HomeMy WebLinkAboutPermit Building 1992-06-03ltc --t 2--
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RESIDENTIAL
PERMIT At,PLICATION
lnsPerctionr,,'.'(i-3760
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L0(lAllOl\, ()l l'llOf'}Oijl l) WOItK
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JOB NUMBER
225 Fiftlr Street
Sprrng(icl<J, Oragtttt 9'(41 I
TAxLor ll9oO--
SUBDIVISION: --
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ht,
owNF- R: . Er-rZa.ef=t{ Mu*.9-
ADDRESS: ,232;0 LJ . IT--+K*
PHON E
SrArE: O*-- - ztP: -9:1 41-a -CITY: . AEC- ILIG4FTELQ- -
nrrraoor,l/ __ ADDIT|oN DEMOLISH OTHER
R d 3roDESCRTBE W()RK: -?e-l*ao -
NEW
GENERAL: Borrcrx- Cos- - - -41q-AJ GL+\5*4
PiloNECONI RAC]()I( S NAI\4E ADDNE:;S EXPIRES
--1trnirrs
PLUMI]ING
MECI.IANICAI
ELECI'RICAt-:
CONSI
CONTRACTOR #
591t2+- -
QUAD AREA:
.' OF BLDCS
OCCY GtioUI'
, oF siTotltt :;
WATER HEATI,N
FLOOD PLAIN:
ZONING CODE:
* OF BDRMS:
SECONDARY HEAT: ,
SQUARE FOOTAGE: _
CONS I R. TYI'I
- OFFICE USE -
RANGf::
--
I'IEAT:IOURC;E:
LAND USE: --
I OF UNITS:
To request;rn trlspectir,,rr, you rnust call 726'3769. This is a24hour recor<Jing. All inspections requested before 7:00 a.rn. will bt-,
mac,a the sirilr(-'working day, inspections requestecl after 7:00 a.nr. will be made the following work day.
REOUIRED INSPECTIONS
| '-l Rorrgh Mcclrirnical - Prior toL--J cov(ir.
f]Rough Electrical - Prior to
fJ
tl
X
L_l
LJ
letnpor .rry Elec tr ic
Site ln...1rection - To be rnade
after ex(..lvatiorr, lrut prior to
Settlrrg lrrIfilS.
Undelsl.rb Plurrrbirrg/ Electrical /
Meclrarrical - Prior to cover.
Footing - Aftt.rr ttenches are
excavalC( l.
Masonry - Steel location, bond
bcallrs,,)r()utin0.
Fourrd;rlion - Aflr:r forrns;rre
erecte (l l)ut pri()t t() conctr-.le
place,rrrr,r r t.
Under.gr()uncl Pltrnrbing - [rrior
to ftllirril trcnclt
Underl loor Plurntri ng/ Mechanical
- Prior ro insrrlailon or rler;king.
Post anrl Beam - Prior to lloor
insulrilit.,r-r or declii ng.
Floor llrsulation - Prior to
deckinil
Slorrrr llower - l,tlor lo filling
trencll
Waler Line - l)rior to lillintl
lrench.
cover.
Electrical Service - Must be
approved to ol)tain perrnanent
ele,;trical [)orver.
t:l Fireplace - Prior lo facing
materials arnd f rarning lnsp.
l-_l Frarning - Prior lo cover.
l-l Wall/Ceiting lnsulation - prlor tot-J cover.
Drywall - Prior to tapin0
Wood Stove * Af ter installation
lnserl - After fireplace approval
an(r lnstallatlon of unit.
Curbcut & Approach - After
forrns are r-.recled but l)ilor toplacernerrt of concrete.
Sidewalk & Driveway - After
excavation i:; complete, [orrns
anrj sub-b;r:;c ntatcrial irr place.
I -l Fence - WlrL'n cornple tcd.
Street Trees - When all required
trecs are pl;irrted.
Final Plumbitrg - W[rcn all
plurnbing worl( is corillrlcte.
Final Electrical - Wlrcn all
electrical worl( is coI,tl)l(]le.
Final Mech;rnical - Wtrcn all
meclranical work is r;r.rrrrltletc.
Final Building - Wtrt:rr iill
required inspcctions lravu becrr
approved and buildirrg is
r:ompleted.
Other __
MOBILE HOME INSPECTIONS
l_-l Alocking and Set-Up - Wlrcrr ail
-
l)locking is cornplete.
l-*-l Sanirary Sewer - l)rior tu frilirr<;
-
- trLln(:ll Electrical Connection - Wlrcrrl.llocking, set-ul), ancl ltlurrrbirrlltnspections ltirve ber-,rr irl,l)rovt(,
and tlre horrre is connL,(it,r(l tuthe service pirrrel.
Final - After all rerltrrrcti
inspections are apl)rovrl(l andporches, skirting, decl<:;, and
venling fiave lteen irtr;l;rllcd.
Rough I'}lumbing - Prior tcr
covi)r.
l:]
r_l
.x
il
fl
[--l plumbing Conhections - Wtrr:rr|J lronre has beun conn(.,clud lo
water and scwer.
fl
r_l
rJ
f_l
E
tf
Lot (aces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot Type .,
--
lnterior
_--- Corner
-
Panhandle
-- Cul'de'sac
Se t bac ks
PL.HSE GAR
N
S
E
ACC
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perrnit is gr;rntod otr lltc express c<-inditiorr tll;rt the l;ai(l
construction shall, in;lll rosl)e(lts, c<)nfortn to llle Or(lillarrce
adoptetJ by the City o{ Springfield, irrcludinq the
Developnlenl Cocle, l'e(lulatirl(l the construclion :tttc! usr: of
t ritOInq", :rntl ntay [.rc sttspt-'ndetl or tevo[<ctl ;rt any titrtt.
upon violation of atry provisiorrs of said orclinanccs'
ReceiPt Number:-
D.rtePlans Revi ewed BY
Plan Check Fee:
Date Paid
Received BY
BUILDTNG PERMIT
VALUE
(A)
SQ. FT, X $/SO. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Systems Development Cllarge is due on all utrdeveloped
propertles within the City linrits which are beirrg itnproved'SYSTEMS DEVELOPMENT CHARGE (SD
(B)
c)
ADDlTIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
SanitarY Sewer
Water
Storm Sewer lSO
Mobile Home
PLUMBING PERMIT
FEE
No
I
FT.
r.r.
FT.4r' "ot)
(c)
&o .C'D
L,NPlumbing Permit
State Surcharge
Total Charge
Woocl Stove/ lnsert / Fi replace Unit
Dryer Vent
MECHANICAL PERMIT
Mechanical Pcrntit
(D)
N0
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By signature, I state and agree, that I have caref utly examined
the cornpleted application and do hereby certify that all
information hereon is true and correct' and I lurtlrer certify
that any and allwork performed shall be done in accordance
withtheordinancesoftheCityofspringfield,andtheLaws
of the Stale of Oreg;on pertaining to the *tlr11 6656ribcd
lrerein, ancl that NO OCCL'IPANCY will be tttarlt: of ;rt'ty
structure without pcrmissiotr of the Building Safr:ty Division
I f urther certify that orrly contractors and entDtoyr:r:s wlto
are ln cornpliancc witlt ORS 701 055 will bc r'tl;rlcl otr tlris
proiect.
I further agrec to ensurc tlrat all required insl)ections are
requested at the proper time' that each address is rcadable
f rom thc street, that the l)crmit carcl is locaterl at ttre Iront
ol the lrroperty, and tlre approvecl set of plarrs will rcttrain
on the site at all tiriles tturing construction
Date (-a.4t-
Signatu re
MISCELLANEOUS PERMITS
I1,eb
Total Miscellaneous Permits (E)t4 .ro
+Scfe-,. 3d C+------ D
---
ft
Mobile Home
Statc lssuance
State Surcharge
Demolition
State Surcharge
Sidewalk
Curbcut
RECEIPT NUMBER 1971 "
)
VALIDATION
RECEIVED
AMOUNT RECEIVED
DATE PAID
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
4c ..(a
S THE PROPOSED WORK IN THE
- HISTORICAL DISTRICT, OB ON
T}{E HISTORICAL REGISTER?
--lf yes, this application must be signed
arrd aPProved bY tl'rc Historical
Coclrdirrator prior to permit issuance'
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