HomeMy WebLinkAboutPermit Building 1998-7-30
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORt<'
ASSESSORS MAP' / 7 O~ "2., Slit,
LOT'
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.
SPRINGFIELD
.L...' ,
BLOCK:
OWNER'
ADDRESS'
CITY:
lJu'" I
sf
71 hlb.v,
, 1:t 'f tn4"v
5~ ft./ j
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DESCRIBE WORK'
ilL",
I
NEW
REMODEL
CONTRACTOR'S NAME
fE1J1b1- T
,
STATF'
.Ctt
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ADDITION
DEMOLISH
OTHER
.
JOB NUMB5R!!J()C'/S/
225 Fifth Street
Springlleld, Oregon 97477
TAX LOT:
SUBDIVISION:
()~/O/)
PHON~'
"', 9m~
ADDRESS ~
IJw ~7Uu.:" IV' J6r~ tV ??
CON ST.
CONTRACTOR'
5"f2-r?
'."7> PHONE
7%. 2..(2.-'j
GENERA' .
PLUMBING'
MECHANICAl'
ELECTRICAl'
,IJXPIRES
~/ Jd/OO
- OFFICE USE -
QUAD ARJ'JOTlCE: LAND USE: A:rENTION:Orego,f\ 'aiVD~~Ar~ you to
SH LL EXPIRE IF THE WORK f~,(... ',ul"" adopted oy ffie Oregon Utility
. OF BLDcI!;lIS PERMIT A . OF UNITS' NotificatIOn C:l3nter. TIuilNJ~e!il<aIil5SeHe 'I
AIITHORIZED UNDER THIS PERMIT IS NOT ~_OAR 952-001-0010. thrnlloh n~ Q. 952-00;:
OCCY GROW: _ CONSTR. TYPE: y.;.; \ b "'Of"'B1)I'lMS:
r.OMMENCED OR IS ABANDONED FOR u . u'. vu "'''Y 0 taln copies of the rules by
. OF STOR1E:"$': HEAT SOURCE: call1nn thA Genter. (~tIAA~Ye/Jllf6'ifi;;
WATER HE1~~~.eO D,AY P~RICJl.l, RANGE: numbe~orthe, OregllB,l,Ill!i~ N9t:iYA6\!!Jf!._
""""If IS 1-8Cl(j-3'~:2344).
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspectlons requested before 7:00 a.m. will be
made the same working day, Inspections requested after 7:00 8.m. will be made the following work day.
o Temporary Electric
o Site Inspection - To be mado
after excavation, but prior to
setting forms.
o Underslab Plumblng/Etectrlcal/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
.beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor'lnsulatlon :..- Prior to
decking.
o Sanitary Sewer - Prior to flIUng
trench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to IIIl1ng
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
cover.
o ElectrIcal Service - Must be
approved to obtain permanent
electrical power.
o FIreplace - Prior to facing
materials and framing Insp.
~mlng - Prior to cover.
iY2y (h t rJjJ" ,j).
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installation.
o Insert - After fireplace approval
and Installatlon of unit.
,
o C_urbcut & Approach - After
forms are erected but prior to
placement of concreto.
o Sidewall< & Drivewav - After
excavation Is compiete, forms
and sub-base material In place.
o Fence - When completed.
D Street Trees - Wh~n all required
trees arc planted.
o Final Plumbing - When all
plumbing worl< Is complete.
. .
D Final Eleclrlcal - When all
electrical work Is complete.
o Final Mechanical - When all
~anlcal work Is complete.
Fin Building - When all
r ulred Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
o elocklng 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 faces
L~t ~ype.
Lot sq. ftg.
Interior
Lot coverage
Corner
Panhandle ~"
Topography
Total height
Cul-de-sac
BUILDING PERMIT '.',
'f} 't
ITEM
sa. FT.
X $/sa. FT. -
Main
"
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residentlal,~ath(s)
Sanitary S!3wer
Water
N'.
Storm Sewer
..
FT.
. FT.
'FT.
Mobile Home
PlumbIng Permit
State Surcharge
Tolal Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, e, D, and E Combined)
N
Is
vv__
E
VALUE
"
/()O(J r...y.
/ 7. )7.J
FEE
PL.
"::.,, '"?":";~"i;~t,\~~'
~S THE PROPOSED WORK IN THE_
HISTORICAL DISTRICT, OR ON
THE HISTORICAl, REGISTER?
II yes, this application must be signed
and approved by the Historical
" Coordinator prior to permit issuance.
Setbacks
HSEIGAR
Ace'l
I
I
APPROVED'
", ,',~," '';1 It
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
adopled 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'
Date Paid:
Receipt Number:
Received By:
Plans Reviewed By
Date
Systems Development Charge is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
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Note:
Building Inspector may require
- - 'additional plans I information,
andlor fees for the completion of
this project.
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By signature, I stale 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 further 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 lnspect!ons 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 remain
on the sl~all times during construction.
Signature Ic~ .1t1 G < a Ac..~
. r
Datp ?-:so - q~
VALIDATION:
I
0']0133
7/3o/Q<;
AMOUNT RECEIVED' /~/j / /J
J tJM//
RECEIPT NUMBER
DATE PAin,
RECEIVED BY