HomeMy WebLinkAboutPermit House Move 1998-7-9
OWNER: J!6..>&..-6 < /~tJ", I (
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CITY: )/7f/l~e/cL'
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DESCRIBE WORK:~' ~
NEW REMODEL - ADDIT,:d
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP' / 1 0 ~
LOT:
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
MECHANICAl'
ELECTRICAl'
QUAD AREA:
. OF BLDGS'
OCCY GROUP:
. OF STORIES:
WATER HEATER'
.-
SPRINGFIELD
I '_'.n,
.
JOB N~MBER_9~ t:) t;~
225 Filth Street
Springfield, Oregon 97477
TAX LOT' 06 n ~ )")
SU8DIVISION'
PHON".7 Y't - C/66D
ZIP: cJ 71/7 '7
(tftu.~ 7'">
A.,I!- .4?A2h...,))
~. '/
// ~r ~f O'V'-
DEMOLISH
OTHER
,
BLOCK:
r
STATE: _iY? _
ADDRESS
CONST.
CONTRACTOR'
EXPIRES .,., PHONE
- OFFICE USE -
LAND USE:
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGF'
~
}1'
FLOOD PLAIN'
ZONING CODE:_
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. wIll be
made the same working day, Inspections requested after 7:00 a.m. will be made the following work day.
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
D Footing - After trenches are
excavated.
D
Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but prior to concrete
placement.
D Underground Plumbing - Prior
to filling treneh.
D UnderfJoor Plumbing/Mechanical
- Prior to Insulation or decking.
D
Post and Beam - Prior to floor
Insulation or decking.
D
Floor Insulation - Prior to
deeKlng.
D Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to filling
trench.
D Waler Lln~ "7 Prior to filling
trench, , .
D Rough Plumbing -' Prior to
cover. ~
REQUIRED INSPECTIONS
D Rough Mechanical - PrIor to
cover,
D Rough Electrical - Prior to
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
D Framing - Prior to cover.
D Wail/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to taping.
D Wood Slovo - After Installation.
D Insert - After fireplace approvel
and Installation of unit.
D Curbcul & Approach - After
forms are erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base materIal In place.
D Fence - When, COiYlpleted. '
D Street Trees - When all:n~q~lred
trees are planted. . ,_ .
D Final Plumbing - When all
plumbing w9rk Is complet,e.
D Final Electrical - When all
electrical work Is complete.
D Final Mechanical - When all
mechanical work Is complete.
D Final Building - When all
required Inspections have been
approved and building Is
completed.
&ther ...1:::bu2/.1 12 ~ JI/_
MOBilE HOME INSPECTIONS
D Blocking and Set.Up - When all
bloeKlng Is eomplete.
D
Plumbing Connections - When
home has been connected to
water and sewer.
D
Electrical Connection - When
blocking, set.up. and plumbing
Inspections have been approved
and the home is connected to
the service panel.
D Final - After all required
I nspectlons are approved and
porchos, skirting, decks, and
venting have been Installed.
j.
L~t ~yp_ "
Lot faces
Lot sq. Itg. Interior
Lot coverage Corner
Topography Panhandle "
Total height Cul-de-sac
I P.L.
N
S
W
E
BUILDING PERMIT "1 '" .t
"
ITEM SO. FT. X $/SO. FT. VALUE
Main
Garage "
Carport
\
Total Value
Building Permit Fee
State Surcharge
Total Fee (A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplaee Unit
Dryer Vent
Mechanical Permit
-.
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Sureharge
Sidewalk
It
Curbcut
It
Demolition
FEE
State Surcharge
f/ouvOl ~.~, ~/7ft 414V, ~
Total Miseellaneous Permlls (E)
TOTAL AMOUNT DUE (exeluding electrleal) .~
(A. B, C, D, and E Combined)
'".,. :',,' 'I !~:\:;;,:~\~L:~;~
'S liHEPROPOSED WORK IN THE,
....HiSTORiCAL DISTRICT, OR ON
THE HiSTORtCAL REGISTER?
If yes. this applleatlon must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Setbaeks .
HSEIGA~
I
Acc'l
I
I
APPROVED:
'.- .'...., .,,:' 't
BUILDING VALtJE, PLAN CHECK
AND BUILDING 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 of 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.
I
Plan Cheek Fee'
Oate Paid:
Reeelpt Number'
Received By:
Plans Reviewed By
Date
I
Systems, Developmc0~ Charge Is due on all undeveloped
properties within the 9ity limits which are being Improved.
ADDITIONAL C()MMENTS
By signature, I state and agree, that I have carefUlly examined
the eompleted application and do hereby eerllfy 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 Ordinane~s of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
, .
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance With ORS 701.055 will be used on this
project.
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
of the property, and ,th approved set of plans will remain
on the jat all es urln~n~(~n. .
Slgnat '-Y1t1~
Date
'7/sb-!-
I
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
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RECEIVED BY