HomeMy WebLinkAboutPermit Building 1997-7-24
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Otllce: 726.3759
LOCATION OF PROPOSED WORK'
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ASSESSORS MAP'
LOT'
.
SPRINGFIELD
)7",
BLOCK'
ADDRESS:
CITY'
17'4'~
.
j.dR
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OWNER'
STATE: ' r'JA,
DESCRIBE WORK: <::::'Y JII(j~(' ..).
NEW REMOD~L' / ~ADDITION ' ,
CONTRACTOR'S NAME
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GENERA' .
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DEMOLISH
OTHER
.
97112 3
JOB NUMBER
225 Flllh Street
Springfield, Oregon 97477
TAX LOT:
, SUBDIVISION:
eYe ~~
PHONE:
7~(' - 5-s J 'J
ZIP: "'J 7~.:z7
A
~L
t~
ADDRESS
CONST.
CONTRACTOR .
\,XPIRES .,., PHONE
PLUMBING'
MECHANICA' .
ELECTRICAL:J,,R, ~~
QUAD AREA'
· OF BLDGS:
OCCY GROUP'
· OF STORIES'
WATER HEATER'
- OFFICE USE -
'7'1'/ -I"~"'l~
LAND USE:~: FLOOD PLAIN'
, '
· OF UNITS: TH:t rem};":':; 111_:' EXPIRE1fi"t\~WG\~f
CONSTR. TYPf~uTHo~!:r ~~II~SR THIS PERIilIIjl~Ne-:-
HEAT SOURCE:CQMhAI'N~l'n OB..IS.ABAND~flt>>'\RY HEAT'
RANGE: ANY 180 DAY PFRlno. 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
made the same working day. Inspections requested after 7:00 8.m. will be made the following work day.
REQUIRED INSPECTIONS
o Rough MechanIcal"":' Prior to
cover.
o Temporary Electric
o SlIe Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical/
Mechanical - 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.
I
o Underground Plumbing - Prior
to filling trench.
o Und.rfloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
o Rough PlumbIng - Prior to
cover.
tc;;( 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.
~ra~lng - Prior to cover.
~Wall/CeJllng Insulallon - Prior to
~cover.
~ryWall - Prior to taping.
D Wood Stovo - After I~sta"atlon.
o Insert - After fireplace approval
and Installation of unit.
D Curbcut & Approach - Aller
forms are erected but prior to
placemont of concrete.
o Sidewalk & Driveway - Alter
excavation Is complete. forms
and'sub.base mater.lal In place.
o Fence - When completed.
O,S.reel Trees - When all required
trees are planted. .
o Final Plumbing - When all
plumbing w9rk Is complet,e.
~Flnal Eleclrlcal - When all
~~Iectrlcar work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
I57f Final Building - When all
~requlred Inspections have been
approved and bUilding Is
completed.
OOth.r
MOBILE HOME INSPECTIONS
o Blacking and Set.Up - When all
blocking Is complete.
o 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 - Aller all required
Inspecllons are approved and
porchos, skirting, decks, and
ventlng have been Installed.
,
Lot (aces
.
. .\
Lot Type
; "~1 T ~ :. "'. . :.'( ::,. ,.i'I\~ '
'.)/ . ~ .'. " "".",'~".'I "j;f;...;i'l ~t..
'~l..\'.I. .": .,~.;U.,'., :
Setbacks .
I P.L HSE GAR ACC'
IN
Is
Iw
IE
..
( IS THE.PROPOSED WORK IN THE.
'-'HISTOI:IlCAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes. this application must be signed
and approved by the Historical
, Coordinator prior tei permit Issuanca.
Lot sq. Itg.
Lot coverage
Interior
Corner
Topography
Total height
;'
Panhandle '
Cul.de'sac
iJ
BUILDING PERMIT '1 ,'1\ '1
ITEM
SO. FT.
X S/SO. FT. a
VALUE
Main
Garage
Carport
"
APPROVED' .
BUILDING Vhu1E, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the cxpress condition that the said
conslrucllon shall, In all respects, conform to the Ordinance
adopted by Ihe City, of Springfield, Including the
Development Code. regulating Ihe construction and use 01
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
:::t!:~-y /~lL) Plan Check Fee'
Date Paid:
Total alue
-:z. $. 610 Receipt Number:
Building Permit Fee
/. z.r + Z~ Received By: '
Stale Surcharge ,75'
Total Fce (A) 2'7.00 Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)i~.l~_N~ .'1.;';' .'" ~. .,:: ~
. _"~ 1 ...'
,,'.! ..1
,. ":,.~ ~::
Sanitary S~wer
Water
#.-' ..:.FT:' r:, jl;~.' #-:'.; ;'
, ',II; .~".t, !'~.'i1TI,
F.t,.:
:.~ \' j I I", ~
"..... '
'.
....1'-"
lj~jt'1'1!,.~,\r1(: J
Storm Sewer
FT.
: 1:,1:";'.>',:, I j'CF Yv :...
Mobile Home
Plumbing Permit
Stale 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
(0)
MISCELLANEOUS PERMITS
Mobile Home
Stale Issuance
Slate Surcharge
Sidewalk
It
It
Curbcut
D;SW A'eV/~
S'._:,-=-:.',.,... /1_
.. /; et'~ ,//~N'r
/h.lf
~78c
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical) . tjj!-,JO 50
- .
(A, B. C, 0, and E Combined)
Systems Development Charge Is due on all undeveloped
properties within the CUy limits which are being Improved.
ADDITIONAL COMMENTS
sJ<<<fi"u~7-r ,Tn ~
LI-IJt<:.A-4~ MF ~,<:~
,
~A-k
By signature, I stale and agree, that I have carefully examined
the completed application and do hereby certify that sll
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
wllh the Ordinances of the City of Springfield, and the Laws
of Ihe Stale o( 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 furl her certify Ihat only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I further agree to ensuro that all required Inspections are
requested al the proper time, thai each address Is readable
(rom the street, Ihat the permit card Is located at the front
o( the properly, and the approved set Of plans will remain
on the slte_at~es during cons:tructlon.
Slgna');C( I/_dj.//;;---
Date' ~~# ,
VALIDATION:
RECEIPT NUMBER
DATE PAin
AMOUNT RECEIVED
RECEIVED BY
2~l!!> ~ ?
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