HomeMy WebLinkAboutPermit Building 1993-6-24
RESIDENTIAL
PERMIT APPLICATION
-.
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK: _~"'\.
1703 24
ASSESSORS MAP:
, .
LOT:
OWNER: ~A n,R"" r1'L.T'~N
ADDRESS: ~::J,c<<'~ 1-11'1 'T'D&.....
CITY: ~ f'RILJ(;,r=I~U"'"
SPRINGFIELD
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JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
~PFD.
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BLOCK'
STAt.!>:....""
~",.lY.:4 RD.
STATE:
()rt~.<('),..J
TAX LOT:
SUBDIVISION'
PHONE: _7 ;)t;- </.t;JL4
ZIP'
"17477
DESCRIBE WORK\ ~\~O.nt\f1 O_~c*c1~i-brY\.. ~
NEW REMODEL ADDITION Y DEMOLISH OTHER
CONTRACTOR'S NAME
GENERAL: __..Bo~
~A
-
0J:lQfl....Tn.~
C-\A.,( I, I 4-.LA.U
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PLUMBING' r::^li n r-,~
MECHANICAL'
ELECTRICA' '
OUAD AREA ~\Z J\)uJ
-"
. OF BLDGS'
~2--.
,
OCCY GROUP:
. OF STORIES:
WATER HEATER:
RU1.LJ2J>n"
CONST,
CONTRACTOR'
EXPIRES
PHONE
-?~- ~~)
ADDRESS
- OFFICE USE -
LAND USE: \ \ \ \
. OF UNITS: - \ -"
CONSTR, TYPE: \{ f\}
HEAT SOURCE: _c6
RANGE:
S~22
4',/5773
,f
FLOOD PLAIN:
ZONING CODE: .tJjJ~
. OF BDRMS:
SECONDARY HEAT:
Gf{) ~_l
SQUARE FOOTAGE:
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. AlIlnspectlons 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.
: . '. '. '
REQUIRED INSPECTIONS
o Temporary Electric
o
Site Inspection - To be made
after I~xcavation. but prior to
setting forms.
o
Undelslab Plumbing/Electrical/
Mechanical - Prior to cover.
r\7f Footing - After trenches are
~ excavated.
rs;;r Masonry - Steel location, bond
I ~ beams, grouting.
o
Foundation - After forms arc
erected tJut prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
K7r Undel flo.... Plumbin~echanical
JO...J. - Prior to 1mrn1811011 or decking.
1'5?1 Post nnd Beam - Prior to floor
~lnsulation or deckIng.
'l'\::7T Floor Insulation - Prior to
~ decking.
o Sanilnry Sewer - Prior to filling
trencll.
18:1 Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
'fC71' Rough Plumbing - Prior to
~ cover.
~\
....
'j.
.,
~Rough Mechanical - Prior to
~ cover.
K7f Rough Electrical - Prior to
~ cover.
o Electrical Service - Must be
approved to obtaIn permanent
electrical power.
~ Fireplace - Prior to facing
~materlals and framing Insp.
~Framing - Prior to cover.
~ Wall/Ceiling Insulation - Prior to
~cover.
~ Drywall - Prior to taping,
o Wood Stove - After !~stallatlon.
o Insert - After fireplace approval
and installation of unit.
o
Curbcut & Approach - After
forms are erected but prior to
-placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place.
o Pence - V'Jhen completed.
LJ Street Trees - When all requ]red
. trc€!S are planted.
f"":I1' Final Plumbing - When all
~ plumbIng work is complete.
K71' Final Electrical - When all
l6J. electrical work is complete.
o Final Mechanical - When all
mechanical work Is complete.
~ Final Building - When all
~ required Inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o 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.
o
Final - After all required
inspectIons are approved and
porches, skirting, decks, and
venting have been installed.
.
Lot faccs
lot sq. ftg.
Lot covcrage
Topography
Total height
..
lot Type
Interior
Corner
Panhandle
Cul.de.sac
BUILDING PERMIT
ITEM sa. FT.
Main
Garage
Carport
~}.
Total Valuc
Building Permit Fcc
State Surcharge
Total Fec
X $/SO. FT.
'90'2-
5~~D
..
Setbacks
I P.L. HSE GAR ACC
IN
Is
IS THE PROPOSED WORK IN THE
""'" HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTEll?
If yes, this application musl be signed
and approved by the Historical
Coordinator prior to permit issuance.
W
E
VALUE
!Q)~
,?4.~
/~.:s"
3D!) ,$0
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) ~
~.
(A)
PLUMBING PERMIT
ITEM
Fixtures ~
Residential Bath(s) N'
Sanitary Sewer FT.
Water FT.
Storm Sewer FT. L ZiIJ '
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
Furnace
MECHANICAL PERMIT
(C)
Exhaust Hood
Vent Fan
Dryer Vent. "
Wood Stovellnsert/Flreplace Unit
N'
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
Curbcul
Demolition
State Surcharge
It
ft
Total Miscellaneous Permits
(E)
FEE
~
2 S.b'J
_ 4.7.-5
_'J?E2:S
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. _ ._-C_'. _ I
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition tllat the :.;aid
con!3l~ucllon shall, in all resj)ects, conform 10 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 an~ovisions of said ordinances.
Plan Check Fee: -J-2;..:s... "70
Date Paid: ----C.,Lz~ 3
Receipt Number" g~ 12-
Rec~~~_
PlanS\ReVieWe~ ~~i?
Systems D~velopment Charge is due on all undeveloped
properties within the City limits which are baing improved.
ADDITIONAL COMMENTS
P /'f77.J- ;It 7'
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/'S A!~///'6/J
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 Ole work described
herein, and that NO OCCUPANCY will be mnde of any
structure Witlloul permission of the Building Safety Division.
I furtller certify that only contractors and employees who
arc in compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required inspuctio,\s 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 sot of plans will remain
on the site at all limes during construction.
I )(;"gnature \.-: "'J)
Datf' \
VALIDATION:
RECEiPT NUMBER
7/~
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DATE PAID~-)d--5'~