.
D
o
Framing - Prior .to cover.
Wall/e'olling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installation.
o Insert - Aftor fireplace approval
and Installation of unit.
o
Curbcut & Approuch - After
forms are erected bllt prior to
placomont of concrotc.
o
Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In. place.
o
Fence - WIlen completed.
o
Streot Troos - Wh~n all required
trees are planted. .
C0
Final Plumbing - When all
plumbing w9rl< Is complet.e.
~
Final Electrical - When all
electrical work Is complete.
rY1 Final Mechanical - When all
~ mechanical work Is complete.
rt7f Final Building - When all
l,.L-J required Inspections have been
approved and building Is
completed.
OOlhor
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 Connection - When
brocklng, 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
porches, skirting, decks, and
venting have been Installed.
J
Lot laces Lot Type ..
Lot sq. ftg. Interior I P.L.
IN
Lot coverage Corner Is
Topography Panhandle I.w
Total height CuI-de-sac IE
BUILDING PERMIT
ITEM so. FT, X $/50. FT.
Main
Garage
Carport
Tolal Value
Building Permit Fee ~&'m-;z:>.
Slate Surcharge
Total Fee
(A)
Setbacks
HSE GAR
VALUE
..
/<:,_1>
:.?'~
/6. ..7t?
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FIxtures
Residential Balh(s)
N'
Sanitary S~wer
Waler
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit # ~&''?
State Surcharge
Total Charge (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnserllFlreplace Unit
Dryer Vent
Mechanical permlt~~;'-'.
Issuance
State Surcharge
Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
ft
Curbcut
Demolition
State Surcharg~ )7 ..-~
c"'-ECr. l/ij~7
Tolal Miscellaneous Permlls (E)
.-
TOTAL AMOUNT OUE (excluding electrical)
(A, B, C, 0, and E Combined)
FEE
/-5""'
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, -
,~~
/5-~
=~
/6- ::?P'
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"c.. q. fire:>
ACC I
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! .THE PROPOSED WORK IN THE.
'''HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, Ihls application must be signed
and approved by Ihe Historical
Coordinator prior to permit issuance.
: APPROVED;
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express candlllon that the saId
constr~ctlon shall, In all respects. conform to the Ordinance
adopted by Ihc -Cily of Springlleld, including the
Development Code, regulating the construction and use of
buildings, and may be suspended- or rcvokc9 at any time
upon violation of any provisions of said ordInances.
Date PaId:
Plan Check Fge: ~
Received By:
Receipt Number'
Plans Reviewed By
Dale
Systems Development Charge Is due on all undeveloped
properties within lhe City limits whIch are being Improved.
ADDITIONAL COMMENTS
By signature, I slate and aoree, Ihall have carofully examined
Ihe completed application and do hereby certify thai 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 olthe City of Springfield, and Ihe Laws
of the State of Oregon perlalnlng to the work described
herein, and that NO OCCUPANCY wltl be made of any
slruclure wllhoul permission oflhe Building Salety Division.
I further certify thaI only contractors and employees who
arc In compliance with ORS 701.055 will be used on thIs
project.
I rurlhcr agree to ensure that all required Inspections are
requested at the proper time, that oach address Is readable
lrom Ihe slreel, that the permit card Is localed althe fronl
of the property, ()nd the approved set of plans will remaIn
on the sIte at all times during constructlon.
Slgnaturf' ~ ~
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Oat".
VALIDATION:
DATE PAID
RECEIVED BY
,