HomeMy WebLinkAboutPermit Building 1996-2-27
RESIDENTIAL
PERMIT APPLICATION
Inspections 7263769
Office 726 3759
LOCATION OF PROPOSED WORK
ASSESSORS MAP /7/J3 1,,-:;;
LOT
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JOB NUMBER
7'~o2 55' . ,
BLOCK
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT
SUBDIVISION
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PHONE
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OWNER If\J 1\ 0 Y\I \
ADDRESS ' 11-s:-Y
CITY L5 D FLJ
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STATE
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DESCRIBE WORK Or"
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NEW REMODEL
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ZIP
77ft??
QPO<<lll
r....- ADDITION
DEMOLISH
OTHER
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CONTRACTOR'S NAME
GENERAL (,.() rrloOJ
PLUMBING
MECHANICAL
ELECTRICAL
ADDRESS
h EIJItN S YJ,3
CONST
CONTRACTOR'
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PHONE
}lf6-71xi13'
EXPIRES
//- 7{,
QUAD AREA
· OF BLDGS
OCCY GROUP
. OF STORIES
WATER HEATER
- OFFICE USE _
LAND USE
· OF UNITS
CONSTR TYPE
HEAT SOURCE
RANGF
FLOOD PLAIN
ZONING CODE
. OF BDRMS
SECONDARY HEAT
SQUARE FOOTAGE_
To request an Inspection, you must call 7263769 This Is a 24 hour recording Alllnspecllons requested before 700 a m will be
made the same working day, Inspections requested after 700 a m will be made the fOllowing work day
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms
o Underslab PlUmbIng/Electrical/
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 Insulation - Prior to
decking
o Sanitary Sewer - Prior to filling
trench
o Storm Sewer - Prior to filling
trench
o Water Line - Prior to IlIlIng
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
~ramlng - Prior to COVer
o Wail/Ceiling Insulation - Prior to
cover
o Drywall - Prior to taping
o Wood Stove - After Installation
o Inaert - After fireplace approval
and Installation 01 unit
o Curbcut & Approach - After
forms are erected but prior to
placemont of concrete
,
,
I
o SIdewalk & Driveway - After
excavation Is complete, forms
and sub basle material In place
o Fence - When completed
o Street Trees - When all required
trees are planted
o Final Plumbing - When all
plumbing work Is complete
o Final Electrical - When all
electrical work Is complete
o Final Mechanical - When all
mechanical work Is complete
1"Vl" Final BuildIng - When all
~equlred Inspections have been
approved and bUilding Is
completed
o Other
"
MOBILE HOME INSPECTIONS
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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
Inspecllons have been approved
and the home Is connected to
the service panel
o Final - After al/ required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed
"
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Lot faces
Lot Type'
Setbacks
I PL I HSE I GAR I ACC I
I N I
Is 1
\W I
~--~
S THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HtSTORICAL REGISTER?
If yes, this applicatIon must be sIgned
and approved by the Historical
Coordinator prior to permit Issuance
Lot sq fig
Interior
Lot coverage
Corner
Topography
Total hel ght
Panhandle
CuI de sac
APPROVED
BUILDING PERMIT
ITEM sa FT - X $/SO FT
BUILDING VALUE, PLAN CHECK
AND BUILDI!'lG PERMIT
This permit Is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City 01 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
VALUE
Main
Garage
Carport
f>o/,A'if A'~A'7~
Total Value
? L,()1.D Plan Check Fee
Date Paid
,S'9.. ,5"4 Receipt Number
;;: ,a'7 Received By
4/,~1 Plans Reviewed By Date
Building Permit Fee
State Surcharge
Total Fee
/5'J-r- //G
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved
ADDITIONAL COMMENTS
PLUMBING PERMIT
1 ITEM
,
, Fixtures
1
Residential Bath(s) N'
r Sanitary Sewer FT
-, Water FT
,
,t Storm Sewer FT
I
l Mobile Home
Plumbing Permit
State Surcharge
Total Charge (C)
MECHANICAL PERMIT
Fu rnace
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FEE
Exhaust Hood
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 01 Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety DIVisIon
1 further eartlfy that only contractors and employees who
are In compliance with ORS 701055 will be used on this
project
Vent Fan
N'
Wood Stove/lnsertl Fireplace Unit
Dryer Vent
Mechanical Perml t
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensure that all required InspectIons are
requested at the proper time, that each address Is readable
from the street, that the permit card Is located at the front
01 the property, and the approved set of plans will remain
on the site at ~ times during construction
Signature )/A ~
./C
MISCELLANEOUS PERMITS
Mcblle Home
State lssuance
State Surcharge
Slclewalk
Curpcut
1 Demolition
State SurcmhIJe
fl
Date
,;J.~:f. '/ -7.-6
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VALIDATION
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Total Miscellaneous Permits (E)
RECEIPT NUMBER
DATE PAl'"
TOTAL AMOUNT DUE (excludTrTg electrical)
(A, B, C. D, and E Combined)
AMOUNT RECEIVEr>
RECEIVED BY