HomeMy WebLinkAboutPermit Building 1997-6-17
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
JOB NUMBER 9?c?~~
225 Fifth Street
Springfield, Oregon 97477
LOCATION OF'PROPOSED WORK:! '6 (7 m./~ ji) ~., f
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. TAX LOT: /~ .~~
SUBd'VI~;ON:NDRlhJ~lc"l~~lNi () i..L
PHONE: Et/ - 7<[</ -<;,kl:'IJ f
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ASSESSORS MAp.
LOT:!d-/~
BLOCK: -:-U
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OWNER; r:J.w~vV I.A)\ II I 4.-.'\" .
ADOR"''''. / a:l \ .. M1A-lO ~J r ~ f-..
C1TY:-5.~I<'; "l~
OESCRIBE WO"K: C IJ lMJev-t , ("Clfr
NEW .. REMODEL L ADOITION
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DEMOLISH OTHER
CONST.
CONTRACTOR'
6.'5 g cr '/
ADDRESS . 51>"1=10/
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CONTRACTOR'S NAME .
GENERA" G'lell\ b :)a.II(~
EXPIRES
'1-fjf
.;::. PHONE
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PLUMBING:
'MECHANICAl.
. rIleL- '
ELECTRICAL: -UJ f"f /117. II""
A
..t:-!PL.
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tJ.JtJfI.~".J i t/{. O~
- OFFICE USE -
QUAD AREA:
. OF BLDGS.
OCCY GROUp.
. OF ~TORIES:
WATER HEATER:
LAND USE:
FLOOO PLAIN:
ZONING CODE:
. OF UNITS.
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
I
. OF BORMS.
SECONOARY HEAT.
SQUARE FOOTAGE:
. Tv reque::it an i1'~jJuc~lon. you must call {,;l6.3769. This Is a 24 hour recording. All Inspections reQuested before 7:00 B.m. will be
made the same working day. Inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
o R~ugh Mechanical ~ Prior to
cover.
o Tem-porary Electric
o Final Plumbing - When all
plumbing w9rk Is complet.e.
i"\::;(Rough Electrical - Prior to
~ cover.
O SlIe Inspection - To be mado
after excavation, but prior to
setting forms.
~ Final Eloctrlcal - When all
~Iectrlcal work Is complete.
o Underslab Plumblng/Electrlcal/
Mechanical - Prior to cC'ver.
o Final Mechanical - When all
" mechanical work Is complete.
o Electrical Service - Must be
approved to obtain permanent
electrical power. "
o Footing - Arter trenches are
excavated.
i'v>1' Final Building - When all
~equlred Inspections have been
approved end building i.
completed.
o Fireplace - Prior to facing
malerlals,nd framing Insp.
o Masonry - Steel location, bond
.beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
~ Fra~lng - Prior to cover.
1's7r Wail/Ceiling Insulation - Prior to
~ cover.
OOthar
--
I
o Underground Plumbing - Prior
t'J !!!!!~2 :rench.
~ryWall - Pd", to t"oln~.
MOBILE HOME INSPECTIONS
O Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Wood Stovo - After Installation.
o Blocking and Set.Up - When all
bl~cklng Is compJet.o.
o Post and Beam - Prior to floor
Insulation or\decklng.
"-
O Floor Insulation - Prior to
.. decking.
,., ..
o Sanitary Sewer - Prior to III 11 ng
trench. .
o Insert - AHa, fireplace approval
"',~ and Installation of unit.
. ,
o Plumbing Connections - When
home has been connected to
water and sewer.
. '0 Curbcul & Al'proach - After
~ forms are erected but prior to
placement of concrete.
o Electrical Connection - When
blocking, set.up, and plumbing
Inspecllons have been approved
and the home Is connected to
the service panel.
O Sidewalk & Drlvewav - After
excavation IS compiete, forms
and sub-base material In place.
o Storm S'Jwer - Prior to filling
trench.
o Fence - When completed.
O Water LIne - Prior to filling
trench.
o Final - After ell required
Inspections are approved and
porch os, skirting, decks, and
venting have been Installed.
o Roug~ Plumbing - Prior to
cover.
o Street Trees - When all required"
trees are planted.
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,..",. < Setbacks. ,... . ( IS THEPROPOSEO WORK. iN THE. .
I ;P.L. I HSE I GAR I ACe'! (.'.HISTORICAL OISTRICT, OR ON
.': . 1 I I.' THE H1STORICAL,!"EGISTER?
IN. .. " yes, this appllcatt',n must be signed
S I I I. and approved .t;}" the Historical
I . .. . Coordinator prlor'to 'permit Issuance.
W _~_..
-L- _! r, . \. APPR()VEO:.
BUILDING VAuJE, PLAN CHECK
AND BUILDING PERMIT
Leit faces
Lot sq. fig.
. .;;
.... t. .
Lot l\!pe
,'t'
Inlerlor
Lot coverage
Corner
\
-:.... ..Panhandle.
Topography
Total height
- Cul.de.sac
.1.
,. "I, .);,1
BUILDING PER~IT~\":"i! ",
ITEM SO. FT. X S/SO. FT. D
VALUE
Main
Garage
"
Careort
~ ~ ~- .....
Total Value
Building Permit Fee
2-~i 'f- ;,7'0
. ~.o
sr,., ,
4.'S?!
J;.,i. 0 3
SYSTEMS DEVELOPMENT CHARGE (SDC)
J
(B) -
Stafe Surcharge
Tolal Fee
(A)
PLUMBING PERMIT
ITEM
Fixtures
FEE
Residential Bath(s)
N'
Sanitary Sl'wer
Water.
FT.
FT.
Storm Sewer
Mobile Home
/
Plumbing Permit
Stale Surcharge
TOlal Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
.,-
/
Vent Fan
N'
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical pe~
Issuance
I
Stale ~urcharge. _ .
Total Permit
(0)_
-r.r.--
MISCELLANEOUS PERMIT~;-'
Mobile Home
State Issuance
State Surcharge
Sidewalk It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding ~lectrICal)
(A B C O' and E Combined). .. . .
I . . .
Th1s.permlt is granted on the express COndition 1hat the said
construction shaff, In all respects, conform to the Ordinance
adopted by the City. of Springfield, InClUding the
Development Code, regulating the const'UCtlon and use of
buildings, and may be suspended or revoked at any time
i upon violation of any prOVisions t;lf said orCi;:anc&s.
Plan Check Fee:
~.:>'"3'
~/~-$'?
:-1?h /.
7 'O,S'te
Syst'ems Development Charge is 'due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
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By signature, I stato and agree, that I have carofuliy examined
the completed sppllcst10n and do, hereby certify that all
Information horeon Is true and correct, and I furlhor cartlfy
'hat sny and all work performed shall be done In accordance
with the Ordlnancus of the City of Springfield, end tha Law.
of Ihe State of Orogon pertaining to tho work descr1bad
hera.1n, and that NO OCCUPANCY will be made of any'
atructure wl1hout permission of the Building Safety Division,
I further certify that only contractors and employoes who
sre In complianCe wllh ORS 701.055 will be used on this ..
proJect. .__ ~ .
. I .urther agree 10 enDuro thai all roquirod In,poollon. or.
requested at the proper lime; that eaoh address Is readable
from the atreel, that the po,m1t card la located at the front
of the property, and the approved set of plans wlli remain
, on the slle at a1!l7s dUrlngt9710n.
~ature t!L ~~,-
Oate d' -/7~r;7
VALIDATION:
RECEIPT NUMBER '262t1Jg
. A, -'""'.""7::>
DATE PAID "" I ./
AMOUNT RECEIVED ~/. <::''3
RECEIVED BY q~