HomeMy WebLinkAboutPermit Building 1994-1-27
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RESIDENTIAL .
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
SPRINGFIELD
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ASSESSORS MAP:
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LOCATION OF PROPOSED WORK:..2 1..tC. '7
J? ~?-::r'!;.-/?
75?>D ~.~#5.J11'//~V
ADDRESS" ~/?7e- .
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DESCRIBE WORK: ~_ ~y #2>),,;><7.:7~'~' ~/S7":
NEW REMODEL ADDITION DEMOLISH OTHER
LOT'
OWNER:
CITY'
CONTRACTOR'S NAME
GENERAL:,~~~;<?
PLUMBING:
MECHANICAl'
ELECTRICAl'
QUAD AREA:
. OF BLDGS:
OCCY GROUP:
"SRnlll)
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- '(-1]
. OF STORIES:
WATER HEATER:
BLOCK'
-5'v~CA~P ,
,
STATE:
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.
JOB NUMBER 9' y~/;;:>
225 Fifth Street
Springfield, Oregon 97477
TAX LOT: L:P2S--~
SUBDIVISION:~h ~....ct1::t-
PHONE:
/2~-&?::>92
ZIP'
97'77/
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"
,CONST.
, CONTRACTOR'
EXPI RES
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'.
. .,~~.
ADDRESS
'- OFFICE USE -
LAND USE: \ \ I t
" ',. OF UNITS' (.
'CONST~, TYPI" V N
HEAT SOU~CE:~';O t: fl
RANGE: (JI
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REQUIRED INSPECTIONS
19f' Rough Mechanical - .Prior to
~cover.
.'K71" Rough El~ct!lcal -.- Prlo~ to
~ cover. _
FLOOD PLAIN'
ZONING CODE: 1012..--
. OF BDRMS'
SECONDARY HEAT: ~
SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769. This Is a 24 hour recorqlng. 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.
o Underslab Plumbing/Eleclrlcall
Mechanical - Prior to cover.
r\::;(Footing - After trenches are
R excavated.
o Masonry - Steer location, bond
beams, grouting.
rs7r Foundation - After forms are
~ erected-but prIor to concrete
placeme~t.
o Underground Plumbing - Prior
to filling trench,
~ Underfloor Plumbing/Mechanical
~-.Prior to insulation or decking,
o Post and Beam - Prior to floor
Insulation or decking. "
k7r Floor In~ulatlon - Prior to
~ decking:
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.. .
rc7f Rough Plumbi~g ..:. J>rlor to
~ cover. .".
,
~Flnal Plumbing - When all
plumbing work Is complete.
~ Final Electrical - When all
. '. ". electrical work is complete.
.. "
,,~_ _~ 'L~.,,"~. ..". . .~:.;.~,.,..,._, .)"''''\'.\:...
'"'R:21 Electrical Service":"" Must be .... '<-. "tv' Final Mechanical ,- When all.
~ approved to obtain permanent ~ mechanical work IS complete.
electrical power, W~~
~ Final Building - When all
~ required Inspections have been
approved and building is
completed.
o Fireplace - Prior to facing
materials and framing Insp.
~ Framing - Prior to cover.
~Wall/Celling Insulation ~ Prior to
~cover.
%DryWall - Prior to;aPlng.
o Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
'0
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o Sidewalk & Driveway - After
" excavation is complete, forms
and sub,base material In place,
o Fence - When completed.
o Street Trees - When "all re.quired
trees are planted. "
OOth"r"
"
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete,
D Plumbing Connections - When
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
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
,
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3?7.o0
1'7. ~s
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SYSTEMS DEVELOPMENT CHARGE (SDC)
/IC/3
Lot faces
.
lot Type
~'lnterior
':
lot sq, ltg,
Lot coverage
Corner
Topography
Total height ~/
(Asr..j- ")
"-
BUILDING PERMIT
ITEM SQ, FT,
Panhandle
Cul,de-sac
Main
'IA.J:;"'3
X $/SQ, FT,
~-?_'"
Garage AI:!^ .4< ~ ~
... ",. .
./#f./~
;
Carport
~,
2fi!:. ~
~
Total Val ue
Building Permit Fee
State Surcharge
Total Fee
(A)
(B)
PLUMBING PERMIT
ITEM
Fixtures
/r?
Residential Bath(s) NO
Sanitary Sewer FT.
Water
FT,
FT,
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
r(,,e?,
Furnace
Exhaust Hood
Vent Fan
NO ~_
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
&A-5L/4E ; 'f#
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State .Surcharge
Sidewalk
It
Cu rbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
Setbacks
I P.L. 'HSE' GAR I ACC I
IN
Is
Iw
IE
VALUE
"f;~.€o! ,
'S6:"5" /.:;t::)
.:<'5'.AC5'. ~..,.-
, .
FEE
/ (Jt) ~O
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, .
~4'0
/ tJ,<5' H
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/7.#
IO.PO'
.Z35
.2.1. ~5"
51-7,70
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(".HE 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.
-
" APPROVE';"
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the expres.s,conditlon that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City of Sprln'gfleld. 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' ::z..,8 .OS:-
Date Paid: I:' 'Y.9~
Receipt Number: //29<>
Re~4-~-~
F'lal[s Rev'iewed 'By
1/7_'7/l!f-
I Dpte
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved,
ADDITIONAL COMMENTS
~"'i';P~ _Ff'U:-q;t/&ff..
~J;,h?/fr /.(' ~~_
/V/r1Jf 1.
By signature, I st~te and agree, that I 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 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 certHy that only contrac~ors and employees who
are In compliance with ORS 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 during construction.
x,gna::;~eoJ. j~ ~ 'SUll L~~
Date L- ;::)',-014
VALIDATION:
RECEIPT NUMBER
J!4~3
;/?-7/!4
'( ?~7: 70
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DATE PAI[1
AMOUNT RECEIVE[1
RECEIVED BY