HomeMy WebLinkAboutPermit Building 1995-7-13
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOT:
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JOB NUMBER',- Q5cm
225 FI flh Street. ..
Springfield. Orego!' ,97477
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ZIP' Cr ~i
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CON ST. ~.
I . 9r~fJ{'rTOR N . EXPI~S '. PHONJ\r_
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c9 5'7Q()' tli'Q3.QS 741.r14S
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QUAD AREA:~~
N OF BLDGS: _ \
OCCY GROUP:\Z?1T- ~n
N OF STORI ES: ,.:J .
WATER HEATER: - - r-;
- OFFICE us; -
LAND USE: --1J I
\
CONSTR. TYPE: \/ AJ
HEAT SOURCE: 'l==G_
F.....
N OF UNITS:
RANGE: _
FLOOD PLAIN: .- .-, J
ZONING CODE:--.U)~
N OF BDRMS: . ~
SECONDARY HEAT: -~_. :2.-
SQUARE FOOTAGE: rY Iltt.
To reques~ an lnspec~fon, yol.:J must call 726.3769: Ttlls Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be
.made the same working day. Inspections rcQ'uest~d ~fter 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
~ Te~porary Electric
Lfl Site Inspection - To be made
after excavation, but prior to
setting forms.
o Under.'ab Plumblng/Electricall
Mechanical - Prior to cover.
~ Footing - After trenches are
~ excavated.
o Masonry - Steel location, bond
beams, grouting.
r:Jl Foundation - After forms are
LA.] erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to IlIlInQ trench.
qJ
[Jg
Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
Post and Bea"", - Prior to floor
Insulation or. decking.
,
,
rVJ Floo~ Insulati'on ~ .Prlor to
'-f'" decking, " .
"
r:;7iI Sanitary Sewer - Prior to trrllng
l.:)C3 trench.
r\n Storm Se~er - Prior to flJllng
LP trench.
'. . \.
I'i<l Water Line - Prior to IlIlIng
/ .trench. 1. -", ,\
~ ~ou, gh Plumb~ing _3p-:iovrlto
L..fJ' cover. -.
rVl Rough Mechanical":: Prior to
~ cover. .
r\A Rough Electr~cal - Prior to
LfJ cover. '
~ Electrical Service - Must be
approved to obtain permanent
electrical power. . .
o Fireplace - Prior to facing
materials and framlng~lnsp.
~ Framing - Prior to ~~~e~:.; '_
r"Vt Wail/Ceiling Insulatlo'; - ,Prior to
~cove~ .
! I,
1f! Drywall - Prior totaf~~~} .::
o Wood Stovo - After Installation.
o Insert - After fIreplace approvltl
and Installation of unit.
rn Curbcut & Approach - After
Lf::i forms are erected bll( pilor- to
placemont of concrete,
m Sidewatk & Driveway - After
~ excavation Is compictc, forms
and sub.base material in place.
o Fence - When comPI~.ted..
o Street Trees - When, al" ,re5lu,~':.ed
trees are planted.<'" -'<' . . ,
r"\:it Final Plumbing - When all
L....f-t plumbing w9rk is complete.
rY1 Final Electrical - When all
lAJ electrical work is complete.
r:'Vt Final Mechanical - When all
~m.echanical work Is complete.
Lj4 Final Building - When all
required Inspections have been
approved and building Is
c?mpleted: '-;. I I, ~.. .
"
o Other
. ::> r I
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MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connec,ti~)Os. .;.... When
home has been connected to
water and sewer..
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o Electric;:al 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
porches, skirting, decks, and
venting have been Installed.
I.... '.
lol Type. 'I' ;,a THE PROPOSED WORK IN THE.
Lot faces ~ Setb,cks
lot sq, Itg. ~ _ Interior I P.L ~E GAR ACC I HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
~ l,./ -;-e
Lot coverage _ Corner Is I If yes, this application must be signed
Topography W~ Panhandle \0 and approved by the Historical
~ Iw I Coordinator prior to permit issuance.
Total height Cul.de.sac
t9.W') IE l8 I APPROVED'
BUILDING PERMIT
a?1:13
taft
Xd(~~w = 19f)u,ESS
14.10 ",8,-r1~
ITEM
Main
Garago
Carport
Total Value
{~q~'R
? ~. \ili.
'02>'6.11. '
Building Permit Fee
Slate Surcharge &-.-L\.~ l+ \'"\.As
Total Fee
(A)
SYSTEMS D~VELOPMENT CHARGE (SD;2 ~
. (B) f.'Z4c,,? -
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N'
~
\ '1 ~,<;Q,
Sanitar~ Sewer
FT.
FT,
FT.
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge q.~3 "S.Ie.
\ ~~.s:9
I s: !ll.
~Ol,'il
Total Charge
(C)
MECHANICAL PERMIT
0. C>-O
-4,~
\!l.cJO
Furnace
Exhaust Hood
Van t Fan
N'
"I.
/
Wood Stove/Insert/Fireplace Unit /
Dryer Vent
~~\..)~
"3.,<<0
b.~
~.m
lD.~
Z.iS"
~2?S-
Mechanical Permit
Issuance
State Surcharge I: S":J -j- ,'12-
Total Permit (D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
l{L\. ~
\,-\.s..2
Curbcut
~"3..1 It
'~n
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
S~~
3.~/ 3.93
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. D. and E Combined)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shaH,ln all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the cOf')struction and use of
buildings, and may be suspended or revoked at any time
upon violation of any ~rovi~s pJ,.l~id ordinances,
Plan Check Fee: ('-')A 0'~
Date Paid 15...:dJ .c.t~
Receipt Numb~~' 1f\sS-z..-
Received By: . \.L\O )
k~ll ~ -
p1anRcviewCd By
r"f:J..Jls
~te
Systems Develctpment Charge is due on all undeveloped
properties within the City limits which are being improved,
ADDITIONAL COMMENTS
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By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify ihat 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 permission of the Building Safety Division.
I further certlfy that only contractors and employees who
are In compliance with OAS 701.055 will be used on this
project.
I further agree 10 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, d the approved set or plans wlll remain
on the site at I times d ur~ng c nstruction.
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Date_7/:\~,) .
VALIDATION:
RECEIPT NUMBER
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DATE PAIr>
AMOUNT RECEIVED
RECEIVED BY