HomeMy WebLinkAboutPermit Building 1993-11-30
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LOCATION OF PROPOSED WORK: '13 I} 7 /-10/ Iy () f-rC'ei-
'\SSESSORS MAP' / ~ '2. n c:::; 2- I .
OWNER: .MIJ I nl\J,1 (l/~rnl/ S{.hl..lJPJ;._, PHONE:
ADDRESS' 4.,<' 'i 7 ,Nn 11../ (C; tred
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CITY:. ~i ,r 11\J,j' he' , ''''. STATE: 7 /-r /0
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOT:
DESCRIBE WORK' f'AJcI,\,s e
NEW REMODEL X
CONTRACTOR'S NAME
[
GENERAl'
PLUMBING'.
MECHANICA' .
ttlu"",~
ELECTRICAL:
_.. A-
OUAD AREA:
,
. OF BLDGS:
OCCY GROUP'
. OF STORIES:
WAT~R HEATER' ,
,
.
SPRINGFIELD
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q,2,/7$~
BLOCK'
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ADDITION
DEMOLISH
OTHER
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT: f.9~
SUBDIVISION: ..,{uJP//tNLm,oa",!rr<V:5
S(}1'. 79ij- 2.9./ j
ZIP:
rJ 79'71
ADDRESS
CONST.
.q)NTRACTOR .
PHONE
"
- OFFICE USE -
LAND USF'
# OF UNIT'"
" . CONSTR. TYP'"
HEAT SOURCE:
.'
. RANGF" '
EXPIRES
FLOOD PLAIN:
ZONING CODF'
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspectlon, you must call 726.3769. This Is a 24 hour recording. Al1lnspectlons requested before 7:00 a.m. will be
made the same working day. Inspectlons requested after 7:00 a.m. will be made the following work day.
o Temporary Electric
o Site Inspection - To be made
after excavatlon, but prior to
setting forms.
o Underslab PlumbinglElectrlcal1
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry ~ Steel location, bond
beams, grouting.
o Foundation - After forms are
. erected.but.-prlor to concrete
placemef"!t.
o Underground Plumbing - Prior
to filling trench.
o Underfloor Plumbing/Mechanical
-.Prlor to insulation or decking.
~ost and Beam - Prior to floor
~ Insulation or decking.
~Floor Insulation - Prior to.
~ decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench. .
o Water L1n~ - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
..' ..
REQUIRED INSPECTIONS
o Rough MechanIcal - PrIor to
cove~ .
"'f;::7f 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.
o Framing - Prior to cover.
~Wall/Celllng Insulation - Prior to
~ ~over.
o Drywall - Prior to taping.
o Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
, excavatIon Is complete, forms
and 5:ub-base material in place.
o Fence - When comp~ete~..
o Street Trees - Wh~n 'all required
trees are planted. ;' _
o Final Plumbing - When all
plumbing work Is complete.
K71 Final Electrical - When all
~ electrical work Is complete,
D Final Mechanical - When all
mechanical work Is complete,
~ Final Building - When all
~requlred Inspections have been
approved and building Is
completed.
o Other
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.
D 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.
#-5"0
3.?'3
71- ~~
7 ,~.
SYSTEMS DEVELOPMENT CHARGE (SDC)
o/A
j
/!
/
/
/
Lot faces .
Lot sq. flg.
,
Lot Type
Interior
Lot coverage
Corner
Topography
Panhandle
Total height Cul.de.sac
BUILDING PERMIT
ITEM sa. FT. x $/SO. FT. ~
Main
Garage
Carport
r:-~ ~
-2-fJ,/P
Total Value
Building Permit Fee
State Surcharge
8WoP
Total Fee
(A)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT.
FT.
FT.
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
MechanIcal Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
MobIle Home
State Issuance
State Surcharge
Sidewalk
fl
Curbcut
fl
Demolition
State Surcharge
'J)Lh.) .piMa...; ~
.
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
I P.L.
IN
S
W
IE
VALUE
2n 77, aO
FEE
/
/
I
..d-;g 4:6
..,
-2/J~
Setbacks
HSE GAR'ACcl
I
(~THE 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.
APPROVEP'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the saId
construction shall. in all respects, conform to the Ordinance
adopted by the City of Sprlngfleld, including the
Development Code, regulatlng the constructIon and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordInances.
.4tP" 4<3
.'
Plan Check Fee:
Date Paid:
Receipt Number:
"
,': -L'I~{JA:J
1 "Ji"ate+
Systems Development 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 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 w,lthout permission of the Building Safety ~ivision.
I further certify. that only contractors and employees who
are In comp.lIance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required inspections are
requested at the proper tlme: 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.
'xlgnature e~ ~ '5X~A_
'.
Date
VALIDATION:
RECEIPT NUMBER
/10 tJ(/
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-:2.0/- / ~
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DATE PAIr>
AMOUNT RECEIVEr>
RECEIVED BY