HomeMy WebLinkAboutPermit Building 1995-02-03J
RESIDENTIAL
PERMIT APPLICATION
lnspections: 720-3769
Office: 726.3759
SPFITl\.GFTELO
7;o/2,
efr,
JOB NUMBER
225 Fifth Street
Springf leld, Oregon 97477
LOOATI0N OF PROPOSED WORKI
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LOT:BLOCK
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SUBDIVISION:
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ADDRESS:
CITY:
-T,-.ro h+o.sd r,.,rAt SnnoK( flbt€nSr FrNtSh r.r;+ULXDESCRIBE WORK:anslail -TwP r.lirrdtrwg
NEW- BEMODEL ADDITION DEMOLISH OTHER
PLUMBING;
MECHANICAL:
-
ELECTBICAL:
ADDRESS EXPIRES PHONECONTNACTOR'S NAME
GENERAL:
CONST.
CONTRACTOR #
FIANGE:
, OF BDRMS
- OFFICE USE -
LAND USE:
WATER HEATER:
ZONING CODE:
FLOOD PLAIN
r OF UNTTS:
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GBOUP:
I OF STORIES:
CONSTR. TYPE:
HeRT SOUnCT:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. will be
made the same worklng day, lnspections requested after 7;00 a.m. wlll be made the followlng work day,
REQUIRED INSPECTIONS
Temporary Eleclric
E
tl
Slte lnspectlon - To be made
after excavatlon, but prior to
setting forms.
Underslab Plumblng/Electrlcal/
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng,
Foundatlon - After forms are
erected but prlor to concrete
placemont.
Underground Plumblng - Prior
to fllllng trench.
Undertloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Beam - Prior to floor
lnsulatlon or decking.
Floor lnsulatlon - Prior to
decklng.
Sanitary Sewer - Prior to fllling
trench.
Storm Sewer - Prlor to filllng
trench.
Water Llne - Prlor to filling
trench.
Bough Plumbtng - Prior to
cover.
ft;;tt Electrical - Prior to E
Rough Mechanlcal - Prlor to
cover.
Electrlcal Service - Must be
approved to obtaln permanent
electrlcal power.
Flreplace - Prlor to facing
materlals and framing lnsp.
Wood Stovo - After lnstallation
lnsert - After flreplace approval
and lnstallatlon of unlt.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material in place.
Fence - When completed.
Slroot Trees - When all required
trees are planted.
Final Plumbing - When all
plumblng work ls complete.
FInal Electrical - When all
electrlcal work is complete.
Final Mechanical - When all
mechanical work ls complete.
E
[ttu*'ng - Prlor to cover'
[,-1 wattlCelting lnsulation - Prlor to._.c cover.
("r*ull - Prlor to taplns
Final Building - When all
requlred lnspections have been
approved and building is
completed.
Other
MOBILE HOME INSPE TIONS
Blocking and Set-Up - When all
blocklng ls complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Conneclion - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Final - After all required
inspections are approved and
porches, sklrting, decks, and
venting have been lnstalled.
E
E
n
E
tl
E
n
E
tl
E
E E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot TVp, _
.-- lnterior
-._ Corner
-
Panhandle
-
Cul-de-sac
P.L.HSE GAR ACC
N
S
E
tb IS THE PROPOSED WORK TN THE -HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicaflon must be slgnedand approved by the Historlcal
Coordinator prlor to permit issuance,
APPROVED:
SQ. FT. X $/SQ. FT. = VALUE
,7fr,/r
(A),// ?o
BUILDING PERMIT
)z&_/,2t
/20
Total Value
Building Permit Fee
State Surcharge
Total Fee
ITEM
Main
Garage
Carport
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
Thls permit is granted on the express condrilon that the sardconstruction shall, in all respects, conform to the Ordlnanceadopted by the City of Springfield, includlng theDevelopment code, regurating ine ctnstiuciion ano use ofbuildings, and may be suspended or revoked at any trmeupon violation of any provisions of said ordlnances,
Pla iewed By
Recei pt Numbe
Date Paid
Received
Plan Check Fee:N,/x
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undevelopedproperties within the City limits which are being lmproved,
ITEM
Fixtures
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
No
FT.
FT.
FT.
(\,)
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlnedthe completed applicailon and do hereby cerilfy that alllnformation hereon is true and correct, and I f urther certlfythat any and all work performed shall be done in accordancewlth the Ordinances of the City of Sprlngfield, and the Lawsof the state of oregon pertainrng to the work descrlbedhereln, and that NO OCCUPANCy wlll be made of anystructure wlthout perrnission of the Buildirlg Safety Divlslon,I further certlfy that only contractors and employees whoare ln compliance wtth ORS 7O1.OSS wlll be used on thlsproject.
I further agree to ensure that all required lnsrequested at the proper ilme, that each add
from the street, that the permlt card ls
of the property, and the approved set
Date
pectlons are
ress ls readable
located at the front
of plans wlll remalnon the site mes rlng constructlon
,X"
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk .._- ft
Curbcut .-_- ft
Demolition
State Surcharge
Total Miscellaneous permits
r,t -., t- 1 e__
(E)
VALIDATION:
RECEIPT NUMBER .?
DATE PAID
AMOUNT RECEIVED
2-O
TOTAL AMOUNT DUE (excluding electricat)(A, B, C, D, and'E Combined)BECEIVED BY
(. /r,
2c
4or /
Skillern Investments
P.0. Box 774Springfield, Or. 97477
January 5, 1995
Bob Barnhart, Building Inspector
City 0f Springfield
Development Services Department
225 Fifth Street
Springfield, Or. 97477
/.r1\\nBob Barnhart;
This is the letter you requested per our phone conversation
today.
I am the property manager for John Skil1ern, who owns the property
in question at 148 North 14th Street, Springfield, Or. 97477.
Aft.er discussing the problem with him concerning the residential
use of this property, he gave permission, as I am conveying 1-o
this to your for Leon Works (as Tenant) to use the property as
long as he pays for any and all improvements and fees required by
the building inspectors to bring the living area up to current code.
oIs
Property manager, Skillern InvestmenLs
"t
cc Leon Works
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Transact.ion Recap ReportFor transactions dated 02/03/95 to 02/03/9sDetail list.ingPrinred 02/06/95 O7 z4G:15
City.of Springfield Cash Register SystemDevelopment Services
Building Transaction
000000
(Number Date
01518s 02/03/es
Item
040 Copies
Payee
STEVE COX
Amount
s.00
5.00
Building Transaction
940852
Owner
DETAIL REPORT
Pr Account Project,
00000048530Check: 5.00
Emp ID
HETDI K.
Misc
Emp ID
NANCY M.
Misc
Tot.a1 owed:
Number
0 16185
Date
02/03/es
Payee
ABC DRYWALL
Owner
FOR 1OO2 S 59TH STRE
Pr Account Project
0000 0042t3LCheck: 15.00
Item
039 Reinspect.ion FeeTotal owed:
Amount
L5. 00
15.00
Building Transaction
950 12 5
Number Date
015187 02/03/es
Payee
SHOT IN THE DARK PAI
Amount.
l-5.00
.75
.45
40.00
Owner
SKILLERN INV.
Pr Account
00 00004213 1
2 t-00 0024 005
00000042L45
00 00004213 1
Emp ID
DON M.
Item
002 Building
099 State Surcharge
098 3? Admin Fee
059 Special Inspecti_on
Project Misc
5 k:Total owed:
Building Transaction
56.20
tb\
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,
City of Springfield
Development Services Division
225 Fifth St.
Springfield, OR 97477
(503) 726-37s3
FAX: (503) 726-368e
Teteetrorpx
[,IeetirU D
Memo E
CONFIRMATION RECORD
Project Address
Date
Person Called:
Person Calling
h Job Number:
Time: ,/41 1@
/cre',Ll fi ', et"/tyr%rrrw J4(fuhl
Finn: C/b
,a
/
cc: Chronological/Address File
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