HomeMy WebLinkAboutPermit Building 1995-8-21
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ADDRESS: Q 1. 9>/ LO""-o,,-",J A-v~
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 725.3769
Ollice: 726.3759
LOT'
OWNER: _
CITY'
DESCRIBE WORI<: .__JJ'('~/
NEW
REMODa
CONTRACTOR'S NAME
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.
SPRINGFIELD
BLOCK:
r, 1>1 .JbJ.ll' _
STATE:
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ADDITION
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DEMOLISH OTHER
.
JOB NUMBER
....i
9s- CJ 9' 7:S
225 Filth Street
Springfield, Oregon 97477
SUBDIVISION:
PHONE:
7'+'1- 9iSi
ZIP: Q7'-1JI
". . ADDRESS
A/oif-c - .: :J ,q i;>, [,0"'-0'.,1
,To"" A" J-. ..,,'"
mal'" "La V~ '0\ ( $ r;.",
7/1_-"'~ EJ,..,.f,,',("
CON ST. .
CONTRACTOR' -. EXPIRES PHONE
/782'1 6l.~.q(, 7:JQ-73)c"
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GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
QUAD AREA:. 5QJ\10
. OF BLDGS:, {, ~
OCCY GROUP: ~~+ V\
. OF STORIES: _..-d
WATER HEATER:
tfL-
- OFFICE UilE -
. LAND USE: \ , II
. OF UNITS: . \ '
CONSTR. TYPE:_!lJJ
HEAT SqURCE: _I=E...
.. RANGE: t; J
FLOOD PLAIN: r. -
ZONING cODE:J)!Jl-
. OF BDRMS: ,j
- ''-0
SECONDARY HEAT:.....r:r:.
SQUARE FOOTAGE: ~15...--
To request an Inspection. you must call 726.3769. This Is a 24 hour recording. All Inspections requested belore 7:00 a,m. will be
made the sanle working day, Inspections requested after 7;00 a.m, will be made the followIng work day.
%Ternpornry Electric
o Site Inspection - To be made
after excavallon, but prior to
setting forms.
o UnderslHb Plumblngl ElectricalJ
Mechanical - Prior to cover.
~FOOtlng - After trenches are
excavated,
o Masonry - Steel location, bond
beamsl groullng.
C8J' Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
10 fllllnQ trench.
l'v( Underlloo;-F,umoing)l'(l"cchanlcal/
~ PrIor tb frisulallon ot aeCI{lng.
~ Post and Bca~ - Prior to floor
~nsulatlon or decking,
~ Floor In~ulation - Prior to
~ decking.
iVf'Sanltary Sewer - Prior to rllling
~ trench.
~Slorm Sewer - Prior to filling
~trench.
.----..'_. ....
I rs?T Water L1no - Prlor 10 tilling -
l ~ trench..' .
~Rough Plumbiri'.o...- Prior, t<-'
~over.
,
- ..~ ".
REQUIRED INSPECTIONS
~Rough Mechanical - Prior to ,
~ cover. .2. ZI!'ICD ~. /i",,4, s
~ Rough Elect'r~cal - Prior to
~ cover. ,
'1V'i' Electrical Service - Must be
p\approved to obtain p-ermanenl
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
~ Fram,lng - prl~r. to cover. .
I"V'l"wall/C'elllng Insulation':" Prior to
~over. \..
~rYWall - Prior to laplng.
o Wood Slo'vo -. Afler InstallatIon.
o Insert - Alte,r fireplace approval
, and Installation of unit.
1'8( Curbcut & Approach -.:.. Atter
forms are erected but prior to
placemont of concrote.
"'K:71 Sidewalk & Driveway - After
~ excavation Is compioto, forms
and sub-base material In place.
o Fence - When com~l.eted, "
,
~troot Tro, os - When al'.requlred.
~ees are'planted. '
~ Final Plumbing - When all
~plumblng w~)(l{ Is complet.e.
1";.?1' Final Electrical - When all
~electrlcal work Is complete.
'I':/!' Final Mechalllcal - When all
~mechanlcal work Is complete.
i"i71' Final Building - When all
~requlred Inspections have been
approved and buildIng Is
completed.
~Olh.r ~ GJ,. '~.l7c...
MOBILE HOME INSPECTIONS
o Blocking and Set-Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
waler and sewer.
o Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the servlce'panel.
o
Flnal'- Afler all required
InspectIons are approved and
porchOSI sklrtlngl decksl and
venting have been Installed.
Lot faces ~ Lo~e
Lot sq. fig. ?,P)~ __Ierlor
Lot cov'erage /1LiI ~ V Corner
Topography < .2 ,'?o J _ Panhandle
rTotal height ~~. _ yul.de.sac
IL , .l,,^,-~ ~~. ~~.-X ') .
"- '-/....,VJ11L
BUILDING PERMIT
ITEM SO. FT.
X $/so. FT. ~
Main
?.::;'~
~7~
, IJ'-,..
S'tf; ~
Garage
Carport
Total Value
Building Permit Fee
Slale Surcharge ;z. 7. '3 'l' + /(P.<1 3
Total Fee
PLUMBING PERMIT
ITEM
Fixtures
Residential Balh(s)
'2,
N'
Sanitary Sewer FT.
Water
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge 'T.t;. ~ + j"'. 7 f>
Total Charge (C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
--I
N'
Wood Slove/lnsert/Flreplace Unit 2...
Dryer Vent
Mechanical Permit
Issuance
2.'''.1 /." 7
State Surcharge ~
Total Permit (D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sidewalk ~'f~ fI
curbcut 6.(' II
Demolition
Stale Surcharge
LAn&- ('A, :s;.?"~.
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
IA. B, C, D. and E Combined)
..' ~~.
.....;
. ,
ACCI
I I
Iw I I I
lE.. J/3 '-LJ
Setb lcks
I PL. I HSE GAR
I N I
/S I/o
"
VALUE
/iO Sav
95/7
IS THE PROPOSED WORK IN THE
.. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
" yes, this application must be signed
and approved by the Historical
Coordinator prior to pennll Issuance.
APPROVED:
I~ ci7
~~7.7S
f3.~~
SJ/ ~7
SYSTEMS DEVELOPMENT CHARGE.(SDC)
/ilIA
(A)
(B)
FEE
/'l2 FO
15."1'/
'2.EJ '7, 'TI
b~~
~. ~4:)
/2 ~IO
=se> ....,0
.s.~
:'S" '5, S".o
/0,00
4..(5
~9.9S
c:4':~(O
h,~.r
2,21') ~
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L2r:...? .02>
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition thaI the said
construction shall, In all respects, confOrm to tl1e Ordinance
adopled by Ihe Cily of Springfield. including the
Development Code, regulating the construction and use of
buildings, and m,lY I)c suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee: __/~ $t::; ~1_.
Date pald:_?~~5'~
Recelpl Number:__, --: 7~3
Recelved>>~
~;"d By
7./U/U
/' ~a1'e
Systems Development Charge Is duo on all undoveloped
properties wilhln tl1(! Clly limits which are being improved.
ADDITIONAL COMMENTS
.
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. By sIgnature, ISlalo 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 Ihe City 01 Sprlnglleld. and Ihe Laws
of the Slale of Oregon pertaining 10 tho work described
herein, and thai NO OCCUPANCY will be mado 01 any
structure without permission or the Building Safety Division.
I further cerllfy tllat only contractors and employees who
are In compliance Wilt1 ORS 701.055 will be used on this
project.
I further acrae to €nsuro that all required Inspections are
requested at the proper lime, that each address Is readable
from tho street, thai the permit card Is located at the front
of the property, ilnd Ihe approved set of plans will remain
on lhe slt~urlng conSlructlon.
~nature '/...--.---- ~---..J
Date;(,7 D I ..!{S
.J T .
VALIDATION:
$7~a,.
...........,./'~--
---. - -~
RECEIPT NUMBER
DATE PAID 1ii? ~:;?,I;. 9->
AMOUNT ~ECEIVED -LP8 '~8,
RECEIVED BY ~~~ '
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