HomeMy WebLinkAboutPermit Building 1994-6-14
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Otflce: 726.3759
LOCATION OF PROP
ASSESSORS MAP:
. LOT.
.
BLOCK.
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-- -
NEW
REMODEL
ADDITIO
DEMOLISH
OTHER
.
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JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT:
SUBDIVISION.
PHONE:----.!)~t\ . \48 ~
-
.
ZIP: -SJ4. 7
ADDRE, ss r-..AA
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EXPIRESn, P~r.E
f}. \~ -,s. 7t1'2:lj,1
GENERAL:
PLUMBING.
MECHANICAl.
ELECTRICAl.
OUAD AREA: -5 (U\) \ u
~
\
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER.
- OFFICE USf -
LAND USE: . \ \ \ \
· OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
\nJ
,I
FLOOD PLAIN.
ZONING CODE:IDL
~ OF BDRMS:
SECONDARY HEAT:
SOUARE FOOTAGE:cYfX:)
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be
made the same working day. Inspections requested after 7:00 a.m. will be made the following work day.
D Ten:aporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
~Footlng - After trenches are
~ excavated.
D
Masonry - Steel location, bond
,beams, grouting.
D Foundation - After forms are
erected but prior to 'concrete
placement.
D Underground Plumbing - Prior
to filling trench.
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
1"::71 Post and Beam - Prior to floor
~Insulatlon or decking.
D Floor Insulation - Prior to
deckl ng.
D Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - PrIor to filling
trench. .
D Water Line - Prior to filling
trench.
D Rough Plumbing - PrIor to
cover.
RANG".
REQUIREDINSPECTJONS
D R~ugh M~ch~nlcat ...:. Prior to
cover. .
D Rough'. Electrical - Prior' to
. cover. -.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
~ra~lng - P!ior to cover.
D Wail/Ceiling Insulation - Prior to
cover.'
D Drywall - Prl,or to taping.
D Wood Stove - Atter I~sta"atlon.
D Insert - After fireplace approval
and Installation of unit.
D Curbcut & Approach - After
forms are erected but prior to
placement of concret,e.
D Sidewalk & Driveway - After
excavation Is complete, forms
and'sub-base material In place.
D Fen~e. - When completed.
D ,Street Trees - When all required
trees are planted. '.
D Final Plumbing - When all
plumbing w9rk Is complet.e.
D Final Electrical - When all
electrical work Is complete.
D Final Mechanical - When all
mechanical work Is complete.
'19f Final Building - When all
~requlred Inspections have been
approved and building Is
completed.
DOther
MOBILE HOME INSPECTIONS
D Blocking and Set-Up - When all
blocking Is complete.
D Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set.up. and plumbing
Inspections have been approved
and the home Is connected to
the service panel. .
D Final - After all required
InspectIons are approved and
porches, skirting, decks, and
venting have been Installed,
I
Lot faces
L~/~pe . .
f:~,~ .. 'j;.F;.'r:/~ ~l~'lR:~'(}j;i. ~L'.
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.j, . . ""-"",
.'. THE PROPOSED WORK IN THE.
._.HISTO!'iICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
. ,Coordinator prior to permit Issuance.
Lot sQ. Hg.
Lot coverage
Topography
Total height
Setbacks .
I'F~L. I HSE GAR I ACC I
I N I
Is
I.w
I E I '
Interior
Corner
Panhandle
Cul.de.sac
BUILDING PERMIT
ITEM
X $/SO. FT.
e~,
so. FT.
Main
Garage
Carport
"
~
.~bD~
/(;'), 7'5bO
. - .
~ <.d'. Sf)
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#5~7
SYSTEMS DEVELOPMENT CHARGE (SP,C)
(B) \~-')
Total Value
Building Permit Fee
State Surcharge
~""'N. c?Po
. (Ii)
,.-
. Total Fee
,
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
, i
N'
Sanllary Sewer
Water
FT.
FT.
, ,
Storm Sewer
,
FT.
Mobile Home
Plumbing Permll
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsertlFlreplace Unit
Dryer Vent
'.
Mechanical Permll
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
It
Curbcut
Demolition
State Surcharge
/kJ A7ewCUJ
9,'7.-1'3
Total Miscellaneous Permits (El
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D. and E Combined)
2327.0
"APPROVED.
, - .
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall. In all respects. conform to the Ordinance
adopted by the City .of Springfield, Including the
\ Develo'pment Code. regulating the construc:t1on and use of
buildings, and may be suspended or revoked at any time
-upon violation of any provisions of said ordinances.
, =Z-l.5
. Plan Check Fee: c:/.
In -I. 1.\ .Jj,~
,~2$
tJ.;...
Date Paid:
Receipt Number.
~
Pr.i\ts Reviewed By'
, /..~]/~
~ ~a{e .;r=-.
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
. ,
No ~t'~
, ,
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 without permission of the Building Safety Division.
I fu;ther certify that only contractors and employees 'who
are In compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required Inspections 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 remal~
on the. site at-a")lmes during construction.
_X::natur( tJ>id/ /.J ~/~
I Datp. &, p!- 9t.(
VALIDATION: ~
RECEIPT NUMBER \ ~ I
DATE PAin \ () ---l q ..qc..\
AMOUNT RECElv:n t/?Z-.1 D
A.~
RECEIVED BY