HomeMy WebLinkAboutPermit Building 1993-7-15
RESIDENTIAL, . SPRINGFIELD ,'.
PERMIT APPLICAtiON ItaL ' JCB NUMBER 9:3
Inspections: 726.3769 , 225 Fifth Street
0""" ,,.,,,, .. . .. . _ .. ,""09""',0"000 ",;,
LCCATICN C'F PFlCPOSED WORK" /f',"7:? ,~~",; If*r/~E ,~ .
ASSESSORS MAP: /7:e7'-::;:S-:~ 2.. :' , 'TAX LCT: <l e> 360
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ADDITICN Y
LOT'
'oWNER:
ADDRESS'
CITY'
DE&CRIBE WCRK:
NEW K REM~DEL Y
CCNTRACTCR'S ~ ~ '
GENERAI'C ~/J"C-"""
P:UM~ING: ~~
MECHANICAL' Vw\\L.{ ,
ELE~RICAI' ~~
QUAD AREA: "-.t:=:Q n )Ll )
. ,OF BLDGS' _'
'6~CY GRcup:.h:-;
. OF STCRIES: ~,
WATER HEATER'
'.
A:/~.:
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BLOC""
" STATE:
, \
DEM,OLlSH
,OTHER
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SUBDIVISICN'
~HONE: /V/-'~~" ,.,
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, ZIP:
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;:5~/ ~""!:
ADDRESS
CCNST
CC~TRACTCR .
PHONE
1":7'1 Rough Elec~rl~al, - Prlo"~ to
~cover. ,". t
"'--
o Electrical Service ~.ty1ust be
approved to obt~in permanent
electrical power. '
o Fireplace - Prior to facing
m~terlals an~ framing Insp.
~raming ~,'prIO~~ to ~o~~r"
l's7l' Wall/Ceilin~ Insulation _ Prior tq
~over. . ..'.
.' ,
"g Drywall ..:. Prior to' taping,
o ~ood SIOV~ - After I,ns~allation.
O Insert - After flrepia'ce approY,al'
and In'slallatlon of unit.
':/'
o Curbcut & Appro'ach" - After
forms are erected but priQr, to
placement of concr~~,c. :,.
o Sidewalk &.priveway.':~ After
excavation Is complete, .forms
a'1d sub-base material in place.
o Fe,nc~ -' ~~en ~om~let~d. .
, ,.."" ,r
o Street Trees. '-:-:- Wh,en all' required ,:'
trees are ,pl,anted., ': :".: ' :' ."
, EX~IRES
.';
'.t,"
,
- ,OFFICE USE -
LAND USE: ..\ \ \ \ .
\
CCNSTR. TYP,E: V 1\1 .
HEAT SCU~C~:~ ,~'
RANGF'
"
. ,OF UNITS'
FLCOD PLAIN:
ZON(NG CCDE ~\)\ L. '
. ,OF BDRMS:
",:0 request an Inspection, you must call 726-3769. This Is a 24 hour ~,ecor~l~g. Allliispections requested before 7:00. ~:i:m..~,1I1 'be'.:
made the same working day, Inspections requested after 7:00 a:m. 'wlll be made the following' work day, . "~' '.,. .'
, .", '.' ..
REQUIRED INSPECTIONS
~ Rough Me~'h~nical.""7 Prior'to
~over. 6.A~ F;f1..
, .
tJ Temporar~ EI~ctrlc
o Site Inspection - ;fo be made
, after excavation, ,but prIor, to
setting form's:
'0. Underslab Piumblng/Eleclrlc~1I
Mechanical - Prior to cover,
, ~ Footing -' After trenches are
excavated. '
D MasonrY ~ Steel location, bo.nd
.. ,beams, grouting.
rs;;nFoundatfon - After forms are
~erected but prior to,concrete
, placement: '
,
,
,
"
0' Underground Plumbing ---:- Prior
, ., to filling trench.
},
.'
I
~
.
,
1":71 Underlloot Plumh'~echan.iJ:;.al>
~ - Prior to insulation or decking.
",
.~ Post and Beam - Prior to floor
Insulation ,or decking.
,
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:~Floor Insulat,lon - Prior to
~. decking.
, cr Sanitary Sewer - Prl,or to, fIlling
, , ". trench. .'.
B Storm Sewer - Prior to filling
trench.
, , ,
[J Water Lln\, - Prior to filling
..;. trench. . '
.~~~~~~~ Plu~b.ing '~. Prior t~'
, rvr Final Plumbing - When all
~PIUmblng worl< Is comp,lete.
rVl Final Eleclrlca! - When all
~electrlcal,work is con~ple(t:.
l\:A' Final Mechanical - When all
~mechanical work is complete.
, .
D<tFi~al Building - Wh'~ri aP. '. .
;. ..""quired Inspections have been
, approved and buil,ding is ';.,;'
completed. '
:.
"
OOlher,
MOBILE HOME INSPECfIONS
'0 Blocking and Sel.Up - When all'
blocking is complete.
o
Plumbing Connections -' Wilen
home has been connected to'
water and sewer.
, 0 Electrical Connection', -:- When
, blocking, set-up, and plumbing
inspections have been approved
and the home j's connected to
the service panel.
",
; '0 Final - After all requi'red ':
.. " 'inspec-tlons are approved and,
porches, skirting, decks, and.
ventnig have been installed.
I ,
Lot facos
.
Lot Type
.
IS THE PROPOSED WORK IN THE
.. HISTORICAL D,ISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
Lot sq. Itg.
Interior
I PL.
IN
Is
Setbacks
HSE GAR Accl
I
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.de-sac
W
E
BUILDING PERMIT
ITEM SO, FT. X $/SO. FT.
VALUE
Main
Gar!l9C
Carport
.##
IL:/~-g ~..?P 7~-9JY:57
Total Value
.,.....~.....C>
~~
1-2 {po 3D
SYSTEMS DEVELOPMENT CHARpE .(SDC)
(B) (JaB-
Building Permit Fee
State Surcharge
Total Fee
(A)
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT,
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development'Code, reoulating the co'nstruction and use of
buildings, and 'may be suspended or revoked al any time
upon violation of any pro~isions of s,ald ordinances,
Plan Check Fee: -:2.63. ~
h-//.&:3,,?
Receip( Number' 1ii"9~.
Recelv~ed' / .2~, e
_M~~
Plans eviewed By'" .
Date Paid:
_7,~s-h.3
7' 'DiJle
Systems Development Charge Is due' on all undeveloped
properties within th~ City'limits which are being improved.
PLUMBING PERMIT AD~ONAL COMMENTS
ITEM FEE #r.# /"
q 'in cH) , ' . ,
Fixtures
Reslden(/al Ba(h(s) N'
Sanitary Sewer FT,
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge 4- ;fiO .,
Total Charge (C) -il,4. '$()
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan NO ~
4"'5
.J/tl:........... ~~vllll;;>VI L/Flreplace Unit
~.oO
'9.~o
4,5'"0
:<.0-0
-:2.. ,,/YP
2.3~
.Lb. CH>,
/.Il
,'54/5
Dryer Vent
h"A'I 1df'J [;
Mechanical Permit
...
'.-". '""'"
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
5"51,95
By signature, I state and agree, that I have carefully examined
the completed applicalion and do he,reby certify that all
tnformation hereon is tr.ue and correct, and I further certify
that any and all work performed shall be do:ne in accordance
with the Ordinances of t,he City of Springfield, and t~e Laws
of the State of Oregon pertaining to the work described
herein, ,.ana that NO OCCUPANCY will be made of any
structure without permissIon of the Building Safety Division,
I further ~ert;ry that only c(;m1.ract<:>rs and employ~es who,
are In compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that' all required inspectiops are
requested at the proper tim.e, that each address is r~adable
from the streot, that the permit card is located at the front
of the property, and the approved set 'of plans will remain
~:::u:~iaJ=tJstr,;:~ /
, Dale 1jLsI-f z. -
, VALIDATION:
RECEIPT NUMBER 00:C;~
DATE PAin '7 ~ I h 4.3,
AMOUNT RECEIVED '~l'J, ~S"5.s~,'f5-
RECEIVED BY ~ 0