HomeMy WebLinkAboutPermit Building 1995-5-2
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RESIDENTIAL
PERMIT APPLICATION
,Inspections: 726.3769
Office: 726.3759
.
SPRINGFIELD
><ASSESSORS MAP'
~ (LOT:
LOCATION OF PROPOSED WORI" (I) 5({1) 'Z-
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OWN ER~ f\ fI'1)) \'(\; ~ 1~.U"f\ f,\.....I1
ADDR~" Rl4~ \1\ lll\ ~~ ~m l },_
CITY: ~~J\ d\f\f~ ~ , ' STATE: (m~
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DESC/WORK'
NEW REMODEL
BLOCI"
5?
.
:5j?Z70
ADDITION
DEMOLISH
OTHER
JOB NUMBER
q~31~
225 Filth Street
, . ',.
Springfield, Oregon,97477
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SUBDIVISION' GA 5"c.A J) t: /-f I!..I'Jh7')
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PHONE,
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zIP,~'f.{b
CONTRACTOR'S NAME
GENERAL: j)Lfi/{l/IS ~"'/;,'um
PLUMBING: /)0""" A'Lu/;C'
MECHANICAL: p/-t/IF t/L i/ ;I;t'-- )"",,,v 'f
, t'.
ELECTRICA' ' /---1,10 1./ c./1 oJ.- j-/ N-#'1/M/t A::',
CONST.
ADDRESS CONTRACTOR'
P/Y'> 7JlUfsM /j 5~~~ G1.bf?z..
.~3m\()
. ,rsC)'\{'~
RQ<t2..?)
EXPI RES PI:.fON E
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~E:. - OFFICE USE -
QUAD AREA: LAND USE: \ l\ \ FLOOD PLAIN:
· OF BLDGS' \ · OF UNITS: \ ZONING CODE: -L\'J?--
OCCY GROUP: 1--\"6-t'\/\ CONSTR. TYPE: VA) . OF BDRMS, 4
. OF STORIES: ~ HEAT SOURCE: FE-- SECONDARY HEAT: ~fJ
WATER HEATER, _F / RANG'" U SQUARE FOOTAGE'~J()
To request an Inspection, you must call 726.3769. This Is a 24 hour recording, Alllnspecllons requested belore 7:00 a.m, will be
made the S8rTle workIng day. Inspections requested after 7:00 B.m. will be made the following work day.
~ Temporary Electric
----- ~,..
l'V'1 Slto Inspoctlon - To be made
~a(ter excavation, but prior to
settIng forms.
o Underslab Plumbing I Electrlcell
Mechanical - Prior to cover.
~ Footing - After trenches are
~ excavated.
o Masonry - Steel location, bond
.beams, grouting.
I')7'f Foundation - After forms are
~ erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench,
~ Underlloor<eiJJmbln9J.l!1echanlc;al>
~ - Prior to li'isulatlon or deCKing,
~ Post and Beam - Prior to floor
~ Insulation or decKing,
~Floor Insulation - Prior to
~ decKing, ,.
r\;?1 Sanitary Sewer ~ Prior to flll~lng
~ trench,
r\/t Storm Sewer - Prior to filling
~ trench.
.
, ,
f'V1( Water Line - Prior to filling
:.~ trench:
~ Rough Plumbing - Prior to
~cover.
REQUIRED INSPECTIONS
~ Rough Mochanlcal - Prlo.1 to
JoC>J cover, 'Z.$(.D C,-< . F1 p.
I'V'r Rough Electrical - Prior to
~ cover.
l\71' Electrical Service - Must be
~ approved to obtain permanent
electrical power,
o Fireplace - Prior to facing
materials and framing Insp,
~ Framing - Prior to cover.
KAWall/Celllng Insulation - Prior to
~ cove~ .
~ DryWall,- Prior to taping,
o Wood Stovo - Alter Installallon,
o Insort - After fireplace a'pprovel
and Installation of unit.
I"V'rCurbcut & Approach - After
~forms are erected but prior to
placemont of concrete,
~ Sidewalk & Driveway - After
~excavatlon Is compicto, forms
and sub-base material In place.
o Fence - When completed.
~ Street Tree. - When all required
l..:5l trees are planted.
~ Final Plumbing - When 011
plumbing worl~ Is complete.
~ Final Electrical - When all
~electrlcal work Is completc.
iY1 Final Mechnnlcal - Wt1cn all
~mechanlcal work Is complete,
l"vT Final Building - When all
~equlred Inspections have been
approved and building is
completed.
o Othor
MOBILE HOME INSPECTIONS
o Blocking and SOI.Up - When nil
blocking Is complete.
o Plumbing Connectlons - When
home has been connected to
water and .sewer.
o
Electrical Connection - When
blocking, set.up, and plumbing
Inspecllons have been approved
and the home Is conneCled 10
the service panel.
o Final - After all required
Inspections are approved and
porch os, skirting, decks, and
venting have been Installed.
;
Lot Inces -S..
Lot sq. ftg, ~O
Lot coverage /9t_~
Topography 9, 'b~,
Total helgh(t, ~
'1LP')
LOI TY.
V InterIor
Corner
Panhandle
Cul,de.sac
. r;:: .. . ~ '".
-'{'t.,
, IS 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.
Setbacks
I P.L. HSE GAR I ACC
IN $"13 I
I S I l/sl
Iw I 1/11 I
ULLLJ
BUILDING PERMFf
ITEM SO, FT, '1X $/SO./i\ = VALUA
Moin J5~O 6Lo.LU tOO flJ to
- 4\(} ~.\D', ~2.D1
Garage
Carport
TOlol Value
Building Permit Fee
Stale Surcharge-t3<b
Totol Fee
(A)
J()1 p~)
45~ .21.)
~U/~.
~\.q~
SYSTEMS DEVELOPMENT CHARGE.(SDC)~
I~ ~2. fR
(B) I; '2:Z.iP( - )
PLUMBING PERMIT ~ _~
ITEM FEE
,~~
FIxtures
Residential Bath(s) N' ~
SanItary Sewer FT.
Water FT,
Storm Sewer FT,
Moblie Home
Plumbing Permit
Stale Surcharge \-~
Tolal Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StovellnserlfFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge -\ 3Cl{)
Totat Permit (D)
MISCELLANEOUS PERMITS
Mobile Home
Stale Issuance
State SurChar~
Sidewalk ~U
Curbcul .30
II
fl
DemolitIon
~r~~)~(\~
\q7_.~
\C\?ftS)
\. 'S1ID
c!) OlA(j)
la.cO
4.50
cq.OO
\~~
,~.OO
.?f) .~
fDro
,;~.ap
~O :so
O)n.5)
\~ .5()
c:JL{(o9D
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical) 3:2.~
lA, B, C, D, and. E. Combined)
APPROVED: ,
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition Ihalthe said
construction shall, In all respects, conform to the Ordinance
adopted by the City of Springfield, Including the
Development Code, regulallng the construcllon and use of
buildings, and may be suspended or revoked al any lime
upon violation of anYtf~ISlonS~d ordinances.
Plan Check Fee: rY'-1.LO.1 0-
Date Paid,
Recel pt Number:
Rece~ ./l.\.t
Pla~evlewed M '
5h/)Y"'
I D;I\e
Systems Development Charge Is due on all undeveloped
properties withIn the City limits which are being Improved,
ADDITIONAL COMMENTS
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PA77/ 1.
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By slgnature,l stale and agree, that I have carefully examined
the completed application and do hereby eartHy 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 Ihat NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division,
I further certify thai only contractors and employees who
are In compliance with ORS 701,055 will be used on this
project.
I further agree 10 ensure that all required Inspecllons 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
Vthe Slt~:s ~.;::.:ructlon,
I'SiilnaturV ~ /'~, -?
----- ".-,.,..-
Datp ~r-2'-7 f
VALIDATION,
RECEIPT NUMBER / 7"Z /<(
DATE PAID "?J"";:" ., , I-t.~ ?ga 71. /?
AMOUNT RECEIV.ED ~'''-::2_ ~9? . .
RECEIVED BY ~?n.- ~_.~______