HomeMy WebLinkAboutPermit Fence 1991-12-02NGFIELD
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LOT:
TAX LOT:
SUBDIVISION
JOB NUMBER
LOCATION OF PROPOSED WORK:
ASSESSORS MAP
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
225 Fifth Street
Springfield, Oregon 97 477
PHON E:
ztPSTATE:
q747 7
CITY:
ADDRESS
OWNER:
NEW
--
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NST.PHONEEXPI RESADDRR
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
GENEBAL:
PLUMBING
# OF BDRMS
- OFFICE USE -
ZONING CODE:
FLOOD PLAIN
RANGE:
SECONDARY HEAT
SQUARE FOOTAGE:
QUAD AREA:
* OF BLDGS:
LAND USE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
24 hou record ng AI NS pe ons re qu ested be fo re 7:00 a.m il be
est NS pec ti o n,you mu St cal 726-3769.Thi S S dTorequ
af ter 7:00 il be made he fol owi n s work ay.
worki d ay,NS pecti o NS requ estedmadehesameng
R EQUIRED INSPECTION
Rough Mechanical - Prior to
cover.
Rough Electrical - Prior to
cover.
S
[--1 TemporarY Electric
ll
Final Plumbing - When all
plumbing work is comPlete'
Site lnsPection - To be made
after excavation, but Prior to
setting forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover'
Final Electrical - When all
electrical work is comPlete'
Electrical Service - Must be
approved to obtain Permanent
electrical Power.
l--_l Final Mechanical - When allI I mechanical work is comPlete'
Footing - After trenches are
excavated.l--l Fireolace - Prior to facing
L-l -.1iy;.ts and traming lnsP'
isTfinat Building - When all
JAreouired inspections have beenc apProved and building is
comPleted.
Masonry - Steel location, bond
beams, grouting.Framing - Prio-r to cover'
Wq /-nf(
Wall/Ceiling lnsulation - Prior to
cover.
Drywall - Prior to taping'
Other
Foundation - After forms are
erected but Prior to concrete
placement'
Underground Plumbing - Prior
to filling trench.
Underlloor Plumbing/ Mechanical
- Fiiot to insulation or decking'
MOBILE HOME INSPECTIONS
Post and Beam - Prior to floor
insulation or decking'
l-l Wood Stove - After installation'
f----l lnsert - After fireplace approvalI I and installation of unit'
[-l Blocking and Set'UP - When all
I I blocking is comPlete
Floor lnsulation - Prior to
decking.
Sanitary Sewer - Prior to filling
trench.
Curbcul & Approach - After
forms are erected but Prior to
placement of concrete'
Plumbing Connections - When
home ha! been connected to
water and sewer.
Storm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - After
excavation is comPlete, forms
inO suO-Oase material in Place'
Electrical Connection - When
OtocXing, set-uP, and Plumbing
inip""ti6n" have been aPProved
.nd the home is connected to
the service Panel.
Water Line - Prior to filling
trench.
Rough Plumbing - Prior to Street Trees - When all required
trees are Planted'cover,
Final - After all required
insoections are aPProved and
oor"hes. skirting, decks, and
venting have been installed'
,.7y?
E
E
E
an r
a.m.
r
f,""tt
- when com'leted'
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type ._
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
PL.HSE GAR ACC
N
S
E
.- I THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? .--
lf yes, this application must be signed
and approved by the H istorical
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)3/,rg
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
/?4o'3
."2.{o
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BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including theDevelopment Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances.
Plans ewed By Date
Receipt Numbe
Date Paid
Received By:
Plan Check Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undevelopedproperties within the City limits which are being improved.
ITEM
Fixtu res
Residentiat Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
N0
FT.
FT.
FT.
(c)
Plumbing permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mechanical permit
lssuance
State Surcharge
Total Permit
Fu rn ace
Exhaust Hood
Vent Fan
By signature, I state and agree, that I have caref ully examinedthe completed application and do hereby certify that allinformation hereon is true and correct, and I turther certifythat any and all work performed shall be done in accordancewith the Ordinances of the City of Springfield, and the Lawsof the state of oregon pertaining to the work describedherein, and that NO OCCUPANCy will be made of anystructure without permission of the Building Safety Division.I further certify that only contractors and employees whoare in compliance with ORS 701.055 will be used on thisproject.
I further agree to ensure that all required insrequested at the proper time, that each addresfrom the street, that the permit card is Iof the property, and the approved set
2 ZDate
al St
pections are
s is readable
ocated at the front
of plans will remainon the site durin lon.
)( signature
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
Curbcut
Demolition
State Surcharge
Total Miscellaneous permits (E)
ft
ft
TOTAL AMOUNT DUE (exctudinq electrical)(A, B, C, D, and E Combined)
33?.
22
2a
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
-CITY OF OREGON
225 Fift
Spr i ngfi
Streetd, Oregon 97 477
h
el
FENCE PERMIT APPI-ICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPFI]{GFIELD
0ffi ce:
INSPECTION LINE:
7 26-37 59
7 26-37 69
Job Location:
Assessors Map #:/7os zL 4"7 Tax Lot #: /3 ?OD
ru
Owner:L
Address : Z4 Z-n a *r Phone rl: 7/a - A SZ 7
C"ity :
Value of Fence:
Contractor/I nstal I er :
State z N Z1 p:774 27
o2 Fence Permit 'is $5.00
ri us.t-r;R.
Address:
C'ity:State:
Construction Contractors Registration #:
gna ure
FOR OFFICE USE
By sign'ing this permit/application, I ag
fence has been constructed (726-3769).
this application/permit is correct and t
Development Code requirements for fence
cal I for an inspect'ion once my
state that all information on
was provided with the Springfie'ld
ards .
/2-7 -7/
[aE
Phone #:
Zi p:
Ex pires:
ree toI also
hat I
stand
t.
Date of App'lication:
Receipt #:3 zo';
Total Amount Collected:
Job #:
Issued By
{ >-o
Checked for Del'inouencies: /| -__J_=__Checked for Historical Status i <---
Permit No:
Address:
lssued by
/ /dr
,.4O //'7
R OFFICE USE ONLY
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4) , requires residential construction permit
applicants who are not registered with the Construction Contractors Board to
sign the following statement before the building permit can be issued. This state-
ment is required for residential building, electrical, mechanical, and plumbing
permits. Licensed Architect and Engineer applicants, exempt from registration
Lnder ORS 701.010(7), need not submit this statement. This statement will be
filed with the permit.
Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 38:
Date:
I own, reside in, or will reside in the completed structure.
I understand that I must register as a construction contractor if the structure is sold
or offered for sale before or upon completion.
My general contractor is
Contractor registration n ,4
1
2 \id
3 A
I will instruct my general contractor that all subcontractors who work on the struc-
ture must be registered with the Construction Contractors Board. .. ',:
3 B I will be my own general contractor.
lf I hire subcontractors, I will,hire only subcontractors registered withthe Construc-
tion Contractors Board. lf I change my mind and do hire a general contractor, I will
contract.with a contractor who is registered with the Construction Contractors Board
and I will immediately notify the office issuing this building permit of the name of
the contractor.
I hereby certily that the above inlormation is correct and that I have read and understand
the lnl6lrmation Notice to Property Owners about Gonstruction Responsibilities on the
reverse side ol this lorm.
Drye+t U)Z ?/
nature of mt cant
CONSTRUCTION CONTRACTORS BOARD
o24N 8191
Date
WHITE @PY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
OR
d
STANDABD sr'ugru'AL pEsT coNTHoL inrr.o,o,
ngfield
INVOICE
REPOBr J
qATE OF
This is an inspection roporl only_not a ttortcb bl Cornplolion.
CITY
S ori
slan Lynchco
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BUYEB's NAIIE AND AOD8ESS
NAME AI{O ADOBESS OF 9ABW*--gl*LrcENsE *oQ %Zo ?"Otrginal 8og:rr Supptormnlal Reporl t,l Nurnber ot Pogor--*A SU&STRUCTURE I NSPECTI ON ONLY. SUB FLOOB LEVEL & BELOW WE ASSUME NO LIABILITY FOR ANY
OTHEB POFT|oN OF STRUCTURE UNLESS S PECIFICALLY NOTCOIMPOHIANT NOrrcE AND EXCI.USTONS Ilnu rolrorl t6 atiy a tac(,,/il d out lttdtl
ON THIS REPORT.
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IN INTENEST
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doos rntt gr,arar{eo ihlt d.ifi rilt ls 0 {}lgsbtlorrs rJU l9l (t(!l,rllpr!rsir tltoro qlrnl llurtutcctotirs imrlid l0lho
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coffllona msls tnsp€cllon mpraclEal Ttus sntrre tulrofl r'nu, bO demod n,lr on6 r6a6
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fur Below Scr Eolow
Sublorranean Termites \ba
Slructurel
Struclursl
Slruclural srglgg'-.
Ercoarlyo Moisturo Contllrons
Cellubae Debris
Grade lhan 6" cluaranLc
Other
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