HomeMy WebLinkAboutPermit Building 1995-8-25
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ADDRESS: C:/J7 ..IU"~K_
CITY: VA k'/~A4.
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
T'ice: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT'
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OWNER:
.
SPRINGFIELD
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Au./c. .
BLOCK:
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STATE:
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DESCRIBE WORI(: p/U // l ,4.Al?~,-'I,
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REMODEL ~ADDITION
NEW
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. OTHER
DEMOLISH
.
JOe NUMBER
9~/372.
225 Fillh Street
Sprlnglleld. Oregon 97477
TAX LOT:
SUBDIVISION:
,
no 9 t9 t")
PHONE/C;-f"]c;) ~~-0220
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ZIP:
9~9t'?~
PHONE
CONTRACTOR'S NAME
GENERAL: t2/L~A.J~
PLUMBING:
MECHANICAL'
ELECTRICAL:
ADDRESS
CONST.
CONTRACTOR'
EXPIRES
~
- OFFICE USE - -
QUAD AREA: LAND USE: FLOOD PLAIN:
. OF BLDGS: . OF UNITS' ZONING CODE:_
OCCY GROUP: CONSTR. TYPE: . OF BDRMS:
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER, RANGE: __ SQUARE FOOTAGE: _
To request an inspecllon, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be
mado tho samo working day. Inspoctlons requested aCtor 7:00 a.m. will bo made tho following work day.
o Tornpornry Electric
o Slto Inspection - To be mado
after excavation, but prior to
sellIng forms.
o Underslnb Plumbing/ Electrical/
Mochanlcal - Prior to cover.
o Fooling - Aller trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to IIl1lnQ Ironch.
o Underlloor Plumbing/Mechanical
- Prior to Insulallon or decking.
o Post and Boa~- Prior to floor
Insulation or decking, '
o Floor Insulatlon--:' Prior to
decKing.
o Sonllary Sewer - Prior 10 filling
tronch.
o Storm Sewer - Prior 10 filling
trench.
o Waler Line -:- Prior !o IIIIlng
trench. \.' '0 "
o Rough Plumbing '- Prior 10
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior 10
cover.
o Rough Eleclr~cal - Prior to
cover. ,
o Electrical Service - Musl'be
approved to obtain permanent
electrical power.
o Flreptace - Prior 10 facing
materials and framing Insp.
~ Framing - Prior to cover.
.0 Wail/Ceiling Insulation - Prior to
cover. ,
o Drywall - Prior to taping.
o Wood Stove - After Installation.
o Inserl - After fireplace approv41
and Installalion of unll.
,
o Curbcul & Approach - After
forms are erected but prior to
placemont of concrele.
o SidewalK & Drlvewav - Aller
excavation Is compictc, (arms
and sub-base material In place.
o Fence - When com,?leted.
o Street Troes - When all required
trees are planted. .
o Final Plumbing - When all
plumbing W9.rl( Is complct,C.
o Final Eloctrlcal - Whon all
electrical work Is complete.
o Final Mechanical - When 011
mechanical work Is complete.
"
~Inal Building - Whon all
required Inspections have boen
pproved and building Is
compleled.
OOthor
MOBILE HOME INSPECTIONS.
o Blocking and Sot. Up - When all
blocKing Is complOle.
o Plumbing Connocllons - When
homo has been connected to
water and sewer.
o Electrical Connecllon - When
blocKing, sel-up. and plumbing
Inspections have been approvod
and the home Is connected to
the service panel.
o Final - Aller 011 required
Inspecllons are approved and
porches, sklrllng, decks, and
venting have been Installed.
rr
Lot faces
Lol Type.
Interior
Lot SQ. Itg.
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.de.sac
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
Main
Garago
Carport
'.
Tolal Value
Building Permll Fee
Slale Surcharge ,1~ .,.., l' .J
Total Feo
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
" -.....
..~- ITEM
Fixtures
Resldenllal Bath(s) N'
Sanllary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge (C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood StovellnserllFlreplace Unit
Dryer Vent
Mechanical Perml t
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcul
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding eleclrlcal)
(A. B. C. 0, and E Combined)
.';
.1
I
..S THE PROPOSED WORK IN THE
. HISTQRICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes. Ihls appllcallon must be signed.
and approved by Ihe Historical
Coordinator prior to permit issuance.
Selbacks
HSE GAR ACC
I PL.
IN
Is
Iw
IE
VALUE
"
"
350~
_--1..2-,-0-0
__-L~~
/0 }.o
FEE
-"Ie-. ,2 V
,
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on tho express condition thaI the sald
construcllon shall. In all respects. conform to Ihe Ordinance
adopted by .the:.Clly. 01 Springfield. including the
Development Code, regulating the cOr)ilruction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions ot said ordinances,
Plan Check Fee:
Date Paid:
Recelpl Number:__.__
Received By:
"
Plans Reviewed "By" ....-----.-,
Dale
Systems Development Charge Is due on all undeveloped
propertIes within tho City limits which arc being Improved,
ADDITIONAL COMMENTS
. By signature, I slate and agree, that I have carefully examined
the completed appllcaUon and do hereby certify that all
Information hereon is true and correct, and I (urther 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 Stalo of Oregon pertaining 10 the work described
herein, and thai NO OCCUPANCY will be made of any
structure w.lthout permIssion of lhe Building Safety Division,
I further certify that only contractors and employees who
are In compliance wllh ORS 701.055 will be used on this
project.
I further agreo to ensure Ihat all required Inspections are
requested at the proper time, that oach address Is readable
from the street. thai the permit card Is localed althe fronl
of the property, and the approved set of plans will remain
on the site a~./7lme uring construction.
~ture ~~
Oat'"
VALIDATION:
/fE ~/ %?,
DATE PAID ~ /2. r/9 r
r '/ ~o
AMOUNT RECEIVED ___,?r_ . _
. --,p7~
(~ ..
RECEIPT NUMBER
RECEIVED BY