HomeMy WebLinkAboutPermit Building 1995-3-28
RESIDENTIAL
PERMIT APPLICATION
Inspections: '726,3769
Ollice: 726,3759
.
SPRINGFIELD
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J.' .;. ..-
LOCATION OF PROPOSED WORK: L4~
ASSESSORS MAP: JBQ2.f2Z? :2---'
LOT: 2. /' BLOCK'
OWNER' ,,-r;,/'~......I'f J4t?A-'1-4 &L'/
ADDRESS' /11 i?1Y .~51
to'~~,..e,(L-
DESCRIBE WORI<' ~: ,\=,', \J QJ:)\'r\ 0 XI\' 0
NEW -A- REMODEL
CITY:
ADDITION
f?;
STATE: '- /J~,
----
:..:.
DEMOUSI:I '
:
'OTHER
Sf'Z7/..J
.
JOB NUMBER 9~~ -S- ~
225 Fifth Street
Springfield. Oregon 97477
-
(~rr)
TAX LOT'
SUBDIVISION: ~,:#.... &',)'./",,-:
, /.;1 ,dd..l:,I,.'~
PHON'"
ZIP'" ?' / .,., 2'-
'-
CONTRACTOR'S NAME ADDRESS' ,
GENERA" Af~. '" 4hs. ~~~ ~~'
PLUMBING: 4~,;'",,_.'.' /L"""'~;";,
MECHANICAL: ~de~ .. ~ ~4&.
/ '
ELECTRICAl' 4.. A-- /-2 <".c.~.'c
CONST, ' .
'CONTRACTOR -
C; '5CJ6 t)
. 'J,,'J{)I) LP
.76lP %. 2-
lo9JrLq
, "EXPIRES PHONE
Pt 7q?-r;r/~,:")
l.67lD!~C) ,c,gg, /Y-:J(
r4~qt.;-lt;, n
.3 I q /q.s o/U-277/
QUAD AREA:/-L\~Sf,--'
\
OCCY GROUP: 9--.-2,~ IV\.
- OF STORIES: _~-
WATER HEATER: ~'(1 r
- OF BLDGS:
, :.:.. OFFICE USE -
1\\ ,
"J"
CONSTR.'TYPE: V - OF BDRMS:-0
'HE~T SOU~CE: 8~-~~~ECONDARY HEAT:
R'ANGF' LC~~ ,"."..;qi'b SQUARE FOOTAGE:
LAND USE:
-,OF UNITS:
FLOOD PLAIN:
ZO~ING CODE: U1{U
~
L\-\\'L,
To request an inspection, you must call 726,3769, This ia a 24 hour recording. All Inspections requested belore 7:00 a,m, will be
made the same working day, Inspections r~quested ~fter 7:00 8.m. ~1I1 be made the following work day.
, REQUIRED INSPECTIONS
[t] Temporary Electric
rv1 Site Inspection - To be made
L....C:J after excavation, but prior to
setting forms.
D Underslab Plumblng/Electrlcal/
Mechanical - Prior to cover.
[Xl Footing - Altar trenches are
excavated.
rY1 Masonry - Steel location, bond
L.p:J .beams, grouting,
ri9 Foundation - After forms are
~ erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
IYl Post and Beam - Prior to floor
~ Insulation or decking,
m Floor Insulation - Prior to
T decking, . "
rYI Sanllary Sewer - Prior to filling
r trench.
rv1 Storm Sewer - Prior to fllll,n9
~ trench. '
,~. ,
Cf1 Water Line -,'pri~!~'?, ,iilll~9
trench, .... - '.
.' .,
P'lI Ro~gh Plumbing'....: Prior to'
~ cove~ ,
rvI Rough Mech~nJcal ~ P~lor to
L...pJ cover. ",
1"11- Rough' Electrical - Prlor'to
L.......P cover.
~ Electrical Service - Musi'be
'-P approved to obtain permanent
electrical power.
fV1 Fireplace - Prior to facing
Lf-l materials and framing Insp.
~ Framing - P,rlor to~ c~:)Ver,
rY1 Wallle'elllng Insulation, - prior to
'--f-::J cover.' , , '
qg Drywall - prl,or to iaPin9',
D Wood Stove - After Installation,
D Insert - After fireplace approval
and Installation of unit,
IY1 Curbcut & Approach -.After
~ forms are erected but prlc?r to
placement of concret,e,. .
IVI Sidewalk & Driveway - After
I exc~vatlon Is complete. forms
and sub.base materlal)n place.
o F~nce, - When cO":1~le'te~.
rYI ,Street Trees - Whim an 'required
L,L.:1 trees are planted. ' .' .
rn Final Plumbing - When all
plumbing work Is complete.
, ,
r-il Final Electrical - When all
L...fI electrical work Is complete,
~ Final Mechanical - When all
L.+-J mechanh::81 work Is complete,
~ Final Building - When all
l.....p required Inspections have been
approved and building ia
completed. '
" ' ,; :,'
DOlher
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking Is complete.'
D Plumbing Connectlo,ns - When
home has been con'nected to
water and sewer,
D Electrical Connection - When
blocking, set-up. and plumbing
Inspections have been approved
and the home Is connected to
the servlce'panel. .
D Final - After all required '
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
(- ,,~;, .
lot faces ~
lot sq, ftg, e M.L
~ot coverage' S.~
Topography
Tolal height ~")
BUILDING PERMIT
ITEM SQ, FT,
lOI lyp;A
,......,.Inl~
Corner
Panhandle
Cul,de'aac
x $/SQ, FT, ~
..)~..J. d
/1, I'() "
Main
~."o
~~
Garage
Carport
/1/'Y1Y /'7"'72.
2~ !"
Total Value
Building Permit Fee
Slale Surcharge
~~.~"+1~
TOlal Fee
(A)
. . ~ ,:~ I'
, \ ..~ I ,
'~ '~t J ,,, ,', ,",
~,\" 1.'...'. ~. ti, '; ..W ",'f~
'",r.,\ t' "'l<1/M,<I(#l
" ~,,::_t;.i. '~,-
\6.("
^.S THEPROPOSED WORK IN TH~,
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, lhls appilcalion must be signed
and approved by lhe Historical
. Coordinator prior to permit Issuance,
I 'p.L.
IN
Is
I W lS:1S
IE -',
Setbacks '
'HSE GAR'ACcl
I
I
I
I"
fW
VALUE
/C/j ;>~
:$~E3
-Yf. 73~
~~~
<OS LAS.
.~;l ~
lO3..~
~YSTEMS DEVELOPMENT CHA,JGE (SDC)
, -" (B) 'ZG.'24~..l -W>
PLUMBING PERMIT'
ITEM
Fixtures
,
Reaidenlial Bath(s)
N'
~
Sanitary Sewer
FT.
Water
FT.
;
FT. i
S~orm Sewer
Mobile Home
Plumbing Permit
'1.."?' ... '!.~
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
l{
Wood Slove/lnsertl Fireplace Unit
Dryer Vent \l\.~'L ~~
~d..':'u..oc i WI\t l.?Ci:","<:
Mechanical Permit
Issuance
3.01.+ 3'%
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk &J
Y..
It
It
Curbcut
Demolition
~~~u=~
TOlal Misceilaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B. C, D, and E Combined)
FEE
\'\~ ~
" ' . "
lq~~
\, 5. 'i.L.
~07.CU-
".~
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l~.~
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?:,.W-
s.~
c...c').~
t D, \/l1.
~ .Il!..
IS.~
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l c::,:tC
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04bC.1.L
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APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condilion that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City ,of Springfield, 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:
~2":j"3 /
Date Paid:
Receipt Number'
~C\IVed By:
p~:tl;.lewed By
,d~,I1.~
~ale
Systems Development Charge Is due on all undevelopad
properties within the City limits which are being Improved,
ADDITIONAL COMMENTS
-'5o~~~ h~// " '
..
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~'H'\\DS.\QP. ~lA011"YlQD
l <A-\-\) ~C:::;410
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By signature, I state and agree. that I have carefully examined
the completed application and do hereby certify lhat ali
Information hereon Is true and correct, and I further certify
that any and ali work performed shali be done in accordance
with the Ordlnanc~s 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 certify that only contractors and employeea who
are In compliance with ORS 701,055 will be used on this
project,
I furth.er agree to ensure that all required Inspections are
requested at the proper lime; that each addreas Is readabla
from the street, that the permit card la located at the front
of the property, and the approved set of plans will remain
/..,
on the site at, 7: all times d~rl~nst~
Signature d~'$- ~~-
'Lz'/" r'" ~{;;,-
Datp' :7 L 'b/i'4
/ /
VAliDATION:
RECEIPT NUMBER -4G "7 ~
:s-<>g.~
~;,l.C~.. y~?:(-,
~/~-'
DATE PAIP
AMOUNT RECEIVED
RECEIVED BY